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Tri Valley Health System

West Highway 6 and 34, Cambridge, NE 69022  Hospital

10%Self-pay discount
10% off list
A small discount for paying cash. Median across the 1,731 prices this hospital publishes, comparing its cash price with its list price for the same item.
Overall cost rating
Not rated
Type
Small hospital (under 100 beds)
Beds
20
Ownership
Nonprofit
Medicare ID
281348
Cost report
FY ending 04/30/2025
Emergency dept
Yes
This hospital did not report enough detail by service line to rate individual categories.

What this hospital charges a cash payer

Real published prices from this hospital's own federal price transparency file. We list only services coded in HCPCS Level II, which CMS owns, so nothing here is AMA-licensed. Compare these across hospitals.

ServiceCashList price
PSA prostate cancer screening blood test
HCPCS G0103
$219
cash price
$243
10% off
Hospital observation care, per hour
HCPCS G0378
$950
cash price
$1,056
10% off
Cefazolin (Ancef) antibiotic injection, 500 mg
HCPCS J0690
$30.60
cash price
$34.00
10% off
Ceftriaxone (Rocephin) antibiotic injection, 250 mg
HCPCS J0696
$41.40
cash price
$46.00
10% off
Dexamethasone steroid injection, 1 mg
HCPCS J1100
$183
cash price
$203
10% off
Diphenhydramine (Benadryl) injection, 50 mg
HCPCS J1200
$29.70
cash price
$33.00
10% off
Gentamicin antibiotic injection, 80 mg
HCPCS J1580
$33.30
cash price
$37.00
10% off
Heparin blood thinner injection, 1000 units
HCPCS J1644
$153
cash price
$170
10% off
Ketorolac (Toradol) pain injection, 15 mg
HCPCS J1885
$40.50
cash price
$45.00
10% off
Ondansetron (Zofran) anti-nausea injection, 1 mg
HCPCS J2405
$61.20
cash price
$68.00
10% off
Fentanyl citrate injection, 0.1 mg
HCPCS J3010
$43.20
cash price
$48.00
10% off
Insurance. This facility holds Medicare certification number 281348, so it is Medicare-certified and bills Medicare. Commercial insurer network lists are not yet part of this dataset. Confirm your specific plan with the facility before you book.

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Something wrong here? This is generated from federal filings, and those filings contain errors. Tell us at krishan@thinkscoopinc.com.