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 |
|---|---|---|---|---|
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $5,957.87 | $9,767.00 | $288.48 – $9,083.31 | 7 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $5,709.60 | $9,360.00 | $670.89 – $8,704.80 | 7 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $6,365.35 | $10,435.00 | $156.03 – $9,704.55 | 7 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $5,475.36 | $8,976.00 | $611.16 – $8,347.68 | 7 |
| Insertion ureth cath CPT 51045 | not published | not published | $934.77 – $934.77 | 1 |
| Insert lens prosthesis CPT 66985 | not published | not published | $1,465.32 – $1,465.32 | 1 |
| Insert major vessel graft CPT 33330 | not published | not published | $1,324.68 – $1,350.66 | 3 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $1,794.48 – $1,829.66 | 3 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $1,529.58 – $1,529.58 | 1 |
| Insert nasal septal button CPT 30220 | not published | not published | $244.67 – $244.67 | 1 |
| Insert ocular implant CPT 65130 | not published | not published | $1,630.25 – $1,630.25 | 1 |
| Insert ocular implant CPT 65135 | not published | not published | $1,650.41 – $1,650.41 | 1 |
| Insert pelv fixation device CPT 22848 | not published | not published | $638.06 – $638.06 | 1 |
| Insert pessary/other device CPT 57160 | not published | not published | $85.55 – $85.55 | 1 |
| Insert picvad cath CPT 36570 | not published | not published | $601.99 – $601.99 | 1 |
| Insert pm/icd lead dual CPT 33217 | $4,068.09 | $6,669.00 | $665.68 – $6,202.17 | 7 |
| Insert prost urethral stent CPT 53855 | not published | not published | $153.53 – $153.53 | 1 |
| Insert/repl sq defib w/eltrd CPT 33270 | not published | not published | $1,005.52 – $1,005.52 | 1 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $1,267.79 – $1,267.79 | 1 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $1,011.07 – $1,011.07 | 1 |
| Insert spine fixation device CPT 22843 | not published | not published | $791.15 – $806.67 | 3 |
| Insert spine fixation device CPT 22841 | not published | not published | $721.35 – $721.35 | 1 |
| Insert spine fixation device CPT 22844 | not published | not published | $984.80 – $1,004.11 | 3 |
| Insert spine fixation device CPT 22847 | not published | not published | $828.67 – $844.92 | 3 |
| Insert spine infusion device 62360 CPT 62360 | not published | not published | $576.77 – $576.77 | 1 |
| Insert sq defib electrode CPT 33271 | not published | not published | $817.13 – $817.13 | 1 |
| Insert swan-ganz cath CPT 93503 | $1,917.23 | $3,143.00 | $165.88 – $2,757.45 | 7 |
| Insert tandem cuff CPT 53444 | not published | not published | $1,502.28 – $1,502.28 | 1 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $1,909.30 – $1,909.30 | 1 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $4,046.74 | $6,634.00 | $609.65 – $6,169.62 | 7 |
| Insert tunneled cv cath CPT 36560 | not published | not published | $692.39 – $692.39 | 1 |
| Insert tunneled cv cath CPT 36563 | not published | not published | $658.29 – $658.29 | 1 |
| Insert ureteral support CPT 50605 | not published | not published | $820.90 – $1,838.24 | 4 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $1,436.02 – $1,436.02 | 1 |
| Insert uteri tandem/ovoids CPT 57155 | not published | not published | $545.14 – $545.14 | 1 |
| Insert vad art access left hrt arterial access CPT 33990 | $5,200.25 | $8,525.00 | $321.75 – $7,928.25 | 9 |
| Insert vad art access left hrt art & vein access CPT 33991 | not published | not published | $421.72 – $799.32 | 4 |
| Ins icd gen exist mlt leads CPT 33231 | not published | not published | $722.48 – $722.48 | 1 |
| Ins icd gen exist sgl lead CPT 33240 | not published | not published | $663.08 – $663.08 | 1 |
| Insitu hybridization manual CPT 88368 | $326.96 | $536.00 | $112.56 – $520.89 | 11 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $129.93 | $213.00 | $44.73 – $213.00 | 11 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $147.62 | $242.00 | $50.82 – $242.00 | 11 |
| Insj biomechanical device CPT 22859 | not published | not published | $586.09 – $586.09 | 1 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $453.31 – $453.31 | 1 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $323.55 – $631.07 | 4 |
| Insj stablj dev w/dcmprn CPT 22867 | not published | not published | $1,934.48 – $1,934.48 | 1 |
| Insj stablj dev w/dcmprn CPT 22868 | not published | not published | $425.61 – $425.61 | 1 |
| Insj stablj dev without dcmprn CPT 22869 | not published | not published | $830.97 – $830.97 | 1 |
| Insj stablj dev without dcmprn CPT 22870 | not published | not published | $223.73 – $223.73 | 1 |
| Ins left heart vent thor inscn ecmo CPT 33988 | not published | not published | $698.57 – $1,363.13 | 4 |
| Ins lv lead exist pm/icd CPT 33224 | $7,488.97 | $12,277.00 | $910.39 – $11,417.61 | 7 |
| Ins mark abd/pel for right perq CPT 49411 | $938.79 | $1,539.00 | $323.19 – $1,431.27 | 7 |
| Ins mark thor for right perq CPT 32553 | not published | not published | $328.57 – $328.57 | 1 |
| Ins picad w subq port 5yr> CPT 36571 | $3,587.41 | $5,881.00 | $570.15 – $5,469.33 | 7 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,562.21 | $2,561.00 | $150.76 – $2,381.73 | 7 |
| Ins pm gen exist dual lead CPT 33230 | not published | not published | $672.40 – $672.40 | 1 |
| Ins pm gen w/exist mlt leads CPT 33221 | not published | not published | $644.85 – $644.85 | 1 |
| Ins pq tunnld ip cath w/img CPT 49418 | $4,767.76 | $7,816.00 | $373.36 – $7,268.88 | 7 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $23,746.69 | $38,929.00 | $631.05 – $36,203.97 | 7 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | not published | not published | $857.72 – $857.72 | 1 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $10,207.13 | $16,733.00 | $609.69 – $15,561.69 | 7 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $10,308.39 | $16,899.00 | $582.31 – $15,716.07 | 7 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $16,695.70 | $27,370.00 | $818.45 – $25,454.10 | 7 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $555.11 – $555.11 | 1 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $34,209.41 | $56,081.00 | $594.66 – $52,155.33 | 7 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $955.29 – $955.29 | 1 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $209.31 – $209.31 | 1 |
| Install spinal shunt CPT 63740 | not published | not published | $806.07 – $1,759.28 | 4 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $1,229.13 – $1,229.13 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,332.85 | $2,185.00 | $126.04 – $2,032.05 | 7 |
| Inst fibrinolysis agent sbsq d CPT 32562 | not published | not published | $112.79 – $112.79 | 1 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $774.09 | $1,269.00 | $266.49 – $1,180.17 | 8 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $904.02 | $1,482.00 | $81.67 – $1,378.26 | 7 |
| Instill, bupivac and meloxic HCPCS C9088 | $12.22 | $20.04 | $4.17 – $18.43 | 7 |
| Instll rx agnt into rnal tub CPT 50391 | $406.87 | $667.00 | $140.07 – $620.31 | 7 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $653.92 – $653.92 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $1,426.18 | $2,338.00 | $490.98 – $2,174.34 | 7 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $3,853.98 | $6,318.00 | $480.33 – $5,875.74 | 7 |
| Ins tun intraperit dia cath CPT 49421 | $3,104.90 | $5,090.00 | $405.83 – $4,733.70 | 7 |
| Inst via cath agent pleurds CPT 32560 | $710.04 | $1,164.00 | $139.92 – $1,082.52 | 7 |
| Insulin total CPT 83525 | $18.30 | $30.00 | $6.30 – $30.00 | 18 |
| Ins vag brachytx device CPT 57156 | $358.07 | $587.00 | $123.27 – $545.91 | 7 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $6,231.98 | $10,216.35 | $1,315.52 – $9,501.21 | 8 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $151.25 | $247.95 | $52.07 – $230.60 | 11 |
| Interdental fixation CPT 21110 | not published | not published | $1,353.66 – $1,353.66 | 1 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,120.88 – $1,120.88 | 1 |
| Interdiscal perq aspir dx CPT 62267 | $433.10 | $710.00 | $149.10 – $660.30 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $339.23 – $339.23 | 1 |
| Interrog device eval heart CPT 93289 | $64.66 | $106.00 | $22.26 – $98.58 | 11 |
| Interrog evl pm/ldls pm ip CPT 93288 | $42.70 | $70.00 | $14.70 – $65.10 | 11 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,204.77 – $2,566.64 | 4 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $770.44 – $785.54 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $643.15 – $643.15 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $719.63 – $719.63 | 1 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,051.28 – $1,071.90 | 3 |
| Intracranial angioplasty CPT 61630 | not published | not published | $491.72 – $501.36 | 3 |
| Intracranial complete study CPT 93886 | $616.10 | $1,010.00 | $212.10 – $939.30 | 11 |
| Intracranial limited study CPT 93888 | $322.69 | $529.00 | $111.09 – $491.97 | 11 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,094.82 – $2,135.90 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,674.33 – $3,746.37 | 3 |
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.