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 |
|---|---|---|---|---|
| X-ray joint survey 1 view CPT 77077 | $256.20 | $305.00 | $186.05 – $413.04 | 19 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $248.64 | $296.00 | $38.43 – $85.32 | 19 |
| X-ray knee 3 views (both sides) CPT 73562 | $378.00 | $450.00 | $44.53 – $98.86 | 19 |
| X-ray knee ap standing bilateral CPT 73565 | $278.88 | $332.00 | $202.52 – $449.60 | 19 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $234.36 | $279.00 | $34.77 – $77.19 | 19 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $1,302.00 | $1,550.00 | $945.50 – $2,099.01 | 19 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $610.68 | $727.00 | $61.00 – $135.42 | 19 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,043.28 | $1,242.00 | $52.46 – $116.47 | 19 |
| X-ray mandible complete > 4 views CPT 70110 | $411.60 | $490.00 | $298.90 – $663.56 | 19 |
| X-ray mandible ltd <4 views CPT 70100 | $208.32 | $248.00 | $151.28 – $335.85 | 19 |
| X-ray nasal bones complete > 3 views CPT 70160 | $283.08 | $337.00 | $205.57 – $456.37 | 19 |
| X-ray neck soft tissue CPT 70360 | $286.44 | $341.00 | $208.01 – $461.79 | 19 |
| X-ray nose to rectum for foreign body child CPT 76010 | $363.72 | $433.00 | $264.13 – $586.37 | 19 |
| X-ray optic foramina CPT 70190 | $231.00 | $275.00 | $167.75 – $372.41 | 19 |
| X-ray pelvis 1-2 views CPT 72170 | $322.56 | $384.00 | $40.87 – $90.74 | 19 |
| X-ray pelvis complete > 3 views CPT 72190 | $380.52 | $453.00 | $276.33 – $613.46 | 19 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $700.56 | $834.00 | $508.74 – $1,129.41 | 19 |
| X-ray ribs 2 views left CPT 71100 | $384.72 | $458.00 | $41.48 – $92.09 | 19 |
| X-ray ribs 3 views bilateral CPT 71110 | $376.32 | $448.00 | $273.28 – $606.69 | 19 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $437.64 | $521.00 | $317.81 – $705.54 | 19 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $559.44 | $666.00 | $406.26 – $901.90 | 19 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $336.84 | $401.00 | $244.61 – $543.04 | 19 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $257.04 | $306.00 | $186.66 – $414.39 | 19 |
| X-ray scapula complete (both sides) CPT 73010 | $253.68 | $302.00 | $184.22 – $408.97 | 19 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $310.80 | $370.00 | $28.67 – $63.65 | 19 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $345.24 | $411.00 | $46.97 – $104.28 | 19 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $738.36 | $879.00 | $536.19 – $1,190.35 | 19 |
| X-ray skull < 4 views CPT 70250 | $333.48 | $397.00 | $45.14 – $100.22 | 19 |
| X-ray skull > 4 views complete CPT 70260 | $410.76 | $489.00 | $298.29 – $662.21 | 19 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $410.76 | $489.00 | $298.29 – $662.21 | 19 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $328.44 | $391.00 | $238.51 – $529.50 | 19 |
| X-ray small intestine follow-through study CPT 74248 | $664.44 | $791.00 | $482.51 – $1,071.18 | 19 |
| X-ray spine single view CPT 72020 | $288.12 | $343.00 | $24.40 – $54.17 | 19 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $246.12 | $293.00 | $178.73 – $396.79 | 19 |
| X-ray sternum > 2 views CPT 71120 | $225.96 | $269.00 | $37.21 – $82.61 | 19 |
| X-ray surgical specimen CPT 76098 | $148.68 | $177.00 | $107.97 – $239.70 | 19 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $584.64 | $696.00 | $424.56 – $942.53 | 19 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $275.52 | $328.00 | $200.08 – $444.18 | 19 |
| X-ray thoracic spine 2 views CPT 72070 | $395.64 | $471.00 | $42.70 – $94.80 | 19 |
| X-ray thoracic spine 3 views CPT 72072 | $403.20 | $480.00 | $43.31 – $96.15 | 19 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $325.08 | $387.00 | $236.07 – $524.08 | 19 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $93.24 | $111.00 | $67.71 – $150.32 | 19 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $491.40 | $585.00 | $356.85 – $792.21 | 19 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $227.64 | $271.00 | $35.38 – $78.55 | 19 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $246.12 | $293.00 | $35.99 – $79.90 | 19 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $530.04 | $631.00 | $347.70 – $771.90 | 19 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $632.52 | $753.00 | $306.83 – $681.17 | 19 |
| X-ray upper gi&small intest CPT 74245 | $586.32 | $698.00 | $425.78 – $945.24 | 19 |
| X-ray wrist 2 views (both sides) CPT 73100 | $288.96 | $344.00 | $37.21 – $82.61 | 19 |
| Xylose absorption test blood &/or urine CPT 84620 | $183.96 | $219.00 | $12.91 – $214.62 | 19 |
| Xyntha inj HCPCS J7185 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $113.74 | $135.40 | $81.44 – $180.79 | 19 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $16.89 | $20.10 | $12.27 – $27.22 | 19 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $214.28 | $255.09 | $60.70 – $134.75 | 19 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,152.48 | $1,372.00 | $60.70 – $134.75 | 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.