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 |
|---|---|---|---|---|
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $471.62 – $471.62 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $645.39 – $645.39 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $96.37 | $157.98 | $4.23 – $18.73 | 13 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.43 | $2.34 | $0.43 – $2.02 | 13 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,588.61 – $1,588.61 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,302.88 – $1,302.88 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,427.94 – $1,427.94 | 1 |
| Hand X-ray CPT 73130 | $345.87 | $567.00 | $54.43 – $527.31 | 11 |
| Haptoglobin quantitative CPT 83010 | $42.70 | $70.00 | $12.19 – $70.00 | 18 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $161.36 – $161.36 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $158.19 – $158.19 | 1 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $230.81 – $230.81 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $785.88 – $785.88 | 1 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $599.66 – $599.66 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $89.42 – $89.42 | 1 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $555.30 – $555.30 | 1 |
| Hcg qualitative CPT 84703 | $105.53 | $173.00 | $7.28 – $160.89 | 18 |
| Hcg quantitative CPT 84702 | $102.48 | $168.00 | $14.59 – $168.00 | 18 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $42.06 | $68.94 | $14.48 – $64.12 | 7 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $252.67 – $252.67 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $671.75 – $671.75 | 1 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $357.19 – $357.19 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $602.53 – $602.53 | 1 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $94.50 – $94.50 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $331.23 – $331.23 | 1 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,243.37 | $5,317.00 | $464.08 – $4,944.81 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,757.20 | $4,520.00 | $766.54 – $4,203.60 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,394.46 | $2,286.00 | $480.06 – $2,125.98 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $1,956.88 | $3,208.00 | $223.00 – $2,983.44 | 11 |
| Head CT scan (with contrast) CPT 70460 | $1,632.97 | $2,677.00 | $186.86 – $2,489.61 | 11 |
| Head CT scan (without contrast) CPT 70450 | $1,584.78 | $2,598.00 | $130.10 – $2,416.14 | 11 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,207.33 – $1,231.01 | 3 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $231.76 – $240.17 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | $70.76 | $116.00 | $16.33 – $116.00 | 18 |
| Hematocrit CPT 85014 | $25.62 | $42.00 | $2.29 – $39.06 | 18 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,267.10 – $1,267.10 | 1 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $6,673.70 | $10,940.49 | $27.27 – $10,174.66 | 12 |
| Hemoglobin CPT 85018 | $29.89 | $49.00 | $2.29 – $45.57 | 18 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $76.86 | $126.00 | $7.95 – $117.18 | 18 |
| Hemoglobin plasma CPT 83051 | $54.29 | $89.00 | $7.08 – $84.32 | 18 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $830.36 – $830.36 | 1 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $364.43 – $364.43 | 1 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $723.16 – $723.16 | 1 |
| Heparin assay CPT 85520 | $62.83 | $103.00 | $12.69 – $95.79 | 18 |
| Heparin bolus from bag HCPCS J1644 | $2.87 | $4.71 | $0.01 – $0.01 | 12 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $27.79 | $45.55 | $0.01 – $0.11 | 12 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,286.93 – $1,312.17 | 3 |
| Hepatitis a antibody igm CPT 86709 | $14.64 | $24.00 | $5.04 – $25.00 | 18 |
| Hepatitis b core antibody igm CPT 86705 | $20.13 | $33.00 | $6.93 – $33.00 | 18 |
| Hepatitis b core antibody total CPT 86704 | $43.92 | $72.00 | $11.68 – $72.00 | 18 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $101.19 | $165.87 | $28.01 – $138.71 | 10 |
| Hepatitis b surface antibody CPT 86706 | $94.55 | $155.00 | $10.40 – $144.15 | 18 |
| Hepatitis c antibody CPT 86803 | $99.43 | $163.00 | $13.83 – $163.00 | 18 |
| Hepatobiliary system imaging CPT 78226 | $1,438.99 | $2,359.00 | $494.13 – $2,359.00 | 11 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $66.71 | $109.36 | $21.88 – $113.74 | 14 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $958.25 – $958.25 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $32.94 | $54.00 | $11.34 – $54.00 | 18 |
| Herpes simplex type 2 antibody igg CPT 86696 | $37.21 | $61.00 | $12.81 – $61.00 | 18 |
| Heterophile antibodies screening CPT 86308 | $50.02 | $82.00 | $5.02 – $76.26 | 18 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $433.29 – $433.29 | 1 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $1,529.54 – $1,529.54 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $1,528.70 – $1,528.70 | 1 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,899.81 – $1,899.81 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $1,233.67 – $1,233.67 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $1,339.13 – $1,339.13 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,855.27 – $1,855.27 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,892.88 – $1,892.88 | 1 |
| Hip X-ray CPT 73502 | $154.33 | $253.00 | $53.13 – $235.29 | 7 |
| Histochemical stains add-on CPT 88314 | $175.07 | $287.00 | $60.27 – $287.00 | 11 |
| Hiv-1 ag ia CPT 87390 | $157.38 | $258.00 | $23.32 – $239.94 | 18 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $786.70 | $1,289.67 | $270.84 – $1,199.40 | 7 |
| Hizentra injection HCPCS J1559 | $13.49 | $22.12 | $4.65 – $22.60 | 14 |
| Hla ii typing 1 loc hr CPT 81382 | $294.63 | $483.00 | $101.43 – $483.00 | 18 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $0.15 | $0.24 | $0.06 – $0.23 | 8 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.24 | $0.40 | $0.09 – $0.38 | 8 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $65.21 | $106.89 | $18.16 – $89.92 | 9 |
| Homocysteine CPT 83090 | $143.35 | $235.00 | $17.36 – $218.55 | 18 |
| Homogenization tissue CPT 87176 | $33.55 | $55.00 | $5.70 – $51.15 | 18 |
| Homovanillic acid (hva) CPT 83150 | $76.25 | $125.00 | $21.72 – $125.00 | 18 |
| Ho post-op hip abduction HCPCS L1686 | $941.27 | $1,543.05 | $38.04 – $188.39 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $19.15 | $31.39 | $6.60 – $31.39 | 12 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $31.17 | $51.09 | $0.31 – $46.08 | 12 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $6.69 | $10.96 | $2.31 – $10.20 | 12 |
| Hydration IV infusion each additional hour CPT 96361 | $129.93 | $213.00 | $21.59 – $198.09 | 7 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $470.31 | $771.00 | $55.44 – $717.03 | 7 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $92.76 | $152.05 | $0.01 – $0.01 | 12 |
| Hydromorphone injection HCPCS J1170 | $2.29 | $3.76 | $0.41 – $1.80 | 8 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $0.46 | $0.74 | $0.16 – $0.69 | 7 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $12.20 | $19.99 | $3.59 – $17.06 | 12 |
| Hymenotomy CPT 56442 | not published | not published | $89.00 – $89.00 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,859.53 – $1,859.53 | 1 |
| Hyoscyamine sulfate inj HCPCS J1980 | $26.80 | $43.92 | $9.23 – $40.85 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $8.98 | $14.72 | $3.10 – $15.31 | 14 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $905.39 – $923.15 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $869.20 – $1,862.43 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $878.55 – $1,987.52 | 4 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $757.40 – $1,721.01 | 4 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $287.52 – $491.27 | 4 |
| Hysterosalpingography s&i CPT 74740 | $875.35 | $1,435.00 | $142.72 – $1,334.55 | 11 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $457.36 – $457.36 | 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.