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 |
|---|---|---|---|---|
| Bleomycin 15 unit solution for injection HCPCS J9040 | $359.44 | $427.90 | $60.70 – $134.75 | 19 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,816.82 | $21,210.50 | $12,938.41 – $28,723.26 | 19 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $20,139.00 | $23,975.00 | $11.13 – $24.69 | 19 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $7,380.45 | $8,786.25 | $60.96 – $135.33 | 19 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,818.60 | $2,165.00 | $265.35 – $589.08 | 19 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,765.32 | $5,673.00 | $183.00 – $406.26 | 19 |
| Bln press regulation 71-80cm HCPCS C1815 | $8,327.55 | $9,913.75 | $1,476.81 – $3,278.52 | 19 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $6,609.96 | $7,869.00 | $536.80 – $1,191.70 | 19 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $107.02 | $127.40 | $17.05 – $37.85 | 19 |
| Block plantar digital nerve CPT 64455 | $273.00 | $325.00 | $198.25 – $440.12 | 19 |
| Blood clot lysis time CPT 85175 | $104.16 | $124.00 | $20.37 – $121.52 | 19 |
| Blood Clotting (PT/INR) Test CPT 85610 | $76.44 | $91.00 | $4.29 – $11.76 | 19 |
| Blood Clotting (PTT) Test CPT 85730 | $109.20 | $130.00 | $6.01 – $24.50 | 19 |
| Blood Count (CBC) Test CPT 85025 | $162.96 | $194.00 | $7.77 – $17.25 | 19 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $118.44 | $141.00 | $6.47 – $19.60 | 19 |
| Blood Culture Test CPT 87040 | $215.88 | $257.00 | $10.32 – $30.38 | 19 |
| Blood draw capillary 36416 CPT 36416 | $29.40 | $35.00 | $21.35 – $47.40 | 19 |
| Blood gases o2 saturation direct measurement CPT 82805 | $326.76 | $389.00 | $78.77 – $381.22 | 19 |
| Blood gases ph venous CPT 82800 | $120.12 | $143.00 | $11.00 – $140.14 | 19 |
| Blood, l/r, irradiated HCPCS P9056 | $775.32 | $923.00 | $563.03 – $1,249.93 | 19 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $60.48 | $72.00 | $15.92 – $48.02 | 19 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $59.64 | $71.00 | $4.23 – $9.39 | 19 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $49.56 | $59.00 | $4.38 – $9.72 | 19 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $56.28 | $67.00 | $5.20 – $11.81 | 19 |
| Blood smear interpretation CPT 85060 | $82.32 | $98.00 | $59.78 – $132.72 | 19 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $62.16 | $74.00 | $3.80 – $43.12 | 19 |
| Blood split unit HCPCS P9011 | $611.52 | $728.00 | $211.06 – $468.56 | 19 |
| Blood typing abo CPT 86900 | $81.48 | $97.00 | $2.99 – $8.82 | 19 |
| Blood typing ag donor ea ag CPT 86902 | $222.60 | $265.00 | $6.35 – $53.90 | 19 |
| Blood typing patient serum CPT 86904 | $168.00 | $200.00 | $16.34 – $196.00 | 19 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $78.96 | $94.00 | $3.83 – $52.92 | 19 |
| Blood typing rh (d) CPT 86901 | $79.80 | $95.00 | $2.99 – $8.82 | 19 |
| Blood typing rh phenotype complete reference CPT 86906 | $212.52 | $253.00 | $7.75 – $247.94 | 19 |
| Blood volume CPT 78122 | $647.64 | $771.00 | $470.31 – $1,044.09 | 19 |
| Bone biopsy open superficial CPT 20240 | $2,353.68 | $2,802.00 | $1,709.22 – $3,794.47 | 19 |
| Bone Density Scan (DEXA) CPT 77080 | $458.64 | $546.00 | $51.24 – $113.76 | 19 |
| Bone imaging multiple areas CPT 78305 | $2,111.76 | $2,514.00 | $1,533.54 – $3,404.46 | 19 |
| Bone/joint imaging ltd area CPT 78300 | $1,081.92 | $1,288.00 | $785.68 – $1,744.21 | 19 |
| Bone marrow;aspiration only 38220 CPT 38220 | $372.12 | $443.00 | $228.75 – $507.83 | 19 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $387.24 | $461.00 | $268.40 – $595.85 | 19 |
| Bone marrow imaging ltd CPT 78102 | $496.44 | $591.00 | $360.51 – $800.34 | 19 |
| Bone marrow imaging mult CPT 78103 | $991.20 | $1,180.00 | $719.80 – $1,597.96 | 19 |
| Bone marrow interpretation CPT 85097 | $242.76 | $289.00 | $176.29 – $391.37 | 19 |
| Bone survey-lead poisoning CPT 77074 | $529.20 | $630.00 | $384.30 – $853.15 | 19 |
| Bone void filler nanoss 10cc HCPCS C9362 | $546.00 | $650.00 | $396.50 – $880.23 | 19 |
| Boot j walker l HCPCS L4386 | $129.00 | $153.57 | $93.68 – $207.97 | 19 |
| Boot mlti podous univ xlg HCPCS L4396 | $357.14 | $425.16 | $22.15 – $49.16 | 19 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $63.53 | $75.63 | $46.14 – $102.42 | 19 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $136.08 | $162.00 | $17.03 – $158.76 | 19 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $6,732.60 | $8,015.00 | $60.70 – $134.75 | 19 |
| (both sides) smear without diff wbc count CPT 85008 | $47.88 | $57.00 | $3.43 – $55.86 | 19 |
| Bowel imaging CPT 78290 | $1,175.16 | $1,399.00 | $853.39 – $1,894.53 | 19 |
| Brace afo lg left 6607 HCPCS L1930 | $1,381.83 | $1,645.03 | $39.53 – $87.76 | 19 |
| Brace ank air stirrup univ HCPCS L4350 | $156.09 | $185.82 | $48.53 – $107.73 | 19 |
| Brace knee extender plus 22-30in HCPCS L1832 | $684.21 | $814.53 | $50.57 – $112.25 | 19 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $87.71 | $104.41 | $45.69 – $101.43 | 19 |
| Brace wrist classic lft sm HCPCS L3908 | $77.34 | $92.06 | $14.00 – $31.08 | 19 |
| Brachy src stranded c-131 HCPCS C2642 | $69,090.00 | $82,250.00 | $3,224.29 – $7,157.91 | 19 |
| Braf gene CPT 81210 | $491.40 | $585.00 | $175.40 – $573.30 | 19 |
| Brain flow imaging only CPT 78610 | $414.96 | $494.00 | $301.34 – $668.98 | 19 |
| Brain image < 4 views CPT 78600 | $485.52 | $578.00 | $352.58 – $782.73 | 19 |
| Brain image 4+ views CPT 78605 | $559.44 | $666.00 | $406.26 – $901.90 | 19 |
| Brain image w/flow < 4 views CPT 78601 | $992.04 | $1,181.00 | $720.41 – $1,599.32 | 19 |
| Brain image w/flow 4 + views CPT 78606 | $835.80 | $995.00 | $606.95 – $1,347.43 | 19 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,595.64 | $5,471.00 | $3,337.31 – $7,408.83 | 19 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,962.28 | $4,717.00 | $2,877.37 – $6,387.77 | 19 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $3,962.28 | $4,717.00 | $2,877.37 – $6,387.77 | 19 |
| Brain MRI (with and without contrast) CPT 70553 | $4,452.84 | $5,301.00 | $3,233.61 – $7,178.62 | 19 |
| Brain MRI (with contrast) CPT 70552 | $5,032.44 | $5,991.00 | $3,654.51 – $8,113.02 | 19 |
| Brain MRI (without contrast) CPT 70551 | $4,809.00 | $5,725.00 | $3,492.25 – $7,752.80 | 19 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,314.20 | $2,755.00 | $897.31 – $1,992.03 | 19 |
| Breast punct aspir cyst, bil CPT 19000 | $242.76 | $289.00 | $176.29 – $391.37 | 19 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $49,316.40 | $58,710.00 | $35,813.10 – $79,505.09 | 19 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $1,115.52 | $1,328.00 | $810.08 – $1,798.38 | 19 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,635.92 | $3,138.00 | $1,914.18 – $4,249.48 | 19 |
| Bronch ebus samplng 3/> node CPT 31653 | $2,635.92 | $3,138.00 | $1,914.18 – $4,249.48 | 19 |
| Bronchial challenge CPT 94070 | $971.88 | $1,157.00 | $705.77 – $1,566.81 | 19 |
| Bronchial valve addl insert CPT 31651 | $2,954.28 | $3,517.00 | $2,145.37 – $4,762.73 | 19 |
| Bronchial valve init insert CPT 31647 | $2,954.28 | $3,517.00 | $2,145.37 – $4,762.73 | 19 |
| Bronchial valve remov addl CPT 31649 | $1,436.40 | $1,710.00 | $1,043.10 – $2,315.69 | 19 |
| Bronchial valve remov init CPT 31648 | $2,954.28 | $3,517.00 | $2,145.37 – $4,762.73 | 19 |
| Bronchoscopy bronch stents CPT 31636 | $3,202.92 | $3,813.00 | $2,325.93 – $5,163.57 | 19 |
| Bronchoscopy clear airways 31645 CPT 31645 | $1,093.68 | $1,302.00 | $794.22 – $1,763.17 | 19 |
| Bronchoscopy dilate/fx repr CPT 31630 | $2,203.32 | $2,623.00 | $1,600.03 – $3,552.07 | 19 |
| Bronchoscopy dilate w/stent CPT 31631 | $3,202.92 | $3,813.00 | $2,325.93 – $5,163.57 | 19 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $1,160.88 | $1,382.00 | $843.02 – $1,871.51 | 19 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $2,703.12 | $3,218.00 | $1,962.98 – $4,357.82 | 19 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $1,160.88 | $1,382.00 | $843.02 – $1,871.51 | 19 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,687.56 | $2,009.00 | $1,225.49 – $2,720.59 | 19 |
| Bronchoscopy revise stent CPT 31638 | $3,202.92 | $3,813.00 | $2,325.93 – $5,163.57 | 19 |
| Bronchoscopy stent add-on CPT 31637 | $1,160.88 | $1,382.00 | $843.02 – $1,871.51 | 19 |
| Bronchoscopy treat blockage CPT 31641 | $3,003.84 | $3,576.00 | $2,181.36 – $4,842.62 | 19 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,687.56 | $2,009.00 | $1,225.49 – $2,720.59 | 19 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,160.88 | $1,382.00 | $843.02 – $1,871.51 | 19 |
| Bronchoscopy w/markers CPT 31626 | $3,202.92 | $3,813.00 | $2,325.93 – $5,163.57 | 19 |
| Bronchoscopy w/tumor excise CPT 31640 | $2,588.04 | $3,081.00 | $1,879.41 – $4,172.30 | 19 |
| Bronch thermoplsty 1 lobe CPT 31660 | $2,954.28 | $3,517.00 | $2,145.37 – $4,762.73 | 19 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $2,954.28 | $3,517.00 | $2,145.37 – $4,762.73 | 19 |
| Bronch w/balloon occlusion CPT 31634 | $1,160.88 | $1,382.00 | $843.02 – $1,871.51 | 19 |
| Br punct aspir ea add, l CPT 19001 | $229.32 | $273.00 | $166.53 – $369.70 | 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.