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 |
|---|---|---|---|---|
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,032.14 – $1,052.38 | 3 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $1,006.64 – $1,665.07 | 4 |
| Brace afo lg left 6607 HCPCS L1930 | $1,003.47 | $1,645.03 | $15.89 – $78.66 | 9 |
| Brace ank air stirrup univ HCPCS L4350 | $113.36 | $185.82 | $39.03 – $172.82 | 9 |
| Brace knee extender plus 22-30in HCPCS L1832 | $496.87 | $814.53 | $17.41 – $86.21 | 9 |
| Brace wrist classic lft sm HCPCS L3908 | $25.03 | $41.03 | $7.13 – $35.31 | 9 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,491.27 – $1,491.27 | 1 |
| Brach/thor cath 1st CPT 36215 | $1,283.44 | $2,104.00 | $390.08 – $1,956.72 | 7 |
| Brach/thor cath 2nd CPT 36216 | $749.69 | $1,229.00 | $258.09 – $1,142.97 | 7 |
| Brach/thor cath 3rd CPT 36217 | $1,246.84 | $2,044.00 | $429.24 – $1,900.92 | 7 |
| Brach/thor cath addl CPT 36218 | $756.40 | $1,240.00 | $94.02 – $1,153.20 | 7 |
| Brachy source yttrium-90 HCPCS C2616 | $18,147.50 | $29,750.00 | $18.27 – $80.91 | 11 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $447.34 | $733.33 | $154.00 – $682.00 | 11 |
| Brachy src stranded c-131 HCPCS C2642 | $50,172.50 | $82,250.00 | $1,942.50 – $8,602.50 | 11 |
| Brachytx isodose intermed CPT 77317 | $1,939.80 | $3,180.00 | $429.41 – $2,957.40 | 11 |
| Braf gene CPT 81210 | $403.82 | $662.00 | $139.02 – $662.00 | 18 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $3,923.21 – $4,000.13 | 3 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,234.72 – $1,258.93 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $914.56 – $932.50 | 3 |
| Brain image 4+ views CPT 78605 | $1,162.66 | $1,906.00 | $302.86 – $1,772.58 | 11 |
| Brain image w/flow 4 + views CPT 78606 | $814.96 | $1,336.00 | $280.56 – $1,336.00 | 11 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,703.31 | $6,071.00 | $509.69 – $5,646.03 | 11 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,612.63 | $4,283.00 | $334.82 – $3,983.19 | 11 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,536.38 | $4,158.00 | $312.12 – $3,866.94 | 11 |
| Brain MRI (with and without contrast) CPT 70553 | $2,996.93 | $4,913.00 | $415.53 – $4,569.09 | 11 |
| Brain MRI (with contrast) CPT 70552 | $2,727.31 | $4,471.00 | $366.98 – $4,158.03 | 11 |
| Brain MRI (without contrast) CPT 70551 | $2,357.04 | $3,864.00 | $249.48 – $3,593.52 | 11 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $1,153.01 – $1,153.01 | 1 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,100.23 | $3,443.00 | $289.42 – $3,201.99 | 7 |
| Breast punct aspir cyst, bil CPT 19000 | $466.04 | $764.00 | $78.98 – $710.52 | 7 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $2,168.36 – $2,168.36 | 1 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,584.17 – $3,285.62 | 4 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,281.07 – $1,306.19 | 3 |
| Breast reduction CPT 19318 | not published | not published | $2,035.15 – $2,035.15 | 1 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $7,162.62 | $11,742.00 | $203.44 – $10,920.06 | 14 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $637.45 | $1,045.00 | $219.45 – $971.85 | 7 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $1,237.69 | $2,029.00 | $126.11 – $1,886.97 | 7 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $414.46 – $414.46 | 1 |
| Bronch ebus samplng 3/> node CPT 31653 | $2,945.69 | $4,829.00 | $458.91 – $4,490.97 | 7 |
| Bronchial allergy tests CPT 95070 | $313.54 | $514.00 | $57.53 – $478.02 | 7 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $201.66 – $201.66 | 1 |
| Bronchial challenge CPT 94070 | $1,240.13 | $2,033.00 | $67.26 – $1,890.69 | 7 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $142.67 – $142.67 | 1 |
| Bronchial valve init insert CPT 31647 | not published | not published | $386.63 – $386.63 | 1 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $126.55 – $126.55 | 1 |
| Bronchial valve remov init CPT 31648 | not published | not published | $372.25 – $372.25 | 1 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $404.92 – $404.92 | 1 |
| Bronchoscopy clear airways 31645 CPT 31645 | $637.45 | $1,045.00 | $219.45 – $971.85 | 7 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $369.35 – $369.35 | 1 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $421.03 – $421.03 | 1 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $92.25 – $92.25 | 1 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $331.93 – $331.93 | 1 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $118.08 – $118.08 | 1 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $351.14 – $351.14 | 1 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $460.78 – $460.78 | 1 |
| Bronchoscopy stent add-on CPT 31637 | not published | not published | $142.67 – $142.67 | 1 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $475.44 – $475.44 | 1 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $2,091.69 | $3,429.00 | $293.90 – $3,188.97 | 7 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,191.94 | $1,954.00 | $328.23 – $1,817.22 | 7 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $367.40 – $367.40 | 1 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $463.58 – $463.58 | 1 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $359.29 – $359.29 | 1 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $379.43 – $379.43 | 1 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $353.24 – $353.24 | 1 |
| Br punct aspir ea add, l CPT 19001 | $182.39 | $299.00 | $39.38 – $278.07 | 7 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $1,886.37 – $4,015.81 | 4 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $1,786.29 – $3,732.48 | 4 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $2,253.57 – $5,026.96 | 4 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,238.00 – $1,262.28 | 3 |
| Bundled special stain group 1 microorganisms CPT 88312 | $61.61 | $101.00 | $21.21 – $101.00 | 11 |
| Bundled special stain group 2 CPT 88313 | $76.86 | $126.00 | $26.46 – $126.00 | 11 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $1.55 | $2.53 | $0.06 – $0.23 | 7 |
| Buprenorphine hydrochloride HCPCS J0592 | $7.35 | $12.04 | $2.53 – $11.20 | 12 |
| Buprenorphine oral 1mg HCPCS J0571 | $10.35 | $16.97 | $0.69 – $6.41 | 9 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $1,141.90 – $1,164.29 | 3 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $1,117.66 – $1,139.58 | 3 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $556.54 – $1,338.77 | 4 |
| Burr hole implant ventricular cath/other device CPT 61210 | not published | not published | $400.03 – $627.61 | 4 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $1,055.05 – $1,075.73 | 3 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,056.80 – $1,077.52 | 3 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $791.95 – $1,758.04 | 4 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $677.15 – $1,758.04 | 4 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $674.34 – $1,541.80 | 4 |
| Bur rotalink 2.15mm HCPCS C1724 | $7,579.68 | $12,425.70 | $27.50 – $121.79 | 11 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $5.28 | $8.66 | $1.49 – $7.08 | 12 |
| Buttock fasciotomy CPT 27027 | not published | not published | $1,648.82 – $1,648.82 | 1 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $1,873.83 – $1,873.83 | 1 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $1,531.71 | $2,511.00 | $309.54 – $2,335.23 | 7 |
| Bx bone trocar/ndl deep CPT 20225 | $2,142.32 | $3,512.00 | $243.68 – $3,266.16 | 7 |
| Bx breast 1st lesion mr imag CPT 19085 | $3,092.70 | $5,070.00 | $338.54 – $4,715.10 | 7 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,319.62 | $5,442.00 | $306.89 – $4,362.63 | 7 |
| Bx breast add lesion mr imag CPT 19086 | $1,550.62 | $2,542.00 | $168.84 – $2,364.06 | 7 |
| Bx breast add lesion strtctc CPT 19082 | $2,976.19 | $4,879.00 | $153.59 – $4,537.47 | 7 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,093.12 | $1,792.00 | $144.61 – $1,666.56 | 7 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $124.07 – $124.07 | 1 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $249.71 – $249.71 | 1 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $2,231.18 – $2,274.93 | 3 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $2,283.44 – $2,328.22 | 3 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $2,290.59 – $4,780.50 | 4 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,920.40 – $1,958.06 | 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.