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 |
|---|---|---|---|---|
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,941.02 | $3,182.00 | $46.98 – $2,959.26 | 11 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $176.32 | $289.05 | $2.14 – $268.82 | 14 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $271.38 – $271.38 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $56.55 – $56.55 | 1 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $86.31 – $86.31 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4.45 | $7.28 | $1.53 – $7.58 | 14 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $77.72 | $127.41 | $26.76 – $118.50 | 7 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $4.34 | $7.12 | $1.50 – $7.12 | 12 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $46.91 | $76.90 | $2.75 – $12.15 | 7 |
| Inj, levothyroxine, hikma HCPCS J0652 | $31.52 | $51.67 | $10.86 – $48.06 | 7 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.58 | $0.94 | $0.03 – $0.14 | 7 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $114.43 | $187.58 | $39.40 – $195.09 | 14 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $0.19 | $0.32 | $0.04 – $0.19 | 12 |
| Inj, meropenem (b. braun) HCPCS J2184 | $11.44 | $18.75 | $3.94 – $17.44 | 7 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $108.51 | $177.88 | $2.23 – $165.43 | 9 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $390.13 | $639.55 | $134.31 – $594.79 | 7 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $0.10 | $0.17 | $0.04 – $0.17 | 12 |
| Inj multihance HCPCS A9577 | $0.96 | $1.57 | $0.33 – $1.47 | 8 |
| Inj. mycophenolate mofetil HCPCS J7519 | $40.68 | $66.69 | $14.01 – $62.03 | 7 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $658.19 | $1,079.00 | $124.17 – $1,003.47 | 7 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $2.01 | $3.29 | $0.70 – $3.06 | 7 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,662.86 | $2,726.00 | $272.85 – $2,535.18 | 7 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,662.86 | $2,726.00 | $214.10 – $2,535.18 | 7 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $1,094.87 | $1,794.87 | $376.93 – $1,669.23 | 7 |
| Inj ogivri 10 mg HCPCS Q5114 | $910.28 | $1,492.26 | $47.36 – $495.65 | 14 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $1,159.00 | $1,900.00 | $84.35 – $1,767.00 | 14 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $111.79 | $183.26 | $38.49 – $170.44 | 14 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $1.39 | $2.27 | $0.48 – $2.12 | 7 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $97.86 | $160.42 | $33.69 – $149.20 | 7 |
| Inj peritoneal venous shunt CPT 49427 | $276.94 | $454.00 | $72.32 – $422.22 | 7 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $96.05 – $96.05 | 1 |
| Inj proc elbow arthro CPT 24220 | $269.01 | $441.00 | $92.61 – $410.13 | 7 |
| Inj proc for lymphang CPT 38790 | $519.72 | $852.00 | $152.80 – $792.36 | 7 |
| Inj proc lumbr disk ea lvl CPT 62290 | $692.96 | $1,136.00 | $238.56 – $1,056.48 | 7 |
| Inj proc myelogram lumbar CPT 62284 | $972.34 | $1,594.00 | $156.74 – $1,482.42 | 7 |
| Inj proc sialogram CPT 42550 | $297.07 | $487.00 | $102.27 – $452.91 | 7 |
| Inj progesterone per 50 mg HCPCS J2675 | $1.69 | $2.77 | $0.59 – $2.58 | 12 |
| Inj, releuko 1 mcg HCPCS Q5125 | $108.83 | $178.40 | $37.47 – $165.92 | 7 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $214.40 | $351.47 | $0.58 – $16.35 | 14 |
| Inj retro urethrocysto CPT 51610 | $447.74 | $734.00 | $121.38 – $682.62 | 7 |
| Inj scleros sol mult veins CPT 36471 | $204.96 | $336.00 | $70.56 – $312.48 | 7 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $68.59 – $68.59 | 1 |
| Inj secretin synthetic human HCPCS J2850 | $403.21 | $661.00 | $29.53 – $614.73 | 10 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $2,246.07 | $3,682.07 | $89.72 – $397.33 | 7 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $2,079.41 | $3,408.87 | $715.87 – $3,170.25 | 7 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $3,303.56 | $5,415.67 | $1,137.30 – $5,036.58 | 7 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $9,437.68 | $15,471.60 | $285.40 – $14,388.59 | 14 |
| Inj testosterone cypionate HCPCS J1071 | $12.24 | $20.06 | $0.02 – $3.25 | 12 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $8,123.86 | $13,317.80 | $113.39 – $12,385.56 | 14 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $67.71 | $111.00 | $23.31 – $103.23 | 7 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $54.74 | $89.73 | $18.85 – $83.44 | 7 |
| Inj, uzedy, 1 mg HCPCS J2799 | $4,867.39 | $7,979.33 | $0.01 – $0.01 | 7 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $0.04 | $0.06 | $0.02 – $0.06 | 7 |
| Inj w/fluor eval cv device CPT 36598 | $449.57 | $737.00 | $66.84 – $685.41 | 7 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,053.82 – $3,113.70 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $4,139.46 | $6,786.00 | $633.34 – $6,310.98 | 7 |
| Ins cath ren art 1st uni CPT 36251 | $3,464.19 | $5,679.00 | $460.72 – $5,281.47 | 7 |
| Ins cath ren art 2nd+ bi CPT 36254 | $5,049.58 | $8,278.00 | $739.35 – $7,698.54 | 7 |
| Ins cath ren art 2nd+ uni CPT 36253 | $7,862.29 | $12,889.00 | $653.42 – $11,986.77 | 7 |
| Ins cerv dilator (sep proc) CPT 59200 | $283.65 | $465.00 | $78.69 – $432.45 | 7 |
| Ins device for right guide open CPT 49412 | not published | not published | $73.86 – $145.97 | 4 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $703.91 – $1,421.30 | 4 |
| Insert and remove bone pin CPT 20650 | not published | not published | $316.47 – $316.47 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,961.84 – $1,961.84 | 1 |
| Insert balloon device CPT 33973 | not published | not published | $580.47 – $881.20 | 4 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $934.58 – $934.58 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $238.31 – $238.31 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $226.13 – $226.13 | 1 |
| Insert cath pleura with image CPT 32557 | $1,709.22 | $2,802.00 | $280.29 – $2,605.86 | 7 |
| Insert cath pleura without image CPT 32556 | $514.23 | $843.00 | $177.03 – $783.99 | 7 |
| Insert drug delivery implant CPT 11981 | not published | not published | $115.56 – $115.56 | 1 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $703.92 – $1,445.33 | 4 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $682.73 – $1,380.02 | 4 |
| Insert eye socket implant CPT 67550 | not published | not published | $2,066.76 – $2,066.76 | 1 |
| Insert hepatic shunt (tips) CPT 37182 | $2,011.78 | $3,298.00 | $692.58 – $3,067.14 | 9 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $959.91 – $959.91 | 1 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $586.70 – $586.70 | 1 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,801.46 – $1,836.79 | 3 |
| Insert intrauterine device iud CPT 58300 | $183.61 | $301.00 | $63.21 – $279.93 | 9 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $225.94 – $225.94 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $163.48 | $268.00 | $47.82 – $249.24 | 7 |
| Insertion catheter bladder temporary simple CPT 51702 | $181.17 | $297.00 | $47.61 – $276.21 | 7 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,194.57 | $5,237.00 | $377.94 – $4,870.41 | 7 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,502.01 | $5,741.00 | $249.50 – $5,339.13 | 9 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $441.51 – $624.71 | 4 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $9,269.56 | $15,196.00 | $403.73 – $14,132.28 | 7 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,045.33 | $3,353.00 | $157.31 – $3,118.29 | 7 |
| Insertion of cannula CPT 36810 | not published | not published | $395.64 – $395.64 | 1 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $1,144.52 – $2,534.57 | 4 |
| Insertion of catheter vein CPT 36481 | $1,240.13 | $2,033.00 | $426.93 – $1,890.69 | 7 |
| Insertion of catheter vein CPT 36500 | $403.21 | $661.00 | $138.81 – $614.73 | 7 |
| Insertion of heart electrode 33211 CPT 33211 | not published | not published | $301.18 – $301.18 | 1 |
| Insertion of infusion pump CPT 36260 | not published | not published | $1,196.94 – $1,196.94 | 1 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $12,435.46 | $20,386.00 | $928.87 – $18,958.98 | 7 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $9,556.87 | $15,667.00 | $858.35 – $14,570.31 | 7 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | not published | not published | $819.76 – $819.76 | 1 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $308.05 – $308.05 | 1 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,025.81 | $3,321.00 | $174.55 – $3,088.53 | 7 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,440.61 | $4,001.00 | $156.39 – $3,720.93 | 7 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $21,052.93 | $34,513.00 | $1,634.87 – $32,097.09 | 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.