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 |
|---|---|---|---|---|
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,009.30 – $4,049.26 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,010.48 – $4,060.90 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | $3,857.03 | $6,323.00 | $497.45 – $5,880.39 | 7 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $1,249.69 | $2,048.67 | $430.23 – $1,905.27 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,115.48 | $3,468.00 | $374.09 – $3,225.24 | 7 |
| Rheumatoid factor qualitative CPT 86430 | $42.09 | $69.00 | $5.95 – $65.42 | 18 |
| Rheumatoid factor quantitative CPT 86431 | $42.70 | $70.00 | $5.50 – $65.42 | 18 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,312.84 – $2,312.84 | 1 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $21.64 | $35.47 | $4.04 – $32.99 | 12 |
| Rho d immune globulin inj HCPCS J2790 | $49.82 | $81.66 | $17.15 – $81.66 | 12 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,405.57 – $1,405.57 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $484.95 | $795.00 | $11.43 – $134.33 | 11 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $13,176.05 | $21,600.07 | $210.21 – $930.91 | 7 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $705.68 | $1,156.84 | $10.33 – $268.98 | 15 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $57.32 | $93.96 | $19.74 – $97.72 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $27.49 | $45.07 | $9.47 – $46.87 | 14 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $32.71 | $53.62 | $11.27 – $49.87 | 7 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $32.63 | $53.48 | $11.24 – $55.62 | 14 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $912.90 – $2,001.36 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $172.18 – $172.18 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,221.55 – $1,221.55 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $648.59 – $648.59 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $2,562.61 | $4,201.00 | $759.63 – $3,906.93 | 7 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $427.37 – $427.37 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $267.56 – $267.56 | 1 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $226.82 – $226.82 | 1 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $1,549.36 – $1,549.36 | 1 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $30,032.74 | $49,234.00 | $696.21 – $45,787.62 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $16,518.19 | $27,079.00 | $725.70 – $25,183.47 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $14,415.52 | $23,632.00 | $670.51 – $21,977.76 | 7 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $389.51 – $389.51 | 1 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $190.16 – $190.16 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $455.79 – $866.33 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,514.82 – $1,544.52 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $552.05 | $905.00 | $190.05 – $841.65 | 7 |
| Rmvl perm pm pulse gen CPT 33233 | $8,627.23 | $14,143.00 | $423.91 – $13,152.99 | 7 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $144.01 – $285.24 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $5,957.26 | $9,766.00 | $671.64 – $9,082.38 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $7,598.16 | $12,456.00 | $611.42 – $11,584.08 | 7 |
| Rmvl pq iabp CPT 33968 | $400.16 | $656.00 | $37.56 – $610.08 | 9 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,184.60 | $6,860.00 | $199.54 – $6,379.80 | 9 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,333.02 – $2,333.02 | 1 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $625.61 – $625.61 | 1 |
| Rmvl subq card rhythm mntr CPT 33286 | $940.01 | $1,541.00 | $153.13 – $1,433.13 | 7 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,038.30 – $1,038.30 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $188.52 – $188.52 | 1 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,795.22 – $3,622.67 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,963.03 – $3,965.33 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $869.94 – $887.00 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $1,861.72 | $3,052.00 | $640.92 – $2,838.36 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | $1,737.89 | $2,849.00 | $598.29 – $2,649.57 | 7 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $274.50 – $486.17 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,911.33 – $1,948.80 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,270.57 – $2,315.09 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,168.25 – $1,191.15 | 3 |
| Romiplostim injection HCPCS J2796 | $727.36 | $1,192.38 | $82.03 – $1,108.92 | 8 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $685.32 | $1,123.47 | $9.47 – $1,044.83 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.64 | $1.04 | $0.05 – $0.22 | 12 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $1,845.25 | $3,025.00 | $635.25 – $2,813.25 | 7 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,107.88 – $3,168.82 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,062.10 – $1,062.10 | 1 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,791.57 | $2,937.00 | $120.75 – $2,731.41 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,343.22 | $2,202.00 | $406.29 – $2,047.86 | 11 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,156.96 | $3,536.00 | $109.62 – $3,288.48 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $4,623.80 | $7,580.00 | $526.93 – $7,049.40 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $594.85 – $594.85 | 1 |
| Rpl tun cvc wo subq port CPT 36581 | $3,211.04 | $5,264.00 | $339.97 – $4,895.52 | 7 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,063.72 – $1,084.57 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,780.07 – $1,780.07 | 1 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,634.07 – $1,634.07 | 1 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,390.95 – $1,418.23 | 3 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,181.66 – $1,204.83 | 3 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,072.91 – $1,093.94 | 3 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $973.66 – $992.75 | 3 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,478.84 – $1,507.83 | 3 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,035.33 – $1,055.63 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,405.80 – $1,405.80 | 1 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,903.78 – $1,903.78 | 1 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $999.76 – $1,019.37 | 3 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $908.01 – $1,684.75 | 4 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $833.98 – $1,549.65 | 4 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,156.45 – $1,156.45 | 1 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,455.43 – $1,455.43 | 1 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,336.36 – $2,382.17 | 3 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,765.93 – $1,800.55 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,908.52 – $1,908.52 | 1 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $1,082.45 – $1,082.45 | 1 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $1,126.48 – $1,126.48 | 1 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $748.99 – $748.99 | 1 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $1,109.33 – $1,109.33 | 1 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $766.71 – $766.71 | 1 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,744.91 – $1,744.91 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $318.17 – $318.17 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,206.74 – $1,230.40 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $1,057.62 – $1,057.62 | 1 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,463.96 – $2,512.28 | 3 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,195.14 – $2,238.18 | 3 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,049.34 – $2,089.53 | 3 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,079.23 – $2,120.00 | 3 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,104.59 – $2,145.85 | 3 |
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.