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 |
|---|---|---|---|---|
| Construct bowel bladder CPT 50820 | not published | not published | $1,340.21 – $1,366.49 | 3 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,819.99 – $1,855.67 | 3 |
| Construction of absent anus CPT 46730 | not published | not published | $1,229.31 – $1,253.42 | 3 |
| Construction of absent anus CPT 46735 | not published | not published | $1,458.55 – $1,487.15 | 3 |
| Construction of absent anus CPT 46740 | not published | not published | $1,295.62 – $1,321.03 | 3 |
| Construction of vagina CPT 57291 | not published | not published | $1,036.60 – $1,036.60 | 1 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,076.12 – $3,076.12 | 1 |
| Construct vagina with graft CPT 57292 | not published | not published | $1,554.99 – $1,554.99 | 1 |
| Consultation pathology during surgery CPT 88329 | $32.33 | $53.00 | $11.13 – $53.00 | 11 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $71.37 | $117.00 | $24.57 – $117.00 | 11 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $128.71 | $211.00 | $44.31 – $196.23 | 11 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $129.93 | $213.00 | $44.73 – $213.00 | 11 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $225.70 | $370.00 | $55.69 – $370.00 | 11 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $204.35 | $335.00 | $70.35 – $335.00 | 11 |
| Consultation with family CPT 90887 | $95.77 | $157.00 | $32.97 – $146.01 | 7 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $50.02 | $82.00 | $17.22 – $76.26 | 7 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $1,385.14 – $1,385.14 | 1 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,180.41 – $1,180.41 | 1 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,134.79 | $5,139.00 | $113.09 – $4,779.27 | 11 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,924.95 | $4,795.00 | $128.42 – $4,459.35 | 11 |
| Contrast x-ray of brain CPT 70015 | $1,257.82 | $2,062.00 | $208.30 – $1,917.66 | 11 |
| Contrast x-ray of hip CPT 73525 | $986.37 | $1,617.00 | $190.64 – $1,503.81 | 11 |
| Contrast x-ray of knee joint CPT 73580 | $954.04 | $1,564.00 | $151.54 – $1,454.52 | 11 |
| Contrast x-ray of wrist CPT 73115 | $574.01 | $941.00 | $197.61 – $875.13 | 11 |
| Controller infinity pt dbs HCPCS C1787 | $3,348.90 | $5,490.00 | $24.57 – $108.81 | 11 |
| Control nosebleed pack+caut 30905 CPT 30905 | $261.69 | $429.00 | $90.09 – $398.97 | 7 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $365.79 – $862.53 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $963.38 – $963.38 | 1 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $783.70 – $783.70 | 1 |
| Control of nosebleed ant comp 30903 CPT 30903 | $238.51 | $391.00 | $82.11 – $363.63 | 7 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $273.89 | $449.00 | $94.29 – $417.57 | 7 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $188.49 | $309.00 | $64.89 – $287.37 | 7 |
| Control throat bleeding CPT 42961 | not published | not published | $318.17 – $799.81 | 4 |
| Control throat bleeding CPT 42962 | not published | not published | $983.75 – $983.75 | 1 |
| Conversion ext bil drg cath CPT 47535 | $2,935.32 | $4,812.00 | $363.85 – $4,475.16 | 7 |
| Convert nephrostomy catheter CPT 50434 | $1,595.15 | $2,615.00 | $355.13 – $2,431.95 | 7 |
| Conv gtube to jtube CPT 44373 | not published | not published | $356.85 – $356.85 | 1 |
| Coombs direct CPT 86880 | $40.87 | $67.00 | $10.08 – $62.31 | 11 |
| Coombs indirect titer reference CPT 86886 | $75.03 | $123.00 | $10.08 – $114.39 | 11 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,374.33 | $2,253.00 | $473.13 – $2,095.29 | 7 |
| Core ndl bx lng/med perq CPT 32408 | $1,963.59 | $3,219.00 | $285.89 – $2,993.67 | 7 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $1,143.14 – $1,143.14 | 1 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $993.89 – $993.89 | 1 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $974.40 – $974.40 | 1 |
| Corneal smear CPT 65430 | not published | not published | $192.93 – $192.93 | 1 |
| Corneal transplant CPT 65710 | not published | not published | $2,169.70 – $2,169.70 | 1 |
| Corneal transplant CPT 65730 | not published | not published | $2,384.40 – $2,384.40 | 1 |
| Corneal transplant CPT 65750 | not published | not published | $2,399.50 – $2,399.50 | 1 |
| Corneal transplant CPT 65755 | not published | not published | $2,391.52 – $2,391.52 | 1 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $2,248.05 – $2,248.05 | 1 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $16,954.95 | $27,795.00 | $1,470.44 – $25,849.35 | 7 |
| Coronary angio/lv gram/lt heart CPT 93458 | $15,698.96 | $25,736.00 | $1,395.83 – $23,934.48 | 7 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $19,623.70 | $32,170.00 | $1,626.20 – $29,918.10 | 7 |
| Coronary artery correction CPT 33502 | not published | not published | $1,481.63 – $1,510.68 | 3 |
| Coronary artery graft CPT 33503 | not published | not published | $1,518.30 – $1,548.07 | 3 |
| Coronary artery graft CPT 33504 | not published | not published | $1,850.30 – $1,886.58 | 3 |
| Coronary art/grft angio s&i CPT 93455 | $10,335.23 | $16,943.00 | $1,365.57 – $15,756.99 | 7 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $11,879.75 | $19,475.00 | $1,245.13 – $18,111.75 | 7 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $506.91 | $831.00 | $98.76 – $772.83 | 7 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $939.46 – $939.46 | 1 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $578.72 – $578.72 | 1 |
| Correct finger deformity CPT 26567 | not published | not published | $1,363.91 – $1,363.91 | 1 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $1,154.64 – $1,154.64 | 1 |
| Correction claw finger other CPT 26499 | not published | not published | $1,642.81 – $1,642.81 | 1 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $919.00 – $919.00 | 1 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $1,146.56 – $1,146.56 | 1 |
| Correction of astigmatism CPT 65772 | not published | not published | $773.26 – $773.26 | 1 |
| Correction of astigmatism CPT 65775 | not published | not published | $1,094.92 – $1,094.92 | 1 |
| Correction of bladder defect CPT 51940 | not published | not published | $1,618.02 – $1,649.74 | 3 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $315.74 – $315.74 | 1 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $42.61 – $42.61 | 1 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $261.98 – $261.98 | 1 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $740.50 – $755.02 | 3 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $1,347.91 – $1,347.91 | 1 |
| Correct rectal prolapse CPT 45541 | not published | not published | $1,737.96 – $1,737.96 | 1 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $779.15 – $794.42 | 3 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $211.55 – $211.55 | 1 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $53.24 – $53.24 | 1 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $930.09 – $930.09 | 1 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $887.17 – $887.17 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | $34.77 | $57.00 | $11.97 – $72.42 | 18 |
| Cortisol total am CPT 82533 | $92.72 | $152.00 | $15.80 – $152.00 | 18 |
| Costotransversectomy CPT 21610 | not published | not published | $2,136.62 – $2,136.62 | 1 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $15.35 | $25.16 | $0.01 – $0.01 | 12 |
| Co-treatment - group 15 mins, st CPT 92508 | $42.70 | $70.00 | $14.70 – $70.00 | 13 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $10,046.70 | $16,470.00 | $39.20 – $173.60 | 11 |
| Cover eye w/membrane CPT 65778 | not published | not published | $85.07 – $85.07 | 1 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $224.15 – $224.15 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $44.53 | $73.00 | $15.33 – $67.89 | 7 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $294.02 | $482.00 | $101.22 – $448.26 | 7 |
| Covid-19 lab test non-cdc HCPCS U0002 | $100.65 | $165.00 | $34.65 – $153.45 | 14 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $191.54 | $314.00 | $12.63 – $292.02 | 18 |
| C-peptide CPT 84681 | $130.54 | $214.00 | $20.17 – $214.00 | 18 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $263.91 – $263.91 | 1 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $1,633.75 – $1,665.79 | 3 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,522.17 – $1,552.01 | 3 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,630.74 – $1,662.71 | 3 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,404.41 – $2,451.55 | 3 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,622.98 – $2,674.41 | 3 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $1,030.38 – $1,050.59 | 3 |
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.