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 |
|---|---|---|---|---|
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $499.80 | $595.00 | $148.75 – $555.66 | 19 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $499.80 | $595.00 | $145.79 – $323.66 | 19 |
| Ghs inf midline insertion CPT 36140 | $411.60 | $490.00 | $298.90 – $663.56 | 19 |
| Ghs inhibitor screen CPT 85335 | $414.12 | $493.00 | $12.87 – $483.14 | 19 |
| Ghs init tx 1st degree burn CPT 16000 | $190.68 | $227.00 | $129.32 – $287.10 | 19 |
| Ghs inj tendon origin/insertion CPT 20551 | $297.36 | $354.00 | $215.94 – $479.39 | 19 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $435.12 | $518.00 | $315.98 – $701.48 | 19 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,116.80 | $2,520.00 | $1,537.20 – $3,412.59 | 19 |
| Ghs insertion of needle - bone CPT 36680 | $253.68 | $302.00 | $40.00 – $156.80 | 19 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,314.60 | $1,565.00 | $271.75 – $1,065.26 | 19 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,597.68 | $1,902.00 | $300.75 – $1,178.94 | 19 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $2,017.68 | $2,402.00 | $335.50 – $1,315.16 | 19 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $126.00 | $150.00 | $14.25 – $55.86 | 19 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $108.36 | $129.00 | $78.69 – $174.70 | 19 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $287.28 | $342.00 | $208.62 – $463.14 | 19 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $278.88 | $332.00 | $202.52 – $449.60 | 19 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $287.28 | $342.00 | $208.62 – $463.14 | 19 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $669.48 | $797.00 | $199.25 – $495.88 | 19 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $626.64 | $746.00 | $186.50 – $490.00 | 19 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $630.00 | $750.00 | $187.50 – $515.48 | 19 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $674.52 | $803.00 | $200.75 – $513.52 | 19 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $750.12 | $893.00 | $223.25 – $618.38 | 19 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $737.52 | $878.00 | $219.50 – $718.34 | 19 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $865.20 | $1,030.00 | $257.50 – $717.36 | 19 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,104.60 | $1,315.00 | $235.75 – $924.14 | 19 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $902.16 | $1,074.00 | $268.50 – $924.14 | 19 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $910.56 | $1,084.00 | $271.00 – $922.18 | 19 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $957.60 | $1,140.00 | $285.00 – $1,100.54 | 19 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,186.08 | $1,412.00 | $353.00 – $1,102.50 | 19 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,166.76 | $1,389.00 | $347.25 – $1,303.40 | 19 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,361.64 | $1,621.00 | $405.25 – $1,305.36 | 19 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,445.64 | $1,721.00 | $379.25 – $1,486.66 | 19 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,448.16 | $1,724.00 | $427.50 – $1,675.80 | 19 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $207.48 | $247.00 | $8.60 – $242.06 | 19 |
| Ghs low level laser therapy CPT 97039 | $94.08 | $112.00 | $50.02 – $111.05 | 19 |
| Ghs mbp CPT 83873 | $194.88 | $232.00 | $17.20 – $227.36 | 19 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $18.48 | $22.00 | $13.42 – $29.80 | 19 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $158.76 | $189.00 | $115.29 – $255.95 | 19 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $130.20 | $155.00 | $94.55 – $209.91 | 19 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $39.48 | $47.00 | $13.42 – $29.80 | 19 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $99.12 | $118.00 | $71.98 – $159.80 | 19 |
| Ghs musc test done w/n test comp CPT 95886 | $240.24 | $286.00 | $96.99 – $215.32 | 19 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $154.56 | $184.00 | $96.99 – $215.32 | 19 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $206.64 | $246.00 | $50.63 – $112.40 | 19 |
| Ghs nailbed repair/nail removal CPT 11760 | $446.88 | $532.00 | $133.00 – $347.90 | 19 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $515.76 | $614.00 | $259.86 – $576.89 | 19 |
| Ghs nerve blk intercostal, single level CPT 64420 | $494.76 | $589.00 | $359.29 – $797.63 | 19 |
| Ghs nerve block celiac plexus CPT 64530 | $931.56 | $1,109.00 | $676.49 – $1,501.81 | 19 |
| Ghs nerve block sciatic nerve CPT 64445 | $65.52 | $78.00 | $47.58 – $105.63 | 19 |
| Ghs ng placement w fluoro guidance CPT 43752 | $267.96 | $319.00 | $194.59 – $431.99 | 19 |
| Ghs o2 saturation CPT 82810 | $63.00 | $75.00 | $9.77 – $73.50 | 19 |
| Ghs o2 uptake rest & exercise CPT 94680 | $178.92 | $213.00 | $129.93 – $288.45 | 19 |
| Ghs o2 uptake rest & indirect CPT 94690 | $629.16 | $749.00 | $456.89 – $1,014.30 | 19 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $118.44 | $141.00 | $81.74 – $181.47 | 19 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,240.68 | $1,477.00 | $107.50 – $421.40 | 19 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,240.68 | $1,477.00 | $247.50 – $970.20 | 19 |
| Ghs optokenetic CPT 92544 | $192.36 | $229.00 | $139.69 – $310.12 | 19 |
| Ghs oscillating trac CPT 92545 | $192.36 | $229.00 | $139.69 – $310.12 | 19 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $49.56 | $59.00 | $35.99 – $79.90 | 19 |
| Ghs ot dds rom CPT 95851 | $61.32 | $73.00 | $44.53 – $98.86 | 19 |
| Ghs ot prosthetic training/15 min CPT 97761 | $148.68 | $177.00 | $61.61 – $136.78 | 19 |
| Ghs pacing - transcutaneous CPT 92953 | $918.12 | $1,093.00 | $0.50 – $1.96 | 19 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $427.56 | $509.00 | $310.49 – $689.29 | 19 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $752.64 | $896.00 | $156.16 – $346.68 | 19 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $121.80 | $145.00 | $88.45 – $196.36 | 19 |
| Ghs peritonsillar abscess i andd CPT 42700 | $454.44 | $541.00 | $135.25 – $412.58 | 19 |
| Ghs phenylketonurid CPT 84030 | $78.96 | $94.00 | $5.50 – $92.12 | 19 |
| Ghs picc line insert < 5 CPT 36568 | $1,309.56 | $1,559.00 | $950.99 – $2,111.20 | 19 |
| Ghs plngl fx pm cl CPT 26725 | $803.88 | $957.00 | $239.25 – $531.14 | 19 |
| Ghs plt ct-manual CPT 85032 | $60.48 | $72.00 | $4.31 – $70.56 | 19 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,212.12 | $1,443.00 | $880.23 – $1,954.12 | 19 |
| Ghs pos nystagmus CPT 92542 | $176.40 | $210.00 | $128.10 – $284.39 | 19 |
| Ghs ppd (tb intradermal) CPT 86580 | $1,738.43 | $2,069.55 | $9.76 – $21.67 | 19 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $107.52 | $128.00 | $9.66 – $125.44 | 19 |
| Ghs protoporphyrins fract CPT 84202 | $642.60 | $765.00 | $14.35 – $749.70 | 19 |
| Ghs pr without cont pulse ox CPT 94625 | $498.12 | $593.00 | $109.80 – $243.76 | 19 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $196.56 | $234.00 | $12.25 – $229.32 | 19 |
| Ghs quinidine CPT 80194 | $165.48 | $197.00 | $14.60 – $193.06 | 19 |
| Ghs removal intranasal foreign body CPT 30300 | $502.32 | $598.00 | $138.47 – $307.41 | 19 |
| Ghs removal pharyngeal foreign body CPT 42809 | $532.56 | $634.00 | $348.31 – $773.25 | 19 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,434.72 | $1,708.00 | $242.17 – $537.62 | 19 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $3,106.32 | $3,698.00 | $341.75 – $1,339.66 | 19 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $166.32 | $198.00 | $15.89 – $194.04 | 19 |
| Ghs reticulocyte count CPT 85044 | $84.00 | $100.00 | $4.31 – $98.00 | 19 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $75.60 | $90.00 | $13.91 – $35.28 | 19 |
| Ghs sedimentation rate CPT 85651 | $65.52 | $78.00 | $4.27 – $10.78 | 19 |
| Ghs semen analysis fert CPT 89320 | $294.00 | $350.00 | $12.31 – $343.00 | 19 |
| Ghs sensitivity (per antimicro) CPT 87184 | $174.72 | $208.00 | $7.48 – $21.56 | 19 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $419.16 | $499.00 | $122.25 – $479.22 | 19 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $510.72 | $608.00 | $152.00 – $590.94 | 19 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $480.48 | $572.00 | $143.00 – $532.14 | 19 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $530.88 | $632.00 | $102.25 – $400.82 | 19 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $452.76 | $539.00 | $99.25 – $389.06 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $408.24 | $486.00 | $90.75 – $355.74 | 19 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $489.72 | $583.00 | $118.75 – $465.50 | 19 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $540.12 | $643.00 | $160.75 – $557.62 | 19 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $514.08 | $612.00 | $115.75 – $453.74 | 19 |
| Ghs sleep study unattended CPT 95800 | $162.96 | $194.00 | $118.34 – $262.72 | 19 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $408.24 | $486.00 | $95.77 – $212.61 | 19 |
| Ghs sphenopalatine ganglion block CPT 64505 | $391.44 | $466.00 | $284.26 – $631.06 | 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.