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 |
|---|---|---|---|---|
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,610.84 – $1,642.42 | 3 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $1,817.89 – $1,853.54 | 3 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,676.36 – $1,709.23 | 3 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,028.98 – $2,068.77 | 3 |
| Craniofacial approach skull CPT 61580 | not published | not published | $1,839.05 – $1,875.11 | 3 |
| Craniofacial approach skull CPT 61581 | not published | not published | $2,072.75 – $2,113.39 | 3 |
| Craniofacial approach skull CPT 61582 | not published | not published | $1,951.08 – $1,989.33 | 3 |
| Craniofacial approach skull CPT 61583 | not published | not published | $2,261.24 – $2,305.58 | 3 |
| C-reactive protein CPT 86140 | $95.77 | $157.00 | $5.02 – $146.01 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $95.16 | $156.00 | $12.55 – $149.31 | 18 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $1,402.53 – $1,402.53 | 1 |
| Create eardrum opening CPT 69436 | not published | not published | $304.44 – $304.44 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $342.24 – $342.24 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $1,554.40 – $1,554.40 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $1,638.78 – $1,638.78 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $1,544.45 – $1,544.45 | 1 |
| Creatine kinase CPT 82550 | $61.61 | $101.00 | $6.30 – $93.93 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $95.77 | $157.00 | $12.97 – $154.48 | 18 |
| Creatine kinase mb CPT 82553 | $123.83 | $203.00 | $11.19 – $188.79 | 18 |
| Creatinine CPT 82565 | $70.76 | $116.00 | $4.96 – $73.47 | 18 |
| Creatinine 24 hour urine CPT 82570 | $59.78 | $98.00 | $5.02 – $91.14 | 18 |
| Creatinine clearance urine CPT 82575 | $81.74 | $134.00 | $9.17 – $124.62 | 18 |
| #creutz-prot.,western blot CPT 84182 | $91.50 | $150.00 | $21.42 – $102.00 | 18 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $992.75 – $992.75 | 1 |
| Cricotracheal resection CPT 31592 | not published | not published | $3,273.19 – $3,273.19 | 1 |
| Critical care 30-74 minutes CPT 99291 | $1,715.93 | $2,813.00 | $405.87 – $2,616.09 | 7 |
| Critical care each additional 30 minutes CPT 99292 | $652.70 | $1,070.00 | $203.66 – $960.69 | 7 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,759.57 – $1,794.07 | 3 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,837.77 – $1,873.81 | 3 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,669.81 – $1,702.55 | 3 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,245.35 – $2,351.06 | 4 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,850.45 – $1,886.74 | 3 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,847.79 – $1,884.02 | 3 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $1,650.74 – $1,683.10 | 3 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $1,717.95 – $1,751.63 | 3 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $1,709.88 – $1,743.40 | 3 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,052.55 – $1,073.19 | 3 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,010.50 – $1,030.32 | 3 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,195.78 – $1,219.22 | 3 |
| Cross-over vein graft CPT 34520 | not published | not published | $1,739.75 – $1,739.75 | 1 |
| Crotalidae poly immune fab HCPCS J0840 | $1,092.29 | $1,790.63 | $376.04 – $1,862.25 | 14 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $890.23 – $1,380.02 | 4 |
| Cryoablate prostate CPT 55873 | not published | not published | $1,448.27 – $1,448.27 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $279.07 – $279.07 | 1 |
| Cryoprecipitate each unit HCPCS P9012 | $103.09 | $169.00 | $30.66 – $135.78 | 7 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $85.16 – $85.16 | 1 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $376.38 – $376.38 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $214.60 – $214.60 | 1 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $93.30 – $93.30 | 1 |
| Crystal identification light microscopy CPT 89060 | $32.94 | $54.00 | $7.10 – $54.00 | 18 |
| Csf leakage imaging CPT 78650 | $1,389.58 | $2,278.00 | $420.57 – $2,278.00 | 11 |
| Csf shunt reprogram 62252 CPT 62252 | $204.96 | $336.00 | $70.56 – $312.48 | 7 |
| CT 3d report other modality w/workstation CPT 76377 | $602.07 | $987.00 | $76.08 – $864.90 | 11 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,136.01 | $5,141.00 | $431.93 – $4,781.13 | 11 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,602.87 | $4,267.00 | $585.56 – $3,968.31 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,067.90 | $3,390.00 | $458.62 – $3,152.70 | 11 |
| Cta neck without &/or w/contrast CPT 70498 | $2,168.55 | $3,555.00 | $378.97 – $3,306.15 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,649.23 | $4,343.00 | $543.12 – $4,038.99 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,471.72 | $4,052.00 | $384.01 – $3,768.36 | 11 |
| CT Angiogram of the Head CPT 70496 | $1,993.48 | $3,268.00 | $379.60 – $3,039.24 | 11 |
| CT angio hrt w/3d image CPT 75574 | $240.34 | $394.00 | $82.74 – $394.00 | 11 |
| CT angio pelvis CPT 72191 | $1,046.76 | $1,716.00 | $360.36 – $1,644.53 | 11 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,072.17 | $3,397.00 | $416.79 – $3,159.21 | 11 |
| CT bone density axial CPT 77078 | $268.40 | $440.00 | $92.40 – $440.00 | 11 |
| CT colonography dx CPT 74261 | $1,321.26 | $2,166.00 | $454.86 – $2,014.38 | 11 |
| CT colonography dx w/dye CPT 74262 | $1,650.05 | $2,705.00 | $568.05 – $2,515.65 | 11 |
| CT colonography screening CPT 74263 | $2,803.56 | $4,596.00 | $965.16 – $4,596.00 | 11 |
| CT guidance for needle placement CPT 77012 | $1,822.07 | $2,987.00 | $133.27 – $2,155.74 | 11 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,822.07 | $2,987.00 | $107.39 – $2,777.91 | 11 |
| CT guid parench tis ablat CPT 77013 | $1,689.09 | $2,769.00 | $581.49 – $2,575.17 | 7 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $174.46 | $286.00 | $60.06 – $265.98 | 11 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $218.38 | $358.00 | $75.18 – $358.00 | 11 |
| CT hrt w/3d image CPT 75572 | $218.38 | $358.00 | $75.18 – $358.00 | 11 |
| CT limited or localized follow-up study CPT 76380 | $745.42 | $1,222.00 | $168.57 – $1,136.46 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,859.89 | $3,049.00 | $219.85 – $2,835.57 | 11 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,442.04 | $2,364.00 | $162.27 – $2,198.52 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,090.47 | $3,427.00 | $270.92 – $3,187.11 | 11 |
| CT neck soft tissue w/contrast CPT 70491 | $1,944.07 | $3,187.00 | $234.36 – $2,963.91 | 11 |
| CT neck soft tissue without contrast CPT 70490 | $1,496.94 | $2,454.00 | $176.76 – $2,282.22 | 11 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,390.59 | $3,919.00 | $285.43 – $3,644.67 | 11 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,477.21 | $4,061.00 | $296.14 – $3,776.73 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,067.90 | $3,390.00 | $249.48 – $3,152.70 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,862.94 | $3,054.00 | $193.37 – $2,840.22 | 11 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $243.39 | $399.00 | $83.79 – $371.07 | 7 |
| CT scan for therapy guide CPT 77014 | $833.26 | $1,366.00 | $142.09 – $1,270.38 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,188.05 | $8,505.00 | $482.37 – $7,909.65 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,605.71 | $5,911.00 | $427.31 – $5,497.23 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,759.64 | $4,524.00 | $200.30 – $4,207.32 | 11 |
| CT thoracic spine w/contrast CPT 72129 | $1,951.39 | $3,199.00 | $220.48 – $2,975.07 | 11 |
| CT thoracic spine without contrast CPT 72128 | $1,697.02 | $2,782.00 | $162.90 – $2,587.26 | 11 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,212.07 | $1,987.00 | $170.04 – $1,847.91 | 7 |
| CT t-spine w /wo contrast CPT 72130 | $1,968.47 | $3,227.00 | $272.18 – $3,001.11 | 11 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,797.06 | $2,946.00 | $286.06 – $2,739.78 | 11 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,535.98 | $2,518.00 | $224.05 – $2,341.74 | 11 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,165.50 | $3,550.00 | $374.98 – $3,301.50 | 11 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,357.86 – $1,357.86 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,165.82 – $1,165.82 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $63.44 | $104.00 | $7.83 – $96.72 | 18 |
| Culture afb any source CPT 87116 | $191.54 | $314.00 | $10.47 – $159.96 | 18 |
| Culture anaerobic additional method definitive id each CPT 87076 | $42.70 | $70.00 | $7.83 – $70.00 | 18 |
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.