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 |
|---|---|---|---|---|
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $20,433.78 | $33,498.00 | $1,265.38 – $31,153.14 | 7 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $18,807.22 | $30,831.50 | $6.20 – $27.42 | 11 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,604.19 | $5,908.50 | $8.33 – $36.85 | 11 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,822.21 | $30,856.08 | $3.11 – $13.76 | 11 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $600.85 | $985.00 | $206.85 – $916.05 | 11 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $16,827.46 | $27,586.00 | $866.71 – $25,654.98 | 7 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $10,769.55 | $17,655.00 | $371.36 – $16,419.15 | 7 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,032.86 – $1,053.11 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $11,837.66 | $19,406.00 | $1,223.75 – $18,047.58 | 7 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,156.11 – $1,178.78 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $603.24 – $1,014.01 | 4 |
| St evaluate speech sound production CPT 92522 | $180.56 | $296.00 | $62.16 – $275.28 | 13 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $269.62 | $442.00 | $92.82 – $411.06 | 13 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $395.28 | $648.00 | $100.68 – $602.64 | 9 |
| St evaluation swallow function CPT 92610 | $222.04 | $364.00 | $76.44 – $338.52 | 9 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,001.91 – $1,001.91 | 1 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $454.85 – $848.78 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $33.12 – $33.12 | 1 |
| Strapping of chest CPT 29200 | $131.76 | $216.00 | $35.43 – $200.88 | 7 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $36.27 – $36.27 | 1 |
| Strapping of hand or finger CPT 29280 | $193.37 | $317.00 | $37.95 – $294.81 | 7 |
| Strapping of hip CPT 29520 | $166.53 | $273.00 | $35.43 – $253.89 | 7 |
| Strapping of knee CPT 29530 | $150.67 | $247.00 | $34.80 – $229.71 | 7 |
| Strapping of toes 29550 CPT 29550 | $74.42 | $122.00 | $21.40 – $113.46 | 7 |
| Stress test pulmonary CPT 94618 | $444.69 | $729.00 | $22.91 – $677.97 | 7 |
| Stress tte complete CPT 93351 | $1,616.50 | $2,650.00 | $284.59 – $2,291.52 | 11 |
| St treatment speech individual CPT 92507 | $252.54 | $414.00 | $77.91 – $385.02 | 13 |
| St treatment swallow dysfunction/oral CPT 92526 | $222.04 | $364.00 | $72.01 – $338.52 | 9 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $198.74 – $198.74 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $95.78 – $95.78 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $188.90 – $188.90 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $210.15 – $210.15 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,239.71 – $1,239.71 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,000.25 – $1,000.25 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,202.46 – $1,202.46 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,641.61 – $1,641.61 | 1 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,204.82 – $1,228.45 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $10.77 | $17.65 | $0.13 – $0.68 | 8 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $840.00 – $840.00 | 1 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,274.49 | $7,007.36 | $58.03 – $256.99 | 7 |
| Sulfonylurea screen qn-sendout CPT 80377 | $156.16 | $256.00 | $46.45 – $238.08 | 7 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $185.70 | $304.42 | $14.24 – $63.04 | 8 |
| Support clav 29.6-40.5in med HCPCS L3650 | $12.41 | $20.34 | $4.05 – $20.04 | 9 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $196.04 – $196.04 | 1 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $684.47 – $1,470.02 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $649.24 – $1,470.21 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $809.59 – $809.59 | 1 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $783.66 – $799.02 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,248.81 – $1,248.81 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,376.55 – $1,376.55 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,714.46 – $1,714.46 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,263.40 – $1,263.40 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,653.33 – $1,653.33 | 1 |
| Surgical opening esophagus CPT 43351 | not published | not published | $907.52 – $925.32 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $791.25 – $806.77 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,727.08 – $1,727.08 | 1 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $501.27 – $1,431.70 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,434.91 – $1,434.91 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $73.20 | $120.00 | $22.28 – $111.60 | 11 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $103.70 | $170.00 | $35.70 – $170.00 | 11 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $121.39 | $199.00 | $41.79 – $199.00 | 11 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $234.24 | $384.00 | $67.05 – $357.12 | 11 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $858.88 | $1,408.00 | $295.68 – $1,408.00 | 11 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $327.57 | $537.00 | $112.77 – $537.00 | 11 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $855.16 – $871.93 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $965.59 – $984.53 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $810.36 – $826.25 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $798.63 – $798.63 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $10.98 | $18.00 | $3.78 – $18.00 | 18 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $45.14 | $74.00 | $4.60 – $68.82 | 18 |
| Susceptibility mic per plate CPT 87186 | $108.58 | $178.00 | $8.38 – $165.54 | 18 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $861.78 – $1,855.29 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $566.27 – $566.27 | 1 |
| Suspension of uterus CPT 58410 | not published | not published | $680.22 – $1,531.72 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $401.35 – $878.20 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $794.67 – $810.25 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,026.09 – $1,046.21 | 3 |
| Svc venogram s&i CPT 75827 | $1,504.26 | $2,466.00 | $124.43 – $2,293.38 | 11 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,516.33 – $1,516.33 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,441.78 – $1,441.78 | 1 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $650.10 – $1,449.57 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,482.18 – $1,482.18 | 1 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $830.50 – $846.79 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $41.85 | $68.60 | $7.49 – $63.80 | 12 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $39.65 | $65.00 | $4.26 – $60.45 | 18 |
| System cardiomems hosp electronics HCPCS C2624 | $25,363.80 | $41,580.00 | $8,731.80 – $38,669.40 | 11 |
| System pacing micra av HCPCS C1786 | $25,116.75 | $41,175.00 | $1,049.43 – $4,647.45 | 11 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,721.15 | $19,215.00 | $1.29 – $5.70 | 11 |
| System sealant biosentry tract HCPCS C2613 | $638.73 | $1,047.09 | $219.89 – $973.80 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $112.24 | $184.00 | $16.41 – $171.12 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $22.57 | $37.00 | $7.77 – $37.00 | 18 |
| T4 (thyroxine) free CPT 84439 | $73.20 | $120.00 | $8.74 – $111.60 | 18 |
| T4 (thyroxine) total CPT 84436 | $57.34 | $94.00 | $6.66 – $87.42 | 18 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.65 | $1.06 | $0.20 – $0.94 | 12 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $142.29 | $233.25 | $48.99 – $242.58 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $84.79 | $139.00 | $13.30 – $139.00 | 18 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $776.92 | $1,273.63 | $267.47 – $1,184.48 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,909.02 – $1,946.45 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,755.79 – $1,790.21 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $897.53 – $915.13 | 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.