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 |
|---|---|---|---|---|
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $763.11 | $1,251.00 | $245.91 – $1,089.03 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,730.97 | $4,477.00 | $489.26 – $4,163.61 | 7 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $374.56 – $374.56 | 1 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $3,095.14 | $5,074.00 | $379.66 – $4,718.82 | 7 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $3,095.14 | $5,074.00 | $635.86 – $4,718.82 | 7 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $721.68 – $1,401.79 | 4 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,466.44 | $2,404.00 | $158.28 – $2,235.72 | 7 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $212.89 | $349.00 | $73.29 – $324.57 | 7 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $290.24 – $563.01 | 4 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $609.39 | $999.00 | $118.69 – $929.07 | 7 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $93.14 – $93.14 | 1 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $482.51 | $791.00 | $79.25 – $735.63 | 7 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $655.14 | $1,074.00 | $83.01 – $998.82 | 7 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $934.91 – $1,649.09 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | $5,970.07 | $9,787.00 | $622.34 – $9,101.91 | 7 |
| Plmt biliary drainage cath CPT 47534 | $3,638.65 | $5,965.00 | $684.98 – $5,547.45 | 7 |
| Plmt nephroureteral catheter CPT 50433 | $3,378.18 | $5,538.00 | $473.51 – $5,150.34 | 7 |
| Plmt ureteral stent prq CPT 50694 | $2,940.81 | $4,821.00 | $496.10 – $4,483.53 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $172.54 – $172.54 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $153.11 | $251.00 | $25.27 – $233.43 | 18 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $11,022.30 | $18,069.33 | $105.74 – $3,600.97 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,486.15 | $5,715.00 | $999.62 – $5,314.95 | 11 |
| Positional change of finger CPT 26555 | not published | not published | $2,590.71 – $2,590.71 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $428.55 | $702.54 | $147.54 – $653.37 | 9 |
| Postpartum Care Only CPT 59430 | $1,872.70 | $3,070.00 | $320.31 – $2,855.10 | 7 |
| Potassium 24 hour urine CPT 84133 | $56.73 | $93.00 | $4.58 – $86.49 | 18 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $0.56 | $0.91 | $0.01 – $0.01 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $25.62 | $42.00 | $4.61 – $42.00 | 18 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $3.29 | $5.39 | $1.14 – $5.02 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $1,014.43 | $1,663.00 | $138.50 – $1,546.59 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $598.41 | $981.00 | $109.31 – $912.33 | 11 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,095.10 | $14,910.00 | $876.50 – $13,866.30 | 7 |
| Pq thr inj ext pse CPT 36002 | $384.91 | $631.00 | $132.51 – $586.83 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,146.99 | $5,159.00 | $379.01 – $4,797.87 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,146.99 | $5,159.00 | $805.62 – $4,797.87 | 7 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,146.99 | $5,159.00 | $758.44 – $4,797.87 | 7 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $48.37 | $79.30 | $16.66 – $73.75 | 8 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,507.92 | $2,472.00 | $519.12 – $2,298.96 | 7 |
| Pr application of long arm splint CPT 29105 | $272.06 | $446.00 | $76.65 – $414.78 | 7 |
| Pr application splint static short arm CPT 29125 | $246.44 | $404.00 | $75.98 – $375.72 | 7 |
| Pr biopsy skin punch single lesion CPT 11104 | $384.30 | $630.00 | $88.18 – $585.90 | 7 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,152.38 – $1,152.38 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $746.84 – $746.84 | 1 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $224.67 – $512.63 | 4 |
| Prcrd drg 6+yr without anomly CPT 33017 | $491.05 | $805.00 | $169.05 – $748.65 | 9 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $3,242.15 | $5,315.00 | $291.40 – $4,942.95 | 7 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $350.14 | $574.00 | $68.08 – $426.87 | 7 |
| Prealbumin CPT 84134 | $39.04 | $64.00 | $13.44 – $64.00 | 18 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.37 | $0.60 | $0.05 – $0.20 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.27 | $0.43 | $0.01 – $0.14 | 12 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $370.42 – $370.42 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $864.37 | $1,417.00 | $167.52 – $1,317.81 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $688.69 | $1,129.00 | $133.90 – $1,049.97 | 11 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $774.88 – $774.88 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,421.51 – $1,421.51 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $72.79 – $72.79 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $207.90 – $207.90 | 1 |
| Prepare donor heart CPT 33944 | not published | not published | $268.03 – $610.07 | 4 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $781.49 – $781.49 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $670.22 – $670.22 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $267.74 – $674.37 | 4 |
| Prepare donor lung single CPT 32855 | not published | not published | $223.11 – $547.91 | 4 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $135.45 – $135.45 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,062.71 – $2,103.15 | 3 |
| Prepare penis study CPT 54230 | not published | not published | $150.97 – $150.97 | 1 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $349.71 – $349.71 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $172.79 – $404.38 | 4 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $233.58 – $233.58 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $680.19 – $680.19 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $485.96 – $485.96 | 1 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $560.25 – $898.53 | 4 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $335.34 – $680.82 | 4 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $424.85 – $927.05 | 4 |
| Prep donor liver/venous CPT 47146 | not published | not published | $287.64 – $582.44 | 4 |
| Prep donor liver whole CPT 47143 | not published | not published | $436.11 – $670.22 | 4 |
| Prep donor pancreas CPT 48551 | not published | not published | $230.28 – $461.90 | 4 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $418.09 – $418.09 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $124.48 – $364.20 | 4 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $293.85 – $293.85 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $166.70 – $339.15 | 4 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $321.85 – $321.85 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $156.59 – $386.76 | 4 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $486.17 – $486.17 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,540.25 | $2,525.00 | $404.75 – $2,348.25 | 7 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $81.48 – $81.48 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $193.37 | $317.00 | $7.77 – $34.41 | 7 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $195.87 – $397.80 | 4 |
| Pressure velocity wire add ves CPT 93572 | $907.07 | $1,487.00 | $105.29 – $1,382.91 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $149.45 | $245.00 | $51.45 – $227.85 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $124.44 | $204.00 | $42.84 – $189.72 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $180.56 | $296.00 | $42.25 – $275.28 | 7 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $158.05 – $158.05 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $310.67 – $310.67 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $342.21 | $561.00 | $117.81 – $521.73 | 7 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $690.21 – $2,463.97 | 4 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $46.97 | $77.00 | $16.17 – $71.61 | 7 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $4,662.23 | $7,643.00 | $773.16 – $7,107.99 | 7 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $4,316.97 | $7,077.00 | $291.04 – $6,581.61 | 7 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,091.29 | $1,789.00 | $351.08 – $1,663.77 | 7 |
| Pr incision & drainage abscess simple/single CPT 10060 | $340.38 | $558.00 | $117.18 – $518.94 | 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.