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 |
|---|---|---|---|---|
| Partial proctectomy CPT 45113 | not published | not published | $1,459.20 – $1,487.81 | 3 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $868.52 – $2,067.45 | 4 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,102.05 – $2,143.26 | 3 |
| Partial removal donor liver CPT 47141 | not published | not published | $1,774.58 – $1,809.37 | 3 |
| Partial removal donor liver CPT 47142 | not published | not published | $1,920.79 – $1,958.46 | 3 |
| Partial removal finger bone CPT 26235 | not published | not published | $938.32 – $938.32 | 1 |
| Partial removal finger bone CPT 26236 | $2,280.18 | $3,738.00 | $784.98 – $3,476.34 | 7 |
| Partial removal foot fascia CPT 28060 | not published | not published | $694.93 – $694.93 | 1 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $1,693.65 – $1,693.65 | 1 |
| Partial removal of bladder CPT 51550 | not published | not published | $908.85 – $1,810.01 | 4 |
| Partial removal of esophagus CPT 43116 | not published | not published | $1,935.52 – $1,973.47 | 3 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,010.41 – $2,049.83 | 3 |
| Partial removal of esophagus CPT 43121 | not published | not published | $1,807.13 – $1,842.57 | 3 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,049.50 – $2,089.68 | 3 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $1,898.07 – $1,935.28 | 3 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $1,761.93 – $1,796.48 | 3 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $910.67 – $910.67 | 1 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,041.14 – $1,041.14 | 1 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,235.12 – $1,235.12 | 1 |
| Partial removal of foot bone CPT 28288 | not published | not published | $839.50 – $839.50 | 1 |
| Partial removal of hand bone CPT 26230 | not published | not published | $950.46 – $950.46 | 1 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,365.30 – $1,392.07 | 3 |
| Partial removal of larynx CPT 31367 | not published | not published | $1,476.30 – $1,505.24 | 3 |
| Partial removal of larynx CPT 31368 | not published | not published | $1,909.49 – $1,946.93 | 3 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,458.09 – $1,486.68 | 3 |
| Partial removal of larynx CPT 31375 | not published | not published | $1,329.33 – $1,355.39 | 3 |
| Partial removal of larynx CPT 31380 | not published | not published | $1,375.38 – $1,402.35 | 3 |
| Partial removal of larynx CPT 31382 | not published | not published | $1,405.54 – $1,433.10 | 3 |
| Partial removal of lip CPT 40530 | not published | not published | $768.43 – $768.43 | 1 |
| Partial removal of liver CPT 47125 | not published | not published | $1,774.58 – $1,809.37 | 3 |
| Partial removal of liver CPT 47130 | not published | not published | $1,920.79 – $1,958.46 | 3 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,243.07 – $1,267.45 | 3 |
| Partial removal of nose CPT 30150 | not published | not published | $1,514.27 – $1,514.27 | 1 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,282.49 – $1,307.63 | 3 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,400.99 – $2,448.07 | 3 |
| Partial removal of penis CPT 54120 | not published | not published | $1,201.47 – $1,201.47 | 1 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $2,665.97 – $2,665.97 | 1 |
| Partial removal of radius CPT 25151 | not published | not published | $1,108.46 – $1,108.46 | 1 |
| Partial removal of radius CPT 25230 | not published | not published | $826.92 – $826.92 | 1 |
| Partial removal of rectum CPT 45111 | not published | not published | $980.46 – $999.69 | 3 |
| Partial removal of rectum CPT 45114 | not published | not published | $1,338.71 – $1,364.96 | 3 |
| Partial removal of rectum CPT 45116 | not published | not published | $1,150.01 – $1,172.56 | 3 |
| Partial removal of rib CPT 21600 | not published | not published | $1,054.54 – $1,054.54 | 1 |
| Partial removal of sternum CPT 21620 | not published | not published | $526.83 – $924.97 | 4 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,317.37 – $1,317.37 | 1 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,746.65 – $1,746.65 | 1 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,562.76 – $1,562.76 | 1 |
| Partial removal of toe CPT 28160 | not published | not published | $517.29 – $517.29 | 1 |
| Partial removal of tongue CPT 41120 | not published | not published | $1,993.74 – $1,993.74 | 1 |
| Partial removal of tongue CPT 41130 | not published | not published | $724.10 – $738.30 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $953.17 – $953.17 | 1 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,073.75 – $1,073.75 | 1 |
| Partial removal of ulna CPT 25240 | not published | not published | $821.54 – $821.54 | 1 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $1,017.49 – $1,017.49 | 1 |
| Partial removal tear gland CPT 68505 | not published | not published | $2,016.74 – $2,016.74 | 1 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,312.96 – $1,312.96 | 1 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,861.99 – $1,861.99 | 1 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $5,317.76 | $8,717.63 | $2.17 – $825.90 | 12 |
| Part removal hip bone deep CPT 27071 | not published | not published | $852.32 – $1,817.91 | 4 |
| Part removal of metatarsal CPT 28110 | not published | not published | $567.36 – $567.36 | 1 |
| Part removal of metatarsal CPT 28113 | not published | not published | $825.30 – $825.30 | 1 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $603.75 – $603.75 | 1 |
| Part remove hip bone super CPT 27070 | not published | not published | $797.31 – $1,658.29 | 4 |
| Passy muir valve metal trach HCPCS L8501 | $44.90 | $73.60 | $15.46 – $76.55 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,392.41 – $1,392.41 | 1 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $1,229.55 – $1,229.55 | 1 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $4,547.33 | $7,454.64 | $1,565.48 – $6,932.82 | 7 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,231.04 | $5,296.79 | $140.99 – $4,719.49 | 14 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $1,568.47 | $2,571.25 | $125.46 – $2,391.27 | 14 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $1,485.29 | $2,434.90 | $511.33 – $2,264.46 | 7 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $13,787.22 | $22,602.00 | $2,926.82 – $21,019.86 | 14 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,223.45 | $3,645.00 | $60.90 – $290.00 | 11 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,825.73 | $2,993.00 | $340.91 – $2,783.49 | 11 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,472.54 | $2,414.00 | $161.01 – $2,245.02 | 11 |
| Pelvic exenteration CPT 45126 | not published | not published | $1,909.64 – $1,947.09 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,646.79 | $4,339.00 | $459.67 – $4,035.27 | 11 |
| Pelvic MRI (with contrast) CPT 72196 | $2,594.33 | $4,253.00 | $368.24 – $3,955.29 | 11 |
| Pelvic MRI (without contrast) CPT 72195 | $2,250.29 | $3,689.00 | $315.06 – $3,430.77 | 11 |
| Pelvic Ultrasound (complete) CPT 76856 | $797.27 | $1,307.00 | $138.31 – $1,215.51 | 11 |
| Pelvic Ultrasound (limited) CPT 76857 | $414.80 | $680.00 | $49.39 – $632.40 | 11 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $899.41 | $1,474.43 | $46.10 – $1,371.22 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,255.62 | $3,697.73 | $4.58 – $687.79 | 14 |
| Pemivibart infusion HCPCS M0224 | $439.81 | $721.00 | $151.41 – $670.53 | 7 |
| Peng benzathine/procaine inj HCPCS J0558 | $67.82 | $111.17 | $16.57 – $103.39 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $108.06 | $177.14 | $20.36 – $142.68 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $30.69 | $50.30 | $0.79 – $5.51 | 12 |
| Penile injection CPT 54235 | not published | not published | $139.82 – $139.82 | 1 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $6,095.00 | $9,991.80 | $714.00 – $3,162.00 | 11 |
| Penile venous occlusion CPT 37790 | not published | not published | $921.10 – $921.10 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,366.66 – $1,366.66 | 1 |
| Penis study CPT 54240 | not published | not published | $82.38 – $82.38 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $20.06 | $32.88 | $6.91 – $30.58 | 8 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $1,418.49 | $2,325.39 | $488.34 – $2,418.41 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $7,005.24 | $11,484.00 | $856.21 – $10,680.12 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,678.09 | $7,669.00 | $1,610.49 – $7,132.17 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,194.72 | $18,352.00 | $3,853.92 – $17,067.36 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,194.72 | $18,352.00 | $3,853.92 – $17,067.36 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $16,207.09 | $26,569.00 | $5,579.49 – $24,709.17 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | $7,518.86 | $12,326.00 | $2,588.46 – $11,463.18 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | $18,545.83 | $30,403.00 | $6,384.63 – $28,274.79 | 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.