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 |
|---|---|---|---|---|
| Incision of palm tendon CPT 26450 | not published | not published | $884.77 – $884.77 | 1 |
| Incision of prostate CPT 52450 | not published | not published | $904.79 – $904.79 | 1 |
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $460.99 – $1,265.96 | 4 |
| Incision of rectal abscess CPT 46060 | not published | not published | $914.38 – $914.38 | 1 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $625.08 – $1,578.86 | 4 |
| Incision of sperm duct CPT 55200 | not published | not published | $529.94 – $529.94 | 1 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $1,048.22 – $1,048.22 | 1 |
| Incision of stomach nerves CPT 64755 | not published | not published | $805.82 – $1,670.05 | 4 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $1,163.17 – $1,163.17 | 1 |
| Incision of tendon sheath CPT 25000 | not published | not published | $665.03 – $665.03 | 1 |
| Incision of thigh CPT 27448 | not published | not published | $812.38 – $1,549.42 | 4 |
| Incision of thigh CPT 27450 | not published | not published | $1,006.01 – $1,884.54 | 4 |
| Incision of thigh tendon CPT 27306 | not published | not published | $667.21 – $667.21 | 1 |
| Incision of thigh tendon CPT 27390 | not published | not published | $855.35 – $855.35 | 1 |
| Incision of thigh tendons CPT 27307 | not published | not published | $791.39 – $791.39 | 1 |
| Incision of thigh tendons CPT 27391 | not published | not published | $1,094.33 – $1,094.33 | 1 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,341.48 – $1,341.48 | 1 |
| Incision of tibia CPT 27705 | not published | not published | $1,409.88 – $1,409.88 | 1 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $2,136.29 – $2,136.29 | 1 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $542.07 – $542.07 | 1 |
| Incision of tongue fold CPT 41010 | $1,087.02 | $1,782.00 | $209.56 – $1,657.26 | 7 |
| Incision of tongue nerve CPT 64740 | not published | not published | $877.84 – $877.84 | 1 |
| Incision of urethra CPT 53000 | not published | not published | $282.93 – $282.93 | 1 |
| Incision of urethra CPT 53010 | not published | not published | $568.87 – $568.87 | 1 |
| Incision of urethra CPT 53020 | not published | not published | $181.80 – $181.80 | 1 |
| Incision of urethra CPT 53025 | not published | not published | $129.82 – $129.82 | 1 |
| Incision of vagus nerve CPT 64760 | not published | not published | $445.42 – $955.50 | 4 |
| Incision of windpipe CPT 31601 | not published | not published | $841.49 – $841.49 | 1 |
| Incision of windpipe CPT 31610 | not published | not published | $1,807.55 – $1,807.55 | 1 |
| Incision of wrist capsule CPT 25085 | not published | not published | $856.00 – $856.00 | 1 |
| Incision secondary cataract CPT 66820 | not published | not published | $893.24 – $893.24 | 1 |
| Incision tendon sheath CPT 26055 | not published | not published | $559.13 – $559.13 | 1 |
| Incisn of toe tndn CPT 28010 | not published | not published | $404.92 – $404.92 | 1 |
| Incisn windpipe CPT 31600 | $2,806.61 | $4,601.00 | $558.12 – $4,278.93 | 7 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $437.05 – $1,031.92 | 4 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $1,721.38 – $4,317.41 | 4 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $1,742.88 – $4,384.28 | 4 |
| Incobotulinumtoxin a HCPCS J0588 | $299.25 | $490.56 | $4.42 – $456.23 | 14 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $75.77 – $149.75 | 4 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $442.65 – $896.28 | 4 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $545.62 – $1,041.43 | 4 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $365.64 – $767.91 | 4 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $355.86 – $779.52 | 4 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $492.20 – $1,069.87 | 4 |
| Induced abortion d&c CPT 59840 | not published | not published | $404.23 – $404.23 | 1 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $672.90 – $672.90 | 1 |
| Infec agen detec ampli probe HCPCS U0005 | $15.86 | $26.00 | $5.46 – $24.18 | 7 |
| Infect ag drug suscept pheno predict CPT 87900 | $261.08 | $428.00 | $89.88 – $428.00 | 18 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $629.52 | $1,032.00 | $124.74 – $1,032.00 | 18 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $425.17 | $697.00 | $146.37 – $697.00 | 18 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $57.95 | $95.00 | $19.95 – $95.00 | 18 |
| Infect ag ia optc obs influenza CPT 87804 | $67.10 | $110.00 | $16.03 – $110.00 | 18 |
| Infect ag if legionella pneumophila CPT 87278 | $59.78 | $98.00 | $15.12 – $98.00 | 18 |
| Infect ag if pneumocystis carinii CPT 87281 | $64.66 | $106.00 | $11.61 – $106.00 | 18 |
| Infect ag na hpv high-risk types CPT 87624 | $108.58 | $178.00 | $34.01 – $178.00 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $505.69 | $829.00 | $174.09 – $925.25 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $32.33 | $53.00 | $11.13 – $53.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $54.90 | $90.00 | $13.01 – $90.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $21.96 | $36.00 | $7.56 – $36.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $52.46 | $86.00 | $11.61 – $86.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $193.98 | $318.00 | $13.93 – $295.74 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $93.94 | $154.00 | $10.01 – $143.22 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $42.70 | $70.00 | $10.01 – $70.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $54.29 | $89.00 | $18.69 – $89.00 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $219.60 | $360.00 | $11.61 – $296.67 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $104.92 | $172.00 | $11.61 – $159.96 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $65.88 | $108.00 | $11.61 – $108.00 | 18 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $297.68 | $488.00 | $12.39 – $77.90 | 18 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $49.41 | $81.00 | $17.01 – $81.00 | 18 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $170.80 | $280.00 | $36.12 – $280.00 | 18 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $511.79 | $839.00 | $176.19 – $925.25 | 14 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $145.79 | $239.00 | $34.01 – $239.00 | 18 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $115.90 | $190.00 | $34.01 – $190.00 | 18 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $124.44 | $204.00 | $40.39 – $204.00 | 18 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $49.41 | $81.00 | $17.01 – $81.00 | 18 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $93.33 | $153.00 | $32.13 – $142.29 | 14 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $228.14 | $374.00 | $78.54 – $347.82 | 14 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $35.99 | $59.00 | $12.39 – $77.90 | 18 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $124.44 | $204.00 | $34.01 – $204.00 | 18 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $505.69 | $829.00 | $174.09 – $925.25 | 18 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $459.33 | $753.00 | $158.13 – $753.00 | 18 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $251.32 | $412.00 | $41.51 – $412.00 | 18 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $384.91 | $631.00 | $41.51 – $586.83 | 18 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $325.74 | $534.00 | $41.51 – $496.62 | 18 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $489.22 | $802.00 | $82.47 – $802.00 | 18 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $183.61 | $301.00 | $63.21 – $316.64 | 18 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $687.10 | $1,126.39 | $26.93 – $1,047.55 | 14 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $279.48 | $458.15 | $18.59 – $426.08 | 14 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $299.44 | $490.88 | $9.05 – $456.52 | 14 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $15.53 | $25.45 | $5.09 – $26.47 | 14 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,681.46 – $2,734.04 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,539.65 – $2,589.44 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $154.33 | $253.00 | $53.13 – $235.29 | 7 |
| Initiation & management bipap/cpap initial day CPT 94660 | $733.83 | $1,203.00 | $63.43 – $1,118.79 | 7 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $972.25 | $1,593.85 | $334.71 – $1,482.28 | 7 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $1,555.59 | $2,550.14 | $5.96 – $1,778.73 | 14 |
| Inj alymsys 10 mg HCPCS Q5126 | $55.34 | $90.71 | $19.05 – $84.37 | 7 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $1,594.96 | $2,614.69 | $549.09 – $2,431.67 | 7 |
| Inj, artesunate, 1mg HCPCS J0391 | $3,280.89 | $5,378.50 | $1,129.49 – $5,002.01 | 7 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $6,075.60 | $9,960.00 | $2,091.60 – $9,262.80 | 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.