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 |
|---|---|---|---|---|
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,275.85 – $4,556.58 | 4 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $35.60 – $35.60 | 1 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $28.67 – $28.67 | 1 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $3.97 | $6.50 | $0.05 – $0.22 | 7 |
| Labioplasty 56800 CPT 56800 | not published | not published | $478.46 – $478.46 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $2.77 | $4.54 | $0.96 – $4.23 | 7 |
| Lactate dehydrogenase (ldh) CPT 83615 | $42.70 | $70.00 | $5.85 – $69.57 | 18 |
| Lactated ringers intravenous solution HCPCS J7120 | $0.01 | $0.01 | $0.01 – $0.01 | 12 |
| Lactic acid CPT 83605 | $81.74 | $134.00 | $11.21 – $124.62 | 18 |
| Lactoferrin fecal qualitative CPT 83630 | $39.04 | $64.00 | $13.44 – $64.00 | 18 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $2,304.25 – $2,304.25 | 1 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,999.64 – $1,999.64 | 1 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $2,212.25 – $2,212.25 | 1 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $1,752.21 – $3,483.21 | 4 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,895.68 – $1,932.85 | 3 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $3,039.92 – $3,039.92 | 1 |
| Laminotomy single cervical CPT 63040 | not published | not published | $2,487.35 – $2,487.35 | 1 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $2,347.21 – $2,347.21 | 1 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $1,121.15 – $1,121.15 | 1 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,310.22 – $1,335.91 | 3 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $11,163.00 | $18,300.00 | $40.71 – $7,215.87 | 14 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $2,272.94 – $2,272.94 | 1 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $1,728.07 – $1,728.07 | 1 |
| Laparo ablate renal mass CPT 50542 | $5,294.19 | $8,679.00 | $1,822.59 – $8,071.47 | 7 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $1,656.40 – $1,656.40 | 1 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $2,032.34 – $2,032.34 | 1 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $1,308.80 – $1,308.80 | 1 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $742.29 – $1,409.14 | 4 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $1,174.40 – $1,174.40 | 1 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $819.32 – $819.32 | 1 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $2,083.68 – $2,083.68 | 1 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $2,603.83 – $2,603.83 | 1 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $2,390.68 – $2,390.68 | 1 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,302.25 – $2,797.20 | 4 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $2,805.43 – $2,805.43 | 1 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,330.43 – $1,356.51 | 3 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,325.86 – $1,351.85 | 3 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,216.72 – $1,240.57 | 3 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $1,689.43 – $1,689.43 | 1 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,035.09 – $1,055.38 | 3 |
| Laparoscopic proc CPT 45400 | not published | not published | $456.65 – $465.61 | 3 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $1,485.37 – $1,485.37 | 1 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,045.10 – $2,179.72 | 4 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $688.23 – $688.23 | 1 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $634.77 – $634.77 | 1 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $1,337.57 – $1,337.57 | 1 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $1,949.47 – $1,949.47 | 1 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $1,060.40 – $1,060.40 | 1 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $1,249.33 – $1,249.33 | 1 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $1,682.79 – $1,682.79 | 1 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $964.91 – $964.91 | 1 |
| Laparoscopy lysis CPT 58660 | not published | not published | $1,273.40 – $1,273.40 | 1 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $1,242.38 – $1,242.38 | 1 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $1,429.30 – $1,429.30 | 1 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $2,334.32 – $2,334.32 | 1 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $1,222.89 – $1,222.89 | 1 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $1,924.27 – $1,924.27 | 1 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $1,829.65 – $1,829.65 | 1 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $700.54 – $700.54 | 1 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $1,829.39 – $1,829.39 | 1 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $1,200.09 – $1,200.09 | 1 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $1,394.51 – $1,394.51 | 1 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $1,566.41 – $1,566.41 | 1 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $583.41 – $2,112.10 | 4 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $1,629.43 – $1,661.38 | 3 |
| Laparo urethral suspension CPT 51990 | not published | not published | $1,406.54 – $1,406.54 | 1 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $1,839.87 – $1,839.87 | 1 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $2,443.48 – $2,443.48 | 1 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $2,277.53 – $2,277.53 | 1 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $793.49 – $809.05 | 3 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $1,467.25 – $1,496.02 | 3 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $1,587.25 – $1,618.38 | 3 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,153.94 – $1,176.56 | 3 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $1,745.27 – $1,779.49 | 3 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $793.49 – $809.05 | 3 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $1,240.49 – $2,516.79 | 4 |
| Lap enterolysis CPT 44180 | not published | not published | $1,671.10 – $1,671.10 | 1 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $146.68 – $280.12 | 4 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $1,368.59 – $1,368.59 | 1 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $1,638.38 – $3,335.18 | 4 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,567.77 – $3,134.10 | 4 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $793.49 – $809.05 | 3 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $1,199.06 – $1,199.06 | 1 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $795.73 – $795.73 | 1 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $1,037.55 – $1,037.55 | 1 |
| Lap ins device for right CPT 49327 | not published | not published | $231.27 – $231.27 | 1 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $702.39 – $702.39 | 1 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $1,186.79 – $1,186.79 | 1 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $337.49 – $809.05 | 4 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,064.51 – $2,313.95 | 4 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $2,765.32 – $2,765.32 | 1 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $3,113.08 – $3,113.08 | 1 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,339.49 – $1,365.76 | 3 |
| Lap place gastr adj device CPT 43770 | not published | not published | $2,044.31 – $2,044.31 | 1 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $793.49 – $809.05 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $1,550.84 – $3,531.11 | 4 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,119.34 – $1,141.29 | 3 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $793.49 – $809.05 | 3 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $2,315.73 – $2,315.73 | 1 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $225.39 – $430.04 | 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.