CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,908 - $5,547
from 4 insurers ยท median $3,891
Typical for a hospital with this service line
Faith Regional Health Services ยท Atkinson, NE
31
In-network payers
136
Disclosed rate categories
17
Beds
West Holt Memorial Hospital is a 17-bed voluntary non-profit - private hospital in Atkinson, NE, affiliated with Faith Regional Health Services. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 136 disclosed rate categories.
CCN (Medicare provider number)
281343
NPI
1295785442
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
17
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 West Holt Memorial Hospital 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
$1,908 - $5,547
from 4 insurers ยท median $3,891
Typical for a hospital with this service line
CT imaging
CPT 70450
$802 - $2,124
from 3 insurers ยท median $1,368
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$3,034 - $10,293
from 4 insurers ยท median $6,197
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,742 - $9,770
from 4 insurers ยท median $5,930
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$956 - $9,723
from 4 insurers ยท median $5,881
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$820 - $2,437
from 4 insurers ยท median $2,212
Typical for a hospital with this service line
CT imaging
CPT 74176
$1,506 - $4,623
from 4 insurers ยท median $2,068
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,888 - $9,816
from 4 insurers ยท median $5,930
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,721 - $4,760
from 4 insurers ยท median $3,332
Typical for a hospital with this service line
Mammography
CPT 77067
$185 - $409
from 4 insurers ยท median $298
Typical for a hospital with this service line
CT imaging
CPT 71260
$1,064 - $3,086
from 4 insurers ยท median $1,401
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,371 - $4,009
from 4 insurers ยท median $2,824
Typical for a hospital with this service line
MRI imaging
CPT 70551
$651 - $4,052
from 4 insurers ยท median $2,504
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,651 - $10,516
from 4 insurers ยท median $9,695
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,691 - $4,746
from 4 insurers ยท median $2,995
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$765 - $1,270
from 4 insurers ยท median $1,057
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$128 - $378
from 4 insurers ยท median $176
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,852 - $5,304
from 4 insurers ยท median $2,118
Hospital reports nuclear medicine services to CMS
Ultrasound
CPT 76705
$277 - $787
from 4 insurers ยท median $551
Typical for a hospital with this service line
Ultrasound
CPT 76830
$288 - $766
from 4 insurers ยท median $662
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$1,065 - $1,769
from 4 insurers ยท median $1,423
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$3,074 - $9,041
from 4 insurers ยท median $8,353
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$200 - $601
from 4 insurers ยท median $436
Typical for a hospital with this service line
Ultrasound
CPT 76856
$242 - $918
from 4 insurers ยท median $573
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* | 23 | 799% | 7 | 0 |
| Insurer B* | 24 | 741% | 1 | 3 |
| Insurer C* | 24 | 379% | 5 | 18 |
| Insurer D* | 24 | 315% | 15 | 0 |
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 West Holt Memorial Hospital.
406 West Neely Street, Atkinson, NE 68713
(402) 925-2811
About West Holt Memorial Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at West Holt Memorial Hospital range from $1,721 to $4,760 across 4 insurers. UnitedHealthcare's rate is $1,721. The median at nearby comparable hospitals is $2,438. 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 West Holt Memorial Hospital range from $1,908 to $5,547 across 4 insurers. Aetna's rate is $4,994. The median at nearby comparable hospitals is $2,335. 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 West Holt Memorial Hospital range from $2,742 to $9,770 across 4 insurers. Blue Cross Blue Shield's rate is $8,723. The median at nearby comparable hospitals is $3,330. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at West Holt Memorial Hospital range from $185 to $409 across 4 insurers. Blue Cross Blue Shield's rate is $236. The median at nearby comparable hospitals is $241. What a patient pays depends on their plan's deductible, coinsurance and network status.
West Holt Memorial Hospital has 17 beds. Facility type: Critical Access Hospital.
West Holt Memorial Hospital is located at 406 West Neely Street, Atkinson, NE 68713. Its main phone number is (402) 925-2811.
West Holt Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 281343.
The National Provider Identifier (NPI) on file for West Holt Memorial Hospital is 1295785442.
West Holt Memorial Hospital is affiliated with Faith Regional Health Services.
West Holt Memorial Hospital lists 31 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.
136 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.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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