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 |
|---|---|---|---|---|
| Artery x-rays arm/leg 75710-26 CPT 75710 | $2,246.16 | $2,674.00 | $1,631.14 – $3,621.14 | 19 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $3,559.08 | $4,237.00 | $2,584.57 – $5,737.75 | 19 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $648.48 | $772.00 | $38.25 – $149.94 | 19 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $355.32 | $423.00 | $258.03 – $572.83 | 19 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $376.32 | $448.00 | $170.19 – $377.83 | 19 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $286.44 | $341.00 | $37.00 – $145.04 | 19 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $697.20 | $830.00 | $29.75 – $116.62 | 19 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | $355.32 | $423.00 | $258.03 – $572.83 | 19 |
| Arthroplasty finger joint 26535 CPT 26535 | $3,912.72 | $4,658.00 | $303.25 – $1,188.74 | 19 |
| Artiss fibrin sealant HCPCS C9250 | $2,551.50 | $3,037.50 | $823.50 – $1,828.17 | 19 |
| Ascenda two piece catheter HCPCS C1772 | $58,413.60 | $69,540.00 | $6,832.00 – $15,167.04 | 19 |
| Asp core fat pad CPT 17999 | $47.88 | $57.00 | $34.77 – $77.19 | 19 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,025.24 | $2,411.00 | $171.75 – $673.26 | 19 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $249.48 | $297.00 | $44.75 – $175.42 | 19 |
| Aspirate pleura without imaging 32554 CPT 32554 | $658.56 | $784.00 | $416.63 – $924.92 | 19 |
| Assay acid phosphatase CPT 84060 | $94.92 | $113.00 | $7.64 – $110.74 | 19 |
| Assay blood catecholamines CPT 82383 | $273.00 | $325.00 | $29.08 – $318.50 | 19 |
| Assay of adp & amp CPT 82030 | $278.88 | $332.00 | $25.80 – $325.36 | 19 |
| Assay of estrogen CPT 84233 | $242.76 | $289.00 | $87.88 – $283.22 | 19 |
| Assay of galactose CPT 82760 | $34.44 | $41.00 | $11.20 – $40.18 | 19 |
| Assay of neonatal thyroxine CPT 84437 | $26.88 | $32.00 | $6.47 – $31.36 | 19 |
| Assay of osteocalcin CPT 83937 | $147.00 | $175.00 | $29.85 – $171.50 | 19 |
| Assay of procainamide w/metab CPT 80192 | $150.36 | $179.00 | $16.75 – $175.42 | 19 |
| Assay of progesterone CPT 84234 | $242.76 | $289.00 | $64.88 – $283.22 | 19 |
| Assay of PSA complexed CPT 84152 | $498.96 | $594.00 | $18.39 – $582.12 | 19 |
| Assay of salicylate CPT 80179 | $359.52 | $428.00 | $18.64 – $419.44 | 19 |
| Assay of somatostatin CPT 84307 | $231.00 | $275.00 | $18.28 – $269.50 | 19 |
| Assay of thiocyanate CPT 84430 | $74.76 | $89.00 | $11.63 – $87.22 | 19 |
| Assay of troponin qual CPT 84512 | $110.04 | $131.00 | $10.09 – $128.38 | 19 |
| Assay of tyrosine CPT 84510 | $214.20 | $255.00 | $10.63 – $249.90 | 19 |
| Assay of urine sulfate CPT 84392 | $53.76 | $64.00 | $5.49 – $62.72 | 19 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $817.32 | $973.00 | $197.03 – $437.41 | 19 |
| Assess cyst contrast inject CPT 49424 | $257.04 | $306.00 | $186.66 – $414.39 | 19 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $99.96 | $119.00 | $4.27 – $13.72 | 19 |
| Assistive tech assessment, ot CPT 97755 | $87.36 | $104.00 | $54.90 – $121.88 | 19 |
| Ast/sgot CPT 84450 | $99.96 | $119.00 | $5.18 – $16.66 | 19 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $47,257.65 | $56,259.10 | $18,870.25 – $41,891.94 | 19 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $122.81 | $146.20 | $60.70 – $134.75 | 19 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $177.24 | $211.00 | $52.75 – $206.78 | 19 |
| Audiometry air + bone CPT 92553 | $157.08 | $187.00 | $114.07 – $253.24 | 19 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,537.40 | $13,735.00 | $7,616.46 – $16,908.55 | 19 |
| Autologous blood process CPT 86890 | $577.08 | $687.00 | $419.07 – $930.34 | 19 |
| Automated diff wbc count CPT 85004 | $80.64 | $96.00 | $6.47 – $94.08 | 19 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $8,456.62 | $10,067.40 | $6,141.12 – $13,633.28 | 19 |
| Avul nail plate addl CPT 11732 | $136.08 | $162.00 | $23.75 – $93.10 | 19 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $309.12 | $368.00 | $81.75 – $320.46 | 19 |
| Azacitidine injection HCPCS J9025 | $2,458.01 | $2,926.20 | $60.70 – $134.75 | 19 |
| Azathioprine 50 mg tablet HCPCS J7500 | $207.65 | $247.20 | $2.14 – $4.74 | 19 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $228.38 | $271.87 | $61.60 – $136.74 | 19 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,612.00 | $4,300.00 | $224.00 – $497.27 | 19 |
| Baclofen eval charges CPT 97750 | $115.92 | $138.00 | $49.41 – $109.70 | 19 |
| Bacterial meningitis antigen CPT 86403 | $283.92 | $338.00 | $11.54 – $331.24 | 19 |
| Bacterial vaginosis pcr CPT 87801 | $465.36 | $554.00 | $70.20 – $207.76 | 19 |
| Bactericidal level serum CPT 87197 | $203.28 | $242.00 | $15.02 – $237.16 | 19 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $72.73 | $86.58 | $0.44 – $0.98 | 19 |
| Basic vestibular evaluation CPT 92540 | $192.36 | $229.00 | $139.69 – $310.12 | 19 |
| Bausch health Ultrasound surg HCPCS V2788 | $835.80 | $995.00 | $152.50 – $338.55 | 19 |
| B cells total count CPT 86355 | $120.12 | $143.00 | $37.73 – $140.14 | 19 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $715.85 | $852.20 | $519.85 – $1,154.05 | 19 |
| Bebtelovimab injection HCPCS M0222 | $412.44 | $491.00 | $299.51 – $664.92 | 19 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,073.50 | $4,849.40 | $2,958.14 – $6,567.06 | 19 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $8,583.00 | $10,217.85 | $1,798.04 – $3,991.64 | 19 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $9,189.60 | $10,940.00 | $1,056.37 – $2,345.14 | 19 |
| Benign lesion paring 2-4 CPT 11056 | $217.56 | $259.00 | $143.35 – $318.24 | 19 |
| Benign lesion paring 4+ CPT 11057 | $217.56 | $259.00 | $157.99 – $350.74 | 19 |
| #_benzodiazconfur CPT 80346 | $183.96 | $219.00 | $64.66 – $143.55 | 19 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $187.87 | $223.65 | $60.70 – $134.75 | 19 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $63.84 | $76.00 | $25.45 – $74.48 | 19 |
| Beta-2 microglobulin CPT 82232 | $146.16 | $174.00 | $16.18 – $170.52 | 19 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $156.79 | $186.65 | $102.33 – $227.17 | 19 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $14,281.15 | $17,001.36 | $2,430.67 – $5,396.09 | 19 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $10,740.65 | $12,786.48 | $1,949.97 – $4,328.92 | 19 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $8,006.95 | $9,532.08 | $1,453.67 – $3,227.14 | 19 |
| Bevacizumab injection HCPCS C9257 | $14,281.15 | $17,001.36 | $2,430.67 – $5,396.09 | 19 |
| Bilateral n block inj occipital 64405 CPT 64405 | $416.64 | $496.00 | $302.56 – $671.69 | 19 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $397.32 | $473.00 | $78.25 – $306.74 | 19 |
| Bilicheck CPT 88720 | $50.40 | $60.00 | $5.02 – $58.80 | 19 |
| Bilirubin direct CPT 82248 | $68.04 | $81.00 | $5.02 – $15.68 | 19 |
| Bilirubin total CPT 82247 | $105.84 | $126.00 | $5.02 – $123.48 | 19 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $138.81 | $165.25 | $11.61 – $25.78 | 19 |
| Biofeedback, pt CPT 90901 | $90.72 | $108.00 | $51.24 – $113.76 | 19 |
| Biopsy bone trocar/needle superficial CPT 20220 | $974.40 | $1,160.00 | $707.60 – $1,570.88 | 19 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $419.16 | $499.00 | $304.39 – $675.75 | 19 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | $1,287.72 | $1,533.00 | $935.13 – $2,075.99 | 19 |
| Biopsy external ear 69100 CPT 69100 | $320.88 | $382.00 | $233.02 – $517.31 | 19 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,783.32 | $2,123.00 | $204.96 – $455.02 | 19 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,013.04 | $1,206.00 | $735.66 – $1,633.17 | 19 |
| Biopsy needle lymph node superficial CPT 38505 | $1,401.96 | $1,669.00 | $309.88 – $687.94 | 19 |
| Biopsy of lip 40490 CPT 40490 | $636.72 | $758.00 | $462.38 – $1,026.49 | 19 |
| Biopsy of prostate CPT 55700 | $777.84 | $926.00 | $564.86 – $1,253.99 | 19 |
| Biopsy/removal lymph nodes CPT 38525 | $999.60 | $1,190.00 | $725.90 – $1,611.50 | 19 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $1,067.64 | $1,271.00 | $775.31 – $1,721.19 | 19 |
| Biopsy tongue anterior two-thirds CPT 41100 | $883.68 | $1,052.00 | $641.72 – $1,424.62 | 19 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $400.68 | $477.00 | $282.43 – $627.00 | 19 |
| Biotinidase - quest CPT 82261 | $70.56 | $84.00 | $16.87 – $82.32 | 19 |
| Biovance 1 square cm HCPCS Q4154 | $6,240.78 | $7,429.50 | $1,448.75 – $3,216.23 | 19 |
| Bivalirudin HCPCS J0583 | $587.92 | $699.90 | $101.26 – $224.80 | 19 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $242.76 | $289.00 | $53.75 – $210.70 | 19 |
| Bld prd mix CPT 86965 | $56.28 | $67.00 | $40.87 – $90.74 | 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.