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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,537.11 – $2,586.85 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,847.71 – $3,923.15 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,943.58 – $1,981.69 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,059.53 – $3,119.52 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $129.78 – $129.78 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,284.82 – $1,284.82 | 1 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $301.56 – $301.56 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $1,044.93 | $1,713.00 | $199.37 – $1,593.09 | 7 |
| Intrapul surf admin endo tube CPT 94610 | $117.73 | $193.00 | $40.53 – $179.49 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $635.61 – $635.61 | 1 |
| Intrinsic factor antibody CPT 86340 | $45.75 | $75.00 | $14.62 – $75.00 | 18 |
| Intro cath dialysis circuit CPT 36901 | $1,019.31 | $1,671.00 | $306.64 – $1,554.03 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,280.35 | $11,935.00 | $437.98 – $11,099.55 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $10,920.22 | $17,902.00 | $572.54 – $16,648.86 | 7 |
| Intro catheter aorta CPT 36200 | $1,256.60 | $2,060.00 | $246.73 – $1,915.80 | 7 |
| Intro cath svc/ivc CPT 36010 | $1,054.08 | $1,728.00 | $195.47 – $1,607.04 | 7 |
| Intro long gi tube CPT 44500 | not published | not published | $35.85 – $35.85 | 1 |
| Intro long gi tube w/mult fluo CPT 74340 | $367.83 | $603.00 | $126.63 – $560.79 | 7 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $268.63 – $268.63 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,409.29 | $5,589.00 | $158.84 – $5,197.77 | 7 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,693.15 | $4,415.00 | $126.74 – $4,105.95 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $695.40 | $1,140.00 | $184.17 – $815.61 | 7 |
| Ionm in operatng room 15 min CPT 95940 | $57.95 | $95.00 | $19.95 – $88.35 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | $1,155.95 | $1,895.00 | $397.95 – $1,762.35 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $2.47 | $4.05 | $0.09 – $0.40 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $356.85 | $585.00 | $0.04 – $0.17 | 8 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $541.51 | $887.72 | $143.84 – $825.58 | 14 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $6.03 | $9.88 | $0.46 – $2.19 | 12 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $164.64 | $269.90 | $51.57 – $251.01 | 14 |
| Iron CPT 83540 | $40.87 | $67.00 | $6.27 – $67.00 | 18 |
| Iron binding capacity CPT 83550 | $53.68 | $88.00 | $8.47 – $88.00 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $10.40 | $17.05 | $3.59 – $17.73 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $7.04 | $11.54 | $0.20 – $6.05 | 12 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $153.11 | $251.00 | $42.84 – $233.43 | 11 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $362.38 – $362.38 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $48.03 – $48.03 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,585.94 – $1,585.94 | 1 |
| Ivc venogram s&i CPT 75825 | $2,425.97 | $3,977.00 | $116.24 – $3,698.61 | 11 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $154.94 | $254.00 | $49.33 – $236.22 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $90.89 | $149.00 | $31.29 – $138.57 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $117.73 | $193.00 | $35.12 – $179.49 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $612.44 | $1,004.00 | $107.67 – $933.72 | 7 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $194.80 – $194.80 | 1 |
| Ivp w/nephrotomography CPT 74415 | $940.62 | $1,542.00 | $241.92 – $1,434.06 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $811.91 | $1,331.00 | $211.03 – $1,237.83 | 11 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $3,543.48 | $5,808.98 | $108.35 – $5,402.36 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,001.32 – $1,001.32 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,138.64 – $1,138.64 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $446.10 – $446.10 | 1 |
| J-tube placement CPT 44015 | $336.11 | $551.00 | $115.71 – $512.43 | 9 |
| Keratomileusis CPT 65760 | not published | not published | $2,127.43 – $2,127.43 | 1 |
| Keratophakia CPT 65765 | not published | not published | $1,233.96 – $3,084.77 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,678.00 – $2,678.00 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $40.87 | $67.00 | $7.92 – $62.31 | 18 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $2.88 | $4.72 | $0.20 – $0.97 | 14 |
| Kidney endoscopy CPT 50551 | not published | not published | $549.30 – $549.30 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $587.24 – $587.24 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $917.07 – $917.07 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,330.29 – $1,330.29 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $637.62 – $637.62 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,053.65 – $1,053.65 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $645.92 – $645.92 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $736.97 – $736.97 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,050.76 – $1,050.76 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,132.01 – $1,132.01 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | $1,500.60 | $2,460.00 | $515.15 – $2,360.07 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,322.48 | $2,168.00 | $323.04 – $2,016.24 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $804.59 | $1,319.00 | $138.94 – $1,226.67 | 11 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,144.82 | $8,434.13 | $38.09 – $168.69 | 7 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $15.41 | $25.25 | $5.31 – $23.49 | 7 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,450.75 | $10,575.00 | $2,220.75 – $9,834.75 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | $41,470.55 | $67,984.50 | $24.45 – $108.26 | 11 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $663.09 | $1,087.02 | $228.28 – $1,010.93 | 11 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,420.54 | $2,328.75 | $21.37 – $2,127.38 | 12 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $4,348.08 | $7,128.00 | $1,496.88 – $6,629.04 | 7 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,168.52 – $1,168.52 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $972.51 – $972.51 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $776.92 – $776.92 | 1 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,021.52 – $1,021.52 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,175.08 – $1,175.08 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,734.98 – $1,734.98 | 1 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,019.13 – $1,019.13 | 1 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,014.03 – $1,014.03 | 1 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $937.31 – $937.31 | 1 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,227.66 – $1,227.66 | 1 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,243.68 – $1,243.68 | 1 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,059.30 – $1,059.30 | 1 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,294.25 – $1,294.25 | 1 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,577.29 – $1,577.29 | 1 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,166.51 – $1,166.51 | 1 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,198.39 – $1,198.39 | 1 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,414.71 – $1,414.71 | 1 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,819.94 – $1,819.94 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $2,283.20 – $2,283.20 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $2,347.89 | $3,849.00 | $558.66 – $3,579.57 | 11 |
| Knee MRI (with contrast) CPT 73722 | $2,189.90 | $3,590.00 | $465.34 – $3,338.70 | 11 |
| Knee MRI (without contrast) CPT 73721 | $1,751.92 | $2,872.00 | $272.81 – $2,670.96 | 11 |
| Knee X-ray CPT 73564 | $395.28 | $648.00 | $68.31 – $602.64 | 11 |
| Kras gene variants exon 2 CPT 81275 | $390.40 | $640.00 | $134.40 – $640.00 | 18 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $2,068.82 – $3,958.06 | 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.