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 |
|---|---|---|---|---|
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,278.69 – $1,278.69 | 1 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,479.09 – $1,479.09 | 1 |
| Augmentation of facial bones CPT 21208 | not published | not published | $1,410.44 – $1,410.44 | 1 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $9,095.10 | $14,910.00 | $395.81 – $13,866.30 | 7 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $8,276.48 | $13,568.00 | $939.73 – $12,618.24 | 7 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,966.00 – $1,966.00 | 1 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $3,051.47 – $3,051.47 | 1 |
| Automated diff wbc count CPT 85004 | $91.50 | $150.00 | $6.27 – $139.50 | 18 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $122.83 | $201.35 | $42.29 – $201.35 | 14 |
| Av fistula revision CPT 36833 | not published | not published | $1,426.05 – $1,426.05 | 1 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,288.88 – $1,288.88 | 1 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,219.66 – $1,219.66 | 1 |
| Av fusion direct any site CPT 36821 | not published | not published | $1,167.05 – $1,167.05 | 1 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,284.05 – $1,284.05 | 1 |
| Avul nail plate addl CPT 11732 | $189.10 | $310.00 | $32.42 – $288.30 | 7 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $337.33 | $553.00 | $103.09 – $514.29 | 7 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,284.89 – $1,284.89 | 1 |
| Azacitidine injection HCPCS J9025 | $357.00 | $585.24 | $0.36 – $544.28 | 12 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.38 | $0.62 | $0.14 – $0.62 | 12 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $5.24 | $8.59 | $1.43 – $6.32 | 12 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $33.17 | $54.38 | $5.71 – $25.29 | 7 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $44.80 | $73.44 | $1.77 – $8.76 | 14 |
| Bacterial vaginosis pcr CPT 87801 | $152.50 | $250.00 | $52.50 – $250.00 | 18 |
| Balloon dilate urtrl strix CPT 50706 | $203.74 | $334.00 | $70.14 – $310.62 | 7 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,441.20 – $1,469.46 | 3 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $52.82 | $86.58 | $0.16 – $0.67 | 7 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $342.43 – $342.43 | 1 |
| Bausch health Ultrasound surg HCPCS V2788 | $606.95 | $995.00 | $208.95 – $925.35 | 11 |
| B cells total count CPT 86355 | $171.41 | $281.00 | $36.56 – $281.00 | 18 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $103.97 | $170.44 | $2.33 – $158.51 | 12 |
| Bebtelovimab injection HCPCS M0222 | $366.00 | $600.00 | $126.00 – $558.00 | 7 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $591.63 | $969.88 | $3.29 – $901.99 | 14 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $1,246.58 | $2,043.57 | $45.96 – $548.26 | 14 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $1,334.68 | $2,188.00 | $3.46 – $519.06 | 14 |
| Benign lesion paring 2-4 CPT 11056 | $158.60 | $260.00 | $42.15 – $241.80 | 7 |
| Benign lesion paring 4+ CPT 11057 | $287.92 | $472.00 | $55.21 – $438.96 | 7 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $13.12 | $21.50 | $4.52 – $21.50 | 12 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $57.95 | $95.00 | $19.95 – $95.00 | 18 |
| Beta-2 microglobulin CPT 82232 | $67.10 | $110.00 | $15.68 – $110.00 | 18 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $4.56 | $7.47 | $1.57 – $7.47 | 12 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $129.64 | $212.52 | $44.63 – $197.65 | 14 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $97.50 | $159.84 | $22.58 – $148.66 | 14 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $72.69 | $119.16 | $17.80 – $110.82 | 14 |
| Bevacizumab injection HCPCS C9257 | $129.64 | $212.52 | $1.67 – $197.65 | 9 |
| Bhv id suprt assmt by 1 tech CPT 97152 | $206.18 | $338.00 | $70.98 – $314.34 | 11 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $1,064.47 – $1,064.47 | 1 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $103.43 – $103.43 | 1 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $95.72 – $95.72 | 1 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $508.74 | $834.00 | $93.16 – $775.62 | 7 |
| Bile duct endoscopy add-on 47550 CPT 47550 | not published | not published | $292.70 – $292.70 | 1 |
| Bile duct revision CPT 47701 | not published | not published | $1,486.92 – $1,516.07 | 3 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $516.50 – $516.50 | 1 |
| Biliary endoscopy thru skin CPT 47553 | $5,638.84 | $9,244.00 | $517.21 – $8,596.92 | 7 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $826.67 – $826.67 | 1 |
| Biliary endoscopy thru skin CPT 47555 | $2,454.03 | $4,023.00 | $615.74 – $3,741.39 | 7 |
| Biliary endoscopy thru skin CPT 47556 | $488.00 | $800.00 | $168.00 – $744.00 | 7 |
| Bilicheck CPT 88720 | $23.18 | $38.00 | $4.87 – $38.00 | 18 |
| Bilirubin direct CPT 82248 | $17.08 | $28.00 | $4.87 – $28.00 | 18 |
| Bilirubin total CPT 82247 | $26.23 | $43.00 | $4.87 – $43.00 | 18 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,314.53 – $1,340.30 | 3 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $25.01 | $40.99 | $4.00 – $19.80 | 9 |
| Biofeedback, pt CPT 90901 | $122.00 | $200.00 | $33.52 – $186.00 | 7 |
| Biopsy abdominal mass CPT 49180 | $1,724.47 | $2,827.00 | $155.30 – $2,629.11 | 7 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $796.11 – $796.11 | 1 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $636.30 – $636.30 | 1 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,057.53 | $3,373.00 | $164.72 – $3,136.89 | 7 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | not published | not published | $140.93 – $140.93 | 1 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $181.52 – $181.52 | 1 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $1,050.61 – $1,050.61 | 1 |
| Biopsy external ear 69100 CPT 69100 | not published | not published | $87.84 – $87.84 | 1 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $128.84 – $128.84 | 1 |
| Biopsy eye muscle CPT 67346 | not published | not published | $366.09 – $366.09 | 1 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $654.21 – $654.21 | 1 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $624.39 – $624.39 | 1 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $701.06 – $701.06 | 1 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $650.20 – $650.20 | 1 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $444.69 | $729.00 | $143.14 – $677.97 | 7 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $803.78 – $803.78 | 1 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $307.52 – $307.52 | 1 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $1,218.02 – $1,218.02 | 1 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,384.09 | $2,269.00 | $108.00 – $2,110.17 | 7 |
| Biopsy needle liver percutaneous CPT 47000 | $1,865.38 | $3,058.00 | $164.93 – $2,843.94 | 7 |
| Biopsy needle lymph node superficial CPT 38505 | $1,703.73 | $2,793.00 | $161.87 – $2,597.49 | 7 |
| Biopsy of cornea CPT 65410 | not published | not published | $195.03 – $195.03 | 1 |
| Biopsy of epididymis CPT 54800 | not published | not published | $236.27 – $236.27 | 1 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $543.12 – $543.12 | 1 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $498.37 – $498.37 | 1 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,094.56 – $1,094.56 | 1 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $199.98 – $199.98 | 1 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $131.38 – $131.38 | 1 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $116.42 – $116.42 | 1 |
| Biopsy of nerve CPT 64795 | not published | not published | $350.01 – $350.01 | 1 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $825.47 – $825.47 | 1 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $603.37 – $1,623.41 | 4 |
| Biopsy of penis CPT 54105 | not published | not published | $405.01 – $405.01 | 1 |
| Biopsy of penis 54100 CPT 54100 | not published | not published | $230.87 – $230.87 | 1 |
| Biopsy of prostate CPT 55700 | $1,299.30 | $2,130.00 | $244.59 – $1,980.90 | 7 |
| Biopsy of prostate CPT 55705 | not published | not published | $502.11 – $502.11 | 1 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | not published | not published | $570.30 – $570.30 | 1 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $772.67 – $772.67 | 1 |
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.