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 |
|---|---|---|---|---|
| Excision of tongue lesion CPT 41114 | not published | not published | $1,177.41 – $1,177.41 | 1 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $503.62 – $503.62 | 1 |
| Excision of tonsil tags CPT 42860 | not published | not published | $372.71 – $372.71 | 1 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $1,095.80 – $1,095.80 | 1 |
| Excision of uvula CPT 42140 | not published | not published | $311.70 – $311.70 | 1 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $327.16 – $327.16 | 1 |
| Excision olecranon bursa CPT 24105 | not published | not published | $691.13 – $691.13 | 1 |
| Excision perinephric cyst CPT 50290 | not published | not published | $837.69 – $1,699.87 | 4 |
| Excision radial head CPT 24130 | not published | not published | $971.61 – $971.61 | 1 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $247.44 – $247.44 | 1 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $868.06 – $868.06 | 1 |
| Excis partial tal calc CPT 28120 | not published | not published | $947.71 – $947.71 | 1 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $2,185.37 – $2,185.37 | 1 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $1,256.91 – $1,256.91 | 1 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $890.34 – $890.34 | 1 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $283.19 – $283.19 | 1 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $348.77 – $348.77 | 1 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $787.84 – $787.84 | 1 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $233.90 – $233.90 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $240.91 – $240.91 | 1 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $344.27 – $344.27 | 1 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $528.93 – $528.93 | 1 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $726.08 – $726.08 | 1 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $233.60 – $233.60 | 1 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $282.77 – $282.77 | 1 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $394.99 – $394.99 | 1 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $232.07 – $232.07 | 1 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $281.88 – $281.88 | 1 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $306.98 – $306.98 | 1 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $365.59 – $365.59 | 1 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $400.79 – $400.79 | 1 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,265.48 – $1,265.48 | 1 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $991.89 – $991.89 | 1 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $1,356.31 – $1,356.31 | 1 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $821.71 – $821.71 | 1 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $804.44 – $820.22 | 3 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $678.60 – $1,486.57 | 4 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $816.27 – $816.27 | 1 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | not published | not published | $342.99 – $342.99 | 1 |
| Exc prtl bn phlnx toe CPT 28124 | not published | not published | $648.94 – $648.94 | 1 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $1,539.24 – $1,539.24 | 1 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $1,153.91 – $1,153.91 | 1 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $1,615.30 – $1,615.30 | 1 |
| Exc sac pr ulc skn flp ostc CPT 15935 | not published | not published | $2,157.73 – $2,157.73 | 1 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $1,297.09 – $1,297.09 | 1 |
| Exc sacral pr ulc skn flap CPT 15934 | not published | not published | $1,839.14 – $1,839.14 | 1 |
| Exc shoulder tum deep < 5 cm CPT 23076 | not published | not published | $1,014.22 – $1,014.22 | 1 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $617.06 – $617.06 | 1 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | not published | not published | $487.85 – $487.85 | 1 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $621.89 – $621.89 | 1 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | not published | not published | $321.22 – $321.22 | 1 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | not published | not published | $447.07 – $447.07 | 1 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | not published | not published | $541.80 – $541.80 | 1 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | not published | not published | $578.24 – $578.24 | 1 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | not published | not published | $828.43 – $828.43 | 1 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | not published | not published | $577.40 – $577.40 | 1 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $650.29 – $650.29 | 1 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | not published | not published | $597.79 – $597.79 | 1 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | not published | not published | $763.14 – $763.14 | 1 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | not published | not published | $780.15 – $780.15 | 1 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | not published | not published | $778.89 – $778.89 | 1 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $788.11 – $788.11 | 1 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | not published | not published | $867.01 – $867.01 | 1 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $605.87 – $605.87 | 1 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | not published | not published | $592.52 – $592.52 | 1 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $1,161.32 – $1,161.32 | 1 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $1,399.80 – $1,399.80 | 1 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | not published | not published | $213.42 – $213.42 | 1 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | not published | not published | $618.74 – $618.74 | 1 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $521.56 – $521.56 | 1 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $1,682.79 – $1,682.79 | 1 |
| Exc trchntr pr ulc flp clsr CPT 15952 | not published | not published | $1,713.64 – $1,713.64 | 1 |
| Exc trchntr pr ulc flp ostc CPT 15953 | not published | not published | $1,887.06 – $1,887.06 | 1 |
| Exc trchntr pr ulc prep flap CPT 15956 | not published | not published | $2,193.26 – $2,193.26 | 1 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $2,182.36 – $2,182.36 | 1 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $1,194.31 – $1,194.31 | 1 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | not published | not published | $588.48 – $588.48 | 1 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $909.10 – $1,787.39 | 4 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $355.66 – $355.66 | 1 |
| Exercise tst brncspsm w/ecg CPT 94617 | $370.27 | $607.00 | $108.44 – $564.51 | 7 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | not published | not published | $257.21 – $257.21 | 1 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $3,014.01 | $4,941.00 | $125.37 – $821.70 | 11 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $3,602.82 | $5,906.25 | $25.20 – $111.60 | 11 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $666.97 – $1,403.81 | 4 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $378.69 – $808.77 | 4 |
| Exploration for testis CPT 54550 | not published | not published | $935.49 – $935.49 | 1 |
| Exploration for testis CPT 54560 | not published | not published | $1,303.72 – $1,303.72 | 1 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $981.73 – $981.73 | 1 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $337.81 – $337.81 | 1 |
| Exploration of ankle joint CPT 27612 | not published | not published | $1,089.10 – $1,089.10 | 1 |
| Exploration of bile ducts CPT 47700 | not published | not published | $861.72 – $878.61 | 3 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $506.75 – $926.84 | 4 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $877.16 – $1,421.15 | 4 |
| Exploration of foot joint CPT 28020 | not published | not published | $699.80 – $699.80 | 1 |
| Exploration of foot joint CPT 28022 | not published | not published | $630.84 – $630.84 | 1 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $906.55 – $906.55 | 1 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $1,573.13 – $1,573.13 | 1 |
| Exploration of knee joint CPT 27310 | not published | not published | $1,376.59 – $1,376.59 | 1 |
| Exploration of middle ear CPT 69440 | not published | not published | $1,315.90 – $1,315.90 | 1 |
| Exploration of sinuses CPT 31090 | not published | not published | $2,104.87 – $2,104.87 | 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.