CHI Health Plainview
704 N 3rd St, Plainview, NE · Chihealth · · NPI 1861765034
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 |
|---|---|---|---|---|
| Drug screen quant tiagabine CPT 80199 | $220.92 | $263.00 | $27.11 – $257.74 | 19 |
| Drug test def 1-7 classes HCPCS G0480 | $184.80 | $220.00 | $114.43 – $254.03 | 19 |
| Drug test prsmv instrmnt CPT 80306 | $47.04 | $56.00 | $17.14 – $54.88 | 19 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $598.92 | $713.00 | $46.15 – $137.95 | 19 |
| Drvvt confirm - quest CPT 85597 | $271.32 | $323.00 | $17.98 – $316.54 | 19 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,406.60 | $2,865.00 | $1,747.65 – $3,879.79 | 19 |
| Ductogram sgl duct CPT 77053 | $354.48 | $422.00 | $257.42 – $571.48 | 19 |
| Duplex scan bilateral study 93985 CPT 93985 | $3,167.64 | $3,771.00 | $2,300.31 – $5,106.69 | 19 |
| Duplex scan unilateral study 93986 CPT 93986 | $152.88 | $182.00 | $111.02 – $246.47 | 19 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $740.04 | $881.00 | $537.41 – $1,193.06 | 19 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,283.52 | $1,528.00 | $932.08 – $2,069.22 | 19 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,085.28 | $1,292.00 | $788.12 – $1,749.63 | 19 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $2,676.24 | $3,186.00 | $1,943.46 – $4,314.49 | 19 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $17,683.89 | $21,052.25 | $2,947.93 – $6,544.41 | 19 |
| Dxa bone density axl vrt fx CPT 77085 | $174.72 | $208.00 | $126.88 – $281.68 | 19 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,735.44 | $2,066.00 | $1,260.26 – $2,797.78 | 19 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,612.80 | $1,920.00 | $1,171.20 – $2,600.07 | 19 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,568.28 | $1,867.00 | $175.75 – $688.94 | 19 |
| Ear irrigation 69209 CPT 69209 | $212.52 | $253.00 | $10.50 – $41.16 | 19 |
| Ecg 12 lead tracing only CPT 93005 | $259.56 | $309.00 | $10.98 – $24.38 | 19 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $147.00 | $175.00 | $106.75 – $236.99 | 19 |
| Ecg < 30 days transmission & analysis CPT 93271 | $363.72 | $433.00 | $264.13 – $586.37 | 19 |
| Ecg external < 48 hours recording CPT 93225 | $596.40 | $710.00 | $32.94 – $73.13 | 19 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $918.96 | $1,094.00 | $46.97 – $104.28 | 19 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $90.72 | $108.00 | $29.89 – $66.36 | 19 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $551.04 | $656.00 | $49.41 – $109.70 | 19 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,247.84 | $2,676.00 | $123.22 – $273.55 | 19 |
| Echocardiography doppler color flow mapping CPT 93325 | $420.84 | $501.00 | $305.61 – $678.46 | 19 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,438.96 | $4,094.00 | $2,350.33 – $5,217.74 | 19 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $960.12 | $1,143.00 | $43.31 – $96.15 | 19 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,497.72 | $1,783.00 | $1,087.63 – $2,414.54 | 19 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $232.68 | $277.00 | $168.97 – $375.12 | 19 |
| Echo exam uterus 76831- CPT 76831 | $493.08 | $587.00 | $358.07 – $794.92 | 19 |
| Echo guide for amniocentesis CPT 76946 | $1,805.16 | $2,149.00 | $1,310.89 – $2,910.18 | 19 |
| Echo stress CPT 93350 | $1,404.48 | $1,672.00 | $1,019.92 – $2,264.23 | 19 |
| Echo tee guidance CPT 93355 | $2,565.36 | $3,054.00 | $1,862.94 – $4,135.73 | 19 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,411.20 | $1,680.00 | $1,024.80 – $2,275.06 | 19 |
| E coli 0157 ag ia CPT 87335 | $215.04 | $256.00 | $12.66 – $250.88 | 19 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $499.80 | $595.00 | $362.95 – $805.75 | 19 |
| Eeg recording awake and asleep CPT 95819 | $658.56 | $784.00 | $478.24 – $1,061.70 | 19 |
| E equine encephalitis igg CPT 86652 | $107.52 | $128.00 | $13.19 – $125.44 | 19 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $25,999.60 | $30,951.90 | $18,880.66 – $41,915.07 | 19 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $530.04 | $631.00 | $384.91 – $854.51 | 19 |
| Egd control bleeding any CPT 43255 | $1,547.28 | $1,842.00 | $1,123.62 – $2,494.44 | 19 |
| Egd dilate stricture CPT 43245 | $1,465.80 | $1,745.00 | $1,064.45 – $2,363.08 | 19 |
| Egd endo mucosal resection CPT 43254 | $633.36 | $754.00 | $459.94 – $1,021.07 | 19 |
| Egd endoscopic stent place CPT 43266 | $507.36 | $604.00 | $368.44 – $817.94 | 19 |
| Egd guide wire insertion CPT 43248 | $1,010.52 | $1,203.00 | $733.83 – $1,629.11 | 19 |
| Egd injection varices CPT 43243 | $553.56 | $659.00 | $401.99 – $892.42 | 19 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $331.80 | $395.00 | $240.95 – $534.91 | 19 |
| Egd optical endomicroscopy CPT 43252 | $821.52 | $978.00 | $596.58 – $1,324.41 | 19 |
| Egd remove foreign body CPT 43247 | $1,065.12 | $1,268.00 | $277.50 – $1,087.80 | 19 |
| Egd remove lesion snare CPT 43251 | $1,216.32 | $1,448.00 | $883.28 – $1,960.89 | 19 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $1,105.44 | $1,316.00 | $802.76 – $1,782.13 | 19 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $529.20 | $630.00 | $384.30 – $853.15 | 19 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $544.32 | $648.00 | $395.28 – $877.53 | 19 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $616.56 | $734.00 | $447.74 – $993.99 | 19 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $615.72 | $733.00 | $447.13 – $992.63 | 19 |
| Egd varices ligation CPT 43244 | $574.56 | $684.00 | $417.24 – $926.28 | 19 |
| Egd w/thrml txmnt gerd CPT 43257 | $541.80 | $645.00 | $393.45 – $873.46 | 19 |
| Egd w/transmural drain cyst CPT 43240 | $917.28 | $1,092.00 | $666.12 – $1,478.79 | 19 |
| Egfr gene com variants CPT 81235 | $1,154.16 | $1,374.00 | $324.58 – $1,346.52 | 19 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $246.96 | $294.00 | $179.34 – $398.14 | 19 |
| EKG interpret & report preve g0405 HCPCS G0405 | $95.76 | $114.00 | $69.54 – $154.38 | 19 |
| EKG tracing for initial prev HCPCS G0404 | $52.92 | $63.00 | $10.98 – $24.38 | 19 |
| Electrd sq emblem s-icd HCPCS C1896 | $21,315.00 | $25,375.00 | $5,490.00 – $12,187.80 | 19 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $94.92 | $113.00 | $68.93 – $153.03 | 19 |
| Electrolyte panel CPT 80051 | $148.68 | $177.00 | $7.01 – $21.56 | 19 |
| Electron microscopy diagnostic CPT 88348 | $1,202.04 | $1,431.00 | $872.91 – $1,937.87 | 19 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $12,248.72 | $14,581.80 | $6,671.24 – $14,810.15 | 19 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Embolization s&i CPT 75894 | $3,664.08 | $4,362.00 | $2,660.82 – $5,907.03 | 19 |
| Emb w/colposcopy 58110 CPT 58110 | $391.44 | $466.00 | $284.26 – $631.06 | 19 |
| Emb without cervical dilation 58100 CPT 58100 | $391.44 | $466.00 | $179.34 – $398.14 | 19 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $394.80 | $470.00 | $99.43 – $220.74 | 19 |
| Emg needle test 1-extremity CPT 95860 | $495.60 | $590.00 | $198.25 – $440.12 | 19 |
| Encephalitis, california igg/igm CPT 86651 | $139.44 | $166.00 | $13.19 – $162.68 | 19 |
| Encephalitis, st louis igg/igm CPT 86653 | $107.52 | $128.00 | $13.19 – $125.44 | 19 |
| Encephalitis, western equine igg/igm CPT 86654 | $107.52 | $128.00 | $13.19 – $125.44 | 19 |
| Endocerv curettage w/scope 57456 CPT 57456 | $259.56 | $309.00 | $188.49 – $418.45 | 19 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $458.64 | $546.00 | $333.06 – $739.40 | 19 |
| Endoscopy bowel pouch/biop CPT 44386 | $761.88 | $907.00 | $553.27 – $1,228.26 | 19 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $518.28 | $617.00 | $376.37 – $835.55 | 19 |
| Endoscopy swallow (fees) vid CPT 92612 | $2,403.24 | $2,861.00 | $336.72 – $747.52 | 19 |
| Endo, single, pulmonary HCPCS C1601 | $746.78 | $889.02 | $518.15 – $1,150.29 | 19 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $5,624.64 | $6,696.00 | $4,084.56 – $9,067.73 | 19 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $17,350.20 | $20,655.00 | $8,567.45 – $19,019.74 | 19 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $327.84 | $390.28 | $60.70 – $134.75 | 19 |
| Enzyme histochemistry CPT 88319 | $652.68 | $777.00 | $473.97 – $1,052.22 | 19 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $1,234.80 | $1,470.00 | $195.20 – $433.35 | 19 |
| Epidural lysis mult sessions CPT 62263 | $1,501.92 | $1,788.00 | $1,090.68 – $2,421.31 | 19 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $470.40 | $560.00 | $341.60 – $758.36 | 19 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $530.88 | $632.00 | $158.00 – $350.76 | 19 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $2,339.64 | $2,785.28 | $96.63 – $214.51 | 19 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $245.91 | $292.75 | $60.70 – $134.75 | 19 |
| Epstein barr early antigen antibody CPT 86663 | $137.76 | $164.00 | $13.12 – $160.72 | 19 |
| Epstein barr nuclear antigen antibody CPT 86664 | $143.64 | $171.00 | $15.29 – $167.58 | 19 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $169.68 | $202.00 | $18.14 – $188.16 | 19 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $7,676.89 | $9,139.15 | $5,574.89 – $12,376.24 | 19 |
| Ercp w/specimen collection CPT 43260 | $755.16 | $899.00 | $548.39 – $1,217.43 | 19 |
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.