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 |
|---|---|---|---|---|
| Infect ag if pneumocystis carinii CPT 87281 | $224.28 | $267.00 | $11.98 – $261.66 | 19 |
| Infect ag if varicella zoster CPT 87290 | $221.76 | $264.00 | $13.42 – $258.72 | 19 |
| Infect ag na hpv high-risk types CPT 87624 | $272.16 | $324.00 | $35.09 – $103.88 | 19 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $404.88 | $482.00 | $95.80 – $472.36 | 19 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,918.56 | $2,284.00 | $416.78 – $2,238.32 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $232.68 | $277.00 | $11.98 – $35.28 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $183.12 | $218.00 | $13.42 – $213.64 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $160.44 | $191.00 | $13.82 – $35.28 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $178.92 | $213.00 | $11.98 – $35.28 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $231.84 | $276.00 | $14.38 – $35.28 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $162.96 | $194.00 | $10.33 – $190.12 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $49.56 | $59.00 | $10.33 – $57.82 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $201.60 | $240.00 | $24.08 – $71.54 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $686.28 | $817.00 | $11.98 – $35.28 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $230.16 | $274.00 | $11.98 – $268.52 | 19 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $89.04 | $106.00 | $11.98 – $35.28 | 19 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $428.40 | $510.00 | $35.09 – $88.20 | 19 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $170.52 | $203.00 | $35.09 – $198.94 | 19 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $289.80 | $345.00 | $37.27 – $103.88 | 19 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $1,359.12 | $1,618.00 | $416.78 – $1,585.64 | 19 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $687.12 | $818.00 | $35.09 – $112.70 | 19 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $143.64 | $171.00 | $35.09 – $167.58 | 19 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $157.92 | $188.00 | $41.68 – $184.24 | 19 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $150.36 | $179.00 | $35.09 – $175.42 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $165.48 | $197.00 | $51.31 – $193.06 | 19 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $355.32 | $423.00 | $142.63 – $414.54 | 19 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $149.52 | $178.00 | $35.09 – $174.44 | 19 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $156.24 | $186.00 | $35.09 – $182.28 | 19 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,083.60 | $1,290.00 | $416.78 – $1,264.20 | 19 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $528.36 | $629.00 | $42.84 – $616.42 | 19 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $433.44 | $516.00 | $42.84 – $505.68 | 19 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $716.52 | $853.00 | $42.84 – $127.40 | 19 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $1,389.36 | $1,654.00 | $85.10 – $1,620.92 | 19 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $543.48 | $647.00 | $142.63 – $634.06 | 19 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $4,730.84 | $5,631.95 | $1,397.33 – $3,102.07 | 19 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,924.23 | $2,290.75 | $1,397.36 – $3,102.14 | 19 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,061.70 | $2,454.40 | $1,497.19 – $3,323.75 | 19 |
| Influenza dna amp prob addl CPT 87503 | $99.96 | $119.00 | $29.22 – $116.62 | 19 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $37.80 | $45.00 | $27.45 – $60.94 | 19 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $183.12 | $218.00 | $132.98 – $295.22 | 19 |
| Initial observation care CPT 99218 | $229.32 | $273.00 | $166.53 – $369.70 | 19 |
| Initial observation care CPT 99219 | $312.48 | $372.00 | $226.92 – $503.77 | 19 |
| Initial observation care CPT 99220 | $423.36 | $504.00 | $307.44 – $682.52 | 19 |
| Initiation & management bipap/cpap initial day CPT 94660 | $184.80 | $220.00 | $134.20 – $297.93 | 19 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $21,421.23 | $25,501.46 | $11,666.86 – $25,900.43 | 19 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $10,710.59 | $12,750.70 | $5,833.47 – $12,950.29 | 19 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj acetaminophen -fresenius HCPCS J0134 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj alymsys 10 mg HCPCS Q5126 | $6,095.31 | $7,256.32 | $1,106.61 – $2,456.66 | 19 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $21,963.36 | $26,146.85 | $15,949.58 – $35,408.07 | 19 |
| Inj, artesunate, 1mg HCPCS J0391 | $45,179.40 | $53,785.00 | $16,404.43 – $36,417.83 | 19 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $20,916.00 | $24,900.00 | $15,189.00 – $33,719.58 | 19 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $8,179.08 | $9,737.00 | $5,939.57 – $13,185.85 | 19 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $23,842.35 | $28,383.75 | $15,727.42 – $34,914.87 | 19 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $15,960.00 | $19,000.00 | $11,590.00 – $25,729.80 | 19 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $115.92 | $138.00 | $60.70 – $134.75 | 19 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $4,928.28 | $5,867.00 | $3,578.87 – $7,945.10 | 19 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $894.42 | $1,064.78 | $649.52 – $1,441.93 | 19 |
| Inj ceftolozane tazobactam HCPCS J0695 | $669.76 | $797.33 | $486.38 – $1,079.75 | 19 |
| Inj, clevidipine butyrate HCPCS C9248 | $331.80 | $395.00 | $240.95 – $534.91 | 19 |
| Inj, clindamycin (baxter) HCPCS J0737 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $4,875.83 | $5,804.55 | $3,540.78 – $7,860.53 | 19 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $922.32 | $1,098.00 | $324.83 – $721.12 | 19 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,048.70 | $1,248.45 | $320.96 – $712.52 | 19 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $437.90 | $521.30 | $118.56 – $263.19 | 19 |
| Inj daptomycin (xellia) HCPCS J0873 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $1,469.79 | $1,749.75 | $1,067.35 – $2,369.52 | 19 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $2,921.78 | $3,478.30 | $2,121.77 – $4,710.32 | 19 |
| Inj dupuytren cord w/enzyme CPT 20527 | $333.48 | $397.00 | $242.17 – $537.62 | 19 |
| Inject for sacroiliac joint HCPCS G0259 | $414.12 | $493.00 | $300.73 – $667.63 | 19 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $874.44 | $1,041.00 | $635.01 – $1,409.73 | 19 |
| Injection, burosumab-twza 1m HCPCS J0584 | $53,417.28 | $63,592.00 | $10,629.25 – $23,596.94 | 19 |
| Injection, cangrelor HCPCS C9460 | $3,838.24 | $4,569.33 | $2,787.30 – $6,187.79 | 19 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $33,285.00 | $39,625.00 | $24,171.25 – $53,660.18 | 19 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $272.16 | $324.00 | $197.64 – $438.77 | 19 |
| Injection, daratumumab 10 mg HCPCS J9145 | $12,920.04 | $15,381.00 | $2,158.15 – $4,791.10 | 19 |
| Injection, doxercalciferol HCPCS J1270 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,936.04 | $2,304.80 | $1,405.93 – $3,121.17 | 19 |
| Injection epidural blood patch or clot CPT 62273 | $671.16 | $799.00 | $173.24 – $384.60 | 19 |
| Injection for bladder x-ray CPT 51600 | $313.32 | $373.00 | $227.53 – $505.12 | 19 |
| Injection, fulvestrant HCPCS J9395 | $3,724.27 | $4,433.65 | $97.99 – $217.53 | 19 |
| Injection, glucarpidase HCPCS C9293 | $172,930.80 | $205,870.00 | $125,580.70 – $278,789.16 | 19 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $14,201.97 | $16,907.10 | $10,313.34 – $22,895.60 | 19 |
| Injection into hemorrhoid(s) CPT 46500 | $757.68 | $902.00 | $550.22 – $1,221.49 | 19 |
| Injection, isavuconazonium HCPCS J1833 | $1,513.01 | $1,801.20 | $1,023.25 – $2,271.61 | 19 |
| Injection jugular CPT 36299 | $247.80 | $295.00 | $179.95 – $399.49 | 19 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $18,184.95 | $21,648.75 | $13,205.74 – $29,316.74 | 19 |
| Injection of sinus tract CPT 20500 | $833.28 | $992.00 | $605.12 – $1,343.37 | 19 |
| Injection,onabotulinumtoxina HCPCS J0585 | $5,426.40 | $6,460.00 | $1,970.30 – $4,374.07 | 19 |
| Injection, peramivir HCPCS J2547 | $1,329.98 | $1,583.30 | $965.82 – $2,144.11 | 19 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $493.08 | $587.00 | $358.07 – $794.92 | 19 |
| Injection, renflexis HCPCS Q5104 | $1,803.61 | $2,147.15 | $1,069.43 – $2,374.12 | 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.