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 |
|---|---|---|---|---|
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,791.01 – $1,791.01 | 1 |
| Mastoid surgery revision CPT 69603 | not published | not published | $2,431.51 – $2,431.51 | 1 |
| Mastopexy CPT 19316 | not published | not published | $1,475.90 – $1,475.90 | 1 |
| Mast radical CPT 19305 | not published | not published | $883.25 – $900.57 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $917.53 – $935.52 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,747.75 – $1,747.75 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $5,852.34 | $9,594.00 | $16.12 – $709.59 | 12 |
| Maxillofacial fixation CPT 21100 | not published | not published | $683.99 – $683.99 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $162.26 | $266.00 | $14.01 – $247.38 | 18 |
| Mayo aathr protein s free CPT 85306 | $176.90 | $290.00 | $14.84 – $269.70 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $42.09 | $69.00 | $14.49 – $69.00 | 18 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $40.26 | $66.00 | $13.86 – $61.38 | 7 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $85.40 | $140.00 | $14.32 – $140.00 | 18 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $28.06 | $46.00 | $9.66 – $42.78 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | $57.34 | $94.00 | $13.03 – $94.00 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $75.03 | $123.00 | $14.62 – $123.00 | 18 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $108.58 | $178.00 | $37.38 – $165.54 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $92.11 | $151.00 | $31.71 – $203.49 | 18 |
| Mayo androstenedione CPT 82157 | $137.86 | $226.00 | $28.38 – $226.00 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $53.07 | $87.00 | $14.15 – $87.00 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $66.49 | $109.00 | $10.48 – $109.00 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $43.92 | $72.00 | $14.59 – $72.00 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $190.32 | $312.00 | $29.91 – $290.16 | 18 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $56.12 | $92.00 | $19.32 – $85.56 | 7 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $39.04 | $64.00 | $9.86 – $64.00 | 18 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $15.86 | $26.00 | $5.46 – $28.64 | 18 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $29.89 | $49.00 | $10.29 – $49.00 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | $87.23 | $143.00 | $8.65 – $132.99 | 18 |
| Mayo c1 esterase inhibitor CPT 83883 | $73.20 | $120.00 | $9.36 – $111.60 | 18 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $93.94 | $154.00 | $32.34 – $143.22 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $54.90 | $90.00 | $16.35 – $90.00 | 18 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $103.70 | $170.00 | $26.78 – $170.00 | 17 |
| Mayo ceruloplasmin CPT 82390 | $28.06 | $46.00 | $9.66 – $46.00 | 18 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $57.95 | $95.00 | $9.36 – $84.63 | 18 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $57.34 | $94.00 | $12.48 – $94.00 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $7.32 | $12.00 | $2.52 – $26.24 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $51.85 | $85.00 | $12.29 – $79.05 | 18 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $358.07 | $587.00 | $112.88 – $587.00 | 18 |
| Mayo chromium CPT 82495 | $50.02 | $82.00 | $17.22 – $82.00 | 18 |
| Mayo coccidioides antibody CPT 86635 | $40.26 | $66.00 | $11.12 – $66.00 | 18 |
| Mayo cocou cortisone urine CPT 82542 | $264.74 | $434.00 | $23.35 – $403.62 | 18 |
| Mayo cortisol free CPT 82530 | $135.42 | $222.00 | $16.19 – $206.46 | 18 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $59.78 | $98.00 | $20.58 – $93.53 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $35.38 | $58.00 | $11.74 – $58.00 | 18 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $15.86 | $26.00 | $5.46 – $24.18 | 7 |
| Mayo cyanide CPT 82600 | $54.29 | $89.00 | $18.69 – $89.00 | 18 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $79.30 | $130.00 | $12.84 – $120.90 | 18 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $32.94 | $54.00 | $11.34 – $56.10 | 18 |
| Mayo efpo chloride stool CPT 82438 | $33.55 | $55.00 | $4.84 – $55.00 | 18 |
| Mayo estrone CPT 82679 | $35.38 | $58.00 | $12.18 – $58.00 | 18 |
| Mayo everolimus therapeutic drug level CPT 80169 | $15.25 | $25.00 | $5.25 – $30.48 | 18 |
| Mayo factor ii CPT 85210 | $155.55 | $255.00 | $12.58 – $237.15 | 18 |
| Mayo factor v CPT 85220 | $217.77 | $357.00 | $17.11 – $332.01 | 18 |
| Mayo factor vii CPT 85230 | $123.22 | $202.00 | $17.35 – $187.86 | 18 |
| Mayo factor viii vw factor antigen CPT 85246 | $175.68 | $288.00 | $22.23 – $267.84 | 18 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $54.29 | $89.00 | $18.69 – $89.00 | 18 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $178.73 | $293.00 | $22.23 – $272.49 | 18 |
| Mayo factor x CPT 85260 | $288.53 | $473.00 | $17.35 – $439.89 | 18 |
| Mayo factor xi CPT 85270 | $121.39 | $199.00 | $17.35 – $185.07 | 18 |
| Mayo fat/lipids feces quantitative CPT 82710 | $329.40 | $540.00 | $16.28 – $502.20 | 18 |
| Mayo fbl culture fungi blood CPT 87103 | $83.57 | $137.00 | $19.83 – $127.41 | 18 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $84.79 | $139.00 | $21.00 – $139.00 | 18 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $58.56 | $96.00 | $15.12 – $66.96 | 7 |
| Mayo hemosiderin qualitative urine CPT 83070 | $78.69 | $129.00 | $4.60 – $119.97 | 18 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $61.61 | $101.00 | $21.21 – $101.00 | 18 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $31.11 | $51.00 | $10.71 – $51.00 | 18 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $100.04 | $164.00 | $25.01 – $164.00 | 18 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $85.40 | $140.00 | $8.62 – $130.20 | 18 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $85.40 | $140.00 | $13.10 – $130.20 | 18 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $114.07 | $187.00 | $26.33 – $187.00 | 18 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $319.64 | $524.00 | $16.74 – $140.00 | 18 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $146.40 | $240.00 | $14.52 – $223.20 | 18 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $55.51 | $91.00 | $18.48 – $88.00 | 18 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $104.31 | $171.00 | $20.17 – $171.00 | 18 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $49.41 | $81.00 | $15.58 – $81.00 | 18 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $162.87 | $267.00 | $11.61 – $248.31 | 18 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $135.42 | $222.00 | $34.01 – $222.00 | 18 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $124.44 | $204.00 | $34.01 – $189.72 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $114.68 | $188.00 | $34.01 – $188.00 | 18 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $341.60 | $560.00 | $41.51 – $520.80 | 18 |
| Mayo inhab inhibin a CPT 86336 | $259.86 | $426.00 | $15.11 – $396.18 | 18 |
| Mayo insft insulin free CPT 83527 | $35.99 | $59.00 | $12.39 – $59.00 | 18 |
| Mayo insulin antibodies CPT 86337 | $103.70 | $170.00 | $20.75 – $170.00 | 18 |
| Mayo iodine CPT 83789 | $109.80 | $180.00 | $23.36 – $180.00 | 18 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $209.23 | $343.00 | $26.27 – $318.99 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $20.13 | $33.00 | $6.93 – $33.00 | 18 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $67.10 | $110.00 | $12.39 – $110.00 | 18 |
| Mayo leptospira antibody igm CPT 86720 | $123.22 | $202.00 | $15.70 – $187.86 | 18 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $29.89 | $49.00 | $10.29 – $49.00 | 18 |
| Mayo manganese CPT 83785 | $96.99 | $159.00 | $25.83 – $159.00 | 18 |
| Mayo metanephrines plasma CPT 83835 | $194.59 | $319.00 | $16.41 – $93.00 | 18 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $129.93 | $213.00 | $44.73 – $198.09 | 7 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $41.48 | $68.00 | $14.10 – $68.00 | 18 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $223.26 | $366.00 | $18.06 – $172.05 | 18 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $423.95 | $695.00 | $132.75 – $646.35 | 14 |
| Mayo muramidase CPT 85549 | $217.16 | $356.00 | $18.17 – $331.08 | 18 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $129.93 | $213.00 | $44.73 – $198.09 | 7 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $23.18 | $38.00 | $7.98 – $40.07 | 18 |
| Mayo myoglobin CPT 83874 | $129.93 | $213.00 | $12.52 – $198.09 | 18 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $87.23 | $143.00 | $30.03 – $132.99 | 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.