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 |
|---|---|---|---|---|
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,920.85 | $12,985.00 | $541.32 – $12,076.05 | 7 |
| Anidulafungin injection HCPCS J0348 | $24.22 | $39.70 | $0.45 – $36.93 | 12 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $1,277.45 – $1,277.45 | 1 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $1,229.82 – $1,229.82 | 1 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $956.11 – $956.11 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $882.36 – $882.36 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $939.56 – $939.56 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $1,065.60 – $1,065.60 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,883.87 – $1,883.87 | 1 |
| Ankle X-ray CPT 73610 | $330.01 | $541.00 | $53.17 – $503.13 | 11 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $86.67 – $86.67 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $690.31 – $690.31 | 1 |
| Anoscopy CPT 46611 | not published | not published | $150.95 – $150.95 | 1 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $170.58 – $170.58 | 1 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $140.51 – $140.51 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $123.14 – $123.14 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $120.67 – $120.67 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | $674.05 | $1,105.00 | $153.26 – $1,027.65 | 7 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $148.51 – $148.51 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $172.45 – $172.45 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,158.51 – $1,158.51 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $110.41 | $181.00 | $12.48 – $168.33 | 18 |
| Antibody elution rbc reference CPT 86860 | $172.02 | $282.00 | $39.69 – $175.77 | 7 |
| Antibody htlv/hiv confirm test CPT 86689 | $96.99 | $159.00 | $18.75 – $147.87 | 18 |
| Antibody htlv-i CPT 86687 | $303.78 | $498.00 | $8.81 – $463.14 | 18 |
| Antibody htlv-ii CPT 86688 | $303.78 | $498.00 | $13.57 – $463.14 | 18 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $31.11 | $51.00 | $10.71 – $51.00 | 18 |
| Antibody id rbc panel CPT 86870 | $123.83 | $203.00 | $42.63 – $188.79 | 7 |
| Antibody influenza virus CPT 86710 | $28.67 | $47.00 | $9.87 – $47.00 | 18 |
| Antibody screen rbc CPT 86850 | $85.40 | $140.00 | $18.92 – $130.20 | 7 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $0.68 | $1.10 | $0.24 – $3.29 | 18 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $89.67 | $147.00 | $30.87 – $136.71 | 7 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $73.81 | $121.00 | $25.41 – $112.53 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,274.15 – $1,274.15 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $765.04 – $780.04 | 3 |
| Antinuclear antibodies CPT 86038 | $80.52 | $132.00 | $11.72 – $132.00 | 18 |
| Antinuclear antibodies titer CPT 86039 | $20.13 | $33.00 | $6.93 – $33.00 | 18 |
| Antipsychotics nos 1-3 CPT 80342 | $159.21 | $261.00 | $46.45 – $242.73 | 7 |
| Antistreptolysin o titer CPT 86060 | $34.16 | $56.00 | $7.08 – $56.00 | 18 |
| Antithrombin iii activity CPT 85300 | $117.73 | $193.00 | $11.49 – $179.49 | 18 |
| Antithrombin iii injection HCPCS J7197 | $2.13 | $3.49 | $0.74 – $3.63 | 14 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $567.49 | $930.31 | $195.37 – $967.53 | 14 |
| Antithymocyte globuln rabbit HCPCS J7511 | $682.88 | $1,119.47 | $235.09 – $1,119.47 | 14 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,636.91 – $1,636.91 | 1 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $634.41 – $1,271.21 | 4 |
| Aortic suspension CPT 33800 | not published | not published | $1,183.29 – $1,757.34 | 4 |
| Apheresis immunoads slctv CPT 36516 | $4,243.77 | $6,957.00 | $155.99 – $6,470.01 | 7 |
| Apheresis plasma CPT 36514 | $1,826.95 | $2,995.00 | $177.41 – $2,785.35 | 7 |
| Apheresis platelets CPT 36513 | not published | not published | $200.76 – $200.76 | 1 |
| Apheresis rbc CPT 36512 | not published | not published | $203.09 – $203.09 | 1 |
| Apheresis wbc CPT 36511 | not published | not published | $212.75 – $212.75 | 1 |
| Appendectomy CPT 44950 | not published | not published | $1,168.71 – $1,168.71 | 1 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $150.78 – $150.78 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $610.73 – $1,591.25 | 4 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,177.51 – $1,200.60 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | $4,360.89 | $7,149.00 | $1,101.64 – $6,648.57 | 7 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,853.79 | $3,039.00 | $409.27 – $2,826.27 | 7 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $101.33 – $101.33 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $732.00 | $1,200.00 | $46.56 – $1,116.00 | 7 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $358.72 – $358.72 | 1 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $80.64 – $80.64 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $230.58 | $378.00 | $31.31 – $351.54 | 7 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $312.40 – $312.40 | 1 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $350.62 – $350.62 | 1 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $323.48 – $323.48 | 1 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $268.80 – $268.80 | 1 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $130.54 – $130.54 | 1 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $174.34 – $174.34 | 1 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $256.87 – $256.87 | 1 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $516.00 – $1,598.23 | 4 |
| Appl halo type body cast CPT 29000 | not published | not published | $354.71 – $354.71 | 1 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $330.77 – $330.77 | 1 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $295.70 – $295.70 | 1 |
| Application clubfoot cast CPT 29450 | not published | not published | $214.68 – $214.68 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $185.44 | $304.00 | $53.93 – $282.72 | 7 |
| Application halo femoral CPT 20663 | not published | not published | $909.72 – $909.72 | 1 |
| Application halo pelvic CPT 20662 | not published | not published | $985.05 – $985.05 | 1 |
| Application long leg splint 29505 CPT 29505 | $420.29 | $689.00 | $98.51 – $640.77 | 7 |
| Application lower leg splint 29515 CPT 29515 | $274.50 | $450.00 | $94.12 – $418.50 | 7 |
| Application multi layer compression below knee (both sides) CPT 29581 | $258.64 | $424.00 | $52.82 – $394.32 | 7 |
| Application of body cast CPT 29010 | not published | not published | $299.25 – $299.25 | 1 |
| Application of body cast CPT 29015 | not published | not published | $336.13 – $336.13 | 1 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $163.72 – $163.72 | 1 |
| Application of forearm cast 29075 CPT 29075 | $315.98 | $518.00 | $108.78 – $481.74 | 7 |
| Application of long arm cast 29065 CPT 29065 | $500.20 | $820.00 | $127.70 – $762.60 | 7 |
| Application of long leg cast CPT 29355 | not published | not published | $197.86 – $197.86 | 1 |
| Application of long leg cast 29345 CPT 29345 | $250.71 | $411.00 | $86.31 – $382.23 | 7 |
| Application of paste boot 29580 CPT 29580 | $647.21 | $1,061.00 | $49.37 – $659.37 | 7 |
| Application short leg cast 29405 CPT 29405 | $231.19 | $379.00 | $79.59 – $352.47 | 7 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $692.35 | $1,135.00 | $177.09 – $1,055.55 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $795.44 | $1,304.00 | $156.93 – $1,212.72 | 7 |
| Appl long leg cast brace CPT 29358 | not published | not published | $191.63 – $191.63 | 1 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,121.02 – $2,121.02 | 1 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $30.58 – $30.58 | 1 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $161.20 – $161.20 | 1 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,115.12 – $1,115.12 | 1 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $94.54 – $94.54 | 1 |
| Apply forearm splintdynamic 29126 CPT 29126 | $425.17 | $697.00 | $93.62 – $648.21 | 7 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $362.03 – $964.30 | 4 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $126.86 – $126.86 | 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.