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 |
|---|---|---|---|---|
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,298.53 – $2,298.53 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,268.88 – $1,268.88 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,197.06 – $1,197.06 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,149.46 – $1,149.46 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,490.08 – $1,490.08 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,792.58 – $1,792.58 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,699.22 – $1,699.22 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,276.23 – $1,276.23 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,823.33 – $1,823.33 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,634.20 – $1,634.20 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,726.39 – $1,726.39 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $1,182.45 – $1,182.45 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,087.55 – $1,087.55 | 1 |
| Optx thigh fx CPT 27269 | not published | not published | $906.22 – $923.99 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,508.70 – $1,508.70 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,381.72 – $1,381.72 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,185.18 – $1,185.18 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,180.81 – $1,180.81 | 1 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,154.39 – $2,196.64 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,393.63 – $2,440.57 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,471.23 – $2,519.68 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,115.58 – $1,115.58 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,352.25 – $1,352.25 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $815.81 – $815.81 | 1 |
| Organic acids total quant ea spec CPT 83918 | $403.21 | $661.00 | $22.87 – $614.73 | 18 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $608.77 | $997.98 | $23.87 – $928.13 | 14 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $223.21 – $223.21 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $4.13 | $6.77 | $1.43 – $6.77 | 12 |
| Osmolality blood CPT 83930 | $42.70 | $70.00 | $6.41 – $70.00 | 18 |
| Osmolality urine CPT 83935 | $45.14 | $74.00 | $6.61 – $74.00 | 18 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $615.32 – $615.32 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,086.88 – $1,086.88 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,550.56 – $2,550.56 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,827.76 – $1,827.76 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,278.58 – $2,278.58 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,990.51 – $1,990.51 | 1 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,377.87 – $2,940.55 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $375.36 – $638.72 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,331.70 – $2,911.88 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,249.79 – $3,118.25 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,552.30 – $1,552.30 | 1 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $943.78 – $2,053.32 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,285.41 – $1,285.41 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $225.70 | $370.00 | $72.58 – $344.10 | 13 |
| Ot evaluation low complexity patient/family CPT 97165 | $225.70 | $370.00 | $72.58 – $344.10 | 13 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $225.70 | $370.00 | $72.58 – $344.10 | 13 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,404.84 – $4,935.00 | 4 |
| Oth resp proc, group HCPCS G0239 | $151.89 | $249.00 | $23.73 – $231.57 | 7 |
| Oth resp proc, indiv HCPCS G0238 | $98.21 | $161.00 | $19.13 – $149.73 | 7 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $56.12 | $92.00 | $19.32 – $92.00 | 13 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $61.00 | $100.00 | $21.00 – $93.00 | 9 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $69.54 | $114.00 | $23.75 – $114.00 | 13 |
| Otoplasty 69300 CPT 69300 | not published | not published | $893.78 – $893.78 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $78.69 | $129.00 | $27.09 – $129.00 | 13 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $89.06 | $146.00 | $30.66 – $146.00 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $86.01 | $141.00 | $26.50 – $141.00 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $86.01 | $141.00 | $26.50 – $141.00 | 13 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $193.98 | $318.00 | $25.38 – $137.00 | 13 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $64.66 | $106.00 | $22.26 – $106.00 | 13 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $88.45 | $145.00 | $28.47 – $145.00 | 13 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,942.61 – $1,980.70 | 3 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,433.10 – $1,433.10 | 1 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $61.37 | $100.60 | $0.80 – $7.20 | 12 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $13.05 | $21.39 | $0.14 – $7.66 | 12 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $2.01 | $3.30 | $0.45 – $3.07 | 8 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.88 | $3.08 | $0.19 – $2.87 | 12 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $881.53 | $1,445.12 | $10.77 – $1,343.97 | 14 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $3,973.01 | $6,513.12 | $690.78 – $3,059.14 | 9 |
| Palonosetron hcl HCPCS J2469 | $2.54 | $4.15 | $0.80 – $3.75 | 12 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $30.49 | $49.98 | $0.28 – $1.32 | 12 |
| Pancreatectomy CPT 48146 | not published | not published | $1,412.61 – $1,440.31 | 3 |
| Pancreatectomy CPT 48152 | not published | not published | $2,232.68 – $2,276.46 | 3 |
| Pancreatectomy CPT 48154 | not published | not published | $2,238.48 – $2,282.37 | 3 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,398.78 – $2,445.82 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,194.93 – $1,218.36 | 3 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $904.41 – $922.15 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $213.27 | $349.62 | $73.43 – $349.62 | 14 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $2.84 | $4.64 | $0.98 – $4.32 | 7 |
| Papaverin hcl injection HCPCS J2440 | $11.55 | $18.93 | $1.09 – $17.61 | 8 |
| Parathormone (pth) intact CPT 83970 | $134.81 | $221.00 | $40.00 – $221.00 | 18 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,259.37 – $1,284.07 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | $879.62 | $1,442.00 | $302.82 – $1,442.00 | 11 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $439.51 – $439.51 | 1 |
| Parathyroid planar imaging CPT 78070 | $1,107.15 | $1,815.00 | $381.15 – $1,815.00 | 11 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,026.63 | $1,683.00 | $353.43 – $1,683.00 | 11 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,569.65 – $1,569.65 | 1 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $1,655.83 – $1,655.83 | 1 |
| Paricalcitol HCPCS J2501 | $5.83 | $9.56 | $0.77 – $3.38 | 12 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $141.52 | $232.00 | $29.74 – $215.76 | 7 |
| Parotid duct diversion CPT 42507 | not published | not published | $941.47 – $941.47 | 1 |
| Parotid duct diversion CPT 42509 | not published | not published | $1,549.99 – $1,549.99 | 1 |
| Parotid duct diversion CPT 42510 | not published | not published | $1,154.56 – $1,154.56 | 1 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $1,604.76 – $1,604.76 | 1 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $384.20 – $384.20 | 1 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $1,178.07 – $1,201.17 | 3 |
| Partial exc bone humerus CPT 24140 | not published | not published | $1,324.22 – $1,324.22 | 1 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $846.45 – $846.45 | 1 |
| Partial excision of lip CPT 40500 | not published | not published | $708.75 – $708.75 | 1 |
| Partial hip replacement CPT 27125 | not published | not published | $1,052.43 – $2,103.32 | 4 |
| Partial hysterectomy CPT 58180 | not published | not published | $867.24 – $1,801.97 | 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.