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 |
|---|---|---|---|---|
| Exchange nephrostomy cath CPT 50435 | $1,595.15 | $2,615.00 | $186.50 – $2,431.95 | 7 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $465.15 – $465.15 | 1 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $659.19 – $659.19 | 1 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $535.79 – $535.79 | 1 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $1,137.15 – $1,137.15 | 1 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $1,360.51 – $1,360.51 | 1 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $1,226.11 – $1,226.11 | 1 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $671.27 – $671.27 | 1 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $1,292.59 – $1,292.59 | 1 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,801.78 – $1,837.11 | 3 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $2,982.59 – $2,982.59 | 1 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $1,312.77 – $1,312.77 | 1 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $1,731.01 – $1,731.01 | 1 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $1,747.60 – $1,747.60 | 1 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,907.22 – $1,907.22 | 1 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $228.59 – $228.59 | 1 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $1,865.37 – $1,865.37 | 1 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $670.76 – $670.76 | 1 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $565.57 – $565.57 | 1 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,464.38 – $1,493.10 | 3 |
| Excise inferior turbinate CPT 30130 | not published | not published | $793.65 – $793.65 | 1 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $605.08 – $1,561.37 | 4 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $2,957.26 – $2,957.26 | 1 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $1,669.88 – $1,702.63 | 3 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $2,457.59 – $2,457.59 | 1 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,677.58 – $3,330.24 | 4 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $2,584.24 – $2,584.24 | 1 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,531.46 – $1,561.49 | 3 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $1,823.56 – $1,859.31 | 3 |
| Excise lesion testis CPT 54512 | not published | not published | $1,020.60 – $1,020.60 | 1 |
| Excise lip or cheek fold CPT 40819 | $2,035.57 | $3,337.00 | $383.17 – $3,103.41 | 7 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $2,301.05 – $2,301.05 | 1 |
| Excise mandible lesion CPT 21040 | not published | not published | $693.84 – $693.84 | 1 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $691.32 – $691.32 | 1 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $2,127.83 – $2,127.83 | 1 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $505.22 – $505.22 | 1 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $1,191.75 – $1,191.75 | 1 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $2,001.07 – $2,001.07 | 1 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $2,238.83 – $2,238.83 | 1 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $1,586.95 – $1,586.95 | 1 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,451.51 – $2,539.76 | 4 |
| Excise pharynx lesion CPT 42808 | not published | not published | $316.26 – $316.26 | 1 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $348.12 – $348.12 | 1 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $1,204.26 – $1,227.88 | 3 |
| Excise sublingual gland CPT 42450 | not published | not published | $693.88 – $693.88 | 1 |
| Excise submaxillary gland CPT 42440 | not published | not published | $791.39 – $791.39 | 1 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $621.18 – $621.18 | 1 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $1,019.55 – $1,019.55 | 1 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $733.97 – $733.97 | 1 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $286.31 – $286.31 | 1 |
| Excision aural polyp CPT 69540 | not published | not published | $248.20 – $248.20 | 1 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $254.42 – $254.42 | 1 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $566.69 | $929.00 | $195.09 – $863.97 | 7 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,076.04 | $1,764.00 | $220.33 – $1,640.52 | 7 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $464.56 – $464.56 | 1 |
| Excision breast lesion CPT 19125 | not published | not published | $849.72 – $849.72 | 1 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,624.84 – $1,656.70 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $412.44 – $412.44 | 1 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,031.47 – $1,051.70 | 3 |
| Excision graft extremity CPT 35903 | not published | not published | $1,004.16 – $1,004.16 | 1 |
| Excision graft neck CPT 35901 | not published | not published | $543.91 – $847.35 | 4 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,035.65 – $1,055.95 | 3 |
| Excision gum each quadrant CPT 41820 | not published | not published | $454.40 – $454.40 | 1 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,603.52 – $1,603.52 | 1 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $306.71 – $306.71 | 1 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $618.68 – $618.68 | 1 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $253.60 – $253.60 | 1 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $258.68 – $258.68 | 1 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $894.85 – $912.39 | 3 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,115.07 – $1,136.94 | 3 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,387.01 – $1,414.20 | 3 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $743.05 – $1,790.69 | 4 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,644.90 – $2,696.76 | 3 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $573.58 – $1,209.10 | 4 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $961.51 – $1,807.01 | 4 |
| Excision of gum flap CPT 41821 | not published | not published | $101.85 – $101.85 | 1 |
| Excision of gum lesion CPT 41822 | not published | not published | $378.59 – $378.59 | 1 |
| Excision of gum lesion CPT 41823 | not published | not published | $693.19 – $693.19 | 1 |
| Excision of gum lesion CPT 41826 | not published | not published | $373.15 – $373.15 | 1 |
| Excision of gum lesion CPT 41827 | not published | not published | $551.48 – $551.48 | 1 |
| Excision of gum lesion CPT 41828 | not published | not published | $415.11 – $415.11 | 1 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $232.72 – $232.72 | 1 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $584.06 – $1,545.89 | 4 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,115.75 – $1,115.75 | 1 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $612.90 – $1,423.30 | 4 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $579.92 – $579.92 | 1 |
| Excision of neck cyst CPT 42815 | not published | not published | $1,022.11 – $1,022.11 | 1 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $540.92 – $540.92 | 1 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $251.52 – $251.52 | 1 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,865.01 – $1,865.01 | 1 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,043.03 – $1,063.48 | 3 |
| Excision of rectal stricture CPT 45150 | not published | not published | $780.00 – $780.00 | 1 |
| Excision of salivary cyst CPT 42408 | not published | not published | $668.24 – $668.24 | 1 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,584.07 – $1,615.13 | 3 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,050.66 – $2,090.87 | 3 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,660.77 – $1,693.34 | 3 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,991.25 – $2,030.30 | 3 |
| Excision of stomach lesion CPT 43610 | not published | not published | $664.41 – $1,775.53 | 4 |
| Excision of stomach lesion CPT 43611 | not published | not published | $774.64 – $789.83 | 3 |
| Excision of tongue lesion CPT 41112 | not published | not published | $463.18 – $463.18 | 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.