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 |
|---|---|---|---|---|
| Car seat/bed test 60 minutes CPT 94780 | $220.21 | $361.00 | $40.63 – $335.73 | 7 |
| Car seat/bed test additional 30 minutes CPT 94781 | $156.16 | $256.00 | $14.10 – $238.08 | 7 |
| Casiri and imdev repeat HCPCS M0240 | $470.31 | $771.00 | $161.91 – $717.03 | 7 |
| Caspofungin acetate HCPCS J0637 | $33.47 | $54.86 | $5.71 – $51.02 | 12 |
| Cataract Surgery CPT 66984 | not published | not published | $1,036.48 – $1,036.48 | 1 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,414.18 – $1,414.18 | 1 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $375.15 | $615.00 | $40.93 – $181.24 | 11 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $1,955.82 | $3,206.25 | $614.25 – $2,720.25 | 11 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,585.24 | $2,598.75 | $261.45 – $1,157.85 | 11 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,693.95 | $7,695.00 | $1,209.60 – $5,356.80 | 11 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,021.43 | $6,592.50 | $1,384.43 – $6,131.03 | 11 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $7,264.92 | $11,909.70 | $5.71 – $25.25 | 11 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,581.50 | $9,150.00 | $498.76 – $2,208.78 | 11 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $24,558.60 | $40,260.00 | $0.02 – $0.05 | 11 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $5,101.50 | $8,363.10 | $82.55 – $365.58 | 11 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,803.75 | $7,875.00 | $3.51 – $15.54 | 11 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $3,284.16 | $5,383.86 | $102.38 – $453.38 | 11 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $12,633.71 | $20,711.00 | $1,551.59 – $19,261.23 | 7 |
| Cath council tip 16fr 5cc HCPCS A4344 | $19.52 | $32.00 | $3.05 – $13.49 | 7 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $1,788.32 | $2,931.66 | $5.67 – $25.11 | 11 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $3,561.00 | $5,837.70 | $56.86 – $251.80 | 11 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,551.66 | $2,543.70 | $126.00 – $558.00 | 11 |
| Catheter declot mechanical CPT 36596 | $1,555.50 | $2,550.00 | $83.52 – $2,371.50 | 7 |
| Catheter insert artery CPT 36625 | not published | not published | $193.60 – $193.60 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $126.27 | $207.00 | $9.09 – $192.51 | 13 |
| Catheter stripping venous CPT 36595 | $459.94 | $754.00 | $158.34 – $701.22 | 7 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,083.02 | $3,414.78 | $102.65 – $454.58 | 11 |
| Cath hawkone s directional HCPCS C1714 | $5,693.13 | $9,333.00 | $399.02 – $1,767.05 | 11 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,509.75 | $2,475.00 | $519.75 – $2,301.75 | 11 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,009.34 | $3,294.00 | $5.71 – $25.25 | 11 |
| Cath impl vasc access portal HCPCS A4300 | $127.23 | $208.56 | $6.32 – $69.68 | 11 |
| Cath indw foley 3 way HCPCS A4346 | $43.63 | $71.52 | $8.49 – $37.57 | 7 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $17.09 | $28.01 | $0.53 – $2.33 | 7 |
| Cath insertion tray w/bag HCPCS A4354 | $48.74 | $79.89 | $16.78 – $74.30 | 7 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $453.23 | $743.00 | $101.85 – $690.99 | 7 |
| Cath left heart/lv gram CPT 93452 | $12,551.36 | $20,576.00 | $1,235.68 – $19,135.68 | 7 |
| Cath lt/rt pulm art CPT 36014 | $270.23 | $443.00 | $93.03 – $411.99 | 7 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,559.87 | $2,557.15 | $0.87 – $3.83 | 11 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $21,740.40 | $35,640.00 | $189.00 – $837.00 | 11 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $96.74 | $158.58 | $7.80 – $34.55 | 7 |
| Cath place 1st order venous 36011 CPT 36011 | $963.80 | $1,580.00 | $282.91 – $1,469.40 | 7 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $20,722.31 | $33,971.00 | $1,792.25 – $31,593.03 | 7 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $15,698.96 | $25,736.00 | $1,523.84 – $23,934.48 | 7 |
| Cath plc art/grft/angio right hrt CPT 93457 | $12,716.06 | $20,846.00 | $1,641.95 – $19,386.78 | 7 |
| Cath right heart w/o2 sat & card CPT 93451 | $8,257.57 | $13,537.00 | $1,366.41 – $12,589.41 | 7 |
| Cath right hrt mnpul art CPT 36013 | $1,079.70 | $1,770.00 | $231.04 – $1,646.10 | 7 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $469.09 | $769.00 | $108.21 – $715.17 | 7 |
| Cath segmntl pulm art CPT 36015 | $604.51 | $991.00 | $208.11 – $921.63 | 7 |
| Cath steerable flex adv 12f HCPCS C1766 | $4,471.61 | $7,330.50 | $282.87 – $1,252.71 | 11 |
| Cath stripping venous s&i CPT 75901 | $493.49 | $809.00 | $169.89 – $809.00 | 11 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,778.09 | $2,914.90 | $3.50 – $15.49 | 11 |
| Cath w/drainage 2-way latex HCPCS A4314 | $43.92 | $72.00 | $15.12 – $66.96 | 7 |
| Cauterization chemical granulation tissue CPT 17250 | $240.95 | $395.00 | $70.73 – $367.35 | 7 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $212.37 – $212.37 | 1 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $26.37 | $43.22 | $8.65 – $40.20 | 14 |
| Cdna analysis for variants CPT 81403 | $186.05 | $305.00 | $64.05 – $411.14 | 14 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $155.55 | $255.00 | $0.03 – $0.14 | 12 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $5.47 | $8.97 | $0.01 – $0.01 | 12 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $18.72 | $30.68 | $1.92 – $9.10 | 12 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $114.92 | $188.38 | $3.42 – $175.20 | 14 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $12.49 | $20.48 | $0.87 – $3.86 | 12 |
| Ceftazidime and avibactam HCPCS J0714 | $220.15 | $360.90 | $75.79 – $335.64 | 12 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $20.34 | $33.33 | $0.29 – $1.26 | 12 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $2.96 | $4.84 | $0.40 – $1.88 | 12 |
| Cell count body fluid CPT 89050 | $13.42 | $22.00 | $4.57 – $22.00 | 18 |
| Cell count w differential body fluid CPT 89051 | $88.45 | $145.00 | $5.43 – $134.85 | 18 |
| Cell function assay w/stim CPT 86352 | $181.78 | $298.00 | $62.58 – $301.61 | 18 |
| Cell marker study CPT 88182 | $189.10 | $310.00 | $65.10 – $310.00 | 11 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $897.39 | $1,471.12 | $22.54 – $1,368.15 | 14 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,764.11 – $1,764.11 | 1 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $242.56 – $426.80 | 4 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $677.17 – $677.17 | 1 |
| Cerebrospinal fld flw imag CPT 78645 | $764.33 | $1,253.00 | $263.13 – $1,253.00 | 11 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $3,646.85 | $5,978.43 | $3.79 – $5,303.43 | 14 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,303.25 – $1,328.81 | 3 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $2,512.13 – $2,512.13 | 1 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $920.45 – $1,607.57 | 4 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $9.57 | $15.68 | $3.30 – $16.31 | 14 |
| #cf-97variants CPT 81220 | $125.05 | $205.00 | $43.05 – $455.10 | 14 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $151.24 – $151.24 | 1 |
| Change cystostomy tube simple CPT 51705 | $364.78 | $598.00 | $97.61 – $556.14 | 7 |
| Change gastric port open CPT 43888 | not published | not published | $856.30 – $856.30 | 1 |
| Change g-tube to g-j perc CPT 49446 | $1,531.10 | $2,510.00 | $272.18 – $2,334.30 | 7 |
| Change nephroureteral cath CPT 50387 | $2,392.42 | $3,922.00 | $155.00 – $3,647.46 | 7 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $147.02 – $147.02 | 1 |
| Change of windpipe airway 31502 CPT 31502 | $269.62 | $442.00 | $65.50 – $411.06 | 7 |
| Change stent via transureth CPT 50385 | not published | not published | $401.56 – $401.56 | 1 |
| Change ureter stent percut CPT 50382 | $3,674.03 | $6,023.00 | $467.92 – $5,601.39 | 7 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $177.51 – $177.51 | 1 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $414.20 – $414.20 | 1 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $680.21 – $680.21 | 1 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $401.54 – $401.54 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | $831.43 | $1,363.00 | $131.18 – $1,267.59 | 11 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $203.76 – $203.76 | 1 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $128.63 – $128.63 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $147.25 – $147.25 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $212.96 – $212.96 | 1 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $195.59 – $195.59 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $471.45 – $471.45 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $222.41 – $222.41 | 1 |
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.