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 |
|---|---|---|---|---|
| Bundled special stain group 1 microorganisms CPT 88312 | $138.60 | $165.00 | $100.65 – $223.45 | 19 |
| Bundled special stain group 2 CPT 88313 | $204.12 | $243.00 | $148.23 – $329.08 | 19 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Buprenorphine hydrochloride HCPCS J0592 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Buprenorphine oral 1mg HCPCS J0571 | $3,420.55 | $4,072.08 | $16.80 – $37.30 | 19 |
| Bur rotalink 2.15mm HCPCS C1724 | $10,437.59 | $12,425.70 | $1,219.47 – $2,707.23 | 19 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Bx breast 1st lesion mr imag CPT 19085 | $6,952.68 | $8,277.00 | $1,380.43 – $3,064.56 | 19 |
| Bx breast 1st lesion strtctc CPT 19081 | $6,651.96 | $7,919.00 | $886.94 – $1,969.01 | 19 |
| Bx breast add lesion mr imag CPT 19086 | $6,242.04 | $7,431.00 | $1,075.43 – $2,387.46 | 19 |
| Bx breast add lesion strtctc CPT 19082 | $5,430.60 | $6,465.00 | $693.57 – $1,539.73 | 19 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,550.64 | $1,846.00 | $686.86 – $1,524.83 | 19 |
| Bx breast perq without image 19100 CPT 19100 | $548.52 | $653.00 | $261.69 – $580.96 | 19 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $259.56 | $309.00 | $188.49 – $418.45 | 19 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $1,231.44 | $1,466.00 | $894.26 – $1,985.26 | 19 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $780.36 | $929.00 | $566.69 – $1,258.06 | 19 |
| Bx liver with other CPT 47001 | $231.00 | $275.00 | $167.75 – $372.41 | 19 |
| Bx of breast open 19101 CPT 19101 | $2,428.44 | $2,891.00 | $561.20 – $1,245.87 | 19 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $173.88 | $207.00 | $126.27 – $280.32 | 19 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $607.32 | $723.00 | $441.03 – $979.09 | 19 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $318.36 | $379.00 | $231.19 – $513.25 | 19 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $441.00 | $525.00 | $320.25 – $710.96 | 19 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $412.44 | $491.00 | $299.51 – $664.92 | 19 |
| C-1 esterase, berinert HCPCS J0597 | $14,608.11 | $17,390.60 | $10,608.27 – $23,550.36 | 19 |
| C-1 esterase, cinryze HCPCS J0598 | $12,050.39 | $14,345.70 | $8,750.88 – $19,426.95 | 19 |
| C1 esterase inhibitor func - sendout CPT 86161 | $1,019.76 | $1,214.00 | $12.00 – $1,189.72 | 19 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $47,525.27 | $56,577.70 | $34,438.46 – $76,453.37 | 19 |
| Cable cath 22-pin diag HCPCS C1730 | $5,386.50 | $6,412.50 | $64.86 – $143.98 | 19 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $27,003.24 | $32,146.71 | $19,609.50 – $43,533.08 | 19 |
| Cadd pump refill CPT 96521 | $394.80 | $470.00 | $286.70 – $636.48 | 19 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $119.55 | $142.31 | $60.70 – $134.75 | 19 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $20,050.80 | $23,870.00 | $1,645.82 – $3,653.70 | 19 |
| Calcium 24 hour urine CPT 82340 | $76.44 | $91.00 | $6.03 – $89.18 | 19 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $2,324.70 | $2,767.50 | $60.70 – $134.75 | 19 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $173.67 | $206.75 | $126.12 – $279.99 | 19 |
| Calcium ionized CPT 82330 | $187.32 | $223.00 | $13.68 – $35.28 | 19 |
| Calcium total CPT 82310 | $78.12 | $93.00 | $5.16 – $15.68 | 19 |
| Calculus analysis qual CPT 82355 | $119.28 | $142.00 | $11.58 – $139.16 | 19 |
| Calprotectin fecal CPT 83993 | $233.52 | $278.00 | $19.63 – $272.44 | 19 |
| Canakinumab injection HCPCS J0638 | $71,919.63 | $85,618.60 | $52,227.35 – $115,944.71 | 19 |
| Candida dna CPT 87480 | $87.36 | $104.00 | $20.05 – $59.78 | 19 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $13,066.20 | $15,555.00 | $17.99 – $39.93 | 19 |
| Cap nerve 2x15mm HCPCS C1763 | $27,713.91 | $32,992.75 | $112.61 – $249.99 | 19 |
| Capsaicin 8% patch HCPCS J7336 | $11,537.57 | $13,735.20 | $2,094.62 – $4,650.06 | 19 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $2,063.88 | $2,457.00 | $1,498.77 – $3,327.27 | 19 |
| Cap trach decann 15mm HCPCS C1750 | $4,672.08 | $5,562.00 | $53.15 – $117.98 | 19 |
| Carbamazepine free CPT 80157 | $148.68 | $177.00 | $13.25 – $173.46 | 19 |
| Carbamazepine total therapeutic drug level CPT 80156 | $191.52 | $228.00 | $14.57 – $223.44 | 19 |
| Carbon dioxide CPT 82374 | $99.96 | $119.00 | $4.88 – $116.62 | 19 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $345.75 | $411.60 | $60.70 – $134.75 | 19 |
| Carboxyhemoglobin quantitative CPT 82375 | $197.40 | $235.00 | $12.32 – $220.50 | 19 |
| Carcinoembryonic ag (cea) CPT 82378 | $201.60 | $240.00 | $18.96 – $56.84 | 19 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $2,902.20 | $3,455.00 | $2,107.55 – $4,678.77 | 19 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,066.80 | $1,270.00 | $774.70 – $1,719.84 | 19 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,792.56 | $2,134.00 | $1,301.74 – $2,889.87 | 19 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $297.36 | $354.00 | $215.94 – $479.39 | 19 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $225.96 | $269.00 | $164.09 – $364.28 | 19 |
| Cardiac shunt imaging CPT 78428 | $563.64 | $671.00 | $409.31 – $908.67 | 19 |
| Cardiolipin antibody iga CPT 86147 | $281.40 | $335.00 | $25.45 – $328.30 | 19 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,411.20 | $1,680.00 | $110.75 – $434.14 | 19 |
| Card MRI veloc flow mapping CPT 75565 | $2,394.84 | $2,851.00 | $1,739.11 – $3,860.83 | 19 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $13,754.37 | $16,374.25 | $1,589.97 – $3,529.73 | 19 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $5,944.81 | $7,077.15 | $1,952.68 – $4,334.93 | 19 |
| Carotene CPT 82380 | $137.76 | $164.00 | $9.22 – $160.72 | 19 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,255.80 | $1,495.00 | $911.95 – $2,024.53 | 19 |
| Carpal Tunnel Release Surgery CPT 64721 | $625.80 | $745.00 | $454.45 – $1,008.88 | 19 |
| Car seat/bed test 60 minutes CPT 94780 | $293.16 | $349.00 | $212.89 – $472.62 | 19 |
| Car seat/bed test additional 30 minutes CPT 94781 | $146.16 | $174.00 | $106.14 – $235.64 | 19 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $449.40 | $535.00 | $326.35 – $724.50 | 19 |
| Casiri and imdev repeat HCPCS M0240 | $624.12 | $743.00 | $453.23 – $1,006.18 | 19 |
| Caspofungin acetate HCPCS J0637 | $230.41 | $274.29 | $167.32 – $371.45 | 19 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $529.20 | $630.00 | $118.88 – $263.91 | 19 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,693.25 | $3,206.25 | $1,784.25 – $3,961.04 | 19 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $2,182.95 | $2,598.75 | $486.05 – $1,079.02 | 19 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $6,463.80 | $7,695.00 | $3,513.60 – $7,800.20 | 19 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $5,537.70 | $6,592.50 | $4,021.43 – $8,927.57 | 19 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $10,004.15 | $11,909.70 | $24.00 – $53.28 | 19 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,686.00 | $9,150.00 | $1,448.77 – $3,216.27 | 19 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $33,818.40 | $40,260.00 | $1.93 – $4.27 | 19 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $7,025.01 | $8,363.10 | $94.55 – $209.91 | 19 |
| Cath bi-dir df smarttouch HCPCS C1732 | $6,615.00 | $7,875.00 | $10.19 – $22.62 | 19 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $4,522.45 | $5,383.86 | $297.38 – $660.18 | 19 |
| Cath council tip 16fr 5cc HCPCS A4344 | $26.88 | $32.00 | $8.85 – $19.64 | 19 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $2,462.60 | $2,931.66 | $10.37 – $23.03 | 19 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $4,903.67 | $5,837.70 | $165.16 – $366.65 | 19 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,136.71 | $2,543.70 | $366.00 – $812.52 | 19 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $126.00 | $150.00 | $9.09 – $147.00 | 19 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,868.42 | $3,414.78 | $99.39 – $220.64 | 19 |
| Cath hawkone s directional HCPCS C1714 | $7,839.72 | $9,333.00 | $791.69 – $1,757.55 | 19 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $2,079.00 | $2,475.00 | $1,509.75 – $3,351.65 | 19 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,766.96 | $3,294.00 | $192.15 – $426.58 | 19 |
| Cath impl vasc access portal HCPCS A4300 | $175.20 | $208.56 | $18.34 – $40.71 | 19 |
| Cath indw foley 3 way HCPCS A4346 | $60.08 | $71.52 | $24.64 – $54.70 | 19 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $23.53 | $28.01 | $0.91 – $2.01 | 19 |
| Cath insertion tray w/bag HCPCS A4354 | $67.11 | $79.89 | $28.06 – $62.30 | 19 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $2,148.01 | $2,557.15 | $1.49 – $3.30 | 19 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $29,937.60 | $35,640.00 | $183.00 – $406.26 | 19 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $133.21 | $158.58 | $10.22 – $22.69 | 19 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $497.28 | $592.00 | $361.12 – $801.69 | 19 |
| Cath steerable flex adv 12f HCPCS C1766 | $6,157.62 | $7,330.50 | $563.64 – $1,251.29 | 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.