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 |
|---|---|---|---|---|
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $547.66 – $547.66 | 1 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $671.29 – $671.29 | 1 |
| Thrombectmy crnry perq mechanical CPT 92973 | $4,511.56 | $7,396.00 | $312.27 – $6,878.28 | 7 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,280.35 | $11,935.00 | $671.56 – $11,099.55 | 7 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $10,920.22 | $17,902.00 | $810.62 – $16,648.86 | 7 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $13,687.18 | $22,438.00 | $932.82 – $20,867.34 | 7 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,142.30 – $1,164.70 | 3 |
| Thrombin time CPT 85670 | $23.79 | $39.00 | $5.59 – $39.00 | 18 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $771.94 – $1,432.77 | 4 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $1,584.43 – $1,584.43 | 1 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,197.50 – $1,220.98 | 3 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,013.69 – $1,033.56 | 3 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $92.72 | $152.00 | $6.27 – $141.36 | 18 |
| Thumb fusion with graft CPT 26820 | not published | not published | $1,566.20 – $1,566.20 | 1 |
| Thumb fusion with graft CPT 26842 | not published | not published | $1,570.42 – $1,570.42 | 1 |
| Thumb tendon transfer CPT 26510 | not published | not published | $1,216.66 – $1,216.66 | 1 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,399.23 – $1,426.66 | 3 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $1,911.36 – $1,911.36 | 1 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,219.73 – $1,243.64 | 3 |
| Thyroglobulin antibody CPT 86800 | $24.40 | $40.00 | $8.40 – $40.00 | 18 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,130.74 – $1,152.91 | 3 |
| Thyroid imaging CPT 78013 | $585.60 | $960.00 | $201.60 – $960.00 | 11 |
| Thyroid mets imag whole body CPT 78018 | $1,597.59 | $2,619.00 | $463.24 – $2,435.67 | 11 |
| Thyroid (TSH) Test CPT 84443 | $97.60 | $160.00 | $16.28 – $160.00 | 18 |
| Thyroid Ultrasound CPT 76536 | $612.44 | $1,004.00 | $158.49 – $933.72 | 11 |
| Thyroid uptake measurement CPT 78012 | $331.84 | $544.00 | $114.24 – $544.00 | 11 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $1,206.12 | $1,977.24 | $391.40 – $1,938.34 | 14 |
| Thyroxine binding globulin (tbg) CPT 84442 | $136.03 | $223.00 | $14.32 – $207.39 | 18 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $1,462.67 – $1,462.67 | 1 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $1,850.29 – $1,850.29 | 1 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $17,423.43 | $28,563.00 | $1,317.46 – $26,563.59 | 7 |
| Tib/per revasc stnt & ather CPT 37235 | $3,857.03 | $6,323.00 | $672.21 – $5,880.39 | 7 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $11,970.64 | $19,624.00 | $574.60 – $18,250.32 | 7 |
| Tigecycline injection HCPCS J3243 | $58.59 | $96.04 | $0.49 – $89.32 | 12 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $2.19 | $3.58 | $0.19 – $0.86 | 12 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $760.07 – $760.07 | 1 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $267.62 – $267.62 | 1 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $291.75 – $291.75 | 1 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $194.21 – $194.21 | 1 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $252.78 – $252.78 | 1 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $3,874.72 | $6,352.00 | $1,333.92 – $5,907.36 | 7 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $4,103.10 | $6,726.38 | $16.54 – $1,743.75 | 12 |
| Tissue culture skin/biopsy CPT 88233 | $471.53 | $773.00 | $136.36 – $773.00 | 18 |
| Tissue culture tumor CPT 88239 | $274.50 | $450.00 | $94.50 – $450.00 | 18 |
| Tissue exam koh skin/hair/nails CPT 87220 | $86.01 | $141.00 | $4.14 – $131.13 | 18 |
| Tissue transglutaminase iga CPT 86364 | $59.17 | $97.00 | $20.37 – $90.21 | 7 |
| Tixagev and cilgav inj HCPCS M0220 | $168.36 | $276.00 | $57.96 – $256.68 | 7 |
| Tl-201 thallium diag per mci HCPCS A9505 | $217.77 | $357.00 | $74.97 – $332.01 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $1,517.86 – $1,517.86 | 1 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $1,902.43 – $1,902.43 | 1 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $1,708.16 – $1,708.16 | 1 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $2,285.26 – $2,285.26 | 1 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,147.82 – $2,189.94 | 3 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,316.28 – $2,361.69 | 3 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $900.96 – $900.96 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $42.96 | $70.43 | $0.28 – $1.33 | 12 |
| Tobramycin non-comp unit HCPCS J7682 | $2.07 | $3.40 | $0.72 – $3.53 | 14 |
| Tobramycin peak therapeutic drug level CPT 80200 | $126.88 | $208.00 | $15.63 – $193.44 | 18 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $78.17 | $128.15 | $5.05 – $119.18 | 14 |
| Toe joint transfer CPT 26556 | not published | not published | $3,079.94 – $6,289.84 | 4 |
| Tomosynthesis breast screen bilateral CPT 77063 | $53.68 | $88.00 | $18.48 – $88.00 | 13 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,445.88 – $4,059.93 | 4 |
| Tongue base vol reduction CPT 41530 | not published | not published | $714.80 – $714.80 | 1 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $210.36 – $210.36 | 1 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,888.50 – $1,925.53 | 3 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,466.84 – $1,495.60 | 3 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,612.66 – $1,644.28 | 3 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,862.10 – $1,898.61 | 3 |
| Tongue suspension CPT 41512 | not published | not published | $1,258.53 – $1,258.53 | 1 |
| Tongue to lip surgery CPT 41510 | not published | not published | $861.55 – $861.55 | 1 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $489.20 – $489.20 | 1 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $514.12 – $514.12 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $78.11 | $128.04 | $1.64 – $10.21 | 12 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,212.88 – $1,236.66 | 3 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,634.12 – $3,086.92 | 4 |
| Total Hip Replacement CPT 27130 | not published | not published | $2,377.83 – $2,377.83 | 1 |
| Total hysterectomy CPT 58150 | not published | not published | $861.22 – $1,906.88 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $2,374.89 – $2,374.89 | 1 |
| Total lung lavage CPT 32997 | not published | not published | $302.98 – $640.69 | 4 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $2,917.57 – $2,917.57 | 1 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $1,602.82 – $3,223.73 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $893.66 – $893.66 | 1 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $1,788.24 – $1,823.31 | 3 |
| Toxoplasma antibody igg CPT 86777 | $60.39 | $99.00 | $13.94 – $99.00 | 18 |
| Toxoplasma antibody igm CPT 86778 | $62.83 | $103.00 | $13.96 – $103.00 | 18 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $310.88 – $310.88 | 1 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $1,889.35 | $3,097.28 | $289.15 – $2,880.48 | 14 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $391.02 – $391.02 | 1 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $709.72 – $709.72 | 1 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $218.13 – $218.13 | 1 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,755.60 – $2,809.63 | 3 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,275.26 – $1,300.26 | 3 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $801.53 – $801.53 | 1 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $109.80 | $180.00 | $21.28 – $167.40 | 14 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $546.36 – $546.36 | 1 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $1,056.24 – $1,076.95 | 3 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,147.10 – $1,169.59 | 3 |
| Transcath biopsy CPT 37200 | not published | not published | $399.00 – $399.00 | 1 |
| Transcatheter bx s&i CPT 75970 | $1,418.25 | $2,325.00 | $488.25 – $2,162.25 | 7 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $749.60 – $749.60 | 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.