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 |
|---|---|---|---|---|
| Culture anaerobic except blood CPT 87075 | $120.78 | $198.00 | $9.18 – $184.14 | 18 |
| Culture bact stool aero addl path ea CPT 87046 | $59.78 | $98.00 | $9.15 – $98.00 | 18 |
| Culture body fluid CPT 87070 | $86.62 | $142.00 | $8.35 – $112.53 | 18 |
| Culture fungi definitive id mold CPT 87107 | $40.87 | $67.00 | $10.00 – $67.00 | 18 |
| Culture fungi definitive id yeast CPT 87106 | $42.09 | $69.00 | $10.00 – $69.00 | 18 |
| Culture fungi other (except blood) CPT 87102 | $84.79 | $139.00 | $8.15 – $129.27 | 18 |
| Culture fungi skin/hair/nail CPT 87101 | $58.56 | $96.00 | $7.47 – $89.28 | 18 |
| Culture quantitative aerobic other source CPT 87071 | $76.25 | $125.00 | $9.59 – $116.25 | 18 |
| Culture screening strep group a CPT 87081 | $35.38 | $58.00 | $6.43 – $58.00 | 18 |
| Culture typing immunologic CPT 87147 | $23.79 | $39.00 | $5.02 – $39.00 | 18 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $49.41 | $81.00 | $17.01 – $81.00 | 18 |
| Culture urine each isolate CPT 87088 | $24.40 | $40.00 | $7.84 – $40.00 | 18 |
| Curette/treat cornea CPT 65435 | not published | not published | $132.83 – $132.83 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $705.10 – $705.10 | 1 |
| Cutter lead HCPCS C1773 | $5,246.61 | $8,601.00 | $12.20 – $53.99 | 11 |
| Cv line/pic reposition CPT 36597 | $1,107.15 | $1,815.00 | $111.55 – $1,687.95 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.90 | $6.40 | $0.94 – $5.96 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $111.63 | $183.00 | $12.55 – $170.19 | 18 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $212.85 | $348.93 | $10.56 – $46.73 | 7 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $4.18 | $6.85 | $0.32 – $1.52 | 12 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $7.79 | $12.77 | $2.69 – $12.77 | 12 |
| Cyclosporine 2 hour CPT 80158 | $61.00 | $100.00 | $17.49 – $100.00 | 18 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.51 | $4.11 | $0.57 – $2.52 | 12 |
| Cyclosporine oral 100 mg HCPCS J7502 | $8.80 | $14.42 | $0.82 – $3.88 | 12 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $16,220.03 | $26,590.20 | $266.70 – $1,181.10 | 11 |
| Cystatin c CPT 82610 | $40.26 | $66.00 | $9.36 – $61.38 | 18 |
| Cystine urine quantitative CPT 82131 | $120.78 | $198.00 | $22.27 – $194.48 | 18 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $901.36 – $901.36 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $515.45 | $845.00 | $49.39 – $785.85 | 11 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $494.15 – $494.15 | 1 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $891.78 – $1,685.44 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,399.65 – $1,399.65 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $311.03 – $311.03 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $447.41 – $447.41 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $327.01 – $327.01 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $378.27 – $378.27 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $459.92 – $459.92 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $539.41 – $539.41 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $732.31 – $732.31 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $393.44 – $393.44 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $303.22 – $303.22 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $494.38 – $494.38 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $603.83 – $603.83 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $377.08 – $377.08 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $366.45 – $366.45 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $455.70 – $455.70 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $523.49 – $523.49 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $542.28 – $542.28 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $519.69 – $519.69 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $283.77 – $283.77 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $512.82 – $512.82 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $460.32 – $460.32 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $492.30 – $492.30 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $150.80 – $150.80 | 1 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $315.63 – $315.63 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $309.98 – $309.98 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $629.10 – $629.10 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $483.90 – $483.90 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $536.89 – $536.89 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $340.28 – $340.28 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $464.73 – $464.73 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $597.89 – $597.89 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $250.36 – $250.36 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $557.34 – $557.34 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $897.14 – $897.14 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,476.03 – $1,476.03 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $565.97 – $565.97 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $690.25 – $690.25 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $778.68 – $778.68 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $872.21 – $872.21 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | $6,001.79 | $9,839.00 | $776.14 – $9,150.27 | 7 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $731.68 – $731.68 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $832.84 – $832.84 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $661.63 – $661.63 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $736.60 – $736.60 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $495.56 – $495.56 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $285.12 – $285.12 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $265.50 – $265.50 | 1 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $94.67 – $94.67 | 1 |
| Cystourethro w/implant CPT 52441 | not published | not published | $392.28 – $392.28 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $642.83 – $642.83 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $578.11 – $578.11 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $531.11 – $531.11 | 1 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $0.57 | $0.93 | $0.08 – $0.35 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $88.45 | $145.00 | $6.93 – $33.00 | 18 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $22.57 | $37.00 | $7.77 – $37.41 | 18 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $65.27 | $107.00 | $22.47 – $107.00 | 11 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $40.87 | $67.00 | $14.07 – $67.00 | 18 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $35.99 | $59.00 | $12.39 – $59.00 | 18 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $53.68 | $88.00 | $18.48 – $88.00 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $51.85 | $85.00 | $17.85 – $85.00 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $89.67 | $147.00 | $30.87 – $147.00 | 11 |
| Cytopath smear other source CPT 88160 | $37.82 | $62.00 | $13.02 – $62.00 | 11 |
| Cytopath smear oth prep screen & interp CPT 88161 | $67.10 | $110.00 | $23.10 – $110.00 | 11 |
| Cytopath tbs c/v manual CPT 88164 | $34.16 | $56.00 | $11.76 – $56.00 | 18 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $6.59 | $10.80 | $2.27 – $10.05 | 12 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $390.87 | $640.77 | $134.57 – $666.41 | 14 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $942.96 | $1,545.83 | $13.41 – $1,437.63 | 14 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $427.78 | $701.27 | $41.50 – $652.19 | 14 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2,275.14 | $3,729.74 | $2.49 – $174.34 | 14 |
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.