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 |
|---|---|---|---|---|
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $140.13 – $140.13 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,606.29 – $1,606.29 | 1 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,152.46 – $1,152.46 | 1 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $127.20 – $127.20 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,507.00 – $1,507.00 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $0.16 | $0.27 | $0.06 – $0.27 | 12 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,448.07 – $1,476.47 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $994.39 – $1,013.89 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,044.80 – $1,065.28 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,000.47 – $1,020.08 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $917.55 – $935.54 | 3 |
| Fuse/graft added joint CPT 26863 | not published | not published | $417.27 – $417.27 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,253.99 – $1,278.58 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,341.74 – $1,368.05 | 3 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,042.67 – $1,063.12 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $851.14 – $867.83 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $963.68 – $982.57 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,454.59 – $1,454.59 | 1 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,622.59 – $1,622.59 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,893.76 – $1,893.76 | 1 |
| Fusion of big toe joint CPT 28750 | not published | not published | $1,099.08 – $1,099.08 | 1 |
| Fusion of big toe joint CPT 28755 | not published | not published | $643.84 – $643.84 | 1 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $956.23 – $974.98 | 3 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $187.09 – $187.09 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,165.90 – $1,165.90 | 1 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,253.45 – $1,253.45 | 1 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,235.77 – $1,235.77 | 1 |
| Fusion of foot bones CPT 28730 | not published | not published | $1,376.42 – $1,376.42 | 1 |
| Fusion of foot bones CPT 28735 | not published | not published | $1,473.42 – $1,473.42 | 1 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,175.48 – $1,175.48 | 1 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,477.69 – $1,477.69 | 1 |
| Fusion of knee CPT 27580 | not published | not published | $1,265.15 – $2,742.62 | 4 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,392.93 – $1,392.93 | 1 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,408.87 – $1,408.87 | 1 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,633.04 – $1,633.04 | 1 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,653.25 – $1,653.25 | 1 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,579.03 – $1,579.03 | 1 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,393.14 – $2,440.07 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,516.20 – $1,516.20 | 1 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,999.37 – $1,999.37 | 1 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,302.08 – $1,302.08 | 1 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,219.37 – $1,219.37 | 1 |
| Fusion of thumb CPT 26841 | not published | not published | $1,468.74 – $1,468.74 | 1 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,300.22 – $1,300.22 | 1 |
| Fusion of toes CPT 28280 | not published | not published | $665.53 – $665.53 | 1 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,182.83 – $1,206.03 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,074.22 – $1,095.29 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,133.00 – $1,155.21 | 3 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $204.96 | $336.00 | $70.56 – $312.48 | 7 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.90 | $4.74 | $0.26 – $2.05 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.73 | $4.47 | $0.27 – $1.19 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $3.15 | $5.16 | $0.11 – $1.37 | 8 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $7.92 | $12.99 | $2.73 – $12.09 | 8 |
| Galactose transferase test CPT 82776 | $39.04 | $64.00 | $11.37 – $64.00 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,204.54 – $1,204.54 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | $26.87 | $44.05 | $9.26 – $45.81 | 14 |
| Gammaglobulin iga CPT 82784 | $35.38 | $58.00 | $9.02 – $52.00 | 18 |
| Gammaglobulin ige CPT 82785 | $70.15 | $115.00 | $15.95 – $115.00 | 18 |
| Gamma glutamyltransferase CPT 82977 | $26.23 | $43.00 | $6.98 – $43.00 | 18 |
| Gamunex-c/gammaked HCPCS J1561 | $4.76 | $7.79 | $1.01 – $4.96 | 14 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $27.90 | $45.73 | $0.89 – $4.22 | 12 |
| Gastroduodenostomy CPT 43810 | not published | not published | $654.03 – $1,840.38 | 4 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,755.86 – $1,790.29 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,002.22 – $2,041.48 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $691.92 – $705.48 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $870.84 – $887.91 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | $242.53 | $397.59 | $7.39 – $36.56 | 13 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,178.16 – $1,201.26 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,119.93 – $1,119.93 | 1 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $63.29 | $103.74 | $0.18 – $0.83 | 12 |
| General health panel CPT 80050 | $248.27 | $407.00 | $52.42 – $378.51 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $54,040.09 | $88,590.30 | $150.89 – $668.23 | 11 |
| Generator emblem MRI sicd subq HCPCS C1722 | $45,768.30 | $75,030.00 | $2,021.25 – $8,951.25 | 11 |
| Genioplasty augmentation CPT 21120 | not published | not published | $954.45 – $954.45 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,609.02 – $1,609.02 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $1,015.54 – $1,015.54 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,401.23 – $1,401.23 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $0.95 | $1.56 | $0.01 – $0.03 | 12 |
| Gentamicin peak therapeutic drug level CPT 80170 | $111.02 | $182.00 | $15.87 – $182.00 | 18 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $263.82 – $263.82 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $685.64 | $1,124.00 | $190.53 – $1,045.32 | 7 |
| Ghs abscess postoperative iandd complex CPT 10180 | not published | not published | $331.51 – $331.51 | 1 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $45.75 | $75.00 | $9.51 – $75.00 | 18 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $134.81 | $221.00 | $16.57 – $205.53 | 18 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $118.95 | $195.00 | $31.43 – $181.35 | 7 |
| Ghs antibodies (torch) igm CPT 86694 | $28.67 | $47.00 | $9.87 – $47.00 | 18 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $73.37 – $73.37 | 1 |
| Ghs bladder cath - complex-foley CPT 51703 | $237.29 | $389.00 | $81.69 – $361.77 | 7 |
| Ghs bleeding time (ivy) CPT 85002 | $23.18 | $38.00 | $4.67 – $38.00 | 18 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $103.64 – $103.64 | 1 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,147.81 | $3,521.00 | $160.65 – $3,274.53 | 7 |
| Ghs change cysto/gastrost CPT 43762 | $436.15 | $715.00 | $68.38 – $664.95 | 7 |
| Ghs chemo >8 hrs CPT 96416 | $667.95 | $1,095.00 | $215.19 – $1,018.35 | 11 |
| Ghs chemo IV push, ea addtl CPT 96411 | $278.16 | $456.00 | $92.90 – $424.08 | 11 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $194.59 | $319.00 | $34.01 – $319.00 | 18 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $211.67 | $347.00 | $72.87 – $322.71 | 7 |
| Ghs closed reduction ankle dislocation CPT 27840 | $309.88 | $508.00 | $106.68 – $472.44 | 7 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,423.74 | $2,334.00 | $490.14 – $2,170.62 | 7 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $221.43 | $363.00 | $76.23 – $337.59 | 7 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,611.62 | $2,642.00 | $554.82 – $2,457.06 | 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.