CHI Health Good Samaritan
10 East 31st Street, Kearney, NE · Chihealth · · NPI 1336184019
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,790.54 | $6,214.00 | $1,304.94 – $5,779.02 | 7 |
| 2nd order venous cath CPT 36012 | $1,686.04 | $2,764.00 | $315.69 – $2,570.52 | 7 |
| 3-d radiotherapy plan CPT 77295 | $7,576.81 | $12,421.00 | $483.84 – $11,551.53 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $325.74 | $534.00 | $29.21 – $496.62 | 11 |
| 5' nucleotidase - sendout CPT 83915 | $82.96 | $136.00 | $10.80 – $126.48 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $61.61 | $101.00 | $21.21 – $101.00 | 11 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,437.96 – $2,485.77 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $891.03 | $1,460.69 | $37.13 – $1,358.45 | 14 |
| Abd aorta w/runoff s&i CPT 75630 | $2,664.48 | $4,368.00 | $121.49 – $4,062.24 | 11 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $594.10 – $605.75 | 3 |
| Abd/low ext cath 1st CPT 36245 | $1,981.89 | $3,249.00 | $425.38 – $3,021.57 | 7 |
| Abd/low ext cath 2nd CPT 36246 | $1,675.06 | $2,746.00 | $450.16 – $2,553.78 | 7 |
| Abd/low ext cath 3rd CPT 36247 | $2,486.97 | $4,077.00 | $539.01 – $3,791.61 | 7 |
| Abd/low ext cath addl CPT 36248 | $710.65 | $1,165.00 | $88.98 – $1,083.45 | 7 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,466.23 | $4,043.00 | $384.43 – $3,759.99 | 11 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,221.62 | $3,642.00 | $339.02 – $3,387.06 | 11 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,666.52 | $2,732.00 | $159.12 – $2,540.76 | 11 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,175.05 | $5,205.00 | $462.19 – $4,840.65 | 11 |
| Abdominal MRI (with contrast) CPT 74182 | $2,818.81 | $4,621.00 | $434.45 – $4,297.53 | 11 |
| Abdominal MRI (without contrast) CPT 74181 | $2,494.90 | $4,090.00 | $250.74 – $3,803.70 | 11 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,264.53 | $2,073.00 | $199.71 – $1,927.89 | 7 |
| Abdominal Ultrasound (complete) CPT 76700 | $810.69 | $1,329.00 | $147.97 – $1,235.97 | 11 |
| Abdominal Ultrasound (limited) CPT 76705 | $516.06 | $846.00 | $112.46 – $786.78 | 11 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,174.11 – $2,174.11 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $531.31 | $871.00 | $136.52 – $810.03 | 7 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,190.79 – $1,214.14 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,714.00 – $1,747.61 | 3 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,436.08 – $1,464.24 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $523.91 – $1,163.86 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,629.63 – $1,661.59 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,350.52 | $7,132.00 | $640.73 – $6,632.76 | 7 |
| Ablate bone tumor(s) perq CPT 20982 | $7,963.55 | $13,055.00 | $676.81 – $12,141.15 | 7 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,295.73 – $1,321.13 | 3 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,588.23 – $1,619.37 | 3 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,532.87 – $1,562.92 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $385.12 – $385.12 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $289.40 – $289.40 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | $5,497.32 | $9,012.00 | $815.87 – $8,381.16 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $817.13 – $817.13 | 1 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $11,982.84 | $19,644.00 | $120.12 – $531.96 | 7 |
| Ablation cryo abd perit om CPT 49999 | $1,847.08 | $3,028.00 | $635.88 – $2,816.04 | 7 |
| Ablation cryo adrenal tumor CPT 60699 | $3,615.47 | $5,927.00 | $1,244.67 – $5,512.11 | 7 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $150.67 | $247.00 | $51.87 – $229.71 | 7 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $4,763.49 | $7,809.00 | $838.13 – $7,262.37 | 7 |
| Ablation cryo retro lymph node CPT 38999 | $443.47 | $727.00 | $152.67 – $676.11 | 7 |
| Ablation cryo thigh/knee CPT 27599 | $150.67 | $247.00 | $51.87 – $229.71 | 7 |
| Ablation of upper extremity nerves rf CPT 64999 | $830.21 | $1,361.00 | $259.77 – $1,150.41 | 7 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,851.99 – $1,851.99 | 1 |
| Abortion CPT 59850 | not published | not published | $344.29 – $708.16 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $422.39 – $422.39 | 1 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $31.94 – $31.94 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $256.91 – $256.91 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,325.72 | $5,452.00 | $363.49 – $5,070.36 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $215.36 – $215.36 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $532.43 – $532.43 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.09 | $0.14 | $0.02 – $0.09 | 12 |
| Acetaminophen level CPT 80143 | $300.73 | $493.00 | $18.06 – $458.49 | 14 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $22.31 | $36.57 | $7.68 – $36.57 | 12 |
| Acetone qualitative CPT 82009 | $61.61 | $101.00 | $4.38 – $93.93 | 18 |
| Acetylcholine receptor modulating antibody CPT 86043 | $129.93 | $213.00 | $44.73 – $198.09 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $3.85 | $6.31 | $0.49 – $3.10 | 12 |
| Acne surgery 10040 CPT 10040 | not published | not published | $98.72 – $98.72 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $56.73 | $93.00 | $15.60 – $86.49 | 13 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,168.44 – $1,168.44 | 1 |
| Acute hepatitis panel CPT 80074 | $120.78 | $198.00 | $41.58 – $198.00 | 18 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.16 | $0.26 | $0.06 – $0.25 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $4.54 | $7.43 | $0.04 – $0.26 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,949.27 | $4,834.86 | $103.95 – $460.35 | 11 |
| Adding walker to prev cast CPT 29440 | not published | not published | $54.12 – $54.12 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $3.09 | $5.07 | $0.36 – $1.65 | 12 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $391.58 – $1,684.24 | 4 |
| Adh-sendout CPT 84588 | $102.48 | $168.00 | $32.88 – $168.00 | 18 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $847.88 – $847.88 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,445.51 – $1,445.51 | 1 |
| Adjustment gastric band HCPCS S2083 | $207.40 | $340.00 | $71.40 – $316.20 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $55.78 | $91.43 | $0.05 – $0.19 | 8 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $161.04 | $264.00 | $47.80 – $245.52 | 11 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $427.00 | $700.00 | $108.25 – $622.17 | 11 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,094.95 | $1,795.00 | $219.54 – $1,669.35 | 11 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $439.20 | $720.00 | $151.20 – $669.60 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $157.38 | $258.00 | $54.18 – $239.94 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $153.11 | $251.00 | $52.71 – $233.43 | 11 |
| Administration immunization 1 vaccine CPT 90471 | $111.63 | $183.00 | $3.99 – $17.67 | 8 |
| Administration immunization each additional vaccine CPT 90472 | $77.47 | $127.00 | $26.67 – $118.11 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $89.06 | $146.00 | $30.66 – $135.78 | 7 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,798.35 | $6,226.79 | $32.58 – $3,619.33 | 14 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,165.07 – $1,187.92 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $96.99 | $159.00 | $19.43 – $159.00 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | $102.48 | $168.00 | $7.08 – $156.24 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $425.17 | $697.00 | $111.78 – $697.00 | 18 |
| After cataract laser surgery CPT 66821 | not published | not published | $594.76 – $594.76 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $4,204.70 | $6,892.95 | $189.28 – $915.63 | 14 |
| Air injection into abdomen 49400 CPT 49400 | $1,173.64 | $1,924.00 | $168.34 – $1,789.32 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $41.48 | $68.00 | $7.54 – $63.24 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $0.53 | $0.86 | $0.07 – $0.33 | 12 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $0.18 | $0.28 | $0.04 – $0.15 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $25.62 | $42.00 | $5.60 – $42.00 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $17.69 | $29.00 | $4.79 – $29.00 | 18 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $73.20 | $120.00 | $16.74 – $111.60 | 14 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $23.92 | $39.20 | $8.24 – $36.46 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.