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 |
|---|---|---|---|---|
| Estradiol total CPT 82670 | $100.65 | $165.00 | $27.07 – $165.00 | 18 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $20.88 | $34.22 | $7.07 – $31.83 | 12 |
| Estrogens total-sendout CPT 82672 | $59.17 | $97.00 | $20.37 – $97.00 | 18 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,805.85 – $1,805.85 | 1 |
| Ethylene glycol -sendout CPT 82693 | $126.27 | $207.00 | $14.44 – $192.51 | 18 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $95.04 | $155.80 | $0.48 – $2.16 | 12 |
| Etoposide 50 mg cap HCPCS J8560 | $42.03 | $68.90 | $14.47 – $68.90 | 12 |
| Euflexxa inj per dose HCPCS J7323 | $32.55 | $53.36 | $11.21 – $53.36 | 12 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $981.83 – $981.83 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $120.78 | $198.00 | $35.28 – $217.80 | 18 |
| Evaluation heart device CPT 93640 | $2,442.44 | $4,004.00 | $469.73 – $3,723.72 | 7 |
| Evaluation of speech fluency 92521 CPT 92521 | $123.22 | $202.00 | $42.42 – $187.86 | 13 |
| Evaluation psychiatric diagnostic CPT 90791 | $185.44 | $304.00 | $63.84 – $282.72 | 7 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,094.13 | $3,433.00 | $484.04 – $3,192.69 | 9 |
| Evasc prlng admn rx agnt add CPT 61651 | $970.51 | $1,591.00 | $205.55 – $1,479.63 | 9 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,109.53 – $1,131.28 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,660.17 – $1,692.72 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,070.73 – $2,111.34 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $772.67 – $772.67 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,242.70 – $1,267.06 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,072.00 – $2,112.62 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,034.50 – $1,054.79 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,666.35 – $1,699.03 | 3 |
| Event monitor CPT 93270 | $328.79 | $539.00 | $15.35 – $501.27 | 11 |
| Evoked oa emissions ltd CPT 92587 | $150.67 | $247.00 | $6.51 – $229.71 | 7 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $686.25 | $1,125.00 | $47.54 – $1,046.25 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $167.79 – $167.79 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $198.91 – $198.91 | 1 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,026.21 – $1,026.21 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,286.29 – $1,286.29 | 1 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $799.65 – $1,283.56 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $812.51 – $812.51 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,046.68 – $1,046.68 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,226.69 – $1,226.69 | 1 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,187.84 – $2,187.84 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $3,194.29 – $3,194.29 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $754.99 – $754.99 | 1 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $619.96 – $619.96 | 1 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,009.30 – $2,048.70 | 3 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,014.38 – $2,014.38 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $2,999.83 – $2,999.83 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $682.58 – $682.58 | 1 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,358.60 – $1,358.60 | 1 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $593.15 – $593.15 | 1 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $427.81 – $427.81 | 1 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $599.66 – $599.66 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $342.85 – $342.85 | 1 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $827.77 | $1,357.00 | $160.86 – $1,262.01 | 7 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $205.65 – $205.65 | 1 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $279.95 – $279.95 | 1 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $340.37 – $340.37 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $988.20 | $1,620.00 | $208.68 – $1,506.60 | 7 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $299.25 – $299.25 | 1 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $505.01 – $505.01 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $201.71 – $201.71 | 1 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $284.13 – $284.13 | 1 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $599.63 – $599.63 | 1 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,136.16 – $1,158.44 | 3 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $1,107.31 – $1,107.31 | 1 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $673.80 – $1,565.36 | 4 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $1,165.69 – $1,165.69 | 1 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,085.95 – $2,085.95 | 1 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,200.10 – $2,793.06 | 4 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,288.94 – $3,053.59 | 4 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,624.32 – $1,656.17 | 3 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,547.88 – $1,578.23 | 3 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $1,493.33 – $1,493.33 | 1 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $1,168.86 – $1,168.86 | 1 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,541.11 – $1,541.11 | 1 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $1,010.46 – $1,010.46 | 1 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,385.27 – $1,385.27 | 1 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,608.29 – $1,608.29 | 1 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $1,176.21 – $1,176.21 | 1 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $1,226.86 – $1,226.86 | 1 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $827.76 – $827.76 | 1 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $1,116.93 – $1,116.93 | 1 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,786.93 – $2,786.93 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $1,738.32 – $1,738.32 | 1 |
| Exc excessive skin hip CPT 15834 | not published | not published | $1,668.70 – $1,668.70 | 1 |
| Exc excessive skin leg CPT 15833 | not published | not published | $1,639.22 – $1,639.22 | 1 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $1,719.02 – $1,719.02 | 1 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $1,340.85 – $1,340.85 | 1 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $1,217.64 – $1,217.64 | 1 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $623.11 – $623.11 | 1 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $757.85 – $757.85 | 1 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $978.81 – $978.81 | 1 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $294.84 – $294.84 | 1 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | not published | not published | $428.27 – $428.27 | 1 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $864.32 – $864.32 | 1 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $504.92 – $504.92 | 1 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $794.24 – $794.24 | 1 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $982.04 – $982.04 | 1 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $1,008.42 – $1,008.42 | 1 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $634.16 – $634.16 | 1 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $1,037.86 – $1,037.86 | 1 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $997.40 – $997.40 | 1 |
| Exchange biliary drg cath CPT 47536 | $2,935.32 | $4,812.00 | $245.03 – $4,475.16 | 7 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $327.03 – $327.03 | 1 |
| Exchange drainage catheter CPT 49423 | $1,387.75 | $2,275.00 | $131.48 – $2,076.69 | 7 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $1,717.51 – $1,717.51 | 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.