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 |
|---|---|---|---|---|
| Mayo chromium CPT 82495 | $184.80 | $220.00 | $20.28 – $215.60 | 19 |
| Mayo coccidioides antibody CPT 86635 | $90.72 | $108.00 | $11.47 – $105.84 | 19 |
| Mayo cocou cortisone urine CPT 82542 | $708.96 | $844.00 | $24.09 – $642.88 | 19 |
| Mayo cortisol free CPT 82530 | $168.00 | $200.00 | $16.71 – $196.00 | 19 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $90.72 | $108.00 | $42.13 – $105.84 | 19 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $35.28 | $42.00 | $12.12 – $41.16 | 19 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $175.56 | $209.00 | $127.49 – $283.03 | 19 |
| Mayo cyanide CPT 82600 | $357.84 | $426.00 | $19.40 – $417.48 | 19 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $131.88 | $157.00 | $13.25 – $153.86 | 19 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $197.40 | $235.00 | $25.27 – $230.30 | 19 |
| Mayo efpo chloride stool CPT 82438 | $56.28 | $67.00 | $5.00 – $65.66 | 19 |
| Mayo estriol CPT 82677 | $188.16 | $224.00 | $24.18 – $72.52 | 19 |
| Mayo estrone CPT 82679 | $90.72 | $108.00 | $24.95 – $105.84 | 19 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $139.44 | $166.00 | $16.34 – $162.68 | 19 |
| Mayo everolimus therapeutic drug level CPT 80169 | $283.08 | $337.00 | $13.73 – $330.26 | 19 |
| Mayo factor ii CPT 85210 | $159.60 | $190.00 | $12.98 – $186.20 | 19 |
| Mayo factor v CPT 85220 | $292.32 | $348.00 | $17.65 – $341.04 | 19 |
| Mayo factor vii CPT 85230 | $363.72 | $433.00 | $17.90 – $424.34 | 19 |
| Mayo factor viii vw factor antigen CPT 85246 | $916.44 | $1,091.00 | $22.94 – $1,069.18 | 19 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $321.72 | $383.00 | $22.94 – $375.34 | 19 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $307.44 | $366.00 | $22.94 – $358.68 | 19 |
| Mayo factor x CPT 85260 | $233.52 | $278.00 | $17.90 – $272.44 | 19 |
| Mayo factor xi CPT 85270 | $330.96 | $394.00 | $17.90 – $386.12 | 19 |
| Mayo fat/lipids feces quantitative CPT 82710 | $280.56 | $334.00 | $16.80 – $327.32 | 19 |
| Mayo fbl culture fungi blood CPT 87103 | $186.48 | $222.00 | $20.46 – $217.56 | 19 |
| Mayo ffspg allergen clam igg CPT 86001 | $88.20 | $105.00 | $7.82 – $17.36 | 19 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $59.64 | $71.00 | $21.67 – $69.58 | 19 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $222.60 | $265.00 | $26.23 – $58.24 | 19 |
| Mayo hemosiderin qualitative urine CPT 83070 | $43.68 | $52.00 | $4.75 – $50.96 | 19 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $126.84 | $151.00 | $13.79 – $147.98 | 19 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $355.32 | $423.00 | $25.81 – $414.54 | 19 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $198.24 | $236.00 | $8.89 – $231.28 | 19 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $165.48 | $197.00 | $13.52 – $193.06 | 19 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $80.64 | $96.00 | $27.17 – $94.08 | 19 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $445.20 | $530.00 | $17.27 – $39.20 | 19 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $212.52 | $253.00 | $14.99 – $247.94 | 19 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $243.60 | $290.00 | $20.81 – $61.74 | 19 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $517.44 | $616.00 | $20.81 – $603.68 | 19 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $243.60 | $290.00 | $16.07 – $284.20 | 19 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $387.24 | $461.00 | $11.98 – $451.78 | 19 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $606.48 | $722.00 | $35.09 – $107.80 | 19 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $154.56 | $184.00 | $35.09 – $180.32 | 19 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $264.60 | $315.00 | $35.09 – $308.70 | 19 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $620.76 | $739.00 | $42.84 – $724.22 | 19 |
| Mayo inhab inhibin a CPT 86336 | $264.60 | $315.00 | $15.59 – $308.70 | 19 |
| Mayo insft insulin free CPT 83527 | $84.00 | $100.00 | $12.95 – $98.00 | 19 |
| Mayo insulin antibodies CPT 86337 | $523.32 | $623.00 | $21.41 – $610.54 | 19 |
| Mayo iodine CPT 83789 | $341.88 | $407.00 | $24.11 – $100.94 | 19 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $367.08 | $437.00 | $27.11 – $428.26 | 19 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $69.72 | $83.00 | $13.25 – $81.34 | 19 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $412.44 | $491.00 | $12.79 – $481.18 | 19 |
| Mayo legionella antibody CPT 86713 | $128.52 | $153.00 | $15.30 – $149.94 | 19 |
| Mayo leptospira antibody igm CPT 86720 | $337.68 | $402.00 | $16.20 – $393.96 | 19 |
| Mayo lipoprotein electrophoresis CPT 83700 | $256.20 | $305.00 | $11.26 – $298.90 | 19 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $96.60 | $115.00 | $13.65 – $34.39 | 19 |
| Mayo manganese CPT 83785 | $53.76 | $64.00 | $26.65 – $62.72 | 19 |
| Mayo metanephrines plasma CPT 83835 | $263.76 | $314.00 | $16.94 – $119.56 | 19 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $112.56 | $134.00 | $24.40 – $54.17 | 19 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $170.52 | $203.00 | $123.83 – $274.91 | 19 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $248.64 | $296.00 | $14.55 – $44.10 | 19 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $370.44 | $441.00 | $18.64 – $41.38 | 19 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $983.64 | $1,171.00 | $137.00 – $1,029.98 | 19 |
| Mayo muramidase CPT 85549 | $131.88 | $157.00 | $18.75 – $153.86 | 19 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $161.28 | $192.00 | $117.12 – $260.01 | 19 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $90.72 | $108.00 | $18.05 – $105.84 | 19 |
| Mayo myoglobin CPT 83874 | $156.24 | $186.00 | $12.92 – $182.28 | 19 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $204.12 | $243.00 | $148.23 – $329.08 | 19 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $15.96 | $19.00 | $11.59 – $25.73 | 19 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $47.04 | $56.00 | $21.21 – $54.88 | 19 |
| Mayo oxalate 24 hour urine CPT 83945 | $168.84 | $201.00 | $14.45 – $196.98 | 19 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $228.48 | $272.00 | $11.53 – $266.56 | 19 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $136.08 | $162.00 | $15.03 – $158.76 | 19 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $165.48 | $197.00 | $12.05 – $35.28 | 19 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $423.36 | $504.00 | $35.09 – $493.92 | 19 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $288.96 | $344.00 | $17.98 – $337.12 | 19 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $112.56 | $134.00 | $13.76 – $131.32 | 19 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $346.92 | $413.00 | $8.44 – $404.74 | 19 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $112.56 | $134.00 | $16.59 – $131.32 | 19 |
| Mayo proinsulin CPT 84206 | $204.96 | $244.00 | $26.69 – $239.12 | 19 |
| Mayo psaft prostate specific antigen free CPT 84154 | $334.32 | $398.00 | $18.39 – $54.88 | 19 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $126.84 | $151.00 | $18.40 – $147.98 | 19 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $382.20 | $455.00 | $13.36 – $445.90 | 19 |
| Mayo receptor assay transferrin soluble CPT 84238 | $483.84 | $576.00 | $36.57 – $564.48 | 19 |
| Mayo renin CPT 84244 | $215.04 | $256.00 | $21.99 – $250.88 | 19 |
| Mayo repu protein electrophoresis urine CPT 84166 | $327.60 | $390.00 | $17.83 – $382.20 | 19 |
| Mayo selenium CPT 84255 | $184.80 | $220.00 | $25.53 – $215.60 | 19 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $294.00 | $350.00 | $15.50 – $343.00 | 19 |
| Mayo serotonin CPT 84260 | $309.12 | $368.00 | $30.98 – $360.64 | 19 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $75.60 | $90.00 | $19.35 – $88.20 | 19 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $178.08 | $212.00 | $13.73 – $207.76 | 19 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $156.24 | $186.00 | $113.46 – $251.89 | 19 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $82.32 | $98.00 | $4.27 – $11.76 | 19 |
| Mayo tgrp testosterone free CPT 84402 | $186.48 | $222.00 | $25.47 – $75.46 | 19 |
| Mayo tgrp testosterone total CPT 84403 | $274.68 | $327.00 | $25.81 – $76.44 | 19 |
| Mayo thyroglobulin CPT 84432 | $271.32 | $323.00 | $16.06 – $316.54 | 19 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $87.36 | $104.00 | $10.18 – $101.92 | 19 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $147.00 | $175.00 | $12.39 – $171.50 | 19 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $75.60 | $90.00 | $14.16 – $88.20 | 19 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $240.24 | $286.00 | $13.54 – $280.28 | 19 |
| Mayo vasoactive intestinal peptide CPT 84586 | $329.28 | $392.00 | $35.33 – $384.16 | 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.