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 |
|---|---|---|---|---|
| Heterophile antibodies screening CPT 86308 | $125.16 | $149.00 | $5.18 – $17.64 | 19 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $8.53 | $10.15 | $5.93 – $13.17 | 19 |
| Hhv-6 dna quant CPT 87533 | $572.88 | $682.00 | $41.76 – $668.36 | 19 |
| Hip X-ray CPT 73502 | $114.24 | $136.00 | $82.96 – $184.18 | 19 |
| Histamine CPT 83088 | $231.84 | $276.00 | $29.53 – $270.48 | 19 |
| Hiv-1 ag ia CPT 87390 | $901.32 | $1,073.00 | $24.06 – $1,051.54 | 19 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $16,249.85 | $19,345.05 | $11,626.09 – $25,809.91 | 19 |
| Hizentra injection HCPCS J1559 | $928.75 | $1,105.65 | $337.24 – $748.67 | 19 |
| Hla ii typing 1 loc hr CPT 81382 | $135.24 | $161.00 | $104.65 – $274.57 | 19 |
| Hla typing a b or c CPT 86813 | $1,617.00 | $1,925.00 | $58.00 – $1,886.50 | 19 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $27.72 | $33.00 | $5.11 – $11.34 | 19 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $125.46 | $149.35 | $52.75 – $117.09 | 19 |
| Homocysteine CPT 83090 | $295.68 | $352.00 | $17.92 – $49.98 | 19 |
| Homogenization tissue CPT 87176 | $62.16 | $74.00 | $5.88 – $72.52 | 19 |
| Homovanillic acid (hva) CPT 83150 | $217.56 | $259.00 | $22.41 – $253.82 | 19 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | $34.44 | $41.00 | $25.01 – $55.53 | 19 |
| Hopd mntl hlt, 30-60 min HCPCS C7901 | $90.72 | $108.00 | $65.88 – $146.26 | 19 |
| Hopd mntl hlt, grp HCPCS C7903 | $35.28 | $42.00 | $25.62 – $56.88 | 19 |
| Ho post-op hip abduction HCPCS L1686 | $1,296.17 | $1,543.05 | $110.50 – $245.30 | 19 |
| Hpv types 16 & 18 only CPT 87625 | $567.84 | $676.00 | $40.55 – $662.48 | 19 |
| H pylori ag ia CPT 87339 | $96.60 | $115.00 | $16.00 – $112.70 | 19 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $131.82 | $156.92 | $95.73 – $212.51 | 19 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $378.00 | $450.00 | $60.70 – $134.75 | 19 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $146.04 | $173.85 | $60.70 – $134.75 | 19 |
| Hydration IV infusion each additional hour CPT 96361 | $46.20 | $55.00 | $33.55 – $74.49 | 19 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $335.16 | $399.00 | $139.08 – $308.76 | 19 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $638.61 | $760.25 | $60.70 – $134.75 | 19 |
| Hydromorphone injection HCPCS J1170 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $93.12 | $110.85 | $67.62 – $150.12 | 19 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $93.93 | $111.82 | $60.70 – $134.75 | 19 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $491.40 | $585.00 | $17.90 – $573.30 | 19 |
| Hyoscyamine sulfate inj HCPCS J1980 | $233.66 | $278.16 | $133.96 – $297.39 | 19 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $19,463.98 | $23,171.40 | $14,134.56 – $31,378.71 | 19 |
| Hysterosalpingography s&i CPT 74740 | $514.08 | $612.00 | $373.32 – $828.78 | 19 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $768.65 | $915.05 | $437.13 – $970.42 | 19 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $90.72 | $108.00 | $65.88 – $146.26 | 19 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $593.88 | $707.00 | $35.09 – $692.86 | 19 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $107.52 | $128.00 | $18.09 – $40.16 | 19 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $921.91 | $1,097.51 | $181.97 – $403.98 | 19 |
| Ibuprofen injection HCPCS J1741 | $5,654.41 | $6,731.43 | $742.72 – $1,648.84 | 19 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $1,146.35 | $1,364.70 | $249.40 – $553.67 | 19 |
| Icatibant injection HCPCS J1744 | $4,197.61 | $4,997.15 | $3,048.27 – $6,767.15 | 19 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $67,636.80 | $80,520.00 | $36.36 – $80.72 | 19 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $53,802.00 | $64,050.00 | $3,499.88 – $7,769.73 | 19 |
| Icd crtp serena MRI HCPCS C2621 | $18,375.00 | $21,875.00 | $42.70 – $94.80 | 19 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $16,909.20 | $20,130.00 | $1,098.00 – $2,437.56 | 19 |
| Icut allergy test-delayed CPT 95028 | $236.04 | $281.00 | $171.41 – $380.54 | 19 |
| Icut allergy test drug/bug CPT 95024 | $1,101.24 | $1,311.00 | $799.71 – $1,775.36 | 19 |
| Idarubicin hcl injection HCPCS J9211 | $1,265.38 | $1,506.40 | $101.05 – $224.33 | 19 |
| Idursulfase injection HCPCS J1743 | $13,170.50 | $15,679.16 | $9,564.29 – $21,232.72 | 19 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $2,107.56 | $2,509.00 | $1,530.49 – $3,397.69 | 19 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $401.90 | $478.45 | $81.04 – $179.91 | 19 |
| Igh gene rearrange amp meth CPT 81261 | $819.84 | $976.00 | $197.99 – $956.48 | 19 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $396.48 | $472.00 | $287.92 – $639.19 | 19 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $376.32 | $448.00 | $273.28 – $606.69 | 19 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $372.96 | $444.00 | $256.20 – $568.77 | 19 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $42,758.19 | $50,902.60 | $7,762.65 – $17,233.08 | 19 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $140.60 | $167.37 | $13.32 – $29.55 | 19 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $50.28 | $59.85 | $23.67 – $52.55 | 19 |
| Immobilizer shldr sling med HCPCS L3660 | $91.20 | $108.57 | $43.72 – $97.05 | 19 |
| Immune complex assay CPT 86332 | $387.24 | $461.00 | $24.37 – $451.78 | 19 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $11,793.60 | $14,040.00 | $285.48 – $633.77 | 19 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $5,528.63 | $6,581.70 | $3,416.00 – $7,583.52 | 19 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $9,450.00 | $11,250.00 | $446.10 – $990.33 | 19 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $216.72 | $258.00 | $20.81 – $61.74 | 19 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $207.48 | $247.00 | $20.81 – $61.74 | 19 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $37.80 | $45.00 | $11.98 – $44.10 | 19 |
| Immunodiffusion nes CPT 86329 | $166.32 | $198.00 | $14.05 – $194.04 | 19 |
| Immunofixation electrophoresis serum CPT 86334 | $315.00 | $375.00 | $22.34 – $260.68 | 19 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $365.40 | $435.00 | $107.36 – $238.34 | 19 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $157.08 | $187.00 | $114.07 – $253.24 | 19 |
| Immunoglobulin assay CPT 86023 | $188.16 | $224.00 | $12.46 – $219.52 | 19 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $6,180.30 | $7,357.50 | $625.25 – $1,388.06 | 19 |
| Implant cochlear osia osi300 HCPCS L8690 | $2,630.40 | $3,131.42 | $848.97 – $1,884.70 | 19 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | $594.72 | $708.00 | $431.88 – $958.78 | 19 |
| Implant ureth bulk agent HCPCS L8606 | $1,925.91 | $2,292.75 | $227.68 – $505.45 | 19 |
| In-111 capromab pendet HCPCS A9507 | $6,684.72 | $7,958.00 | $4,854.38 – $10,776.73 | 19 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,131.92 | $2,538.00 | $1,548.18 – $3,436.96 | 19 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,051.04 | $13,156.00 | $8,025.16 – $17,815.86 | 19 |
| In-111 pentetreotide HCPCS A9572 | $8,080.80 | $9,620.00 | $5,868.20 – $13,027.41 | 19 |
| In-111 satumomab pend HCPCS A4642 | $2,415.00 | $2,875.00 | $1,753.75 – $3,893.33 | 19 |
| Incise bile duct sphincter CPT 47460 | $2,870.28 | $3,417.00 | $2,084.37 – $4,627.31 | 19 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,107.12 | $1,318.00 | $291.58 – $647.31 | 19 |
| Incision of anal sphincter CPT 46080 | $682.08 | $812.00 | $495.32 – $1,099.62 | 19 |
| Incision of breast lesion CPT 19020 | $1,896.72 | $2,258.00 | $327.50 – $1,283.80 | 19 |
| Incision of tongue fold CPT 41010 | $901.32 | $1,073.00 | $654.53 – $1,453.06 | 19 |
| Incision of windpipe CPT 31601 | $1,043.28 | $1,242.00 | $757.62 – $1,681.92 | 19 |
| Incision of windpipe CPT 31610 | $2,259.60 | $2,690.00 | $1,640.90 – $3,642.80 | 19 |
| Incision tendon sheath CPT 26055 | $787.08 | $937.00 | $571.57 – $1,268.89 | 19 |
| Incisn windpipe CPT 31600 | $697.20 | $830.00 | $506.30 – $1,123.99 | 19 |
| Incobotulinumtoxin a HCPCS J0588 | $2,060.36 | $2,452.80 | $1,496.21 – $3,321.59 | 19 |
| Infec agen detec ampli probe HCPCS U0005 | $27.72 | $33.00 | $20.13 – $44.69 | 19 |
| Infect ag drug suscept pheno predict CPT 87900 | $637.56 | $759.00 | $130.35 – $743.82 | 19 |
| Infect ag eia influenza a or b ea CPT 87400 | $132.72 | $158.00 | $14.13 – $35.28 | 19 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $607.32 | $723.00 | $128.73 – $708.54 | 19 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $1,199.52 | $1,428.00 | $257.45 – $1,399.44 | 19 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $205.80 | $245.00 | $32.77 – $72.75 | 19 |
| Infect ag ia optc obs influenza CPT 87804 | $225.96 | $269.00 | $16.55 – $36.74 | 19 |
| Infect ag if legionella pneumophila CPT 87278 | $110.04 | $131.00 | $15.60 – $128.38 | 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.