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 |
|---|---|---|---|---|
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,044.30 – $1,064.77 | 3 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,119.34 – $1,141.29 | 3 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,298.11 – $1,323.57 | 3 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,420.88 – $1,448.74 | 3 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $954.24 – $972.95 | 3 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,149.29 – $1,171.82 | 3 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,113.55 – $1,135.39 | 3 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $1,791.10 – $1,826.22 | 3 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $1,837.40 – $1,873.42 | 3 |
| Colistimethate sodium inj HCPCS J0770 | $15.94 | $26.13 | $5.49 – $26.13 | 12 |
| Collagenase, clost hist inj HCPCS J0775 | $3,192.68 | $5,233.89 | $58.31 – $4,867.52 | 14 |
| Collagen gel/paste wound fil HCPCS A6011 | $88.39 | $144.90 | $6.25 – $134.76 | 7 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $360.04 | $590.22 | $2.20 – $10.89 | 9 |
| Collar cerv ascend 172 reg HCPCS L0172 | $431.26 | $706.98 | $4.42 – $21.86 | 9 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $133.59 | $219.00 | $45.99 – $203.67 | 7 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $109.80 | $180.00 | $37.80 – $167.40 | 7 |
| Collection of venous blood by venipuncture CPT 36415 | $20.74 | $34.00 | $7.14 – $31.62 | 14 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $344.55 – $344.55 | 1 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $468.24 – $468.24 | 1 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $422.08 – $422.08 | 1 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $430.79 – $430.79 | 1 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $393.75 – $393.75 | 1 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $367.52 – $367.52 | 1 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $568.55 – $568.55 | 1 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $419.56 – $419.56 | 1 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $374.43 – $374.43 | 1 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $289.55 – $289.55 | 1 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $503.85 – $503.85 | 1 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $395.39 – $395.39 | 1 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $435.65 – $435.65 | 1 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $483.90 – $483.90 | 1 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $433.44 – $433.44 | 1 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $343.12 – $343.12 | 1 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $482.31 – $482.31 | 1 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $568.55 – $568.55 | 1 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $541.21 – $541.21 | 1 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $445.79 – $445.79 | 1 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $320.06 – $320.06 | 1 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $453.50 – $453.50 | 1 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $375.06 – $375.06 | 1 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $320.06 – $320.06 | 1 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $474.77 – $474.77 | 1 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $514.61 – $514.61 | 1 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $621.43 – $621.43 | 1 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $489.17 – $489.17 | 1 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $429.43 – $429.43 | 1 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $793.49 – $809.05 | 3 |
| Colostomy with biopsies CPT 44322 | not published | not published | $781.46 – $1,836.98 | 4 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $699.72 – $1,784.92 | 4 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $147.46 – $147.46 | 1 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $1,003.86 – $1,003.86 | 1 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $832.27 – $1,815.70 | 4 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $1,308.36 – $1,308.36 | 1 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $1,315.04 – $1,315.04 | 1 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $630.27 – $630.27 | 1 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | not published | not published | $226.70 – $226.70 | 1 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $340.47 – $340.47 | 1 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | not published | not published | $170.58 – $170.58 | 1 |
| Colposcopy vulva 56820 CPT 56820 | not published | not published | $157.35 – $157.35 | 1 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $211.34 – $211.34 | 1 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | not published | not published | $202.38 – $202.38 | 1 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $864.30 – $864.30 | 1 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $381.42 – $381.42 | 1 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $125.05 | $205.00 | $43.05 – $190.65 | 7 |
| Compatibility test each unit electronic CPT 86923 | $186.66 | $306.00 | $51.07 – $284.58 | 7 |
| Compatibility test each unit immediate spin technique CPT 86920 | $124.44 | $204.00 | $42.84 – $189.72 | 7 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | not published | not published | $494.78 – $494.78 | 1 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | not published | not published | $491.19 – $491.19 | 1 |
| Complement antigen each component c3 CPT 86160 | $157.99 | $259.00 | $11.63 – $57.00 | 18 |
| Complete removal of vulva CPT 56625 | not published | not published | $1,264.47 – $1,264.47 | 1 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $1,608.59 – $1,640.13 | 3 |
| Complex cystometrogram 51726 CPT 51726 | $1,871.48 | $3,068.00 | $410.91 – $2,853.24 | 7 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $580.11 | $951.00 | $199.71 – $884.43 | 7 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | not published | not published | $466.37 – $466.37 | 1 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | not published | not published | $10.92 – $10.92 | 1 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $2,343.33 – $2,389.28 | 3 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $597.80 | $980.00 | $205.80 – $911.40 | 7 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $649.65 | $1,065.00 | $223.65 – $990.45 | 7 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $454.45 | $745.00 | $156.45 – $692.85 | 7 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $359.90 | $590.00 | $123.90 – $548.70 | 7 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $781.41 | $1,281.00 | $269.01 – $1,191.33 | 7 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $172.02 | $282.00 | $59.22 – $262.26 | 7 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $370.88 | $608.00 | $127.68 – $565.44 | 7 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | not published | not published | $378.17 – $378.17 | 1 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | not published | $132.95 – $132.95 | 1 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $481.07 – $614.84 | 4 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $539.53 – $711.14 | 4 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $139.19 – $267.19 | 4 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,320.80 – $1,320.80 | 1 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $2,152.93 – $2,195.15 | 3 |
| Concentration infection agents any type CPT 87015 | $15.25 | $25.00 | $5.25 – $25.00 | 18 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $567.18 | $929.80 | $170.86 – $756.65 | 11 |
| Condylomata destruction 56420 CPT 56420 | $166.53 | $273.00 | $57.33 – $253.89 | 7 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | not published | not published | $483.27 – $483.27 | 1 |
| Conization of cervix CPT 57520 | not published | not published | $561.46 – $561.46 | 1 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $210.27 | $344.69 | $72.39 – $358.48 | 14 |
| Connect omega .5mm HCPCS L8613 | $596.86 | $978.45 | $74.98 – $332.03 | 11 |
| Connector tis 2x10mm HCPCS C9352 | $2,598.15 | $4,259.25 | $590.63 – $2,615.63 | 11 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,018.44 – $1,018.44 | 1 |
| Construct bladder opening CPT 51980 | not published | not published | $666.67 – $1,352.86 | 4 |
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.