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 |
|---|---|---|---|---|
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $59,075.48 | $70,327.95 | $36,891.01 – $81,898.03 | 19 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $468.72 | $558.00 | $316.99 – $703.72 | 19 |
| Vaccine dtap < 7 years im CPT 90700 | $218.93 | $260.62 | $67.52 – $149.89 | 19 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $275.91 | $328.46 | $200.37 – $444.81 | 19 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $202.28 | $240.80 | $146.89 – $326.10 | 19 |
| Vaccine dtap-ipv/hib im CPT 90698 | $237.04 | $282.18 | $118.86 – $263.86 | 19 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $118.01 | $140.48 | $85.70 – $190.24 | 19 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $237.04 | $282.18 | $60.70 – $134.75 | 19 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $285.95 | $340.41 | $86.44 – $191.90 | 19 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $117.41 | $139.77 | $85.26 – $189.28 | 19 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $191.49 | $227.96 | $103.72 – $230.25 | 19 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $154.88 | $184.37 | $60.70 – $134.75 | 19 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $63.00 | $75.00 | $45.75 – $101.57 | 19 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $75.60 | $90.00 | $54.90 – $121.88 | 19 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $37.80 | $45.00 | $27.45 – $60.94 | 19 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $64.68 | $77.00 | $45.75 – $101.57 | 19 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $35.28 | $42.00 | $24.40 – $54.17 | 19 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $35.28 | $42.00 | $25.62 – $56.88 | 19 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $37.80 | $45.00 | $27.45 – $60.94 | 19 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $701.35 | $834.93 | $447.13 – $992.63 | 19 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $526.68 | $626.99 | $338.55 – $751.59 | 19 |
| Vaccine mmr live subcutaneous CPT 90707 | $1,094.23 | $1,302.65 | $261.30 – $580.08 | 19 |
| Vaccine mmrv live subcutaneous CPT 90710 | $672.83 | $800.98 | $488.60 – $1,084.69 | 19 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $474.51 | $564.89 | $326.74 – $725.36 | 19 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $812.58 | $967.35 | $572.23 – $1,270.34 | 19 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $981.96 | $1,169.00 | $691.43 – $1,534.98 | 19 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $1,722.63 | $2,050.75 | $1,250.96 – $2,777.13 | 19 |
| Vaccine rabies im CPT 90675 | $1,378.82 | $1,641.45 | $835.80 – $1,855.46 | 19 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,208.93 | $2,629.67 | $1,604.10 – $3,561.10 | 19 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $2,208.93 | $2,629.67 | $1,604.10 – $3,561.10 | 19 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $341.00 | $405.95 | $247.63 – $549.74 | 19 |
| Vaccine tdap >=7 years im CPT 90715 | $199.49 | $237.48 | $104.00 – $230.87 | 19 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $163.54 | $194.69 | $65.63 – $145.70 | 19 |
| Vaccine varicella live subcutaneous CPT 90716 | $730.34 | $869.45 | $289.21 – $642.03 | 19 |
| Valproic acid total therapeutic drug level CPT 80164 | $242.76 | $289.00 | $13.54 – $41.16 | 19 |
| Valrubicin injection HCPCS J9357 | $7,017.36 | $8,354.00 | $5,095.94 – $11,312.99 | 19 |
| Vancomycin hcl injection HCPCS J3370 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Vancomycin peak therapeutic drug level CPT 80202 | $186.48 | $222.00 | $13.54 – $217.56 | 19 |
| Varicella zoster antibody igg CPT 86787 | $188.16 | $224.00 | $12.88 – $219.52 | 19 |
| Varicella-zoster immue globin im CPT 90396 | $7,948.68 | $9,462.71 | $5,772.26 – $12,814.41 | 19 |
| Vasectomy CPT 55250 | $777.84 | $926.00 | $564.86 – $1,253.99 | 19 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $521.80 | $621.18 | $60.70 – $134.75 | 19 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $39,311.63 | $46,799.55 | $28,547.73 – $63,375.96 | 19 |
| Veeg cont 2-12 hrs CPT 95713 | $617.40 | $735.00 | $448.35 – $995.34 | 19 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $321.72 | $383.00 | $233.63 – $518.66 | 19 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,258.32 | $1,498.00 | $20.74 – $46.05 | 19 |
| Venogram ext bil s&i CPT 75822 | $1,367.52 | $1,628.00 | $993.08 – $2,204.64 | 19 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $992.04 | $1,181.00 | $720.41 – $1,599.32 | 19 |
| Venous thrombosis imaging CPT 78457 | $872.76 | $1,039.00 | $633.79 – $1,407.02 | 19 |
| Ven thrombosis images bilat CPT 78458 | $1,231.44 | $1,466.00 | $894.26 – $1,985.26 | 19 |
| Ventilator each subsequent day CPT 94003 | $568.68 | $677.00 | $412.97 – $916.80 | 19 |
| Ventilator initial day CPT 94002 | $568.68 | $677.00 | $412.97 – $916.80 | 19 |
| Version cephalic external CPT 59412 | $2,010.12 | $2,393.00 | $1,459.73 – $3,240.61 | 19 |
| Very long chain fatty acids CPT 82726 | $66.36 | $79.00 | $19.75 – $77.42 | 19 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | $3,333.12 | $3,968.00 | $2,420.48 – $5,373.47 | 19 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $204.46 | $243.40 | $148.48 – $329.62 | 19 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $115.63 | $137.65 | $60.70 – $134.75 | 19 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $141.80 | $168.80 | $60.70 – $134.75 | 19 |
| Viper venom prothrombin time CPT 85612 | $148.68 | $177.00 | $17.49 – $173.46 | 19 |
| Virus isolation addl studies ea CPT 87253 | $145.32 | $173.00 | $20.20 – $169.54 | 19 |
| Vitamin b-12 CPT 82607 | $163.80 | $195.00 | $15.08 – $45.08 | 19 |
| Vitamin D Test CPT 82306 | $313.32 | $373.00 | $29.60 – $87.22 | 19 |
| Volume measurement urine timed CPT 81050 | $35.28 | $42.00 | $3.64 – $41.16 | 19 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $512.70 | $610.35 | $60.70 – $134.75 | 19 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $501,274.20 | $596,755.00 | $364,020.55 – $808,125.63 | 19 |
| Warde 1003990 aldosterone CPT 82088 | $417.48 | $497.00 | $40.75 – $487.06 | 19 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $173.04 | $206.00 | $27.80 – $201.88 | 19 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $150.36 | $179.00 | $12.90 – $28.64 | 19 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $256.20 | $305.00 | $25.25 – $298.90 | 19 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $156.24 | $186.00 | $15.50 – $182.28 | 19 |
| Warde 1015200 kappa light chain free CPT 83521 | $162.12 | $193.00 | $117.73 – $261.37 | 19 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $69.72 | $83.00 | $8.02 – $24.50 | 19 |
| Warde 3008005 oligoclonal bands CPT 83916 | $270.48 | $322.00 | $27.39 – $315.56 | 19 |
| Warde 3016000 west nile virus antibody CPT 86788 | $196.56 | $234.00 | $16.85 – $229.32 | 19 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $196.56 | $234.00 | $14.39 – $229.32 | 19 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $90.72 | $108.00 | $12.25 – $105.84 | 19 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $131.04 | $156.00 | $8.90 – $26.46 | 19 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $218.40 | $260.00 | $17.98 – $254.80 | 19 |
| Warde 3400852 arsenic CPT 82175 | $123.48 | $147.00 | $18.97 – $144.06 | 19 |
| Warde 3708165 mercury urine CPT 83825 | $186.48 | $222.00 | $16.26 – $217.56 | 19 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $170.52 | $203.00 | $123.83 – $274.91 | 19 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $178.08 | $212.00 | $129.32 – $287.10 | 19 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $300.72 | $358.00 | $8.10 – $237.16 | 19 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $493.08 | $587.00 | $38.62 – $115.64 | 19 |
| Warde aldolase CPT 82085 | $85.68 | $102.00 | $9.71 – $99.96 | 19 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $692.16 | $824.00 | $16.87 – $304.78 | 19 |
| Warde amiodarone therapeutic drug level CPT 80151 | $205.80 | $245.00 | $18.64 – $240.10 | 19 |
| Warde analysis gene hfe common variants CPT 81256 | $864.36 | $1,029.00 | $65.36 – $1,008.42 | 19 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $57.12 | $68.00 | $41.48 – $92.09 | 19 |
| Warde anti-mullerian hormone CPT 82166 | $161.28 | $192.00 | $117.12 – $260.01 | 19 |
| Warde apolipoprotein b CPT 82172 | $184.80 | $220.00 | $21.09 – $46.82 | 19 |
| Warde bile acids CPT 82239 | $49.56 | $59.00 | $17.12 – $57.82 | 19 |
| Warde cadmium blood CPT 82300 | $175.56 | $209.00 | $23.64 – $204.82 | 19 |
| Warde calcitonin CPT 82308 | $263.76 | $314.00 | $26.79 – $307.72 | 19 |
| Warde calculus (stone) infrared CPT 82365 | $178.08 | $212.00 | $12.90 – $207.76 | 19 |
| Warde clozapine therapeutic drug level CPT 80159 | $55.44 | $66.00 | $20.15 – $64.68 | 19 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $210.84 | $251.00 | $21.96 – $245.98 | 19 |
| Warde collagen cross links c-telopeptide CPT 82523 | $300.72 | $358.00 | $18.68 – $55.86 | 19 |
| Warde complement total hemolytic CPT 86162 | $336.84 | $401.00 | $20.32 – $392.98 | 19 |
| Warde copper CPT 82525 | $128.52 | $153.00 | $12.41 – $149.94 | 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.