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 |
|---|---|---|---|---|
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $279.38 | $458.00 | $96.18 – $425.94 | 7 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $824.72 | $1,352.00 | $201.79 – $1,257.36 | 7 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $251.32 | $412.00 | $20.69 – $383.16 | 7 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,139.90 – $1,139.90 | 1 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,490.00 | $9,000.00 | $157.50 – $697.50 | 11 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $243.98 – $243.98 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $257.08 – $257.08 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $423.57 – $423.57 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $299.29 – $299.29 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $159.01 | $260.67 | $1.01 – $4.99 | 14 |
| Procalcitonin CPT 84145 | $164.09 | $269.00 | $26.38 – $250.17 | 18 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.17 | $8.46 | $1.78 – $7.87 | 12 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,472.64 – $1,501.51 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,391.58 – $1,418.86 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $189.88 – $189.88 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $206.91 – $206.91 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $159.31 – $159.31 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $89.88 – $89.88 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $153.26 – $153.26 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $162.44 – $162.44 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $191.46 – $191.46 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $187.19 – $187.19 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $135.60 – $135.60 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $182.07 – $182.07 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $211.30 – $211.30 | 1 |
| Progesterone CPT 84144 | $101.26 | $166.00 | $20.22 – $166.00 | 18 |
| Prolactin CPT 84146 | $80.52 | $132.00 | $18.78 – $132.00 | 18 |
| Prolonged IV inf, req pump HCPCS C8957 | $354.41 | $581.00 | $122.01 – $540.33 | 7 |
| Promethazine hcl injection HCPCS J2550 | $1.94 | $3.17 | $0.47 – $2.20 | 12 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $412.71 – $412.71 | 1 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $412.71 – $412.71 | 1 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,622.02 – $1,622.02 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,352.36 – $1,352.36 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,696.46 – $1,696.46 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,388.79 – $1,388.79 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.08 | $0.13 | $0.03 – $0.13 | 12 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.41 | $10.50 | $0.05 – $0.19 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,377.43 – $1,377.43 | 1 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,562.17 – $1,562.17 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $679.08 – $679.08 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $726.96 – $726.96 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.22 | $2.00 | $0.42 – $2.00 | 12 |
| Protect body sock ea pre ots HCPCS L0984 | $88.38 | $144.87 | $30.43 – $134.73 | 9 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,502.40 | $4,102.29 | $382.89 – $1,695.62 | 11 |
| Protein c activity CPT 85303 | $176.90 | $290.00 | $13.41 – $269.70 | 18 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $98.82 | $162.00 | $10.40 – $150.66 | 18 |
| Protein s total CPT 85305 | $106.14 | $174.00 | $11.25 – $161.82 | 18 |
| Protein total 24 hour urine CPT 84156 | $52.46 | $86.00 | $3.56 – $79.98 | 18 |
| Protein total body fluid CPT 84157 | $61.00 | $100.00 | $3.88 – $93.00 | 18 |
| Protein total serum plasma whole blood CPT 84155 | $9.15 | $15.00 | $3.15 – $15.00 | 18 |
| Prothrombin complex kcentra HCPCS J7168 | $1.13 | $1.85 | $0.39 – $1.70 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $59.17 | $97.00 | $3.81 – $90.21 | 18 |
| Protoporphyrin rbc screen CPT 84203 | $14.64 | $24.00 | $5.04 – $24.00 | 18 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $410.20 – $812.07 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,076.27 – $1,076.27 | 1 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $17,992.56 | $29,496.00 | $6,194.16 – $27,431.28 | 7 |
| Prq card angio/athrect addl CPT 92925 | $12,029.81 | $19,721.00 | $4,141.41 – $18,340.53 | 7 |
| Prq cardiac angio addl art CPT 92921 | $7,853.14 | $12,874.00 | $2,703.54 – $11,972.82 | 7 |
| Prq card revasc chronic addl CPT 92944 | $2,005.07 | $3,287.00 | $690.27 – $3,056.91 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | $19,381.53 | $31,773.00 | $595.54 – $29,548.89 | 9 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $18,712.97 | $30,677.00 | $6,442.17 – $28,529.61 | 7 |
| Prq card stent/ath/angio CPT 92934 | $17,710.74 | $29,034.00 | $6,097.14 – $27,001.62 | 7 |
| Prq card stent w/angio addl CPT 92929 | $12,029.81 | $19,721.00 | $4,141.41 – $18,340.53 | 7 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,862.67 | $19,447.00 | $1,041.45 – $18,085.71 | 7 |
| Prq revasc byp graft addl CPT 92938 | $16,374.23 | $26,843.00 | $5,637.03 – $24,963.99 | 7 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,119.95 – $1,119.95 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,362.42 – $1,362.42 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,487.09 – $1,487.09 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $945.53 – $945.53 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $710.70 – $710.70 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $16,707.90 | $27,390.00 | $1,041.94 – $25,472.70 | 7 |
| Prq trlml c athrc st angiop1 CPT 92933 | $19,214.39 | $31,499.00 | $1,168.25 – $29,294.07 | 7 |
| Prq trluml c angiop 1art&/br CPT 92920 | $3,341.58 | $5,478.00 | $936.43 – $5,094.54 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $20,383.76 | $33,416.00 | $1,116.57 – $31,076.88 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | $9,690.46 | $15,886.00 | $1,169.62 – $14,773.98 | 7 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $134.99 – $134.99 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $175.07 | $287.00 | $60.27 – $266.91 | 7 |
| Pr removal intrauterine device CPT 58301 | $231.19 | $379.00 | $79.59 – $352.47 | 7 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $980.88 | $1,608.00 | $337.68 – $1,495.44 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $338.55 | $555.00 | $101.93 – $516.15 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $365.39 | $599.00 | $105.92 – $557.07 | 7 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $317.20 | $520.00 | $82.55 – $483.60 | 7 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $348.92 | $572.00 | $108.21 – $531.96 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,331.48 – $1,331.48 | 1 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,190.28 – $1,190.28 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,122.43 – $1,122.43 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $186.48 – $186.48 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,240.32 – $1,240.32 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,267.79 – $1,267.79 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,059.57 | $1,737.00 | $268.80 – $1,190.40 | 7 |
| PSA (Prostate) Test CPT 84153 | $79.30 | $130.00 | $17.82 – $130.00 | 18 |
| Psychotherapy group therapy CPT 90853 | $100.65 | $165.00 | $32.97 – $500.68 | 11 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $134.81 | $221.00 | $46.41 – $205.53 | 7 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $196.42 | $322.00 | $67.62 – $299.46 | 7 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $56.12 | $92.00 | $16.31 – $92.00 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $70.76 | $116.00 | $13.90 – $116.00 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $49.41 | $81.00 | $10.53 – $81.00 | 13 |
| Pt application of modality traction mechanical CPT 97012 | $121.39 | $199.00 | $12.97 – $185.07 | 13 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,529.20 – $1,529.20 | 1 |
| Pt evaluation high complexity patient/family CPT 97163 | $200.08 | $328.00 | $68.88 – $305.04 | 13 |
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.