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 |
|---|---|---|---|---|
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $2,312.29 – $2,312.29 | 1 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $2,449.99 – $2,449.99 | 1 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $925.16 – $925.16 | 1 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $3,323.71 – $3,323.71 | 1 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $2,133.54 – $2,133.54 | 1 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $1,972.85 – $1,972.85 | 1 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $2,282.24 – $2,282.24 | 1 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,349.00 – $1,349.00 | 1 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,728.13 | $2,833.00 | $594.93 – $2,634.69 | 7 |
| In-111 pentetreotide HCPCS A9572 | $1,667.13 | $2,733.00 | $573.93 – $2,541.69 | 7 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $410.86 – $833.49 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,113.95 – $1,113.95 | 1 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $975.37 – $975.37 | 1 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,449.78 – $3,229.88 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,263.79 – $2,752.03 | 4 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,283.25 – $2,753.33 | 4 |
| Incis addl spine segment CPT 22216 | not published | not published | $377.61 – $641.87 | 4 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $978.02 – $997.19 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $787.61 – $787.61 | 1 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $210.71 – $210.71 | 1 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $667.86 – $667.86 | 1 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $861.74 – $861.74 | 1 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $945.46 – $945.46 | 1 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,164.81 – $1,164.81 | 1 |
| Incise inner ear CPT 69801 | not published | not published | $234.32 – $234.32 | 1 |
| Incise inner ear nerve CPT 69915 | not published | not published | $2,837.81 – $2,837.81 | 1 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,558.32 – $1,588.87 | 3 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $473.61 – $473.61 | 1 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $912.51 – $912.51 | 1 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $1,133.60 – $1,133.60 | 1 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $1,209.98 – $1,209.98 | 1 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $1,270.92 – $1,270.92 | 1 |
| Incise inner eye strands CPT 67030 | not published | not published | $1,063.67 – $1,063.67 | 1 |
| Incise nerve back of head CPT 64744 | not published | not published | $914.53 – $914.53 | 1 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $492.20 – $492.20 | 1 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $2,243.41 – $2,243.41 | 1 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,265.17 – $1,289.97 | 3 |
| Incise skull for treatment CPT 61770 | not published | not published | $2,843.88 – $2,843.88 | 1 |
| Incise skull repair CPT 62121 | not published | not published | $1,390.69 – $1,417.96 | 3 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,346.91 – $1,373.32 | 3 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,376.55 – $1,403.54 | 3 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $804.57 – $804.57 | 1 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,357.65 – $1,384.27 | 3 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,103.20 – $2,441.61 | 4 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,226.92 – $2,299.16 | 4 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,027.23 – $2,179.84 | 4 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $191.44 – $191.44 | 1 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $1,387.45 – $1,387.45 | 1 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $914.97 – $914.97 | 1 |
| Incise & treat bladder CPT 51030 | not published | not published | $903.27 – $903.27 | 1 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $832.52 – $832.52 | 1 |
| Incision anal septum infant CPT 46070 | not published | not published | $503.90 – $503.90 | 1 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,166.32 | $1,912.00 | $225.27 – $1,778.16 | 7 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | not published | not published | $410.86 – $1,768.31 | 4 |
| Incision/fixation of femur CPT 27165 | not published | not published | $1,208.20 – $2,547.17 | 4 |
| Incision of achilles tendon CPT 27605 | not published | not published | $352.51 – $352.51 | 1 |
| Incision of achilles tendon CPT 27606 | not published | not published | $510.57 – $510.57 | 1 |
| Incision of anal sphincter CPT 46080 | not published | not published | $293.24 – $293.24 | 1 |
| Incision of ankle bone CPT 28302 | not published | not published | $1,344.21 – $1,344.21 | 1 |
| Incision of bile duct CPT 47425 | not published | not published | $984.65 – $1,003.95 | 3 |
| Incision of bile duct 47420 CPT 47420 | not published | not published | $944.98 – $963.51 | 3 |
| Incision of brain tissue CPT 61541 | not published | not published | $1,798.60 – $1,833.86 | 3 |
| Incision of brain tissue CPT 61567 | not published | not published | $1,505.12 – $1,534.63 | 3 |
| Incision of breast lesion CPT 19020 | not published | not published | $582.94 – $582.94 | 1 |
| Incision of brow nerve CPT 64732 | not published | not published | $825.11 – $825.11 | 1 |
| Incision of burn scab initi CPT 16035 | not published | not published | $363.68 – $363.68 | 1 |
| Incision of cheek nerve CPT 64734 | not published | not published | $931.01 – $931.01 | 1 |
| Incision of chin nerve CPT 64736 | not published | not published | $637.43 – $637.43 | 1 |
| Incision of eardrum CPT 69420 | not published | not published | $230.22 – $230.22 | 1 |
| Incision of eardrum CPT 69421 | not published | not published | $289.67 – $289.67 | 1 |
| Incision of esophagus CPT 43020 | not published | not published | $1,036.50 – $1,036.50 | 1 |
| Incision of eye CPT 65850 | not published | not published | $1,605.98 – $1,605.98 | 1 |
| Incision of eye CPT 66172 | not published | not published | $2,275.96 – $2,275.96 | 1 |
| Incision of eyelid CPT 67710 | not published | not published | $187.07 – $187.07 | 1 |
| Incision of facial nerve CPT 64742 | not published | not published | $951.87 – $951.87 | 1 |
| Incision of fibula CPT 27707 | not published | not published | $772.09 – $772.09 | 1 |
| Incision of finger tendon CPT 26455 | not published | not published | $878.93 – $878.93 | 1 |
| Incision of foot fascia CPT 28008 | not published | not published | $570.74 – $570.74 | 1 |
| Incision of foot tendon 28234 CPT 28234 | not published | not published | $522.08 – $522.08 | 1 |
| Incision of gallbladder 47480 CPT 47480 | not published | not published | $581.69 – $1,604.15 | 4 |
| Incision of heel bone CPT 28300 | not published | not published | $1,231.97 – $1,231.97 | 1 |
| Incision of hip bone CPT 27146 | not published | not published | $1,102.55 – $2,374.39 | 4 |
| Incision of hip bones CPT 27151 | not published | not published | $1,336.10 – $2,923.94 | 4 |
| Incision of hip tendon CPT 27000 | not published | not published | $756.36 – $756.36 | 1 |
| Incision of hip tendon CPT 27001 | not published | not published | $1,017.30 – $1,017.30 | 1 |
| Incision of hip tendon CPT 27003 | not published | not published | $1,131.25 – $1,131.25 | 1 |
| Incision of hip tendons CPT 27006 | not published | not published | $1,359.20 – $1,359.20 | 1 |
| Incision of iris CPT 66500 | not published | not published | $752.64 – $752.64 | 1 |
| Incision of iris CPT 66505 | not published | not published | $818.54 – $818.54 | 1 |
| Incision of jaw joint CPT 21010 | not published | not published | $1,415.00 – $1,415.00 | 1 |
| Incision of jaw nerve CPT 64738 | not published | not published | $859.72 – $859.72 | 1 |
| Incision of knee joint CPT 27435 | not published | not published | $1,516.33 – $1,516.33 | 1 |
| Incision of liver duct CPT 47400 | not published | not published | $1,113.18 – $1,135.00 | 3 |
| Incision of lymph channels CPT 38308 | not published | not published | $865.98 – $865.98 | 1 |
| Incision of metatarsal CPT 28306 | not published | not published | $779.46 – $779.46 | 1 |
| Incision of metatarsal CPT 28307 | not published | not published | $976.27 – $976.27 | 1 |
| Incision of metatarsal CPT 28308 | not published | not published | $745.84 – $745.84 | 1 |
| Incision of metatarsals CPT 28309 | not published | not published | $1,711.61 – $1,711.61 | 1 |
| Incision of midfoot bones CPT 28304 | not published | not published | $1,167.12 – $1,167.12 | 1 |
| Incision of neck of femur CPT 27161 | not published | not published | $1,109.51 – $2,266.59 | 4 |
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.