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 |
|---|---|---|---|---|
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,487.85 – $1,487.85 | 1 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $600.89 – $600.89 | 1 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,083.97 | $1,777.00 | $373.17 – $1,652.61 | 7 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,679.73 | $4,393.00 | $922.53 – $4,085.49 | 7 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $502.03 | $823.00 | $172.83 – $765.39 | 7 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $264.74 | $434.00 | $91.14 – $403.62 | 7 |
| Ghs community re-entry 15 minutes CPT 97537 | $57.95 | $95.00 | $19.95 – $95.00 | 13 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $69.05 – $69.05 | 1 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $292.80 | $480.00 | $55.76 – $446.40 | 7 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $410.53 | $673.00 | $77.83 – $625.89 | 7 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $427.00 | $700.00 | $96.64 – $651.00 | 7 |
| Ghs cricothyroidotomy CPT 31605 | $1,415.20 | $2,320.00 | $487.20 – $2,157.60 | 7 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $73.48 – $73.48 | 1 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $85.41 – $85.41 | 1 |
| Ghs dislocation elbow closed treatment CPT 24600 | $533.14 | $874.00 | $183.54 – $812.82 | 7 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $192.34 – $192.34 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $61.47 – $61.47 | 1 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $716.14 | $1,174.00 | $193.79 – $1,091.82 | 7 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $134.27 – $134.27 | 1 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $179.30 – $179.30 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $394.67 | $647.00 | $135.87 – $601.71 | 7 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $599.78 – $599.78 | 1 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $462.15 – $462.15 | 1 |
| Ghs fb removal - incisional CPT 10121 | $3,778.34 | $6,194.00 | $346.84 – $5,760.42 | 7 |
| Ghs fb removal - non-incisional CPT 20520 | $1,063.84 | $1,744.00 | $280.48 – $1,621.92 | 7 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $107.97 | $177.00 | $6.76 – $164.61 | 18 |
| Ghs fish cytogen CPT 88271 | $102.48 | $168.00 | $20.76 – $168.00 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $511.18 | $838.00 | $49.60 – $779.34 | 18 |
| Ghs gastric intub aspiration lavage CPT 43753 | $416.63 | $683.00 | $39.54 – $635.19 | 7 |
| Ghs hcv amplificaiton CPT 87521 | $273.89 | $449.00 | $34.01 – $417.57 | 18 |
| Ghs histoplasma antigen CPT 87385 | $81.13 | $133.00 | $12.84 – $133.00 | 18 |
| Ghs HIV antibody CPT 86703 | $73.20 | $120.00 | $13.28 – $111.60 | 18 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $56.73 | $93.00 | $19.53 – $206.46 | 18 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $404.19 – $404.19 | 1 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,489.01 | $2,441.00 | $512.61 – $2,270.13 | 7 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $319.20 – $319.20 | 1 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $431.27 | $707.00 | $148.47 – $657.51 | 7 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $179.34 | $294.00 | $61.74 – $273.42 | 7 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $252.95 – $252.95 | 1 |
| Ghs inf midline insertion CPT 36140 | $430.05 | $705.00 | $148.05 – $655.65 | 7 |
| Ghs inhibitor screen CPT 85335 | $50.02 | $82.00 | $12.47 – $82.00 | 18 |
| Ghs init tx 1st degree burn CPT 16000 | $86.62 | $142.00 | $29.82 – $132.06 | 7 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $337.62 – $337.62 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,370.67 | $2,247.00 | $226.93 – $2,089.71 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | $277.55 | $455.00 | $73.00 – $423.15 | 7 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $535.58 | $878.00 | $116.34 – $816.54 | 7 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,553.06 | $2,546.00 | $249.50 – $2,367.78 | 7 |
| Ghs insertion of needle - bone CPT 36680 | $539.85 | $885.00 | $109.18 – $823.05 | 7 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,146.19 | $1,879.00 | $394.59 – $1,747.47 | 7 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,776.32 | $2,912.00 | $521.14 – $2,708.16 | 7 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,837.93 | $3,013.00 | $604.32 – $2,802.09 | 7 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $294.63 | $483.00 | $17.20 – $449.19 | 7 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $201.30 | $330.00 | $69.30 – $306.90 | 7 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $165.31 | $271.00 | $31.65 – $252.03 | 7 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $420.90 | $690.00 | $144.90 – $641.70 | 7 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $420.90 | $690.00 | $144.90 – $641.70 | 7 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $420.90 | $690.00 | $144.90 – $641.70 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,042.49 | $1,709.00 | $358.89 – $1,589.37 | 7 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $166.53 | $273.00 | $57.33 – $253.89 | 7 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $660.63 | $1,083.00 | $227.43 – $1,007.19 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $463.60 | $760.00 | $159.60 – $706.80 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $591.70 | $970.00 | $203.70 – $902.10 | 7 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $813.13 | $1,333.00 | $279.93 – $1,239.69 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $501.42 | $822.00 | $172.62 – $764.46 | 7 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $879.01 | $1,441.00 | $302.61 – $1,340.13 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,032.73 | $1,693.00 | $355.53 – $1,574.49 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $519.72 | $852.00 | $178.92 – $792.36 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $903.41 | $1,481.00 | $311.01 – $1,377.33 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $595.36 | $976.00 | $204.96 – $907.68 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $936.35 | $1,535.00 | $322.35 – $1,427.55 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $707.60 | $1,160.00 | $243.60 – $1,078.80 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $993.69 | $1,629.00 | $342.09 – $1,514.97 | 7 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $814.35 | $1,335.00 | $280.35 – $1,241.55 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,068.11 | $1,751.00 | $367.71 – $1,628.43 | 7 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $69.54 | $114.00 | $8.33 – $106.02 | 18 |
| Ghs mbp CPT 83873 | $43.92 | $72.00 | $15.12 – $72.00 | 18 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $251.32 | $412.00 | $41.88 – $383.16 | 7 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $251.32 | $412.00 | $86.52 – $383.16 | 7 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $251.32 | $412.00 | $86.52 – $383.16 | 7 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $251.32 | $412.00 | $17.89 – $383.16 | 7 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $251.32 | $412.00 | $86.52 – $383.16 | 7 |
| Ghs musc test done w/n test comp CPT 95886 | $622.81 | $1,021.00 | $98.36 – $949.53 | 7 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $571.57 | $937.00 | $82.59 – $871.41 | 7 |
| Ghs myocardial strain img spckl track CPT 93356 | $370.88 | $608.00 | $19.74 – $565.44 | 7 |
| Ghs nailbed repair/nail removal CPT 11760 | $180.56 | $296.00 | $62.16 – $275.28 | 7 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $986.37 | $1,617.00 | $47.40 – $1,503.81 | 7 |
| Ghs nerve blk intercostal, single level CPT 64420 | $990.64 | $1,624.00 | $111.03 – $1,510.32 | 7 |
| Ghs nerve block axillary nerve CPT 64417 | $762.50 | $1,250.00 | $121.80 – $1,162.50 | 7 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $132.97 – $132.97 | 1 |
| Ghs nerve block celiac plexus CPT 64530 | $1,739.72 | $2,852.00 | $180.52 – $2,652.36 | 7 |
| Ghs nerve block interscaline CPT 64510 | $1,220.00 | $2,000.00 | $146.94 – $1,860.00 | 7 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $558.15 | $915.00 | $162.39 – $850.95 | 7 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,325.53 | $2,173.00 | $136.96 – $2,020.89 | 7 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $105.25 – $105.25 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | $343.43 | $563.00 | $74.82 – $523.59 | 7 |
| Ghs o2 saturation CPT 82810 | $68.32 | $112.00 | $9.47 – $104.16 | 18 |
| Ghs opcc repair cvp without subq port CPT 36575 | $952.21 | $1,561.00 | $62.66 – $1,451.73 | 7 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,344.44 | $2,204.00 | $335.43 – $2,049.72 | 7 |
| Ghs ot prosthetic training/15 min CPT 97761 | $65.88 | $108.00 | $22.68 – $100.44 | 9 |
| Ghs pacing - transcutaneous CPT 92953 | $533.75 | $875.00 | $1.53 – $813.75 | 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.