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 |
|---|---|---|---|---|
| Natural killer cells total count CPT 86357 | $120.12 | $143.00 | $37.73 – $140.14 | 19 |
| Navigational bronchoscopy 31627 CPT 31627 | $1,160.88 | $1,382.00 | $843.02 – $1,871.51 | 19 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $173.04 | $206.00 | $125.66 – $278.97 | 19 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $40.32 | $48.00 | $29.28 – $65.01 | 19 |
| Ndl insj without njx 3+ musc CPT 20561 | $47.88 | $57.00 | $34.77 – $77.19 | 19 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,323.88 | $3,957.00 | $2,413.77 – $5,358.57 | 19 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,597.28 | $3,092.00 | $1,886.12 – $4,187.19 | 19 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,597.28 | $3,092.00 | $1,886.12 – $4,187.19 | 19 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,416.72 | $5,258.00 | $3,207.38 – $7,120.39 | 19 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,979.08 | $4,737.00 | $2,889.57 – $6,414.85 | 19 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,979.08 | $4,737.00 | $2,889.57 – $6,414.85 | 19 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,129.84 | $3,726.00 | $2,272.86 – $5,045.75 | 19 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,760.24 | $3,286.00 | $2,004.46 – $4,449.91 | 19 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,172.24 | $2,586.00 | $1,577.46 – $3,501.97 | 19 |
| Neg pres wound ther drsg set HCPCS A6550 | $2,050.64 | $2,441.23 | $38.32 – $85.06 | 19 |
| Nelarabine injection HCPCS J9261 | $695.31 | $827.75 | $504.93 – $1,120.94 | 19 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $375.48 | $447.00 | $60.70 – $134.75 | 19 |
| Nerve conduction 7-8 studies CPT 95910 | $431.76 | $514.00 | $242.78 – $538.98 | 19 |
| Nerve conduction studies 1-2 CPT 95907 | $220.08 | $262.00 | $130.54 – $289.80 | 19 |
| Nerve conduction studies 13+ CPT 95913 | $346.08 | $412.00 | $251.32 – $557.94 | 19 |
| Nerve conduction studies 3-4 CPT 95908 | $334.32 | $398.00 | $199.47 – $442.83 | 19 |
| Nerve conduction studies 5-6 CPT 95909 | $334.32 | $398.00 | $239.12 – $530.85 | 19 |
| Nerve conduction studies 9-10 CPT 95911 | $604.80 | $720.00 | $378.20 – $839.61 | 19 |
| Neuromatrix nerve cuff, cm HCPCS C9355 | $2,137.59 | $2,544.75 | $494.71 – $1,098.26 | 19 |
| New Patient Office Visit (level 2) CPT 99202 | $231.84 | $276.00 | $81.04 – $276.26 | 19 |
| New Patient Office Visit (level 3) CPT 99203 | $305.76 | $364.00 | $109.71 – $425.22 | 19 |
| New Patient Office Visit (level 4) CPT 99204 | $464.52 | $553.00 | $147.27 – $636.48 | 19 |
| New Patient Office Visit (level 5) CPT 99205 | $575.40 | $685.00 | $199.65 – $842.32 | 19 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | $490.56 | $584.00 | $262.99 – $583.84 | 19 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Nintedanib 150 mg capsule HCPCS J8999 | $153.56 | $182.80 | $2.14 – $4.74 | 19 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $32,065.49 | $38,173.20 | $3,446.18 – $7,650.50 | 19 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $61,036.42 | $72,662.40 | $44,324.07 – $98,399.43 | 19 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $874.44 | $1,041.00 | $635.01 – $1,409.73 | 19 |
| Njx interlaminar crv/thrc CPT 62324 | $1,053.36 | $1,254.00 | $764.94 – $1,698.17 | 19 |
| Njx interlaminar crv/thrc CPT 62325 | $1,053.36 | $1,254.00 | $764.94 – $1,698.17 | 19 |
| Njx interlaminar lmbr/sac CPT 62326 | $1,053.36 | $1,254.00 | $764.94 – $1,698.17 | 19 |
| Njx interlaminar lmbr/sac CPT 62327 | $1,053.36 | $1,254.00 | $764.94 – $1,698.17 | 19 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,489.76 | $2,964.00 | $1,808.04 – $4,013.85 | 19 |
| Nm imaging bone/joint whole body CPT 78306 | $1,716.96 | $2,044.00 | $1,246.84 – $2,767.99 | 19 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,224.32 | $2,648.00 | $1,615.28 – $3,585.93 | 19 |
| Nm imaging gastric emptying study CPT 78264 | $2,216.76 | $2,639.00 | $1,609.79 – $3,573.74 | 19 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,186.92 | $1,413.00 | $861.93 – $1,913.49 | 19 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,443.56 | $2,909.00 | $1,774.49 – $3,939.37 | 19 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $2,085.72 | $2,483.00 | $1,514.63 – $3,362.48 | 19 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,923.60 | $2,290.00 | $1,396.90 – $3,101.12 | 19 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,292.76 | $1,539.00 | $938.79 – $2,084.12 | 19 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $1,743.00 | $2,075.00 | $1,265.75 – $2,809.97 | 19 |
| Non-card vasc flow imaging CPT 78445 | $813.12 | $968.00 | $590.48 – $1,310.87 | 19 |
| Nuclear localization/abscess CPT 78807 | $1,188.60 | $1,415.00 | $863.15 – $1,916.20 | 19 |
| Nuclear rx intra-arterial CPT 79445 | $1,928.64 | $2,296.00 | $1,400.56 – $3,109.25 | 19 |
| Nuclear rx IV admin CPT 79101 | $1,813.56 | $2,159.00 | $1,316.99 – $2,923.72 | 19 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,268.04 | $5,081.00 | $132.98 – $295.22 | 19 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $170.52 | $203.00 | $123.83 – $274.91 | 19 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $36,173.43 | $43,063.60 | $26,268.80 – $58,316.73 | 19 |
| Observation care discharge CPT 99217 | $168.84 | $201.00 | $122.61 – $272.20 | 19 |
| Observation direct referral from physician office for admission HCPCS G0379 | $98.28 | $117.00 | $71.37 – $158.45 | 19 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $499.80 | $595.00 | $362.95 – $805.75 | 19 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $305.76 | $364.00 | $222.04 – $492.93 | 19 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $390.60 | $465.00 | $283.65 – $629.71 | 19 |
| Observation per hour HCPCS G0378 | $23.52 | $28.00 | $16.47 – $36.57 | 19 |
| Obstetric panel inc HIV tstg CPT 80081 | $659.40 | $785.00 | $74.86 – $769.30 | 19 |
| Obstetrics panel CPT 80055 | $121.80 | $145.00 | $47.81 – $128.38 | 19 |
| Obtaining screen pap smear HCPCS Q0091 | $78.12 | $93.00 | $56.73 – $125.95 | 19 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $378.84 | $451.00 | $275.11 – $610.75 | 19 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $357.00 | $425.00 | $259.25 – $575.54 | 19 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $82,800.06 | $98,571.50 | $60,128.62 – $133,485.53 | 19 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $213.24 | $253.85 | $60.70 – $134.75 | 19 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $26,287.80 | $31,295.00 | $12,748.55 – $28,301.77 | 19 |
| Office consultation CPT 99241 | $120.12 | $143.00 | $62.22 – $138.13 | 19 |
| Off/op cnsltj new/est low 30 CPT 99243 | $220.92 | $263.00 | $160.43 – $356.16 | 19 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $330.96 | $394.00 | $240.34 – $533.56 | 19 |
| Off/op consltj new/est hi 55 CPT 99245 | $404.04 | $481.00 | $293.41 – $651.38 | 19 |
| Off/op consltj new/est sf 20 CPT 99242 | $161.28 | $192.00 | $75.03 – $166.57 | 19 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $187.58 | $223.30 | $60.70 – $134.75 | 19 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $11,895.41 | $14,161.20 | $2,112.07 – $4,688.79 | 19 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $92.07 | $109.60 | $60.70 – $134.75 | 19 |
| One-way allow prorated trip HCPCS P9604 | $1.68 | $2.00 | $1.22 – $2.71 | 19 |
| Ophthalmic mitomycin HCPCS J7315 | $225.54 | $268.50 | $163.79 – $363.61 | 19 |
| Oral busulfan HCPCS J8510 | $1,817.76 | $2,164.00 | $1,320.04 – $2,930.49 | 19 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | $127.68 | $152.00 | $11.98 – $148.96 | 19 |
| Orchiectomy partial CPT 54522 | $1,375.08 | $1,637.00 | $998.57 – $2,216.83 | 19 |
| Organic acids total quant ea spec CPT 83918 | $456.96 | $544.00 | $23.60 – $415.52 | 19 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $12,574.47 | $14,969.60 | $2,821.24 – $6,263.14 | 19 |
| Oropharyngeal biopsy 42800 CPT 42800 | $780.36 | $929.00 | $566.69 – $1,258.06 | 19 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Oscillation chest wall mechanical per session CPT 94669 | $242.76 | $289.00 | $176.29 – $391.37 | 19 |
| Osmolality blood CPT 83930 | $104.16 | $124.00 | $6.61 – $121.52 | 19 |
| Osmolality urine CPT 83935 | $89.88 | $107.00 | $6.82 – $104.86 | 19 |
| Ot evaluation high complexity patient/family CPT 97167 | $168.84 | $201.00 | $90.28 – $200.43 | 19 |
| Ot evaluation low complexity patient/family CPT 97165 | $168.84 | $201.00 | $116.51 – $258.66 | 19 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $168.84 | $201.00 | $116.51 – $258.66 | 19 |
| Oth resp proc, group HCPCS G0239 | $126.00 | $150.00 | $91.50 – $203.13 | 19 |
| Oth resp proc, indiv HCPCS G0238 | $94.08 | $112.00 | $68.32 – $151.68 | 19 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $153.72 | $183.00 | $37.21 – $82.61 | 19 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $241.08 | $287.00 | $53.68 – $119.17 | 19 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $157.92 | $188.00 | $35.38 – $78.55 | 19 |
| Ot re-evaluation patient/family CPT 97168 | $155.40 | $185.00 | $57.34 – $127.30 | 19 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $95.76 | $114.00 | $31.11 – $69.07 | 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.