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 |
|---|---|---|---|---|
| Platelets each unit HCPCS P9019 | $157.08 | $187.00 | $114.07 – $253.24 | 19 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $1,110.48 | $1,322.00 | $806.42 – $1,790.26 | 19 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $1,170.12 | $1,393.00 | $849.73 – $1,886.41 | 19 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,214.64 | $1,446.00 | $882.06 – $1,958.18 | 19 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,594.32 | $1,898.00 | $1,157.78 – $2,570.28 | 19 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,852.64 | $3,396.00 | $1,222.44 – $2,713.82 | 19 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $635.88 | $757.00 | $461.77 – $1,025.13 | 19 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $635.88 | $757.00 | $461.77 – $1,025.13 | 19 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $2,967.72 | $3,533.00 | $889.99 – $1,975.78 | 19 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,210.44 | $1,441.00 | $337.33 – $748.88 | 19 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,276.80 | $1,520.00 | $545.95 – $1,212.01 | 19 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $747.60 | $890.00 | $542.90 – $1,205.24 | 19 |
| Plmt access bil tree sm bwl CPT 47541 | $2,881.20 | $3,430.00 | $2,092.30 – $4,644.91 | 19 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $373.80 | $445.00 | $26.07 – $379.26 | 19 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $75,891.19 | $90,346.65 | $11,809.64 – $26,217.38 | 19 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,212.12 | $1,443.00 | $880.23 – $1,954.12 | 19 |
| Polysom any age 1-3> param CPT 95808 | $1,328.04 | $1,581.00 | $964.41 – $2,141.00 | 19 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $5,108.04 | $6,081.00 | $3,709.41 – $8,234.90 | 19 |
| Postop app non-wgt bear dsg HCPCS L5450 | $590.14 | $702.54 | $428.55 – $951.38 | 19 |
| Potassium 24 hour urine CPT 84133 | $85.68 | $102.00 | $4.73 – $99.96 | 19 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Potassium serum/plasma/whole blood CPT 84132 | $94.92 | $113.00 | $4.76 – $14.70 | 19 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $4.53 | $5.39 | $3.29 – $7.30 | 19 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,369.20 | $1,630.00 | $994.30 – $2,207.35 | 19 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $10,488.24 | $12,486.00 | $7,616.46 – $16,908.55 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $6,000.96 | $7,144.00 | $2,752.93 – $6,111.51 | 19 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,000.96 | $7,144.00 | $4,357.84 – $9,674.41 | 19 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $333.05 | $396.48 | $241.86 – $536.92 | 19 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,656.48 | $1,972.00 | $493.00 – $1,480.78 | 19 |
| Pr application of long arm splint CPT 29105 | $325.08 | $387.00 | $54.90 – $121.88 | 19 |
| Pr application splint static short arm CPT 29125 | $330.96 | $394.00 | $44.75 – $175.42 | 19 |
| Pr biopsy skin punch single lesion CPT 11104 | $267.96 | $319.00 | $194.59 – $431.99 | 19 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $25.20 | $30.00 | $17.08 – $37.92 | 19 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $241.92 | $288.00 | $72.00 – $159.84 | 19 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $169.68 | $202.00 | $50.00 – $176.40 | 19 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $248.64 | $296.00 | $180.56 – $400.85 | 19 |
| Prealbumin CPT 84134 | $127.68 | $152.00 | $14.59 – $44.10 | 19 |
| Pr ecg 12 lead report only CPT 93010 | $20.16 | $24.00 | $14.64 – $32.51 | 19 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $45.36 | $54.00 | $32.94 – $73.13 | 19 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $241.12 | $287.04 | $69.98 – $155.35 | 19 |
| Prednisone 1 mg tablet HCPCS J7512 | $703.92 | $838.00 | $2.14 – $4.74 | 19 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $462.84 | $551.00 | $336.11 – $746.17 | 19 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $853.44 | $1,016.00 | $611.83 – $1,358.27 | 19 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,093.68 | $1,302.00 | $794.22 – $1,763.17 | 19 |
| Pressure max expiratory/inspiratory CPT 94799 | $353.64 | $421.00 | $15.25 – $33.86 | 19 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $212.52 | $253.00 | $154.33 – $342.62 | 19 |
| Pretreat rbc absorption reference CPT 86978 | $189.84 | $226.00 | $81.74 – $181.47 | 19 |
| Pretreat rbc density gradient separation reference CPT 86972 | $159.60 | $190.00 | $115.90 – $257.30 | 19 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $131.88 | $157.00 | $95.77 – $212.61 | 19 |
| Pretreat rbc w enzyme reference CPT 86971 | $85.68 | $102.00 | $62.22 – $138.13 | 19 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,041.60 | $1,240.00 | $90.50 – $354.76 | 19 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,155.44 | $2,566.00 | $383.08 – $850.44 | 19 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $488.88 | $582.00 | $113.75 – $445.90 | 19 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $467.88 | $557.00 | $339.77 – $754.29 | 19 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $317.52 | $378.00 | $5.00 – $19.60 | 19 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $233.52 | $278.00 | $37.25 – $146.02 | 19 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $241.92 | $288.00 | $175.68 – $390.01 | 19 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $168.00 | $200.00 | $122.00 – $270.84 | 19 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $90.72 | $108.00 | $65.88 – $146.26 | 19 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $944.16 | $1,124.00 | $149.25 – $585.06 | 19 |
| Pr incision & drainage abscess simple/single CPT 10060 | $294.84 | $351.00 | $87.75 – $253.82 | 19 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $558.60 | $665.00 | $104.50 – $409.64 | 19 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $356.16 | $424.00 | $106.00 – $397.88 | 19 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $89.88 | $107.00 | $53.07 – $117.82 | 19 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $5,660.55 | $6,738.75 | $1,852.88 – $4,113.39 | 19 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,189.56 | $2,606.61 | $142.32 – $315.94 | 19 |
| Procalcitonin CPT 84145 | $328.44 | $391.00 | $27.22 – $383.18 | 19 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Proctosigmoidoscopy ablate CPT 45320 | $533.40 | $635.00 | $387.35 – $859.92 | 19 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $530.04 | $631.00 | $384.91 – $854.51 | 19 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $2,351.16 | $2,799.00 | $1,707.39 – $3,790.41 | 19 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,019.76 | $1,214.00 | $91.75 – $359.66 | 19 |
| Proctosigmoidoscopy removal CPT 45308 | $488.88 | $582.00 | $355.02 – $788.15 | 19 |
| Proctosigmoidoscopy removal CPT 45309 | $504.00 | $600.00 | $366.00 – $812.52 | 19 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $543.48 | $647.00 | $394.67 – $876.17 | 19 |
| Proctosigmoidoscopy volvul CPT 45321 | $231.84 | $276.00 | $168.36 – $373.76 | 19 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $435.12 | $518.00 | $315.98 – $701.48 | 19 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $1,236.48 | $1,472.00 | $152.00 – $595.84 | 19 |
| Proctosigmoidoscopy w/stent CPT 45327 | $261.24 | $311.00 | $189.71 – $421.16 | 19 |
| Progesterone CPT 84144 | $228.48 | $272.00 | $20.86 – $101.92 | 19 |
| Prolactin CPT 84146 | $232.68 | $277.00 | $19.38 – $57.82 | 19 |
| Prolng clin staff svc 1st hr CPT 99415 | $383.04 | $456.00 | $278.16 – $617.52 | 19 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $73.92 | $88.00 | $53.68 – $119.17 | 19 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $128.52 | $153.00 | $93.33 – $207.20 | 19 |
| Prolonged IV inf, req pump HCPCS C8957 | $405.72 | $483.00 | $294.63 – $654.08 | 19 |
| Promethazine hcl injection HCPCS J2550 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| _propoxygc/msur CPT 80367 | $204.12 | $243.00 | $148.23 – $329.08 | 19 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $180.60 | $215.00 | $60.70 – $134.75 | 19 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $125.79 | $149.75 | $60.70 – $134.75 | 19 |
| Protect body sock ea pre ots HCPCS L0984 | $121.70 | $144.87 | $88.38 – $196.19 | 19 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,445.93 | $4,102.29 | $1,112.18 – $2,469.04 | 19 |
| Protein c activity CPT 85303 | $288.12 | $343.00 | $13.84 – $336.14 | 19 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $217.56 | $259.00 | $10.74 – $32.34 | 19 |
| Protein s total CPT 85305 | $306.60 | $365.00 | $11.61 – $357.70 | 19 |
| Protein total 24 hour urine CPT 84156 | $55.44 | $66.00 | $3.67 – $10.78 | 19 |
| Protein total body fluid CPT 84157 | $57.12 | $68.00 | $4.00 – $66.64 | 19 |
| Protein total serum plasma whole blood CPT 84155 | $129.36 | $154.00 | $3.67 – $10.78 | 19 |
| Prothrombin complex kcentra HCPCS J7168 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $84.84 | $101.00 | $3.94 – $98.98 | 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.