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 |
|---|---|---|---|---|
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $126.00 | $150.00 | $82.35 – $182.82 | 19 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $113.40 | $135.00 | $73.20 – $162.51 | 19 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $1,475.88 | $1,757.00 | $53.68 – $119.17 | 19 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $2,474.64 | $2,946.00 | $13.42 – $29.80 | 19 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $241.08 | $287.00 | $44.53 – $98.86 | 19 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $422.52 | $503.00 | $60.70 – $134.75 | 19 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $10,613.91 | $12,635.60 | $60.70 – $134.75 | 19 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $207.40 | $246.90 | $60.70 – $134.75 | 19 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $496.65 | $591.25 | $60.70 – $134.75 | 19 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $6,069.51 | $7,225.60 | $2,482.67 – $5,511.53 | 19 |
| Palifermin injection HCPCS J2425 | $11,852.31 | $14,109.89 | $8,607.04 – $19,107.62 | 19 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $13,815.43 | $16,446.94 | $4,966.26 – $11,025.09 | 19 |
| Palonosetron hcl HCPCS J2469 | $87.14 | $103.73 | $60.70 – $134.75 | 19 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $240.03 | $285.75 | $60.70 – $134.75 | 19 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $29,367.58 | $34,961.40 | $5,331.62 – $11,836.19 | 19 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Papaverin hcl injection HCPCS J2440 | $159.00 | $189.28 | $60.70 – $134.75 | 19 |
| Parathormone (pth) intact CPT 83970 | $463.68 | $552.00 | $41.28 – $122.50 | 19 |
| Parathyrd planar w/spect&ct CPT 78072 | $394.80 | $470.00 | $286.70 – $636.48 | 19 |
| Parathyroid planar imaging CPT 78070 | $1,113.00 | $1,325.00 | $808.25 – $1,794.32 | 19 |
| Parathyroid planar img w/tomo spect CPT 78071 | $489.72 | $583.00 | $355.63 – $789.50 | 19 |
| Parial mast w/lymph removal 19302 CPT 19302 | $2,054.64 | $2,446.00 | $1,492.06 – $3,312.38 | 19 |
| Paricalcitol HCPCS J2501 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $217.56 | $259.00 | $51.00 – $199.92 | 19 |
| Partial removal finger bone CPT 26236 | $1,865.64 | $2,221.00 | $1,354.81 – $3,007.68 | 19 |
| Partial removal of foot bone CPT 28288 | $2,425.92 | $2,888.00 | $1,761.68 – $3,910.93 | 19 |
| Partial removal of thyroid CPT 60220 | $1,628.76 | $1,939.00 | $1,182.79 – $2,625.80 | 19 |
| Partial removal of thyroid CPT 60225 | $2,164.68 | $2,577.00 | $1,571.97 – $3,489.78 | 19 |
| Partial removal of toe CPT 28160 | $1,865.64 | $2,221.00 | $1,354.81 – $3,007.68 | 19 |
| Partial thyroid excision CPT 60210 | $1,624.56 | $1,934.00 | $1,179.74 – $2,619.03 | 19 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $2,320.08 | $2,762.00 | $1,684.82 – $3,740.31 | 19 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7,322.81 | $8,717.63 | $361.15 – $801.75 | 19 |
| Part removal of metatarsal CPT 28113 | $1,379.28 | $1,642.00 | $1,001.62 – $2,223.60 | 19 |
| Passy muir valve metal trach HCPCS L8501 | $61.83 | $73.60 | $44.90 – $99.67 | 19 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $18,785.68 | $22,363.90 | $13,641.98 – $30,285.20 | 19 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $13,347.90 | $15,890.35 | $9,286.74 – $20,616.56 | 19 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $6,479.55 | $7,713.75 | $4,705.39 – $10,445.97 | 19 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $6,135.95 | $7,304.70 | $4,455.87 – $9,892.03 | 19 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $94,928.40 | $113,010.00 | $46,927.30 – $104,178.61 | 19 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,212.16 | $3,824.00 | $2,332.64 – $5,178.47 | 19 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,483.88 | $2,957.00 | $1,803.77 – $4,004.37 | 19 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,699.76 | $3,214.00 | $1,960.54 – $4,352.40 | 19 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,017.72 | $4,783.00 | $2,917.63 – $6,477.14 | 19 |
| Pelvic MRI (with contrast) CPT 72196 | $2,607.36 | $3,104.00 | $1,893.44 – $4,203.44 | 19 |
| Pelvic MRI (without contrast) CPT 72195 | $3,067.68 | $3,652.00 | $2,227.72 – $4,945.54 | 19 |
| Pelvic Ultrasound (complete) CPT 76856 | $827.40 | $985.00 | $600.85 – $1,333.89 | 19 |
| Pelvic Ultrasound (limited) CPT 76857 | $513.24 | $611.00 | $372.71 – $827.42 | 19 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $24,770.43 | $29,488.60 | $17,988.05 – $39,933.47 | 19 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $15,530.47 | $18,488.65 | $60.70 – $134.75 | 19 |
| Pemivibart infusion HCPCS M0224 | $540.96 | $644.00 | $392.84 – $872.11 | 19 |
| Peng benzathine/procaine inj HCPCS J0558 | $933.81 | $1,111.67 | $678.11 – $1,505.40 | 19 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,640.70 | $3,143.68 | $540.28 – $1,199.42 | 19 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $211.26 | $251.50 | $60.70 – $134.75 | 19 |
| Penicillin g procaine inj HCPCS J2510 | $298.40 | $355.23 | $216.70 – $481.06 | 19 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $8,393.12 | $9,991.80 | $2,074.00 – $4,604.28 | 19 |
| Pentobarbital sodium inj HCPCS J2515 | $7,076.79 | $8,424.75 | $1,743.51 – $3,870.58 | 19 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $9,766.64 | $11,626.95 | $7,092.44 – $15,745.22 | 19 |
| Perc rf ablate renal tumor CPT 50592 | $4,811.52 | $5,728.00 | $3,494.08 – $7,756.86 | 19 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $336.00 | $400.00 | $240.10 – $533.02 | 19 |
| Pericardiocentesis wwo imaging CPT 33016 | $578.76 | $689.00 | $420.29 – $933.05 | 19 |
| Peripheral vascular rehab CPT 93668 | $70.56 | $84.00 | $49.41 – $109.70 | 19 |
| Perit-vens shunt pat tst CPT 78291 | $914.76 | $1,089.00 | $664.29 – $1,474.73 | 19 |
| Perq dev breast 1st mr guide CPT 19287 | $2,825.76 | $3,364.00 | $1,147.41 – $2,547.26 | 19 |
| Perq dev breast 1st strtctc CPT 19283 | $1,564.92 | $1,863.00 | $452.62 – $1,004.82 | 19 |
| Pertussis ag if CPT 87265 | $330.96 | $394.00 | $11.98 – $386.12 | 19 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $28,545.82 | $33,983.11 | $20,729.70 – $46,019.93 | 19 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $108.11 | $128.70 | $78.51 – $174.29 | 19 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,699.40 | $6,785.00 | $4,138.85 – $9,188.25 | 19 |
| Pet CT whole body initial CPT 78816 | $5,699.40 | $6,785.00 | $4,138.85 – $9,188.25 | 19 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,247.04 | $5,056.00 | $3,084.16 – $6,846.84 | 19 |
| Pet image w/ct lmtd CPT 78814 | $4,503.24 | $5,361.00 | $3,270.21 – $7,259.87 | 19 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $41,504.40 | $49,410.00 | $38.43 – $85.32 | 19 |
| Ph body fluid CPT 83986 | $108.36 | $129.00 | $3.58 – $92.12 | 19 |
| Phencyclidine (pcp) CPT 83992 | $184.80 | $220.00 | $134.20 – $297.93 | 19 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $211.28 | $251.52 | $60.70 – $134.75 | 19 |
| Phenobarbital therapeutic drug level CPT 80184 | $203.28 | $242.00 | $15.30 – $34.30 | 19 |
| Phentolaine mesylate inj HCPCS J2760 | $1,788.03 | $2,128.60 | $304.29 – $675.51 | 19 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Phenytoin total therapeutic drug level CPT 80185 | $161.28 | $192.00 | $13.25 – $40.18 | 19 |
| Phlebotomy therapeutic CPT 99195 | $263.76 | $314.00 | $154.94 – $343.97 | 19 |
| Phosphorus CPT 84100 | $91.56 | $109.00 | $4.74 – $14.70 | 19 |
| Phosphorus 24 hour urine CPT 84105 | $112.56 | $134.00 | $5.78 – $131.32 | 19 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $99.88 | $118.90 | $58.03 – $128.82 | 19 |
| Pin caspar distraction 12mm HCPCS C1821 | $14,757.12 | $17,568.00 | $2,147.20 – $4,766.79 | 19 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,390.20 | $1,655.00 | $251.32 – $557.94 | 19 |
| Pinworm exam CPT 87172 | $53.76 | $64.00 | $4.27 – $62.72 | 19 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $469.23 | $558.60 | $60.70 – $134.75 | 19 |
| Place gastrostomy tube open 43832 CPT 43832 | $2,357.88 | $2,807.00 | $1,712.27 – $3,801.24 | 19 |
| Place gastrostomy tube perc CPT 49440 | $966.84 | $1,151.00 | $702.11 – $1,558.69 | 19 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,643.88 | $1,957.00 | $416.02 – $923.57 | 19 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,210.44 | $1,441.00 | $295.85 – $656.79 | 19 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,711.92 | $2,038.00 | $662.46 – $1,470.67 | 19 |
| Placement of seton CPT 46020 | $265.44 | $316.00 | $192.76 – $427.93 | 19 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $253.68 | $302.00 | $151.89 – $337.20 | 19 |
| Plastic mod low ext pad/line HCPCS L2275 | $278.44 | $331.47 | $202.20 – $448.88 | 19 |
| Platelet aggregation each agent teg CPT 85576 | $326.76 | $389.00 | $24.91 – $381.22 | 19 |
| Platelet automated CPT 85049 | $66.36 | $79.00 | $4.48 – $77.42 | 19 |
| Platelet pheresis each unit HCPCS P9034 | $1,475.04 | $1,756.00 | $1,071.16 – $2,377.98 | 19 |
| Platelet pheresis irr ea HCPCS P9036 | $1,415.40 | $1,685.00 | $1,027.85 – $2,281.83 | 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.