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 |
|---|---|---|---|---|
| Treat radius fracture CPT 24665 | not published | not published | $1,244.73 – $1,244.73 | 1 |
| Treat radius fracture CPT 24666 | not published | not published | $1,379.15 – $1,379.15 | 1 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $354.31 – $354.31 | 1 |
| Treat skull fracture CPT 62000 | not published | not published | $1,834.10 – $1,834.10 | 1 |
| Treat skull fracture CPT 62005 | not published | not published | $980.24 – $999.46 | 3 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $788.47 – $1,722.97 | 4 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $450.11 – $1,249.69 | 4 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $967.51 – $2,077.07 | 4 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $786.41 – $1,722.97 | 4 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $930.32 – $2,085.57 | 4 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $305.03 – $305.03 | 1 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $298.07 – $298.07 | 1 |
| Treat spine fracture CPT 22325 | not published | not published | $1,082.03 – $2,660.70 | 4 |
| Treat sternum fracture CPT 21820 | $205.57 | $337.00 | $70.77 – $313.41 | 7 |
| Treat tail bone fracture CPT 27202 | not published | not published | $990.95 – $990.95 | 1 |
| Treat thigh fracture CPT 27230 | not published | not published | $910.96 – $910.96 | 1 |
| Treat thigh fracture CPT 27235 | not published | not published | $1,692.54 – $1,692.54 | 1 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,091.00 – $2,218.13 | 4 |
| Treat thigh fracture CPT 27238 | not published | not published | $890.02 – $890.02 | 1 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,301.99 – $2,277.70 | 4 |
| Treat thigh fracture CPT 27246 | not published | not published | $737.46 – $737.46 | 1 |
| Treat thigh fracture CPT 27248 | not published | not published | $752.22 – $1,389.63 | 4 |
| Treat thigh fracture CPT 27240 | not published | not published | $802.59 – $1,777.63 | 4 |
| Treat thigh fracture CPT 27244 | not published | not published | $1,095.88 – $2,280.01 | 4 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $929.04 – $929.04 | 1 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $1,007.92 – $1,653.58 | 4 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,270.73 – $2,765.20 | 4 |
| Treat thumb fracture CPT 26650 | not published | not published | $921.82 – $921.82 | 1 |
| Treat thumb fracture CPT 26665 | not published | not published | $1,196.14 – $1,196.14 | 1 |
| Treat toe dislocation CPT 28636 | not published | not published | $420.99 – $420.99 | 1 |
| Treat toe dislocation CPT 28665 | not published | not published | $245.36 – $245.36 | 1 |
| Treat toe dislocation CPT 28666 | not published | not published | $340.52 – $340.52 | 1 |
| Treat toe fracture CPT 28525 | not published | not published | $784.25 – $784.25 | 1 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,571.22 – $1,571.22 | 1 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,992.96 – $1,992.96 | 1 |
| Treat ulnar fracture CPT 24675 | $1,914.18 | $3,138.00 | $658.98 – $2,918.34 | 7 |
| Treat ulnar fracture CPT 24685 | not published | not published | $1,236.59 – $1,236.59 | 1 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $229.13 – $229.13 | 1 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $816.92 – $816.92 | 1 |
| Treat wrist dislocation CPT 25675 | $201.30 | $330.00 | $69.30 – $306.90 | 7 |
| Treponema pallidum antibody CPT 86780 | $38.43 | $63.00 | $12.83 – $63.00 | 18 |
| Treprostinil injection HCPCS J3285 | $485.44 | $795.80 | $15.48 – $73.69 | 14 |
| Treprostinil, non-comp unit HCPCS J7686 | $2,979.24 | $4,884.00 | $42.10 – $208.45 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $5.31 | $8.69 | $0.47 – $2.07 | 12 |
| Trichinella antibody CPT 86784 | $72.59 | $119.00 | $12.17 – $119.00 | 18 |
| Triglycerides CPT 84478 | $48.19 | $79.00 | $5.56 – $73.47 | 18 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $966.87 | $1,585.02 | $332.86 – $1,474.07 | 7 |
| Trimethobenzamide hcl inj HCPCS J3250 | $15.56 | $25.51 | $5.36 – $25.51 | 12 |
| Trim nondyst nails CPT 11719 | $155.55 | $255.00 | $14.43 – $201.81 | 7 |
| Triptorelin pamoate HCPCS J3315 | $365.11 | $598.54 | $125.70 – $622.49 | 14 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $1,189.57 – $1,189.57 | 1 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $1,381.59 – $1,381.59 | 1 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $3,672.81 | $6,021.00 | $1,264.41 – $5,599.53 | 7 |
| Trml dstrj ios bvn ea addl CPT 64629 | $3,011.57 | $4,937.00 | $1,036.77 – $4,591.41 | 7 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $911.02 – $911.02 | 1 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $1,012.90 – $1,865.43 | 4 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $1,051.28 – $1,739.39 | 4 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $729.62 – $1,466.79 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,723.42 | $11,022.00 | $371.57 – $10,250.46 | 7 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $4,487.16 | $7,356.00 | $268.25 – $6,841.08 | 7 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $10,944.62 | $17,942.00 | $547.60 – $16,686.06 | 7 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,353.78 | $5,498.00 | $544.26 – $5,113.14 | 7 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $4,049.18 | $6,638.00 | $693.53 – $6,173.34 | 7 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $3,969.88 | $6,508.00 | $416.70 – $6,052.44 | 7 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $3,969.88 | $6,508.00 | $219.09 – $6,052.44 | 7 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $4,049.18 | $6,638.00 | $608.96 – $6,173.34 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $1,628.38 – $1,628.38 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $396.19 – $396.19 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,262.58 – $1,262.58 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,551.56 – $1,551.56 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,339.34 – $1,339.34 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,220.23 – $1,220.23 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $946.74 – $946.74 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $963.29 – $982.18 | 3 |
| Troponin quantitative CPT 84484 | $166.53 | $273.00 | $12.09 – $253.89 | 18 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $726.96 – $726.96 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,214.30 | $3,630.00 | $762.30 – $3,375.90 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,214.30 | $3,630.00 | $762.30 – $3,375.90 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $700.54 – $700.54 | 1 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $1,433.84 | $2,350.55 | $30.88 – $2,186.02 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $384.12 | $629.70 | $6.80 – $30.10 | 7 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $155.98 | $255.69 | $19.36 – $85.71 | 11 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $135.45 – $135.45 | 1 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $2,154.94 – $2,154.94 | 1 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $878.31 – $2,005.98 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $268.40 | $440.00 | $92.40 – $409.20 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $1,098.89 – $1,098.89 | 1 |
| Tx closed tib shaft fx without manip CPT 27750 | $306.83 | $503.00 | $105.63 – $467.79 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $206.20 – $206.20 | 1 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $134.36 – $134.36 | 1 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $776.75 – $1,703.33 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $734.06 – $1,616.01 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,402.80 – $1,402.80 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $961.91 – $961.91 | 1 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $2,443.66 | $4,006.00 | $841.26 – $3,725.58 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $846.66 – $846.66 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,209.47 – $1,209.47 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,130.93 – $1,130.93 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $380.08 – $842.18 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $374.75 – $374.75 | 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.