Wayne, NE
33
In-network payers
85
Disclosed rate categories
21
Beds
Providence Medical Center is a 21-bed voluntary non-profit - private hospital in Wayne, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 85 disclosed rate categories.
CCN (Medicare provider number)
281345
NPI
1801867494
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
21
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Providence Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$2,650 - $4,803
from 4 insurers · median $4,803
Typical for a hospital with this service line
CT imaging
CPT 70450
$1,226 - $1,678
from 4 insurers · median $1,523
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$386 - $2,859
from 4 insurers · median $2,859
Typical for a hospital with this service line
CT imaging
CPT 74176
$2,214 - $2,662
from 4 insurers · median $2,662
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,438 - $2,925
from 4 insurers · median $2,856
Typical for a hospital with this service line
MRI imaging
CPT 70553
$3,772 - $3,911
from 4 insurers · median $3,851
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,655 - $4,637
from 4 insurers · median $3,770
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,014 - $3,110
from 4 insurers · median $3,110
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$6,050 - $6,444
from 4 insurers · median $6,346
Hospital reports pet scan services to CMS
Mammography
CPT 77067
$231 - $375
from 4 insurers · median $364
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$777 - $2,461
from 4 insurers · median $2,385
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$130 - $284
from 4 insurers · median $270
Typical for a hospital with this service line
MRI imaging
CPT 74183
$587 - $4,491
from 4 insurers · median $4,354
Typical for a hospital with this service line
MRI imaging
CPT 70551
$299 - $2,319
from 4 insurers · median $2,319
Typical for a hospital with this service line
MRI imaging
CPT 72148
$2,002 - $2,280
from 4 insurers · median $2,280
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,355 - $2,710
from 4 insurers · median $2,627
Hospital reports nuclear medicine services to CMS
Digestive procedures
CPT 45378
$2,277 - $2,394
from 4 insurers · median $2,349
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,697 - $4,393
from 4 insurers · median $4,259
Typical for a hospital with this service line
Ultrasound
CPT 76705
$147 - $961
from 4 insurers · median $624
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$152 - $994
from 4 insurers · median $970
Typical for a hospital with this service line
Ultrasound
CPT 76830
$101 - $855
from 4 insurers · median $855
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$131 - $162
from 4 insurers · median $162
Typical for a hospital with this service line
Ultrasound
CPT 76642
$661 - $682
from 4 insurers · median $682
Typical for a hospital with this service line
Ultrasound
CPT 76856
$828 - $882
from 4 insurers · median $869
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 813% | 0 | 0 |
| Insurer B* | 24 | 813% | 12 | 8 |
| Insurer C* | 24 | 771% | 11 | 11 |
| Insurer D* | 24 | 248% | 2 | 12 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Providence Medical Center.
1200 Providence Road, Wayne, NE 68787
(402) 375-3800
The nearest hospitals of similar type and size. Their rates are compared with Providence Medical Center for the same insurers and services above.
Pender Community Hospital
Rates about the same as Providence Medical Center (22 services)
Osmond General Hospital
▲ Rates typically 17% higher than Providence Medical Center (22 services)
Franciscan Healthcare
▲ Rates typically 15% higher than Providence Medical Center (23 services)
Sanford Medical Center Vermillion
▲ Rates typically 14% higher than Providence Medical Center (24 services)
Chi Health Plainview
▼ Rates typically 14% lower than Providence Medical Center (24 services)
Burgess Health Center
▼ Rates typically 33% lower than Providence Medical Center (15 services)
Memorial Health Care Systems
Kimball Health Services Clinic
Genoa Community Hospital
Tri Valley Health System
About Providence Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Providence Medical Center range from $3,772 to $3,911 across 4 insurers. Blue Cross Blue Shield's rate is $3,791. The median at nearby comparable hospitals is $4,381. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Providence Medical Center range from $2,650 to $4,803 across 4 insurers. Aetna's rate is $4,803. The median at nearby comparable hospitals is $4,168. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Providence Medical Center range from $3,655 to $4,637 across 4 insurers. UnitedHealthcare's rate is $3,770. The median at nearby comparable hospitals is $2,880. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Providence Medical Center range from $231 to $375 across 4 insurers. Aetna's rate is $375. The median at nearby comparable hospitals is $408. What a patient pays depends on their plan's deductible, coinsurance and network status.
Providence Medical Center has 21 beds. Facility type: Critical Access Hospital.
Providence Medical Center is located at 1200 Providence Road, Wayne, NE 68787. Its main phone number is (402) 375-3800.
Providence Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 281345.
The National Provider Identifier (NPI) on file for Providence Medical Center is 1801867494.
Providence Medical Center lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
85 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers