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 |
|---|---|---|---|---|
| Perc drug-el cor stent bran HCPCS C9601 | $10,526.16 | $17,256.00 | $3,623.76 – $16,048.08 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,707.90 | $27,390.00 | $5,751.90 – $25,472.70 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $5,602.24 | $9,184.00 | $642.22 – $8,541.12 | 7 |
| Percut ablate liver rf CPT 47382 | $3,772.24 | $6,184.00 | $1,298.64 – $5,751.12 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $24.40 | $40.00 | $8.40 – $40.00 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $224.67 – $390.35 | 4 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,392.40 – $1,419.70 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $491.05 | $805.00 | $169.05 – $748.65 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $901.18 – $1,476.70 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,329.85 – $1,329.85 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $515.40 – $515.40 | 1 |
| Peripheral vascular rehab CPT 93668 | $253.15 | $415.00 | $23.94 – $185.07 | 7 |
| Peri-proc device eval icd CPT 93287 | $148.84 | $244.00 | $51.24 – $226.92 | 11 |
| Peri-proc device eval pm CPT 93286 | $150.67 | $247.00 | $51.87 – $229.71 | 11 |
| Peritoneal cath sub q resv per CPT 49419 | $4,951.98 | $8,118.00 | $762.43 – $7,549.74 | 7 |
| Peritoneogram rs&i CPT 74190 | $1,025.41 | $1,681.00 | $59.68 – $1,563.33 | 7 |
| Perit-vens shunt pat tst CPT 78291 | $561.81 | $921.00 | $193.41 – $921.00 | 11 |
| Perq art m-thrombect &/nfs CPT 61645 | $190.32 | $312.00 | $65.52 – $324.48 | 9 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $735.81 – $1,385.62 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | $1,133.99 | $1,859.00 | $237.53 – $1,728.87 | 7 |
| Perq dev breast 1st strtctc CPT 19283 | $1,442.04 | $2,364.00 | $186.69 – $2,198.52 | 7 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,120.43 – $2,120.43 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,317.69 – $1,317.69 | 1 |
| Perq plmt bile duct stent CPT 47538 | $6,885.07 | $11,287.00 | $435.23 – $10,496.91 | 7 |
| Perq plmt bile duct stent CPT 47539 | $6,885.07 | $11,287.00 | $789.05 – $10,496.91 | 7 |
| Perq plmt bile duct stent CPT 47540 | $6,885.07 | $11,287.00 | $813.14 – $10,496.91 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $436.15 | $715.00 | $150.15 – $664.95 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,018.71 – $1,018.71 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $937.92 – $937.92 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $524.64 – $524.64 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $627.08 – $627.08 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $869.97 – $869.97 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,429.07 – $1,429.07 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $296.14 | $485.48 | $12.97 – $451.50 | 14 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,171.37 | $10,117.00 | $1,488.40 – $8,844.30 | 7 |
| Pet CT whole body initial CPT 78816 | $5,677.88 | $9,308.00 | $1,501.84 – $8,656.44 | 7 |
| Pet image w/ct lmtd CPT 78814 | $5,183.78 | $8,498.00 | $1,336.44 – $7,903.14 | 7 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $30,140.10 | $49,410.00 | $13.23 – $58.59 | 11 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $540.52 – $540.52 | 1 |
| Ph body fluid CPT 83986 | $20.13 | $33.00 | $3.47 – $33.00 | 18 |
| Phencyclidine (pcp) CPT 83992 | $51.24 | $84.00 | $17.64 – $84.00 | 13 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $30.69 | $50.31 | $4.14 – $19.67 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | $88.45 | $145.00 | $14.83 – $134.85 | 18 |
| Phentolaine mesylate inj HCPCS J2760 | $259.69 | $425.72 | $89.41 – $442.75 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.60 | $4.25 | $0.04 – $0.18 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.97 | $1.59 | $0.34 – $1.48 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $90.89 | $149.00 | $12.84 – $149.00 | 18 |
| Phlebotomy therapeutic CPT 99195 | $247.05 | $405.00 | $85.05 – $376.65 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $2,847.48 | $4,668.00 | $484.64 – $4,341.24 | 7 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $2,411.33 | $3,953.00 | $594.03 – $3,676.29 | 7 |
| Phosphorus CPT 84100 | $91.50 | $150.00 | $4.59 – $139.50 | 18 |
| Phosphorus 24 hour urine CPT 84105 | $23.79 | $39.00 | $5.60 – $39.00 | 18 |
| Photopheresis CPT 36522 | not published | not published | $182.74 – $182.74 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $26.71 | $43.78 | $0.15 – $0.69 | 12 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $57.31 – $57.31 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $903.41 | $1,481.00 | $311.01 – $1,377.33 | 7 |
| Pin caspar distraction 12mm HCPCS C1821 | $10,716.48 | $17,568.00 | $33.18 – $146.94 | 11 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $858.12 – $858.12 | 1 |
| Pin finger dislocation CPT 26776 | not published | not published | $862.60 – $862.60 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $815.07 – $815.07 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $976.58 – $976.58 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $860.43 – $860.43 | 1 |
| Pinworm exam CPT 87172 | $29.28 | $48.00 | $4.14 – $48.00 | 18 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $66.40 | $108.85 | $0.03 – $0.13 | 12 |
| Place breast cath for rad CPT 19297 | not published | not published | $168.04 – $168.04 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $609.71 – $609.71 | 1 |
| Place cath intracranial art CPT 36228 | $5,270.40 | $8,640.00 | $432.29 – $8,035.20 | 7 |
| Place cath xtrnl carotid CPT 36227 | $1,734.84 | $2,844.00 | $211.11 – $2,644.92 | 7 |
| Place cecostomy tube perc CPT 49442 | $2,402.18 | $3,938.00 | $389.61 – $3,662.34 | 7 |
| Place duod/jej tube perc CPT 49441 | $3,431.86 | $5,626.00 | $444.61 – $5,232.18 | 7 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $698.53 – $712.22 | 3 |
| Place gastrostomy tube perc CPT 49440 | $2,639.47 | $4,327.00 | $379.07 – $4,024.11 | 7 |
| Placement bile duct support CPT 47801 | not published | not published | $705.71 – $719.54 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,237.08 | $2,028.00 | $186.06 – $1,886.04 | 7 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $74.42 | $122.00 | $25.62 – $113.46 | 7 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,420.08 | $2,328.00 | $158.28 – $2,165.04 | 7 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,923.73 | $4,793.00 | $381.78 – $4,457.49 | 7 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,033.34 | $1,694.00 | $355.74 – $1,575.42 | 7 |
| Placement of drain pancreas CPT 48001 | not published | not published | $1,011.16 – $1,030.98 | 3 |
| Placement of seton CPT 46020 | not published | not published | $216.55 – $216.55 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,744.14 | $15,974.00 | $779.06 – $14,855.82 | 7 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $644.99 – $644.99 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $938.62 – $938.62 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $883.05 – $883.05 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,204.12 | $6,892.00 | $354.14 – $6,409.56 | 7 |
| Place po breast cath for rad CPT 19296 | not published | not published | $378.78 – $378.78 | 1 |
| Place right device/marker pros CPT 55876 | not published | not published | $194.19 – $194.19 | 1 |
| Place slctv cath carotd art uni CPT 36224 | $6,673.40 | $10,940.00 | $644.36 – $10,174.20 | 7 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,204.12 | $6,892.00 | $506.27 – $6,409.56 | 7 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $4,204.12 | $6,892.00 | $577.23 – $6,409.56 | 7 |
| Place slctv cath subclavian art CPT 36225 | $4,204.12 | $6,892.00 | $572.59 – $6,409.56 | 7 |
| Place slctv cath vertebral art uni CPT 36226 | $5,605.90 | $9,190.00 | $641.21 – $8,546.70 | 7 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $193.98 | $318.00 | $61.53 – $272.49 | 7 |
| Plastic mod low ext pad/line HCPCS L2275 | $202.20 | $331.47 | $69.61 – $308.27 | 9 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,495.70 – $1,495.70 | 1 |
| Platelet automated CPT 85049 | $17.08 | $28.00 | $4.35 – $28.00 | 18 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $22.60 – $22.60 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $597.80 | $980.00 | $205.80 – $911.40 | 7 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $679.54 | $1,114.00 | $233.94 – $1,036.02 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $624.64 | $1,024.00 | $215.04 – $952.32 | 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.