Cambridge, NE
27
In-network payers
204
Disclosed rate categories
20
Beds
Tri Valley Health System is a 20-bed voluntary non-profit - private hospital in Cambridge, NE. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 204 disclosed rate categories.
CCN (Medicare provider number)
281348
NPI
1548333214
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
20
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 Tri Valley Health System 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.
Childbirth · Inpatient
MS-DRG 788
$35,774 - $38,954
from 4 insurers · median $37,165
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$14,156 - $15,414
from 4 insurers · median $14,706
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$550 - $5,056
from 4 insurers · median $3,365
Typical for a hospital with this service line
CT imaging
CPT 74176
$330 - $4,251
from 4 insurers · median $2,797
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$279 - $2,653
from 4 insurers · median $2,361
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$14,156 - $15,414
from 4 insurers · median $14,706
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 70450
$324 - $1,356
from 2 insurers · median $840
Typical for a hospital with this service line
MRI imaging
CPT 70553
$576 - $4,218
from 4 insurers · median $3,754
Typical for a hospital with this service line
Nuclear imaging
CPT 78815
$3,495 - $6,962
from 4 insurers · median $6,197
Hospital reports pet scan services to CMS
CT imaging
CPT 71250
$239 - $2,082
from 3 insurers · median $1,903
Typical for a hospital with this service line
Mammography
CPT 77067
$222 - $554
from 4 insurers · median $340
Typical for a hospital with this service line
MRI imaging
CPT 70551
$651 - $3,749
from 4 insurers · median $3,337
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,334 - $5,000
from 4 insurers · median $3,704
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72148
$345 - $3,615
from 4 insurers · median $2,413
Typical for a hospital with this service line
MRI imaging
CPT 74183
$613 - $4,499
from 4 insurers · median $4,005
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$58 - $401
from 4 insurers · median $227
Typical for a hospital with this service line
Ultrasound
CPT 76705
$153 - $856
from 4 insurers · median $727
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$205 - $1,368
from 4 insurers · median $1,206
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,117 - $4,242
from 4 insurers · median $3,918
Typical for a hospital with this service line
Ultrasound
CPT 76830
$388 - $1,002
from 4 insurers · median $892
Typical for a hospital with this service line
Ultrasound
CPT 76856
$184 - $1,004
from 4 insurers · median $893
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$543 - $3,034
from 4 insurers · median $800
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$652 - $2,742
from 4 insurers · median $966
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$13 - $167
from 4 insurers · median $140
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* | 22 | 928% | 0 | 0 |
| Insurer B* | 24 | 793% | 10 | 2 |
| Insurer C* | 23 | 743% | 9 | 5 |
| Insurer D* | 24 | 180% | 3 | 15 |
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 Tri Valley Health System.
1305 West Highway 6 And 34, Cambridge, NE 69022
(308) 697-3329
The nearest hospitals of similar type and size. Their rates are compared with Tri Valley Health System for the same insurers and services above.
Community Hospital Assocociation
â–¼ Rates typically 39% lower than Tri Valley Health System (18 services)
Norton County Hospital
â–¼ Rates typically 40% lower than Tri Valley Health System (21 services)
Lexington Regional Health Center
Rates about the same as Tri Valley Health System (19 services)
Phelps Memorial Health Center
Rates about the same as Tri Valley Health System (20 services)
Cozad Community Hospital
â–¼ Rates typically 8% lower than Tri Valley Health System (19 services)
Harlan County Health System
Rates about the same as Tri Valley Health System (21 services)
Valley County Health System
Providence Medical Center
Brown County Hospital
Henderson Health Care Services
About Tri Valley Health System's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Tri Valley Health System range from $576 to $4,218 across 4 insurers. Blue Cross Blue Shield's rate is $4,218. The median at nearby comparable hospitals is $3,668. 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 Tri Valley Health System range from $550 to $5,056 across 4 insurers. Aetna's rate is $550. The median at nearby comparable hospitals is $2,690. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Tri Valley Health System range from $652 to $2,742 across 4 insurers. Aetna's rate is $2,742. The median at nearby comparable hospitals is $1,437. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Tri Valley Health System range from $35,774 to $38,954 across 4 insurers. UnitedHealthcare's rate is $38,159. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Tri Valley Health System range from $222 to $554 across 4 insurers. Blue Cross Blue Shield's rate is $236. The median at nearby comparable hospitals is $251. What a patient pays depends on their plan's deductible, coinsurance and network status.
Tri Valley Health System has 20 beds. Facility type: Critical Access Hospital.
Tri Valley Health System is located at 1305 West Highway 6 And 34, Cambridge, NE 69022. Its main phone number is (308) 697-3329.
Tri Valley Health System's CMS Certification Number (CCN), also called its Medicare provider number, is 281348.
The National Provider Identifier (NPI) on file for Tri Valley Health System is 1548333214.
Tri Valley Health System lists 27 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.
204 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