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 |
|---|---|---|---|---|
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $62.77 | $102.90 | $20.58 – $95.70 | 14 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $19.57 | $32.08 | $6.42 – $29.84 | 14 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $14.95 | $24.50 | $4.90 – $25.48 | 14 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $31.38 | $51.43 | $10.29 – $47.83 | 14 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $203.73 | $333.97 | $70.14 – $310.60 | 9 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $67.71 | $111.00 | $23.31 – $115.44 | 9 |
| Vaccine mmr live subcutaneous CPT 90707 | $158.93 | $260.53 | $18.00 – $79.68 | 8 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $137.84 | $225.96 | $45.20 – $210.15 | 14 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $236.04 | $386.94 | $77.39 – $359.86 | 14 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $285.24 | $467.60 | $98.20 – $434.87 | 7 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $50.04 | $82.03 | $17.23 – $76.29 | 8 |
| Vaccine rabies im CPT 90675 | $200.26 | $328.29 | $68.95 – $341.43 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $641.64 | $1,051.87 | $197.64 – $875.23 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $320.82 | $525.94 | $110.45 – $489.13 | 7 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $24.77 | $40.60 | $8.53 – $42.22 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $57.95 | $94.99 | $15.48 – $68.54 | 8 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $47.51 | $77.88 | $9.14 – $40.48 | 8 |
| Vaccine varicella live subcutaneous CPT 90716 | $106.08 | $173.89 | $36.52 – $180.85 | 10 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $57.43 | $94.14 | $19.77 – $87.56 | 7 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,866.92 – $1,866.92 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $2,327.58 – $2,327.58 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,742.31 – $1,742.31 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,452.42 – $2,452.42 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $2,278.02 – $2,278.02 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,679.18 – $1,679.18 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,600.18 – $1,600.18 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,576.79 – $1,576.79 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,254.41 – $3,254.41 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,397.01 – $3,254.41 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $788.62 – $1,698.08 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $110.52 – $200.45 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $879.28 – $896.52 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $864.46 – $881.41 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $95.77 | $157.00 | $13.12 – $156.26 | 18 |
| Valrubicin injection HCPCS J9357 | $203.84 | $334.16 | $70.18 – $347.53 | 14 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,760.69 – $1,795.22 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,086.44 – $2,127.35 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,832.38 – $1,868.31 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,947.88 – $1,986.08 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | $120.17 | $197.00 | $13.12 – $183.21 | 18 |
| Varicella zoster antibody igg CPT 86787 | $81.13 | $133.00 | $12.48 – $123.69 | 18 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,378.52 – $1,378.52 | 1 |
| Vasectomy CPT 55250 | not published | not published | $439.34 – $439.34 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $50.91 | $83.45 | $17.53 – $77.61 | 7 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $5,709.55 | $9,359.91 | $19.43 – $8,704.72 | 14 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,416.13 – $1,443.89 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,751.28 – $1,785.62 | 3 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,302.46 – $1,328.00 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Vein x-ray kidney CPT 75831 | $1,613.45 | $2,645.00 | $129.05 – $2,459.85 | 11 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,673.02 | $4,382.00 | $136.00 – $4,075.26 | 11 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,613.45 | $2,645.00 | $136.00 – $2,459.85 | 11 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $164.09 | $269.00 | $16.38 – $72.54 | 7 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $17.01 – $17.01 | 1 |
| Venogram ext bil s&i CPT 75822 | $1,561.60 | $2,560.00 | $123.80 – $2,380.80 | 11 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,259.04 | $2,064.00 | $111.83 – $1,919.52 | 11 |
| Venous mech thrombectomy CPT 37187 | $9,154.88 | $15,008.00 | $712.87 – $13,957.44 | 7 |
| Venous m-thrombectomy add-on CPT 37188 | $7,049.16 | $11,556.00 | $506.71 – $10,747.08 | 7 |
| Venous sampling s&i CPT 75893 | $1,883.07 | $3,087.00 | $150.49 – $2,870.91 | 11 |
| Venous thrombosis imaging CPT 78457 | $407.48 | $668.00 | $140.28 – $668.00 | 11 |
| Ventilator each subsequent day CPT 94003 | $914.39 | $1,499.00 | $110.02 – $1,394.07 | 7 |
| Ventilator initial day CPT 94002 | $1,224.88 | $2,008.00 | $156.82 – $1,867.44 | 7 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $1,226.71 | $2,011.00 | $189.32 – $1,870.23 | 7 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $2,054.84 – $2,095.13 | 3 |
| Version cephalic external CPT 59412 | $1,833.05 | $3,005.00 | $182.68 – $2,794.65 | 7 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $297.61 – $466.12 | 4 |
| Very long chain fatty acids CPT 82726 | $50.63 | $83.00 | $17.43 – $83.00 | 18 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $472.62 – $998.24 | 4 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $678.62 – $678.62 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $2.97 | $4.87 | $1.03 – $4.87 | 12 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $8.40 | $13.77 | $2.89 – $13.76 | 12 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $3.85 | $6.31 | $1.33 – $6.31 | 12 |
| Vital capacity test CPT 94150 | $63.44 | $104.00 | $21.84 – $96.72 | 7 |
| Vitamin b-12 CPT 82607 | $94.55 | $155.00 | $14.62 – $155.00 | 18 |
| Vitamin D Test CPT 82306 | $51.85 | $85.00 | $14.28 – $68.00 | 18 |
| Vit for macular hole CPT 67042 | not published | not published | $2,171.15 – $2,171.15 | 1 |
| Vit for macular pucker CPT 67041 | not published | not published | $2,171.15 – $2,171.15 | 1 |
| Vit for membrane dissect CPT 67043 | not published | not published | $2,289.90 – $2,289.90 | 1 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $1,396.03 – $2,856.99 | 4 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $1,186.35 – $2,440.89 | 4 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $1,080.23 – $2,235.93 | 4 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $283.75 – $283.75 | 1 |
| Volume deplete of harvest CPT 38214 | not published | not published | $76.92 – $76.92 | 1 |
| Volume measurement urine timed CPT 81050 | $17.69 | $29.00 | $3.53 – $29.00 | 18 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $33.65 | $55.15 | $0.59 – $51.29 | 12 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $1,375.24 – $1,402.20 | 3 |
| Vulvectomy radical complete CPT 56633 | not published | not published | $1,043.62 – $2,333.25 | 4 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $819.10 – $1,812.74 | 4 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $1,112.45 – $1,112.45 | 1 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $145,608.22 | $238,702.00 | $50,127.42 – $221,992.86 | 7 |
| Warde 1003990 aldosterone CPT 82088 | $84.79 | $139.00 | $29.19 – $139.00 | 18 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $742.98 | $1,218.00 | $26.94 – $1,132.74 | 18 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $61.00 | $100.00 | $12.51 – $100.00 | 18 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $240.95 | $395.00 | $24.47 – $367.35 | 18 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $45.14 | $74.00 | $15.02 – $74.00 | 18 |
| Warde 1015200 kappa light chain free CPT 83521 | $116.51 | $191.00 | $40.11 – $177.63 | 7 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $121.39 | $199.00 | $7.77 – $185.07 | 18 |
| Warde 3008005 oligoclonal bands CPT 83916 | $57.95 | $95.00 | $19.95 – $95.00 | 18 |
| Warde 3016000 west nile virus antibody CPT 86788 | $84.79 | $139.00 | $16.33 – $139.00 | 18 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $86.01 | $141.00 | $13.94 – $141.00 | 18 |
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.