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 |
|---|---|---|---|---|
| D&c after delivery 59160 CPT 59160 | not published | not published | $340.60 – $340.60 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $440.37 – $440.37 | 1 |
| Dch validity tests CPT 81002 | $47.58 | $78.00 | $3.38 – $72.54 | 18 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $5,243.56 | $8,596.00 | $1,151.75 – $7,994.28 | 7 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,149.66 – $3,149.66 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $520.15 – $520.15 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $244.15 – $244.15 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $28.67 | $47.00 | $9.87 – $43.71 | 7 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $678.21 – $1,264.94 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $227.53 | $373.00 | $53.03 – $346.89 | 7 |
| Debridement (>20 cm) charge pt CPT 97598 | $384.91 | $631.00 | $46.35 – $408.27 | 7 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,140.70 | $1,870.00 | $392.70 – $1,739.10 | 7 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $617.93 | $1,013.00 | $100.65 – $942.09 | 7 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $671.61 | $1,101.00 | $177.11 – $1,023.93 | 7 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $807.64 | $1,324.00 | $114.41 – $1,231.32 | 7 |
| Debride nail1-5 11720 CPT 11720 | $134.20 | $220.00 | $27.05 – $204.60 | 7 |
| Debride nail6 or more 11721 CPT 11721 | $131.76 | $216.00 | $45.36 – $200.88 | 7 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $547.24 – $547.24 | 1 |
| Debride skin bone at fx site CPT 11012 | $1,294.42 | $2,122.00 | $445.62 – $1,973.46 | 7 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $543.75 – $1,035.83 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $738.75 – $1,384.24 | 4 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $519.11 | $851.00 | $46.77 – $791.43 | 7 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $96.79 – $96.79 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $898.53 | $1,473.00 | $309.33 – $1,369.89 | 7 |
| Debr inf skin add-on 11001 CPT 11001 | $193.98 | $318.00 | $28.18 – $295.74 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $824.72 | $1,352.00 | $283.92 – $1,257.36 | 7 |
| Decalcification CPT 88311 | $42.09 | $69.00 | $14.49 – $64.17 | 11 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $334.75 | $548.76 | $1.16 – $510.35 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $469.70 | $770.00 | $64.74 – $716.10 | 7 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $866.67 – $866.67 | 1 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,398.56 – $1,398.56 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $2,282.01 – $2,282.01 | 1 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $1,061.38 – $1,061.38 | 1 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,618.30 – $1,618.30 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,454.96 – $2,454.96 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,463.89 – $1,463.89 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,734.12 – $1,734.12 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $1,000.00 – $1,000.00 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $1,158.68 – $1,158.68 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $1,502.72 – $1,502.72 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $742.60 – $742.60 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $829.52 – $829.52 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,040.28 – $1,040.28 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,094.56 – $1,094.56 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,238.66 – $1,238.66 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,320.38 – $1,320.38 | 1 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $688.30 – $688.30 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $695.35 – $695.35 | 1 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,575.21 – $1,606.09 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,426.68 – $2,426.68 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,881.79 – $2,881.79 | 1 |
| Decompress small bowel CPT 44021 | not published | not published | $686.68 – $1,762.34 | 4 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,667.17 – $2,667.17 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $3,153.59 – $3,153.59 | 1 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $350.76 – $350.76 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $561.10 – $561.10 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $279.43 – $279.43 | 1 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $29.38 | $48.15 | $5.86 – $29.54 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $425.18 | $697.01 | $6.31 – $415.47 | 14 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,423.49 – $1,423.49 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $462.02 – $462.02 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $654.19 – $654.19 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $618.89 – $618.89 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $401.33 – $401.33 | 1 |
| Delivery of placenta 59414 CPT 59414 | $3,400.14 | $5,574.00 | $160.04 – $5,183.82 | 7 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,657.22 – $1,657.22 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $620.59 – $1,158.59 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $146.40 | $240.00 | $28.48 – $223.20 | 7 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,197.52 – $2,197.52 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $1,194.41 | $1,958.05 | $21.77 – $1,691.83 | 14 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $236.68 | $388.00 | $81.48 – $360.84 | 7 |
| Depo-estradiol cypionate inj HCPCS J1000 | $24.90 | $40.81 | $8.58 – $40.81 | 12 |
| Dermabrasion other than face CPT 15782 | not published | not published | $708.39 – $708.39 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $806.46 – $806.46 | 1 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $680.90 – $680.90 | 1 |
| Dermabrasion total face CPT 15780 | not published | not published | $1,267.75 – $1,267.75 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,270.67 – $1,270.67 | 1 |
| Dermagraft HCPCS Q4106 | $2,305.80 | $3,780.00 | $33.41 – $2,458.69 | 12 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,430.02 – $1,430.02 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,117.49 – $1,117.49 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,786.42 – $1,821.45 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $264.77 – $264.77 | 1 |
| Design mlc device for imrt CPT 77338 | $3,627.06 | $5,946.00 | $459.67 – $5,529.78 | 11 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $45.84 | $75.14 | $4.72 – $69.89 | 14 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $421.97 – $687.20 | 4 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,533.26 – $1,563.33 | 3 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,126.86 – $1,148.95 | 3 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $166.07 – $166.07 | 1 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $225.31 – $225.31 | 1 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $259.92 – $259.92 | 1 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $182.47 – $182.47 | 1 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $200.68 – $200.68 | 1 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $231.27 – $231.27 | 1 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $134.95 – $134.95 | 1 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $166.70 – $166.70 | 1 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $210.86 – $210.86 | 1 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $233.27 – $233.27 | 1 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $966.85 | $1,585.00 | $332.85 – $1,474.05 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $322.08 | $528.00 | $110.88 – $491.04 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $288.29 – $288.29 | 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.