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 |
|---|---|---|---|---|
| Treat humerus fracture CPT 24535 | $1,441.44 | $1,716.00 | $429.00 – $952.38 | 19 |
| Treat humerus fracture CPT 24565 | $1,264.20 | $1,505.00 | $213.50 – $473.97 | 19 |
| Treat kneecap dislocation CPT 27562 | $2,075.64 | $2,471.00 | $1,507.31 – $3,346.23 | 19 |
| Treat knee fracture 27530 CPT 27530 | $858.48 | $1,022.00 | $215.50 – $844.76 | 19 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $824.88 | $982.00 | $599.02 – $1,329.83 | 19 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $149.52 | $178.00 | $108.58 – $241.05 | 19 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $142.80 | $170.00 | $103.70 – $230.22 | 19 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $159.60 | $190.00 | $14.64 – $32.51 | 19 |
| Treatment mouth roof lesion CPT 42160 | $1,643.04 | $1,956.00 | $165.00 – $646.80 | 19 |
| Treatment of ankle fracture 27786 CPT 27786 | $740.04 | $881.00 | $167.14 – $371.06 | 19 |
| Treatment of fibula fracture 27780 CPT 27780 | $728.28 | $867.00 | $167.14 – $371.06 | 19 |
| Treatment of heel fracture 28400 CPT 28400 | $582.12 | $693.00 | $173.25 – $384.62 | 19 |
| Treatment of retinal lesion CPT 67210 | $558.60 | $665.00 | $405.65 – $900.55 | 19 |
| Treatment of thigh fracture CPT 27508 | $1,223.88 | $1,457.00 | $364.25 – $808.64 | 19 |
| Treatment of thigh fracture CPT 27510 | $286.44 | $341.00 | $208.01 – $461.79 | 19 |
| Treatment of toe fracture 28510 CPT 28510 | $283.92 | $338.00 | $84.50 – $227.36 | 19 |
| Treat ulnar fracture CPT 24675 | $1,086.96 | $1,294.00 | $317.20 – $704.19 | 19 |
| Treat vaginal bleeding CPT 57180 | $516.60 | $615.00 | $142.00 – $556.64 | 19 |
| Treat wrist dislocation CPT 25675 | $1,051.68 | $1,252.00 | $313.00 – $694.86 | 19 |
| Treponema pallidum antibody CPT 86780 | $214.20 | $255.00 | $11.70 – $29.39 | 19 |
| Treprostinil injection HCPCS J3285 | $66,847.20 | $79,580.00 | $4,494.97 – $9,978.83 | 19 |
| Treprostinil, non-comp unit HCPCS J7686 | $68,354.65 | $81,374.58 | $5,672.98 – $12,594.01 | 19 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $272.58 | $324.50 | $60.70 – $134.75 | 19 |
| Triamcinolone a inj prs-free HCPCS J3300 | $607.07 | $722.70 | $440.85 – $978.69 | 19 |
| Trichinella antibody CPT 86784 | $123.48 | $147.00 | $12.56 – $144.06 | 19 |
| Triglycerides CPT 84478 | $116.76 | $139.00 | $5.74 – $17.64 | 19 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $6,657.09 | $7,925.10 | $4,834.32 – $10,732.18 | 19 |
| Trimethobenzamide hcl inj HCPCS J3250 | $214.25 | $255.05 | $155.59 – $345.39 | 19 |
| Triptorelin pamoate HCPCS J3315 | $2,513.87 | $2,992.70 | $1,816.04 – $4,031.59 | 19 |
| Trnscath plc stnt ante carotid art CPT 37218 | $63.00 | $75.00 | $45.75 – $101.57 | 19 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,904.28 | $2,267.00 | $535.25 – $2,098.18 | 19 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,323.44 | $2,766.00 | $691.50 – $2,301.04 | 19 |
| Troponin quantitative CPT 84484 | $255.36 | $304.00 | $12.47 – $29.40 | 19 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,729.16 | $3,249.00 | $1,981.89 – $4,399.80 | 19 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,729.16 | $3,249.00 | $1,270.02 – $2,819.45 | 19 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $528.95 | $629.70 | $19.74 – $43.83 | 19 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $214.78 | $255.69 | $56.22 – $124.81 | 19 |
| Tx closed hip disl traumatic without anes CPT 27250 | $406.56 | $484.00 | $121.00 – $460.60 | 19 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,757.28 | $2,092.00 | $1,276.12 – $2,832.99 | 19 |
| Tx closed tib shaft fx without manip CPT 27750 | $815.64 | $971.00 | $242.75 – $678.16 | 19 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $3,181.08 | $3,787.00 | $348.00 – $1,364.16 | 19 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $6,041.28 | $7,192.00 | $378.00 – $1,481.76 | 19 |
| Tympanic membrane repair CPT 69610 | $1,605.24 | $1,911.00 | $1,165.71 – $2,587.88 | 19 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $256.20 | $305.00 | $186.05 – $413.04 | 19 |
| Ua w/micro/comp poc CPT 81000 | $60.48 | $72.00 | $4.02 – $9.80 | 19 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $43,984.51 | $52,362.51 | $31,941.14 – $70,909.32 | 19 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $197.40 | $235.00 | $143.35 – $318.24 | 19 |
| Ultrasound breast complete CPT 76641 | $179.76 | $214.00 | $130.54 – $289.80 | 19 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $179.76 | $214.00 | $130.54 – $289.80 | 19 |
| Ultrasound chest CPT 76604 | $462.00 | $550.00 | $335.50 – $744.81 | 19 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $297.36 | $354.00 | $215.94 – $479.39 | 19 |
| Ultrasound exam follow-up CPT 76970 | $350.28 | $417.00 | $254.37 – $564.71 | 19 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $509.04 | $606.00 | $369.66 – $820.65 | 19 |
| Ultrasound guidance for vascular access CPT 76937 | $750.96 | $894.00 | $68.32 – $151.68 | 19 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $653.52 | $778.00 | $452.01 – $1,003.47 | 19 |
| Ultrasound guide intraoperative CPT 76998 | $535.92 | $638.00 | $389.18 – $863.98 | 19 |
| Ultrasound hips infant dynamic CPT 76885 | $314.16 | $374.00 | $228.14 – $506.48 | 19 |
| Ultrasound joint complete left CPT 76881 | $672.84 | $801.00 | $488.61 – $1,084.72 | 19 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $600.60 | $715.00 | $436.15 – $968.26 | 19 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $722.40 | $860.00 | $524.60 – $1,164.62 | 19 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $635.04 | $756.00 | $461.16 – $1,023.78 | 19 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,241.52 | $1,478.00 | $901.58 – $2,001.51 | 19 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $305.76 | $364.00 | $222.04 – $492.93 | 19 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $441.84 | $526.00 | $320.86 – $712.31 | 19 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $679.56 | $809.00 | $493.49 – $1,095.55 | 19 |
| Ultrasound prostate/transrectal CPT 76872 | $1,127.28 | $1,342.00 | $56.73 – $125.95 | 19 |
| Ultrasound retroperitoneal limited CPT 76775 | $620.76 | $739.00 | $450.79 – $1,000.76 | 19 |
| Ultrasound scrotum and contents CPT 76870 | $517.44 | $616.00 | $375.76 – $834.19 | 19 |
| Ultrasound spinal canal and contents CPT 76800 | $1,366.68 | $1,627.00 | $992.47 – $2,203.29 | 19 |
| Ultrasound transabd ea addl gest CPT 76812 | $1,241.52 | $1,478.00 | $901.58 – $2,001.51 | 19 |
| Ultrasound transvaginal non obstetric CPT 76830 | $720.72 | $858.00 | $523.38 – $1,161.91 | 19 |
| Unlisted orl service/px CPT 92700 | $107.52 | $128.00 | $78.08 – $173.34 | 19 |
| Unlisted px casting/strpg CPT 29799 | $276.36 | $329.00 | $87.23 – $193.66 | 19 |
| Unlisted px hands/fingers CPT 26989 | $198.24 | $236.00 | $143.96 – $319.60 | 19 |
| Unlisted px small intestine CPT 44799 | $2,526.72 | $3,008.00 | $1,834.88 – $4,073.44 | 19 |
| Unlisted px tongue flr mouth CPT 41599 | $173.88 | $207.00 | $126.27 – $280.32 | 19 |
| Unlisted transfusion med px CPT 86999 | $233.52 | $278.00 | $75.03 – $166.57 | 19 |
| Unlisted ultrasound procedure CPT 76999 | $268.80 | $320.00 | $195.20 – $433.35 | 19 |
| Unlisted urinalysis px CPT 81099 | $349.44 | $416.00 | $253.76 – $563.35 | 19 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $835.80 | $995.00 | $309.88 – $687.94 | 19 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,272.24 | $5,086.00 | $3,102.46 – $6,887.47 | 19 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,041.24 | $4,811.00 | $2,934.71 – $6,515.06 | 19 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,848.88 | $4,582.00 | $2,795.02 – $6,204.95 | 19 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $2,043.72 | $2,433.00 | $523.99 – $1,163.26 | 19 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $2,083.20 | $2,480.00 | $275.00 – $1,078.00 | 19 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $33.39 | $39.75 | $24.25 – $53.83 | 19 |
| Uppr gi scope w/submuc inj CPT 43236 | $986.16 | $1,174.00 | $716.14 – $1,589.84 | 19 |
| Urea nitrogen CPT 84520 | $77.28 | $92.00 | $3.95 – $11.76 | 19 |
| Urea nitrogen 24 hour urine CPT 84540 | $97.44 | $116.00 | $5.56 – $113.68 | 19 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $504.00 | $600.00 | $366.00 – $812.52 | 19 |
| Urethrocystography void s&i CPT 74455 | $420.84 | $501.00 | $305.61 – $678.46 | 19 |
| Uric acid blood CPT 84550 | $112.56 | $134.00 | $4.52 – $14.70 | 19 |
| Uric acid urine CPT 84560 | $126.84 | $151.00 | $5.08 – $147.98 | 19 |
| Urinalysis microscopic only CPT 81015 | $63.84 | $76.00 | $3.05 – $74.48 | 19 |
| Urinalysis (with microscopy) CPT 81001 | $85.68 | $102.00 | $3.17 – $9.80 | 19 |
| Urinalysis (without microscopy) CPT 81003 | $53.76 | $64.00 | $2.25 – $6.86 | 19 |
| Urine Culture Test CPT 87086 | $178.92 | $213.00 | $8.07 – $24.50 | 19 |
| Urine pregnancy test CPT 81025 | $111.72 | $133.00 | $8.61 – $19.60 | 19 |
| Urography, antegrade CPT 74425 | $1,148.28 | $1,367.00 | $833.87 – $1,851.20 | 19 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $8,498.60 | $10,117.38 | $6,171.61 – $13,700.96 | 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.