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 |
|---|---|---|---|---|
| Ecp ciliary body destruction CPT 66711 | not published | not published | $966.08 – $966.08 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,140.09 | $1,869.00 | $392.49 – $1,738.17 | 7 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $857.05 | $1,405.00 | $295.05 – $1,306.65 | 7 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,276.73 | $2,093.00 | $439.53 – $1,946.49 | 7 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $791.78 | $1,298.00 | $272.58 – $1,207.14 | 7 |
| Eeg recording awake and asleep CPT 95819 | $921.71 | $1,511.00 | $317.31 – $1,405.23 | 7 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $964.41 | $1,581.00 | $289.53 – $1,470.33 | 7 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,094.13 | $3,433.00 | $392.22 – $3,192.69 | 7 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $188.81 | $309.52 | $65.00 – $287.86 | 7 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $423.55 – $423.55 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $375.06 – $375.06 | 1 |
| Egd dilate stricture CPT 43245 | not published | not published | $326.30 – $326.30 | 1 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $505.05 – $505.05 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $405.28 – $405.28 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $791.07 – $791.07 | 1 |
| Egd guide wire insertion CPT 43248 | not published | not published | $311.03 – $311.03 | 1 |
| Egd injection varices CPT 43243 | not published | not published | $442.37 – $442.37 | 1 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $265.76 – $265.76 | 1 |
| Egd lesion ablation CPT 43270 | not published | not published | $419.87 – $419.87 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $315.11 – $315.11 | 1 |
| Egd remove foreign body CPT 43247 | not published | not published | $330.04 – $330.04 | 1 |
| Egd remove lesion snare CPT 43251 | not published | not published | $366.56 – $366.56 | 1 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $315.99 – $315.99 | 1 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $422.98 – $422.98 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $434.81 – $434.81 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $491.86 – $491.86 | 1 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $491.23 – $491.23 | 1 |
| Egd varices ligation CPT 43244 | not published | not published | $458.87 – $458.87 | 1 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $433.69 – $433.69 | 1 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $732.65 – $732.65 | 1 |
| Egfr gene com variants CPT 81235 | $456.89 | $749.00 | $157.29 – $749.00 | 18 |
| Elbow arthroscopy CPT 29830 | not published | not published | $866.40 – $866.40 | 1 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $929.15 – $929.15 | 1 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $961.59 – $961.59 | 1 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $1,101.11 – $1,101.11 | 1 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $991.16 – $991.16 | 1 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,122.83 – $1,122.83 | 1 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | not published | not published | $64.76 – $64.76 | 1 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $46.87 – $46.87 | 1 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | not published | not published | $66.02 – $66.02 | 1 |
| Electrd sq emblem s-icd HCPCS C1896 | $15,478.75 | $25,375.00 | $1,980.83 – $8,772.23 | 11 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $75.61 – $167.85 | 10 |
| Electroejaculation CPT 55870 | not published | not published | $267.33 – $267.33 | 1 |
| Electrolyte panel CPT 80051 | $56.12 | $92.00 | $6.79 – $85.56 | 18 |
| Electron microscopy diagnostic CPT 88348 | $916.83 | $1,503.00 | $315.63 – $1,503.00 | 11 |
| Electrophysiology evaluation CPT 93642 | $2,442.44 | $4,004.00 | $153.22 – $3,723.72 | 7 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $1,778.98 | $2,916.36 | $6.16 – $2,034.18 | 14 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $340.18 – $340.18 | 1 |
| Embolization s&i CPT 75894 | $2,817.59 | $4,619.00 | $969.99 – $4,295.67 | 7 |
| Embo or occlude vascular arterial s&i CPT 37242 | $13,886.65 | $22,765.00 | $863.71 – $21,171.45 | 7 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $12,313.46 | $20,186.00 | $1,224.03 – $18,772.98 | 7 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $9,475.74 | $15,534.00 | $1,040.45 – $14,446.62 | 7 |
| Embo or occlude vascular venous s&i CPT 37241 | $7,937.32 | $13,012.00 | $779.35 – $12,101.16 | 7 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $271.32 – $271.32 | 1 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $5,699.23 | $9,343.00 | $1,794.83 – $8,688.99 | 7 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,669.21 – $1,669.21 | 1 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $74.59 – $74.59 | 1 |
| Emb without cervical dilation 58100 CPT 58100 | $226.92 | $372.00 | $78.12 – $345.96 | 7 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,288.91 | $7,031.00 | $498.20 – $6,538.83 | 7 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $6,647.78 | $10,898.00 | $495.68 – $10,135.14 | 7 |
| Endo cath bile duct s&i CPT 74328 | $477.63 | $783.00 | $96.89 – $728.19 | 7 |
| Endo cath panc duct s&i CPT 74329 | $677.10 | $1,110.00 | $78.18 – $1,032.30 | 7 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $188.56 – $188.56 | 1 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $208.34 – $208.34 | 1 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $632.56 – $632.56 | 1 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $667.15 – $667.15 | 1 |
| Endoluminal bx biliary tree CPT 47543 | $203.74 | $334.00 | $70.14 – $310.62 | 7 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $203.74 | $334.00 | $70.14 – $310.62 | 7 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,240.72 | $6,952.00 | $312.52 – $6,465.36 | 7 |
| Endoluminl ivus oct c ea CPT 92979 | $1,122.40 | $1,840.00 | $156.58 – $1,711.20 | 7 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $434.74 – $434.74 | 1 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $660.49 – $660.49 | 1 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $373.09 – $373.09 | 1 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $222.52 – $222.52 | 1 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $366.77 – $366.77 | 1 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $28.46 – $28.46 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $167.64 – $167.64 | 1 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $1,115.73 – $1,115.73 | 1 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $497.03 – $497.03 | 1 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $136.52 – $136.52 | 1 |
| Endoscopy of ureter CPT 50951 | not published | not published | $573.57 – $573.57 | 1 |
| Endoscopy of ureter CPT 50953 | not published | not published | $610.53 – $610.53 | 1 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $314.69 – $314.69 | 1 |
| Endo, single, pulmonary HCPCS C1601 | $542.31 | $889.02 | $178.38 – $789.97 | 11 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $972.04 – $1,691.95 | 4 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $11,064.79 | $18,139.00 | $1,375.82 – $16,869.27 | 9 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $1,015.73 – $1,015.73 | 1 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $217.60 – $352.76 | 4 |
| Endovenous laser vein addon 36479 CPT 36479 | $2,616.29 | $4,289.00 | $242.91 – $3,988.77 | 7 |
| Endovenous mchnchem 1st vein CPT 36473 | $3,120.76 | $5,116.00 | $324.24 – $4,757.88 | 7 |
| Endovenous mchnchem add-on CPT 36474 | $1,531.10 | $2,510.00 | $159.60 – $2,334.30 | 7 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $237.43 – $237.43 | 1 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $4,521.32 | $7,412.00 | $321.30 – $6,893.16 | 7 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $2,712.67 | $4,447.00 | $156.87 – $4,135.71 | 7 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $2,519.91 | $4,131.00 | $29.39 – $2,612.37 | 14 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $20.80 | $34.09 | $1.08 – $9.08 | 12 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $231.38 – $431.70 | 4 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $238.36 – $431.09 | 4 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $833.05 – $849.39 | 3 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,900.09 – $1,937.34 | 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.