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 |
|---|---|---|---|---|
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,473.38 – $2,521.88 | 3 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,391.34 – $2,438.23 | 3 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,358.88 – $2,405.14 | 3 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,275.67 – $2,320.29 | 3 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,256.23 – $2,300.47 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $691.93 – $691.93 | 1 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,785.34 – $1,785.34 | 1 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $894.79 – $3,782.27 | 4 |
| Rubella antibody igg CPT 86762 | $60.39 | $99.00 | $13.94 – $99.00 | 18 |
| Rubeola antibody igg CPT 86765 | $50.63 | $83.00 | $12.48 – $83.00 | 18 |
| Russell viper venom diluted CPT 85613 | $71.98 | $118.00 | $9.28 – $109.74 | 18 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $1,503.02 | $2,463.96 | $28.43 – $2,291.49 | 14 |
| Salmonella antibody CPT 86768 | $35.99 | $59.00 | $12.39 – $59.00 | 18 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,617.53 – $1,617.53 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $67.10 | $110.00 | $23.10 – $102.30 | 14 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $256.20 | $420.00 | $59.79 – $390.60 | 14 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $765.37 – $765.37 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $932.69 | $1,529.00 | $321.09 – $1,421.97 | 11 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $550.22 | $902.00 | $189.42 – $838.86 | 11 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $522.16 | $856.00 | $179.76 – $796.08 | 11 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $410.53 | $673.00 | $141.33 – $625.89 | 11 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $336.72 | $552.00 | $115.92 – $513.36 | 11 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,216.34 | $1,994.00 | $185.18 – $1,854.42 | 11 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,053.47 | $1,727.00 | $362.67 – $1,606.11 | 11 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $927.20 | $1,520.00 | $228.25 – $1,413.60 | 11 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $397.11 | $651.00 | $136.71 – $605.43 | 11 |
| Scan proc cranial extra CPT 61782 | not published | not published | $321.80 – $321.80 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $402.93 – $402.93 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $401.48 – $401.48 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $1,182.18 | $1,938.00 | $222.10 – $1,802.34 | 7 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $851.32 – $851.32 | 1 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,058.75 | $3,375.00 | $501.64 – $2,221.54 | 11 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $76.86 | $126.00 | $18.05 – $126.00 | 17 |
| Screening Mammogram CPT 77067 | $241.56 | $396.00 | $83.16 – $368.28 | 9 |
| Screening prostate cancer PSA HCPCS G0103 | $87.84 | $144.00 | $19.31 – $144.00 | 17 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $18,666.77 | $30,601.26 | $0.01 – $0.04 | 11 |
| Sc ther infusion reset pump CPT 96371 | $89.06 | $146.00 | $30.66 – $135.78 | 7 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $642.83 – $1,513.41 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $745.42 | $1,222.00 | $256.62 – $1,136.46 | 7 |
| Sedimentation rate erythrocyte automated CPT 85652 | $40.87 | $67.00 | $2.62 – $62.31 | 18 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,358.61 – $1,385.25 | 3 |
| Semen analysis presence/motility CPT 89321 | $231.80 | $380.00 | $11.68 – $353.40 | 18 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $755.56 – $755.56 | 1 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,300.59 – $1,300.59 | 1 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,193.05 – $1,193.05 | 1 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,403.89 – $1,403.89 | 1 |
| Set radiation therapy field CPT 77280 | $1,297.47 | $2,127.00 | $438.44 – $1,978.11 | 11 |
| Set radiation therapy field CPT 77285 | $1,598.81 | $2,621.00 | $550.41 – $2,621.00 | 11 |
| Set radiation therapy field CPT 77290 | $2,294.21 | $3,761.00 | $691.09 – $3,497.73 | 11 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,085.28 – $1,085.28 | 1 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $189.06 – $189.06 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $85.89 – $85.89 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $118.50 – $118.50 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $140.24 – $140.24 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $181.29 – $181.29 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $71.61 – $71.61 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $93.11 – $93.11 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $118.44 – $118.44 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $133.37 – $133.37 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $64.16 – $64.16 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $96.77 – $96.77 | 1 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $112.96 – $112.96 | 1 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $5,570.34 | $9,131.70 | $1,737.04 – $7,692.59 | 11 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $883.85 – $883.85 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,713.20 – $1,713.20 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,978.16 – $1,978.16 | 1 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,116.17 – $1,116.17 | 1 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,021.52 – $1,021.52 | 1 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,104.66 – $1,104.66 | 1 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,005.94 – $1,005.94 | 1 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,106.34 – $1,106.34 | 1 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,931.96 – $1,931.96 | 1 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,116.89 – $1,116.89 | 1 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,280.20 – $1,280.20 | 1 |
| Shortening of thigh bone CPT 27465 | not published | not published | $962.00 – $2,314.56 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,241.37 – $2,486.48 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,448.48 – $1,448.48 | 1 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,890.46 – $1,890.46 | 1 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,993.74 – $1,993.74 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,347.89 | $3,849.00 | $561.18 – $3,579.57 | 11 |
| Shoulder MRI (with contrast) CPT 73222 | $2,189.90 | $3,590.00 | $464.08 – $3,338.70 | 11 |
| Shoulder MRI (without contrast) CPT 73221 | $1,751.92 | $2,872.00 | $273.44 – $2,670.96 | 11 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,978.75 – $1,978.75 | 1 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,165.25 – $2,356.79 | 4 |
| Shoulder X-ray CPT 73030 | $330.01 | $541.00 | $48.76 – $503.13 | 11 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,416.59 – $1,444.36 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,458.45 – $1,487.04 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,454.73 – $1,483.26 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,502.62 | $5,742.00 | $956.82 – $4,237.32 | 11 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $744.81 | $1,221.00 | $111.83 – $1,135.53 | 11 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,438.56 – $1,466.76 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,619.58 – $1,651.33 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Sialography s&i CPT 70390 | $512.40 | $840.00 | $176.40 – $781.20 | 11 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $315.32 – $315.32 | 1 |
| Sickling rbc CPT 85660 | $15.86 | $26.00 | $5.33 – $26.00 | 18 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $135.74 – $135.74 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $213.74 – $213.74 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $220.73 – $220.73 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $125.52 – $125.52 | 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.