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 vitamin b3 (niacin) CPT 84591 | $59.64 | $71.00 | $17.06 – $37.87 | 19 |
| Mayo vitamin k CPT 84597 | $316.68 | $377.00 | $13.72 – $369.46 | 19 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $165.48 | $197.00 | $13.25 – $193.06 | 19 |
| Measurement post void urine by ultrasound CPT 51798 | $244.44 | $291.00 | $7.25 – $28.42 | 19 |
| #mec-opiates CPT 80356 | $15.96 | $19.00 | $11.59 – $25.73 | 19 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $276.57 | $329.25 | $60.70 – $134.75 | 19 |
| Melphalan oral 2 mg HCPCS J8600 | $1,810.04 | $2,154.80 | $1,314.43 – $2,918.04 | 19 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $15,493.09 | $18,444.15 | $9,318.79 – $20,687.71 | 19 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $268.27 | $319.36 | $60.70 – $134.75 | 19 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $265.02 | $315.50 | $60.70 – $134.75 | 19 |
| Metabolic Blood Panel (Basic) CPT 80048 | $231.00 | $275.00 | $8.46 – $25.48 | 19 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $294.84 | $351.00 | $10.56 – $31.36 | 19 |
| Metabolic panel ionized ca CPT 80047 | $265.44 | $316.00 | $13.73 – $309.68 | 19 |
| Metatarsal joint implant HCPCS L8641 | $1,891.89 | $2,252.25 | $305.00 – $677.10 | 19 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $453.60 | $540.00 | $203.09 – $450.85 | 19 |
| Methadone injection HCPCS J1230 | $1,804.74 | $2,148.50 | $604.58 – $1,342.15 | 19 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $723.41 | $861.20 | $2.14 – $4.74 | 19 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $127.85 | $152.20 | $60.70 – $134.75 | 19 |
| Methotrexate therapeutic drug level CPT 80204 | $236.88 | $282.00 | $38.57 – $276.36 | 19 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $4,034.48 | $4,802.95 | $13.02 – $28.90 | 19 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $85.82 | $102.16 | $60.70 – $134.75 | 19 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $652.75 | $777.08 | $474.01 – $1,052.30 | 19 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $410.60 | $488.80 | $2.99 – $6.63 | 19 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $179.01 | $213.10 | $60.70 – $134.75 | 19 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $299.63 | $356.70 | $60.70 – $134.75 | 19 |
| Microalbumin urine screen CPT 82044 | $103.32 | $123.00 | $6.23 – $14.70 | 19 |
| Microdissection manual CPT 88381 | $367.92 | $438.00 | $267.18 – $593.14 | 19 |
| Microsatellite instability CPT 81301 | $1,199.52 | $1,428.00 | $348.56 – $1,399.44 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $132.89 | $158.20 | $60.70 – $134.75 | 19 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Minocycline hydrochloride HCPCS J2265 | $831.15 | $989.46 | $603.58 – $1,339.93 | 19 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $27,246.08 | $32,435.80 | $19,785.84 – $43,924.57 | 19 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $4,933.87 | $5,873.65 | $163.18 – $362.25 | 19 |
| Mitomycin instillation HCPCS J9281 | $4,877.67 | $5,806.75 | $3,542.12 – $7,863.51 | 19 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $428.51 | $510.13 | $311.18 – $690.82 | 19 |
| Mnl appl strs jt radiography CPT 77071 | $84.84 | $101.00 | $61.61 – $136.78 | 19 |
| Mnt subs tx for change dx HCPCS G0270 | $36.96 | $44.00 | $26.84 – $59.59 | 19 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $672.00 | $800.00 | $488.00 – $1,083.36 | 19 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $8,505.00 | $10,125.00 | $5,476.28 – $12,157.34 | 19 |
| Monovisc inj per dose HCPCS J7327 | $3,410.62 | $4,060.26 | $2,476.76 – $5,498.41 | 19 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $244.95 | $291.60 | $60.70 – $134.75 | 19 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $1,268.82 | $1,510.50 | $60.70 – $134.75 | 19 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $635.04 | $756.00 | $461.16 – $1,023.78 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $502.32 | $598.00 | $364.78 – $809.82 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $312.48 | $372.00 | $226.92 – $503.77 | 19 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $635.04 | $756.00 | $224.48 – $498.35 | 19 |
| M/phmtrc alysishquant/semiq CPT 88369 | $669.48 | $797.00 | $486.17 – $1,079.30 | 19 |
| MRA abdomen post contrast CPT 74185 | $3,032.40 | $3,610.00 | $1,645.17 – $3,652.28 | 19 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $4,133.64 | $4,921.00 | $1,573.80 – $3,493.84 | 19 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $3,378.48 | $4,022.00 | $1,416.42 – $3,144.46 | 19 |
| MRA pelvis CPT 72198 | $3,210.48 | $3,822.00 | $1,776.32 – $3,943.44 | 19 |
| MRA spinal canal CPT 72159 | $4,478.04 | $5,331.00 | $2,698.03 – $5,989.63 | 19 |
| MRA upper extremity post contrast-bil CPT 73225 | $3,145.80 | $3,745.00 | $1,928.21 – $4,280.63 | 19 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | $2,477.16 | $2,949.00 | $1,798.89 – $3,993.54 | 19 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,973.16 | $2,349.00 | $1,432.89 – $3,181.02 | 19 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,141.16 | $2,549.00 | $1,554.89 – $3,451.86 | 19 |
| MRI chest without contrast CPT 71550 | $2,340.24 | $2,786.00 | $1,699.46 – $3,772.81 | 19 |
| MRI chest without & w/contrast CPT 71552 | $3,591.84 | $4,276.00 | $2,608.36 – $5,790.56 | 19 |
| MRI chest w IV cont CPT 71551 | $3,133.20 | $3,730.00 | $2,275.30 – $5,051.17 | 19 |
| MRI fetal ea addl gestation CPT 74713 | $398.16 | $474.00 | $289.14 – $641.90 | 19 |
| MRI fetal sngl/1st gestation CPT 74712 | $398.16 | $474.00 | $289.14 – $641.90 | 19 |
| MRI guid ndl plc s&i CPT 77021 | $2,204.16 | $2,624.00 | $1,600.64 – $3,553.43 | 19 |
| MRI loex nonjt w IV cont CPT 73719 | $2,909.76 | $3,464.00 | $2,113.04 – $4,690.95 | 19 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,798.04 | $3,331.00 | $2,031.91 – $4,510.85 | 19 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $3,469.20 | $4,130.00 | $2,519.30 – $5,592.85 | 19 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,495.64 | $2,971.00 | $1,812.31 – $4,023.33 | 19 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,825.36 | $4,554.00 | $2,777.94 – $6,167.03 | 19 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,336.48 | $3,972.00 | $2,422.92 – $5,378.89 | 19 |
| MRI tmj CPT 70336 | $2,349.48 | $2,797.00 | $1,706.17 – $3,787.70 | 19 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,026.92 | $2,413.00 | $1,471.93 – $3,267.69 | 19 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $3,234.00 | $3,850.00 | $2,348.50 – $5,213.67 | 19 |
| MRI upper extremity w/dye CPT 73219 | $2,085.72 | $2,483.00 | $1,514.63 – $3,362.48 | 19 |
| Mthfr gene analy common variants CPT 81291 | $1,010.52 | $1,203.00 | $65.34 – $1,178.94 | 19 |
| Mucin synovial fluid CPT 83872 | $116.76 | $139.00 | $5.86 – $136.22 | 19 |
| Multiple sleep latency test CPT 95805 | $2,971.92 | $3,538.00 | $2,158.18 – $4,791.16 | 19 |
| Mumps antibody igg CPT 86735 | $150.36 | $179.00 | $12.35 – $28.97 | 19 |
| Muscle-skin graft arm CPT 15736 | $3,202.08 | $3,812.00 | $2,325.32 – $5,162.22 | 19 |
| Muscle-skin graft trunk CPT 15734 | $3,202.08 | $3,812.00 | $2,325.32 – $5,162.22 | 19 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $3,267.60 | $3,890.00 | $2,372.90 – $5,267.84 | 19 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2,317.06 | $2,758.40 | $2.14 – $4.74 | 19 |
| Mycophenolic acid HCPCS J7518 | $2,148.25 | $2,557.44 | $6.62 – $14.68 | 19 |
| Mycoplasma antibody igm CPT 86738 | $116.76 | $139.00 | $13.24 – $136.22 | 19 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,618.72 | $4,308.00 | $2,627.88 – $5,833.90 | 19 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,970.24 | $3,536.00 | $2,156.96 – $4,788.46 | 19 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,069.36 | $3,654.00 | $2,228.94 – $4,948.25 | 19 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,431.40 | $4,085.00 | $2,491.85 – $5,531.91 | 19 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $1,246.56 | $1,484.00 | $3.90 – $25.60 | 19 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,837.08 | $2,187.00 | $1,334.07 – $2,961.64 | 19 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $174.43 | $207.65 | $60.70 – $134.75 | 19 |
| Naltrexone, depot form HCPCS J2315 | $6,493.12 | $7,729.90 | $4,715.24 – $10,467.84 | 19 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $448.56 | $534.00 | $95.16 – $211.26 | 19 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $274.68 | $327.00 | $199.47 – $442.83 | 19 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $35,858.41 | $42,688.58 | $12,336.03 – $27,385.99 | 19 |
| Natriuretic peptide CPT 83880 | $127.68 | $152.00 | $39.26 – $100.94 | 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.