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 |
|---|---|---|---|---|
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $5,241.60 | $6,240.00 | $3,806.40 – $8,450.21 | 19 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $533.18 | $634.73 | $60.70 – $134.75 | 19 |
| ER Visit (level 1, minor) CPT 99281 | $215.04 | $256.00 | $15.25 – $59.78 | 19 |
| ER Visit (level 2) CPT 99282 | $378.00 | $450.00 | $29.75 – $116.62 | 19 |
| ER Visit (level 3) CPT 99283 | $630.00 | $750.00 | $50.50 – $197.96 | 19 |
| ER Visit (level 4) CPT 99284 | $987.84 | $1,176.00 | $85.50 – $335.16 | 19 |
| ER Visit (level 5, high severity) CPT 99285 | $1,397.76 | $1,664.00 | $124.00 – $486.08 | 19 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $309.23 | $368.13 | $170.68 – $378.91 | 19 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $367.08 | $437.00 | $266.57 – $591.79 | 19 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $306.60 | $365.00 | $60.70 – $134.75 | 19 |
| Esophagosc dilate balloon 30 CPT 43214 | $448.56 | $534.00 | $325.74 – $723.15 | 19 |
| Esophagosc flex trnsn biopsy CPT 43198 | $506.52 | $603.00 | $367.83 – $816.59 | 19 |
| Esophagoscop mucosal resect CPT 43211 | $549.36 | $654.00 | $398.94 – $885.65 | 19 |
| Esophagoscop ultrasound exam CPT 43231 | $372.96 | $444.00 | $270.84 – $601.27 | 19 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,241.12 | $2,668.00 | $1,627.48 – $3,613.01 | 19 |
| Esophagoscopy control bleed CPT 43227 | $1,467.48 | $1,747.00 | $1,065.67 – $2,365.79 | 19 |
| Esophagoscopy flex biopsy CPT 43202 | $881.16 | $1,049.00 | $636.84 – $1,413.79 | 19 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,467.48 | $1,747.00 | $189.75 – $743.82 | 19 |
| Esophagoscopy flex dx brush CPT 43197 | $457.80 | $545.00 | $332.45 – $738.04 | 19 |
| Esophagoscopy flex remove fb CPT 43215 | $959.28 | $1,142.00 | $285.50 – $954.52 | 19 |
| Esophagoscopy lesion removal CPT 43216 | $1,009.68 | $1,202.00 | $733.22 – $1,627.75 | 19 |
| Esophagoscopy retro balloon CPT 43213 | $3,054.24 | $3,636.00 | $2,217.96 – $4,923.88 | 19 |
| Esophagoscopy rigid balloon CPT 43195 | $427.56 | $509.00 | $310.49 – $689.29 | 19 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $358.68 | $427.00 | $260.47 – $578.25 | 19 |
| Esophagoscopy snare les remv CPT 43217 | $1,030.68 | $1,227.00 | $748.47 – $1,661.61 | 19 |
| Esophagoscopy w/us needle bx CPT 43232 | $467.88 | $557.00 | $339.77 – $754.29 | 19 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $455.28 | $542.00 | $330.62 – $733.98 | 19 |
| Esophagoscp rig trnso biopsy CPT 43193 | $392.28 | $467.00 | $284.87 – $632.42 | 19 |
| Esophagoscp rig trnso inject CPT 43192 | $393.12 | $468.00 | $285.48 – $633.77 | 19 |
| Esophagoscp rig trnso rem fb CPT 43194 | $444.36 | $529.00 | $322.69 – $716.38 | 19 |
| Esophagus endoscopy/ligation CPT 43205 | $329.28 | $392.00 | $239.12 – $530.85 | 19 |
| Esophagus motility study CPT 91010 | $1,977.36 | $2,354.00 | $1,435.94 – $3,187.79 | 19 |
| Esoph egd dilation <30 mm CPT 43249 | $2,703.96 | $3,219.00 | $985.76 – $2,188.39 | 19 |
| Esoph endoscopy dilation CPT 43226 | $937.44 | $1,116.00 | $680.76 – $1,511.29 | 19 |
| Esoph optical endomicroscopy CPT 43206 | $735.00 | $875.00 | $533.75 – $1,184.93 | 19 |
| Esoph scope w/sclerosis inj CPT 43204 | $315.84 | $376.00 | $229.36 – $509.18 | 19 |
| Esoph scope w/submucous inj CPT 43201 | $628.32 | $748.00 | $456.28 – $1,012.95 | 19 |
| Established Patient Office Visit (level 1) CPT 99211 | $85.68 | $102.00 | $39.65 – $88.03 | 19 |
| Established Patient Office Visit (level 2) CPT 99212 | $132.72 | $158.00 | $50.02 – $111.05 | 19 |
| Established Patient Office Visit (level 3) CPT 99213 | $362.04 | $431.00 | $52.46 – $116.47 | 19 |
| Established Patient Office Visit (level 4) CPT 99214 | $398.16 | $474.00 | $59.17 – $131.36 | 19 |
| Established Patient Office Visit (level 5) CPT 99215 | $429.24 | $511.00 | $62.83 – $139.49 | 19 |
| Estradiol total CPT 82670 | $217.56 | $259.00 | $27.94 – $253.82 | 19 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $718.58 | $855.45 | $70.37 – $156.23 | 19 |
| Estrogens total-sendout CPT 82672 | $212.52 | $253.00 | $21.70 – $247.94 | 19 |
| Ethylene glycol -sendout CPT 82693 | $315.84 | $376.00 | $14.90 – $368.48 | 19 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $654.36 | $779.00 | $60.70 – $134.75 | 19 |
| Etoposide 50 mg cap HCPCS J8560 | $4,629.82 | $5,511.68 | $3,362.13 – $7,463.92 | 19 |
| Euflexxa inj per dose HCPCS J7323 | $448.16 | $533.52 | $325.45 – $722.50 | 19 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $302.40 | $360.00 | $219.60 – $487.52 | 19 |
| Evaluation of speech fluency 92521 CPT 92521 | $1,870.68 | $2,227.00 | $196.42 – $436.06 | 19 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $16,925.16 | $20,149.00 | $12,290.89 – $27,285.78 | 19 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $16,649.64 | $19,821.00 | $12,090.81 – $26,841.60 | 19 |
| Event monitor CPT 93270 | $407.40 | $485.00 | $276.33 – $613.46 | 19 |
| Exam of vagina w/scope 57420 CPT 57420 | $342.72 | $408.00 | $248.88 – $552.52 | 19 |
| Exc abd les sc 3 cm/> CPT 22903 | $1,811.88 | $2,157.00 | $1,315.77 – $2,921.01 | 19 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $861.00 | $1,025.00 | $625.25 – $1,388.06 | 19 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $1,197.84 | $1,426.00 | $869.86 – $1,931.09 | 19 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,911.44 | $3,466.00 | $660.02 – $1,465.25 | 19 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,853.88 | $2,207.00 | $1,346.27 – $2,988.72 | 19 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $463.68 | $552.00 | $90.25 – $353.78 | 19 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $2,270.52 | $2,703.00 | $101.50 – $397.88 | 19 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,197.84 | $1,426.00 | $331.23 – $735.34 | 19 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,197.84 | $1,426.00 | $390.40 – $866.69 | 19 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,279.32 | $1,523.00 | $113.00 – $442.96 | 19 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,801.80 | $2,145.00 | $181.17 – $402.20 | 19 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $2,820.72 | $3,358.00 | $566.69 – $1,258.06 | 19 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $579.60 | $690.00 | $265.96 – $590.44 | 19 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,096.20 | $1,305.00 | $338.55 – $751.59 | 19 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $1,841.28 | $2,192.00 | $1,337.12 – $2,968.41 | 19 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $1,466.64 | $1,746.00 | $1,065.06 – $2,364.44 | 19 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $1,278.48 | $1,522.00 | $928.42 – $2,061.10 | 19 |
| Exc face tum deep < 2 cm CPT 21013 | $1,753.08 | $2,087.00 | $1,273.07 – $2,826.22 | 19 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $566.16 | $674.00 | $406.87 – $903.26 | 19 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,132.32 | $1,348.00 | $539.24 – $1,197.12 | 19 |
| Exc ischial pr ulc prim sutr CPT 15940 | $1,606.08 | $1,912.00 | $1,166.32 – $2,589.24 | 19 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $2,157.12 | $2,568.00 | $1,566.48 – $3,477.59 | 19 |
| Excise pharynx lesion CPT 42808 | $2,577.12 | $3,068.00 | $162.75 – $637.98 | 19 |
| Excise/repair mouth lesion CPT 40812 | $1,715.28 | $2,042.00 | $1,245.62 – $2,765.28 | 19 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,580.88 | $1,882.00 | $802.15 – $1,780.78 | 19 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $563.64 | $671.00 | $299.51 – $664.92 | 19 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,305.36 | $1,554.00 | $308.66 – $685.23 | 19 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,232.28 | $1,467.00 | $295.24 – $655.44 | 19 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,155.44 | $2,566.00 | $539.85 – $1,198.47 | 19 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $1,605.24 | $1,911.00 | $1,165.71 – $2,587.88 | 19 |
| Excision of anal lesion(s) CPT 46922 | $751.80 | $895.00 | $545.95 – $1,212.01 | 19 |
| Excision tongue lesion without closure 41110 CPT 41110 | $1,605.24 | $1,911.00 | $1,165.71 – $2,587.88 | 19 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $2,349.48 | $2,797.00 | $1,231.59 – $2,734.13 | 19 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $1,570.80 | $1,870.00 | $1,140.70 – $2,532.36 | 19 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $566.16 | $674.00 | $349.53 – $775.96 | 19 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $1,132.32 | $1,348.00 | $459.33 – $1,019.72 | 19 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $2,091.60 | $2,490.00 | $1,231.59 – $2,734.13 | 19 |
| Exc malig feenl >4cm 11646 CPT 11646 | $2,460.36 | $2,929.00 | $858.27 – $1,905.36 | 19 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $1,041.60 | $1,240.00 | $756.40 – $1,679.21 | 19 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $514.92 | $613.00 | $373.93 – $830.13 | 19 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,041.60 | $1,240.00 | $506.91 – $1,125.35 | 19 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $514.92 | $613.00 | $373.93 – $830.13 | 19 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $517.44 | $616.00 | $375.76 – $834.19 | 19 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $514.92 | $613.00 | $373.93 – $830.13 | 19 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,041.60 | $1,240.00 | $756.40 – $1,679.21 | 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.