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 |
|---|---|---|---|---|
| Biopsy of salivary gland 42400 CPT 42400 | $870.47 | $1,427.00 | $100.72 – $1,327.11 | 7 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $431.80 – $431.80 | 1 |
| Biopsy of stomach CPT 43605 | not published | not published | $530.16 – $1,522.73 | 4 |
| Biopsy of tear gland CPT 68510 | not published | not published | $545.79 – $545.79 | 1 |
| Biopsy of tear sac CPT 68525 | not published | not published | $487.58 – $487.58 | 1 |
| Biopsy of testis CPT 54500 | not published | not published | $140.72 – $140.72 | 1 |
| Biopsy of testis CPT 54505 | not published | not published | $398.27 – $398.27 | 1 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $456.06 – $456.06 | 1 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $235.18 – $235.18 | 1 |
| Biopsy of urethra CPT 53200 | not published | not published | $266.76 – $266.76 | 1 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $668.75 – $668.75 | 1 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $809.99 – $809.99 | 1 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $867.45 – $867.45 | 1 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,824.51 | $2,991.00 | $238.04 – $2,781.63 | 7 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $210.15 – $210.15 | 1 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $106.22 – $106.22 | 1 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $2,199.66 | $3,606.00 | $295.34 – $3,353.58 | 7 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $771.23 – $771.23 | 1 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $204.39 – $204.39 | 1 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $278.31 – $278.31 | 1 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $170.14 – $170.14 | 1 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $766.86 – $766.86 | 1 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $714.23 – $714.23 | 1 |
| Biospy of bladder CPT 53899 | $254.98 | $418.00 | $87.78 – $388.74 | 7 |
| Biotinidase - quest CPT 82261 | $77.47 | $127.00 | $16.35 – $127.00 | 18 |
| Biovance 1 square cm HCPCS Q4154 | $4,532.00 | $7,429.50 | $126.49 – $2,208.75 | 12 |
| Bivalirudin HCPCS J0583 | $66.78 | $109.47 | $0.17 – $1.29 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $233.63 | $383.00 | $56.18 – $356.19 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $221.68 – $221.68 | 1 |
| Bld prd mix CPT 86965 | $79.30 | $130.00 | $27.30 – $120.90 | 7 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $96.24 – $96.24 | 1 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $52.21 | $85.58 | $9.69 – $46.11 | 12 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $991.22 – $991.22 | 1 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $760.49 – $760.49 | 1 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,055.67 – $1,055.67 | 1 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,053.11 – $1,053.11 | 1 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $2,587.69 | $4,242.10 | $129.02 – $3,945.16 | 14 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $14,624.75 | $23,975.00 | $6.85 – $30.32 | 11 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,359.62 | $8,786.25 | $20.99 – $92.94 | 11 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,320.65 | $2,165.00 | $91.35 – $404.55 | 11 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,460.53 | $5,673.00 | $63.00 – $279.00 | 11 |
| Bln press regulation 71-80cm HCPCS C1815 | $6,047.39 | $9,913.75 | $840.00 – $3,720.00 | 11 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $4,800.09 | $7,869.00 | $354.38 – $1,569.38 | 11 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $77.72 | $127.40 | $6.02 – $26.65 | 7 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $147.71 – $147.71 | 1 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $137.99 – $137.99 | 1 |
| Block paracervical nrv CPT 64435 | not published | not published | $81.40 – $81.40 | 1 |
| Block plantar digital nerve CPT 64455 | not published | not published | $64.18 – $64.18 | 1 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $131.65 – $131.65 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,343.22 | $2,202.00 | $105.40 – $2,047.86 | 7 |
| Blood Clotting (PT/INR) Test CPT 85610 | $51.24 | $84.00 | $4.16 – $78.12 | 18 |
| Blood Clotting (PTT) Test CPT 85730 | $63.44 | $104.00 | $5.82 – $96.72 | 18 |
| Blood Count (CBC) Test CPT 85025 | $85.40 | $140.00 | $7.53 – $130.20 | 18 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $60.39 | $99.00 | $6.27 – $92.07 | 18 |
| Blood count spun microhematocrit CPT 85013 | $10.37 | $17.00 | $3.57 – $17.00 | 18 |
| Blood Culture Test CPT 87040 | $212.28 | $348.00 | $10.00 – $323.64 | 18 |
| Blood draw capillary 36416 CPT 36416 | $19.52 | $32.00 | $5.72 – $29.76 | 7 |
| Blood gases ph venous CPT 82800 | $100.65 | $165.00 | $10.66 – $97.53 | 18 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $48.80 | $80.00 | $15.42 – $80.00 | 18 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $36.60 | $60.00 | $4.10 – $31.62 | 18 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $27.45 | $45.00 | $4.24 – $41.85 | 18 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $21.96 | $36.00 | $5.15 – $33.48 | 18 |
| Blood smear interpretation CPT 85060 | $62.22 | $102.00 | $21.42 – $102.00 | 11 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $46.36 | $76.00 | $3.68 – $70.68 | 18 |
| Blood split unit HCPCS P9011 | $622.20 | $1,020.00 | $115.40 – $948.60 | 7 |
| Blood typing abo CPT 86900 | $50.63 | $83.00 | $5.67 – $77.19 | 11 |
| Blood typing ag donor ea ag CPT 86902 | $175.68 | $288.00 | $11.99 – $267.84 | 11 |
| Blood typing patient serum CPT 86904 | $59.17 | $97.00 | $20.37 – $97.00 | 11 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $206.18 | $338.00 | $7.56 – $314.34 | 11 |
| Blood typing rh (d) CPT 86901 | $30.50 | $50.00 | $5.67 – $46.50 | 11 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $265.82 – $265.82 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $513.62 | $842.00 | $55.69 – $783.06 | 11 |
| Bone imaging multiple areas CPT 78305 | $936.35 | $1,535.00 | $322.35 – $1,523.95 | 11 |
| Bone/joint imaging ltd area CPT 78300 | $836.31 | $1,371.00 | $287.91 – $1,275.03 | 11 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,836.71 | $3,011.00 | $128.12 – $2,800.23 | 7 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $123.44 – $123.44 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,044.93 | $1,713.00 | $134.25 – $1,593.09 | 7 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $370.06 – $370.06 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $352.21 – $352.21 | 1 |
| Bone marrow interpretation CPT 85097 | $530.09 | $869.00 | $92.17 – $808.17 | 11 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $5,517.18 – $5,517.18 | 1 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,807.93 – $5,241.29 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $5,225.54 – $5,225.54 | 1 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,862.53 – $5,085.19 | 4 |
| Bone survey-lead poisoning CPT 77074 | $250.10 | $410.00 | $84.06 – $381.30 | 11 |
| Bone void filler nanoss 10cc HCPCS C9362 | $396.50 | $650.00 | $136.50 – $604.50 | 11 |
| Boot j walker l HCPCS L4386 | $93.68 | $153.57 | $32.25 – $142.83 | 9 |
| Boot mlti podous univ xlg HCPCS L4396 | $259.35 | $425.16 | $37.80 – $167.40 | 9 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $46.14 | $75.63 | $15.89 – $78.66 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $126.88 | $208.00 | $16.50 – $196.43 | 18 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $977.83 | $1,603.00 | $1.41 – $11.74 | 12 |
| (both sides) donor search management CPT 38204 | not published | not published | $191.10 – $191.10 | 1 |
| Bowel imaging CPT 78290 | $869.25 | $1,425.00 | $299.25 – $1,425.00 | 11 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $920.14 – $938.18 | 3 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $1,001.11 – $1,740.27 | 4 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,745.16 – $1,779.38 | 3 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,884.73 – $1,921.68 | 3 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,707.87 – $1,741.36 | 3 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,008.50 – $1,028.28 | 3 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,276.14 – $1,301.16 | 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.