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 |
|---|---|---|---|---|
| Exploration of spinal fusion CPT 22830 | not published | not published | $785.00 – $1,499.21 | 4 |
| Exploration of toe joint CPT 28024 | not published | not published | $595.98 – $595.98 | 1 |
| Exploration of ureter CPT 50600 | not published | not published | $894.88 – $1,769.78 | 4 |
| Exploration/repair of rectum CPT 45562 | not published | not published | $707.88 – $721.76 | 3 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,091.50 – $1,112.90 | 3 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $707.06 – $1,674.56 | 4 |
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,208.42 – $1,232.12 | 3 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,436.88 – $1,465.06 | 3 |
| Expl orbit w/removal lesion CPT 61333 | not published | not published | $1,717.73 – $1,751.41 | 3 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $986.00 – $1,005.34 | 3 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $1,976.50 – $1,976.50 | 1 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $2,655.85 – $2,655.85 | 1 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $731.50 – $745.85 | 3 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $983.68 – $983.68 | 1 |
| Explore/drain eye socket CPT 67405 | not published | not published | $1,727.40 – $1,727.40 | 1 |
| Explore/drain eye socket CPT 67440 | not published | not published | $2,564.12 – $2,564.12 | 1 |
| Explore epididymis CPT 54865 | not published | not published | $687.79 – $687.79 | 1 |
| Explore inner ear CPT 69805 | not published | not published | $1,948.04 – $1,948.04 | 1 |
| Explore inner ear CPT 69806 | not published | not published | $1,746.00 – $1,746.00 | 1 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $223.90 – $223.90 | 1 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $1,494.00 – $1,494.00 | 1 |
| Explore neck vessels 35800 CPT 35800 | $258.64 | $424.00 | $89.04 – $440.96 | 9 |
| Explore parathyroid glands CPT 60500 | not published | not published | $1,786.51 – $1,786.51 | 1 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $845.46 | $1,386.00 | $291.06 – $1,288.98 | 7 |
| Explore/repair chest 32110 CPT 32110 | not published | not published | $937.20 – $955.57 | 3 |
| Explore scrotum CPT 55110 | not published | not published | $739.10 – $739.10 | 1 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $689.26 – $1,766.46 | 4 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $855.56 – $855.56 | 1 |
| Explore/treat eye socket CPT 67412 | not published | not published | $1,883.93 – $1,883.93 | 1 |
| Explore/treat eye socket CPT 67420 | not published | not published | $3,297.53 – $3,297.53 | 1 |
| Explore/treat eye socket CPT 67430 | not published | not published | $2,642.98 – $2,642.98 | 1 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $1,836.93 – $1,836.93 | 1 |
| Explore/treat finger joint CPT 26075 | not published | not published | $648.80 – $648.80 | 1 |
| Explore/treat finger joint CPT 26080 | not published | not published | $764.63 – $764.63 | 1 |
| Explore/treat knee joint CPT 27331 | not published | not published | $904.39 – $904.39 | 1 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $775.72 – $775.72 | 1 |
| Explore wound abdomen 20102 CPT 20102 | $1,966.64 | $3,224.00 | $467.99 – $2,998.32 | 7 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $380.69 – $380.69 | 1 |
| Explore wound neck 20100 CPT 20100 | $689.30 | $1,130.00 | $237.30 – $1,050.90 | 7 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $382.63 – $739.16 | 4 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $378.17 – $733.22 | 4 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $2,759.57 – $2,759.57 | 1 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $2,907.77 – $2,907.77 | 1 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $514.22 – $586.24 | 4 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $225.02 – $280.91 | 4 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $803.23 – $803.23 | 1 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $494.34 – $494.34 | 1 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $635.88 – $635.88 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $1,162.05 | $1,905.00 | $400.05 – $1,771.65 | 11 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $1,162.05 | $1,905.00 | $400.05 – $1,771.65 | 11 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,902.68 – $1,902.68 | 1 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,298.67 – $1,324.14 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,986.31 – $1,986.31 | 1 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,055.23 – $1,075.92 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,015.42 – $2,263.99 | 4 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $2,381.17 – $2,381.17 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $3,167.66 – $3,167.66 | 1 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,329.92 – $1,355.99 | 3 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,548.59 – $1,578.96 | 3 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,808.20 – $1,843.66 | 3 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,325.20 – $1,351.19 | 3 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,443.81 – $1,472.12 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,725.30 – $1,759.13 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,050.48 – $1,071.08 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,463.72 – $1,492.42 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $1,946.00 – $1,984.15 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $2,194.90 – $2,194.90 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,906.82 – $1,906.82 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $2,595.87 – $2,595.87 | 1 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,515.02 – $1,544.72 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,411.03 – $1,411.03 | 1 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,476.89 – $3,085.05 | 4 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,265.84 – $2,704.36 | 4 |
| External cannula declotting CPT 36860 | not published | not published | $195.53 – $195.53 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $512.40 | $840.00 | $140.13 – $840.00 | 18 |
| External recharg sys intern HCPCS L8689 | $3,348.90 | $5,490.00 | $1,152.90 – $5,105.70 | 11 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $489.83 | $803.00 | $139.29 – $803.00 | 18 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $212.89 | $349.00 | $17.37 – $324.57 | 18 |
| Extraction of lens CPT 66930 | not published | not published | $1,631.62 – $1,631.62 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $1,494.23 – $1,494.23 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,425.61 – $1,425.61 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $52.08 – $52.08 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $295.37 – $295.37 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $355.13 – $355.13 | 1 |
| Fabrication & fitting HCPCS V2628 | $133.96 | $219.60 | $46.12 – $204.23 | 7 |
| Face bone graft CPT 21210 | not published | not published | $1,451.71 – $1,451.71 | 1 |
| Facial bones <3 CPT 70140 | $113.46 | $186.00 | $39.06 – $172.98 | 11 |
| Facility svs dental rehab HCPCS G0330 | $2,068.51 | $3,391.00 | $712.11 – $3,153.63 | 7 |
| Factor ix CPT 85250 | $84.18 | $138.00 | $18.45 – $128.34 | 18 |
| Factor ix complex HCPCS J7194 | $0.70 | $1.14 | $0.24 – $3.77 | 17 |
| Factor ix recombinant nos HCPCS J7195 | $0.63 | $1.02 | $0.21 – $4.15 | 17 |
| Factor viii CPT 85240 | $96.99 | $159.00 | $17.35 – $147.87 | 18 |
| Factor viii HCPCS J7190 | $0.56 | $0.92 | $0.20 – $2.51 | 18 |
| Factor viii recombinant nos HCPCS J7192 | $1.10 | $1.79 | $0.24 – $3.40 | 18 |
| Fallopian tube recnl CPT 58345 | not published | not published | $544.01 – $544.01 | 1 |
| Family therapy with patient 50 min 90847 CPT 90847 | $154.94 | $254.00 | $53.34 – $236.22 | 7 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $1,783.94 | $2,924.48 | $22.58 – $2,719.77 | 14 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $690.52 – $1,735.84 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $11.59 | $19.00 | $3.99 – $19.00 | 18 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $36.60 | $60.00 | $12.60 – $55.80 | 7 |
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.