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 |
|---|---|---|---|---|
| Aminolevulinic acid delta CPT 82135 | $258.72 | $308.00 | $16.45 – $301.84 | 19 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Amitriptyline (elavil) -sendout CPT 80335 | $798.00 | $950.00 | $65.27 – $144.90 | 19 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $15,988.05 | $19,033.39 | $11,610.37 – $25,775.02 | 19 |
| Ammonia CPT 82140 | $147.84 | $176.00 | $14.57 – $172.48 | 19 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $173.88 | $207.00 | $126.27 – $280.32 | 19 |
| Amniocentesis therapeutic CPT 59001 | $1,979.04 | $2,356.00 | $1,437.16 – $3,190.50 | 19 |
| Amobarbital 125 mg inj HCPCS J0300 | $2,873.18 | $3,420.45 | $2,086.48 – $4,631.98 | 19 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,622.04 | $1,931.00 | $482.75 – $1,480.78 | 19 |
| Amphetamine confirm urine -sendout CPT 80324 | $15.96 | $19.00 | $11.59 – $25.73 | 19 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $145.79 | $173.55 | $105.87 – $235.03 | 19 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,220.82 | $1,453.35 | $223.17 – $495.44 | 19 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Amylase CPT 82150 | $141.96 | $169.00 | $6.48 – $19.60 | 19 |
| Anabolic steroid 1 or 2 CPT 80327 | $271.32 | $323.00 | $197.03 – $437.41 | 19 |
| Ana ds-dna CPT 86226 | $69.72 | $83.00 | $12.11 – $81.34 | 19 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $309.12 | $368.00 | $65.42 – $257.30 | 19 |
| Analysis gene f2 20210g>a variant CPT 81240 | $492.24 | $586.00 | $65.69 – $574.28 | 19 |
| Analysis gene f5 leiden variant CPT 81241 | $492.24 | $586.00 | $73.37 – $574.28 | 19 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $48.72 | $58.00 | $35.38 – $78.55 | 19 |
| Analysis tumor CPT 88358 | $148.68 | $177.00 | $107.97 – $239.70 | 19 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $75.60 | $90.00 | $54.90 – $121.88 | 19 |
| Anca screen with reflex to titer -quest CPT 86021 | $859.32 | $1,023.00 | $15.05 – $1,002.54 | 19 |
| An cholangiogram percutaneous compl CPT 47531 | $346.92 | $413.00 | $251.93 – $559.29 | 19 |
| Androstanediol CPT 82154 | $231.84 | $276.00 | $28.83 – $270.48 | 19 |
| An fluoro guide for cvp CPT 77001 | $612.36 | $729.00 | $444.69 – $987.22 | 19 |
| Angiotensin ii CPT 82163 | $155.40 | $185.00 | $20.52 – $181.30 | 19 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $299.21 | $356.20 | $5.27 – $11.69 | 19 |
| Anidulafungin injection HCPCS J0348 | $166.74 | $198.50 | $121.09 – $268.81 | 19 |
| Ankle X-ray CPT 73610 | $368.76 | $439.00 | $40.26 – $89.38 | 19 |
| Anogenital exam child w imag CPT 99170 | $387.24 | $461.00 | $115.25 – $299.88 | 19 |
| Anoscopy remove fb 46608 CPT 46608 | $710.64 | $846.00 | $211.50 – $777.14 | 19 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $54.60 | $65.00 | $12.88 – $63.70 | 19 |
| Antibody elution rbc reference CPT 86860 | $127.68 | $152.00 | $46.97 – $104.28 | 19 |
| Antibody htlv/hiv confirm test CPT 86689 | $911.40 | $1,085.00 | $19.35 – $364.56 | 19 |
| Antibody htlv-i CPT 86687 | $89.04 | $106.00 | $9.09 – $103.88 | 19 |
| Antibody htlv-ii CPT 86688 | $89.04 | $106.00 | $14.00 – $103.88 | 19 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $275.52 | $328.00 | $18.37 – $321.44 | 19 |
| Antibody id rbc panel CPT 86870 | $191.52 | $228.00 | $86.01 – $190.95 | 19 |
| Antibody influenza virus CPT 86710 | $80.64 | $96.00 | $13.55 – $94.08 | 19 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $104.16 | $124.00 | $12.87 – $121.52 | 19 |
| Antibody screen rbc CPT 86850 | $123.48 | $147.00 | $9.77 – $43.12 | 19 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $111.72 | $133.00 | $81.13 – $180.11 | 19 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $178.08 | $212.00 | $129.32 – $287.10 | 19 |
| Antinuclear antibodies CPT 86038 | $168.00 | $200.00 | $12.09 – $36.26 | 19 |
| Antinuclear antibodies titer CPT 86039 | $70.56 | $84.00 | $11.16 – $82.32 | 19 |
| Antipsychotics nos 1-3 CPT 80342 | $151.20 | $180.00 | $109.80 – $243.76 | 19 |
| Antistreptolysin o screen CPT 86063 | $108.36 | $129.00 | $5.77 – $126.42 | 19 |
| Antistreptolysin o titer CPT 86060 | $164.64 | $196.00 | $7.30 – $192.08 | 19 |
| Antithrombin iii activity CPT 85300 | $168.00 | $200.00 | $11.85 – $196.00 | 19 |
| Antithrombin iii injection HCPCS J7197 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $19,536.47 | $23,257.70 | $14,187.20 – $31,495.58 | 19 |
| Antithymocyte globuln rabbit HCPCS J7511 | $4,701.78 | $5,597.35 | $3,414.39 – $7,579.94 | 19 |
| Apheresis immunoads slctv CPT 36516 | $5,685.96 | $6,769.00 | $4,129.09 – $9,166.58 | 19 |
| Apheresis plasma CPT 36514 | $3,291.12 | $3,918.00 | $2,389.98 – $5,305.76 | 19 |
| Apheresis platelets CPT 36513 | $514.92 | $613.00 | $373.93 – $830.13 | 19 |
| Appendectomy CPT 44950 | $1,453.20 | $1,730.00 | $1,055.30 – $2,342.77 | 19 |
| Appendectomy add-on 44955 CPT 44955 | $187.32 | $223.00 | $136.03 – $301.99 | 19 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,984.92 | $2,363.00 | $1,441.43 – $3,199.98 | 19 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,366.68 | $1,627.00 | $992.47 – $2,203.29 | 19 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $812.28 | $967.00 | $589.87 – $1,309.52 | 19 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $225.96 | $269.00 | $164.09 – $364.28 | 19 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $76.44 | $91.00 | $55.51 – $123.24 | 19 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $740.04 | $881.00 | $537.41 – $1,193.06 | 19 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $194.88 | $232.00 | $141.52 – $314.18 | 19 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $57.96 | $69.00 | $42.09 – $93.44 | 19 |
| Application finger splntstatic 29130 CPT 29130 | $264.60 | $315.00 | $28.25 – $68.60 | 19 |
| Application long leg splint 29505 CPT 29505 | $214.20 | $255.00 | $59.75 – $216.58 | 19 |
| Application lower leg splint 29515 CPT 29515 | $366.24 | $436.00 | $48.75 – $191.10 | 19 |
| Application multi layer compression below knee (both sides) CPT 29581 | $214.20 | $255.00 | $92.72 – $205.84 | 19 |
| Application of forearm cast 29075 CPT 29075 | $199.08 | $237.00 | $44.53 – $98.86 | 19 |
| Application of long arm cast 29065 CPT 29065 | $363.72 | $433.00 | $53.07 – $117.82 | 19 |
| Application of long leg cast 29345 CPT 29345 | $309.96 | $369.00 | $92.25 – $215.60 | 19 |
| Application of paste boot 29580 CPT 29580 | $230.16 | $274.00 | $109.19 – $242.41 | 19 |
| Application short leg cast 29405 CPT 29405 | $283.08 | $337.00 | $54.75 – $214.62 | 19 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $378.84 | $451.00 | $275.11 – $610.75 | 19 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $364.56 | $434.00 | $264.74 – $587.73 | 19 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $208.32 | $248.00 | $35.38 – $78.55 | 19 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $63.00 | $75.00 | $38.43 – $85.32 | 19 |
| Appl multlay comprs arm/hand CPT 29584 | $132.72 | $158.00 | $96.38 – $213.97 | 19 |
| Apply finger cast 29086 CPT 29086 | $178.08 | $212.00 | $38.43 – $85.32 | 19 |
| Apply forearm splintdynamic 29126 CPT 29126 | $281.40 | $335.00 | $42.70 – $94.80 | 19 |
| Apply hand/wrist cast 29085 CPT 29085 | $218.40 | $260.00 | $38.43 – $85.32 | 19 |
| Apply of finger splint 29131 CPT 29131 | $165.48 | $197.00 | $36.25 – $94.08 | 19 |
| Apply short leg castambul type 29425 CPT 29425 | $212.52 | $253.00 | $52.00 – $203.84 | 19 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | $84.00 | $100.00 | $61.00 – $135.42 | 19 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $17,338.11 | $20,640.60 | $12,590.77 – $27,951.51 | 19 |
| #aptt mix-1:1 incubated CPT 87532 | $734.16 | $874.00 | $35.09 – $107.80 | 19 |
| Aquaporin-4 antibody elisa CPT 86051 | $165.48 | $197.00 | $120.17 – $266.78 | 19 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $84.00 | $100.00 | $55.51 – $123.24 | 19 |
| Aquatic exercise - group charge CPT 97150 | $98.28 | $117.00 | $71.37 – $158.45 | 19 |
| Argatroban dialysis, auromed HCPCS J0899 | $749.07 | $891.75 | $216.40 – $480.41 | 19 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $2,933.91 | $3,492.75 | $60.70 – $134.75 | 19 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $10,430.49 | $12,417.25 | $5,858.54 – $13,005.96 | 19 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $350.79 | $417.60 | $112.99 – $250.83 | 19 |
| Arterial blood draw/perc 36620 CPT 36620 | $263.76 | $314.00 | $31.25 – $122.50 | 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.