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 |
|---|---|---|---|---|
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $9.22 | $15.11 | $0.44 – $2.06 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $512.40 | $840.00 | $176.40 – $840.00 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $106.14 | $174.00 | $36.54 – $174.00 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $212.89 | $349.00 | $73.29 – $349.00 | 11 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $540.46 – $540.46 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $512.40 | $840.00 | $75.39 – $359.00 | 11 |
| M/phmtrc alysishquant/semiq CPT 88369 | $546.56 | $896.00 | $181.19 – $833.28 | 11 |
| MRA abdomen post contrast CPT 74185 | $1,928.82 | $3,162.00 | $495.83 – $2,940.66 | 11 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $699.67 | $1,147.00 | $240.87 – $1,147.00 | 11 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,898.32 | $3,112.00 | $492.66 – $2,575.17 | 11 |
| MRA pelvis CPT 72198 | $1,584.78 | $2,598.00 | $498.35 – $2,407.60 | 11 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,358.47 | $2,227.00 | $467.67 – $2,071.11 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | $2,223.45 | $3,645.00 | $510.95 – $3,389.85 | 11 |
| MRI breast c- unilateral CPT 77046 | $1,941.02 | $3,182.00 | $285.43 – $2,959.26 | 7 |
| MRI breast without cont bi CPT 77047 | $2,827.96 | $4,636.00 | $283.54 – $4,311.48 | 7 |
| MRI chest without contrast CPT 71550 | $2,687.66 | $4,406.00 | $527.14 – $4,097.58 | 11 |
| MRI chest without & w/contrast CPT 71552 | $3,212.26 | $5,266.00 | $715.89 – $4,897.38 | 11 |
| MRI chest w IV cont CPT 71551 | $2,949.96 | $4,836.00 | $572.54 – $4,497.48 | 11 |
| MRI guid ndl plc s&i CPT 77021 | $1,398.12 | $2,292.00 | $481.32 – $2,292.00 | 11 |
| MRI loex nonjt w IV cont CPT 73719 | $2,070.95 | $3,395.00 | $367.61 – $3,157.35 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,667.74 | $2,734.00 | $314.43 – $2,542.62 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,232.60 | $3,660.00 | $464.71 – $3,403.80 | 11 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,307.42 | $5,422.00 | $320.10 – $5,042.46 | 11 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,641.70 | $5,970.00 | $467.86 – $5,552.10 | 11 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,419.05 | $5,605.00 | $377.71 – $5,212.65 | 11 |
| MRI tmj CPT 70336 | $1,661.03 | $2,723.00 | $382.54 – $2,532.39 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,596.98 | $2,618.00 | $469.14 – $2,434.74 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,146.59 | $3,519.00 | $605.96 – $3,272.67 | 11 |
| MRI upper extremity w/dye CPT 73219 | $1,989.82 | $3,262.00 | $500.03 – $3,033.66 | 11 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,827.96 | $4,636.00 | $973.56 – $4,311.48 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,190.51 | $3,591.00 | $754.11 – $3,339.63 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,883.47 | $4,727.00 | $992.67 – $4,396.11 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,440.00 | $4,000.00 | $840.00 – $3,720.00 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | $75.03 | $123.00 | $25.83 – $114.39 | 7 |
| Mr safety implant elec prepj CPT 76018 | $78.69 | $129.00 | $27.09 – $119.97 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $20.74 | $34.00 | $7.14 – $31.62 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | $50.63 | $83.00 | $17.43 – $77.19 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $20.74 | $34.00 | $7.14 – $31.62 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | $206.18 | $338.00 | $70.98 – $314.34 | 7 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,367.73 – $5,064.02 | 4 |
| Mthfr gene analy common variants CPT 81291 | $129.93 | $213.00 | $44.73 – $213.00 | 18 |
| Mucin synovial fluid CPT 83872 | $20.74 | $34.00 | $5.68 – $34.00 | 18 |
| Multiple sleep latency test CPT 95805 | $3,075.01 | $5,041.00 | $706.21 – $4,688.13 | 11 |
| Mumps antibody igg CPT 86735 | $31.11 | $51.00 | $10.71 – $51.00 | 18 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $2,349.02 – $2,349.02 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,759.48 – $2,759.48 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $2,121.65 – $2,121.65 | 1 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,393.03 – $2,393.03 | 1 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,926.86 – $1,926.86 | 1 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,409.65 – $1,409.65 | 1 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.63 | $4.31 | $0.13 – $0.55 | 12 |
| Mycophenolic acid HCPCS J7518 | $3.26 | $5.33 | $0.32 – $4.96 | 12 |
| Mycoplasma antibody igm CPT 86738 | $67.71 | $111.00 | $12.83 – $103.23 | 18 |
| Myelography l-s spine CPT 72265 | $1,251.11 | $2,051.00 | $131.36 – $1,907.43 | 11 |
| Myelography neck spine CPT 72240 | $1,044.32 | $1,712.00 | $130.10 – $1,592.16 | 11 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $864.37 | $1,417.00 | $231.15 – $1,317.81 | 7 |
| Myelography via inj w/s&i cervical CPT 62302 | $967.46 | $1,586.00 | $225.12 – $1,474.98 | 7 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,196.21 | $1,961.00 | $222.37 – $1,823.73 | 7 |
| Myelography via inj w/s&i thoracic CPT 62303 | $852.78 | $1,398.00 | $225.54 – $1,300.14 | 7 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $233.63 | $383.00 | $11.17 – $356.19 | 18 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,059.60 – $2,099.99 | 3 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $983.30 – $2,161.85 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $811.99 – $1,728.83 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $1,072.60 – $1,072.60 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $940.84 – $940.84 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $3.08 | $5.05 | $1.05 – $4.96 | 12 |
| Naltrexone, depot form HCPCS J2315 | $943.05 | $1,545.98 | $3.48 – $1,437.77 | 15 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $762.50 | $1,250.00 | $121.23 – $1,162.50 | 7 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $395.28 | $648.00 | $136.08 – $602.64 | 7 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $377.22 – $377.22 | 1 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,128.90 – $1,151.03 | 3 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,194.34 – $1,217.76 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $300.87 – $300.87 | 1 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $438.23 – $438.23 | 1 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $299.02 – $299.02 | 1 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $455.81 – $455.81 | 1 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $605.05 – $605.05 | 1 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $707.43 – $707.43 | 1 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $254.96 – $254.96 | 1 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $300.87 – $300.87 | 1 |
| Nasal sinus therapy CPT 30210 | not published | not published | $196.85 – $196.85 | 1 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $347.21 | $569.19 | $20.44 – $529.35 | 14 |
| Natriuretic peptide CPT 83880 | $196.42 | $322.00 | $38.05 – $322.00 | 18 |
| Natural killer cells total count CPT 86357 | $142.74 | $234.00 | $36.56 – $234.00 | 18 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $180.37 – $180.37 | 1 |
| N block inj common digit CPT 64632 | not published | not published | $129.55 – $129.55 | 1 |
| N block inj hypogas plxs CPT 64517 | $1,471.32 | $2,412.00 | $241.63 – $2,243.16 | 7 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $27.32 – $27.32 | 1 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $29.15 – $29.15 | 1 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $43.51 – $43.51 | 1 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $2,454.10 – $2,454.10 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,142.32 | $3,512.00 | $270.29 – $3,266.16 | 11 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,028.25 | $3,325.00 | $218.59 – $3,092.25 | 11 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,603.08 | $2,628.00 | $163.53 – $2,444.04 | 11 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,544.92 | $4,172.00 | $418.05 – $3,879.96 | 11 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,218.97 | $5,277.00 | $375.82 – $4,907.61 | 11 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,621.99 | $2,659.00 | $238.77 – $2,472.87 | 11 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,743.78 | $4,498.00 | $511.58 – $4,183.14 | 11 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,127.68 | $3,488.00 | $344.90 – $3,243.84 | 11 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,763.51 | $2,891.00 | $312.75 – $2,688.63 | 11 |
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.