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 |
|---|---|---|---|---|
| Cath uret open tp 6fx70cm HCPCS C1758 | $2,448.52 | $2,914.90 | $8.73 – $19.38 | 19 |
| Cath w/drainage 2-way latex HCPCS A4314 | $60.48 | $72.00 | $26.91 – $59.73 | 19 |
| Cauterization chemical granulation tissue CPT 17250 | $210.84 | $251.00 | $62.75 – $198.94 | 19 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $35.28 | $42.00 | $24.40 – $54.17 | 19 |
| Cdna analysis for variants CPT 81403 | $1,132.32 | $1,348.00 | $185.20 – $1,321.04 | 19 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $1,071.00 | $1,275.00 | $60.70 – $134.75 | 19 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $143.14 | $170.40 | $60.70 – $134.75 | 19 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $791.19 | $941.89 | $574.56 – $1,275.51 | 19 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $125.37 | $149.24 | $60.70 – $134.75 | 19 |
| Ceftazidime and avibactam HCPCS J0714 | $1,515.78 | $1,804.49 | $1,100.74 – $2,443.65 | 19 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $253.01 | $301.20 | $60.70 – $134.75 | 19 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| #celiac hla-dq8 CPT 81383 | $891.24 | $1,061.00 | $109.13 – $1,039.78 | 19 |
| Cell count body fluid CPT 89050 | $76.44 | $91.00 | $4.72 – $10.78 | 19 |
| Cell count w differential body fluid CPT 89051 | $149.52 | $178.00 | $5.60 – $16.66 | 19 |
| Cell cryopreserve/storage CPT 88240 | $812.28 | $967.00 | $13.07 – $262.64 | 19 |
| Cell function assay w/stim CPT 86352 | $314.16 | $374.00 | $135.86 – $366.52 | 19 |
| Cell marker study CPT 88182 | $586.32 | $698.00 | $425.78 – $945.24 | 19 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $43,250.85 | $51,489.10 | $31,408.36 – $69,726.54 | 19 |
| Cerebrospinal fld flw imag CPT 78645 | $929.04 | $1,106.00 | $674.66 – $1,497.75 | 19 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $25,109.41 | $29,892.15 | $17,392.97 – $38,612.38 | 19 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $6,583.08 | $7,837.00 | $2,390.29 – $5,306.44 | 19 |
| #cf-97variants CPT 81220 | $1,805.16 | $2,149.00 | $556.60 – $2,106.02 | 19 |
| Change cystostomy tube; complex 51710 CPT 51710 | $241.92 | $288.00 | $175.68 – $390.01 | 19 |
| Change cystostomy tube simple CPT 51705 | $247.80 | $295.00 | $68.00 – $266.56 | 19 |
| Change of windpipe airway 31502 CPT 31502 | $263.76 | $314.00 | $24.25 – $95.06 | 19 |
| Change ureter stent percut CPT 50382 | $3,055.08 | $3,637.00 | $2,218.57 – $4,925.23 | 19 |
| Chemical exfoliation acne 17360 CPT 17360 | $95.76 | $114.00 | $69.54 – $154.38 | 19 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $480.48 | $572.00 | $348.92 – $774.61 | 19 |
| Chemodenerv musc migraine 64615 CPT 64615 | $236.04 | $281.00 | $171.41 – $380.54 | 19 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $499.80 | $595.00 | $362.95 – $805.75 | 19 |
| Chest 2 vws w oblique CPT 71048 | $363.72 | $433.00 | $253.15 – $562.00 | 19 |
| Chest apical lordotic proj CPT 71047 | $310.80 | $370.00 | $225.70 – $501.06 | 19 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,540.60 | $4,215.00 | $2,571.15 – $5,707.96 | 19 |
| Chest CT scan (with contrast) CPT 71260 | $3,000.48 | $3,572.00 | $1,437.49 – $4,837.21 | 19 |
| Chest CT scan (without contrast) CPT 71250 | $2,670.36 | $3,179.00 | $1,939.19 – $4,305.01 | 19 |
| Chest X-ray CPT 71046 | $381.36 | $454.00 | $35.99 – $79.90 | 19 |
| Chest X-ray (single view) CPT 71045 | $252.84 | $301.00 | $28.67 – $63.65 | 19 |
| Chg pr pul rehab for copd patients CPT 94626 | $498.12 | $593.00 | $126.27 – $280.32 | 19 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $255.36 | $304.00 | $185.44 – $411.68 | 19 |
| Chlamydia culture CPT 87110 | $220.92 | $263.00 | $19.60 – $257.74 | 19 |
| Chlamydia trachomatis ag if CPT 87270 | $252.00 | $300.00 | $11.98 – $247.94 | 19 |
| Chlamydia type CPT 87140 | $104.16 | $124.00 | $5.57 – $17.64 | 19 |
| Chlnggrphy intraop addl s&i CPT 74301 | $225.12 | $268.00 | $163.48 – $362.93 | 19 |
| Chloramphenicol sodium injec HCPCS J0720 | $152.52 | $181.56 | $110.76 – $245.87 | 19 |
| Chloride CPT 82435 | $87.36 | $104.00 | $4.60 – $96.04 | 19 |
| Chloride 24 hour urine CPT 82436 | $87.36 | $104.00 | $5.75 – $101.92 | 19 |
| Chloroprocaine hcl injection HCPCS J2401 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $1,730.40 | $2,060.00 | $74.24 – $164.81 | 19 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $127.16 | $151.37 | $60.70 – $134.75 | 19 |
| Cholangiogram percutaneous compl CPT 47532 | $1,327.20 | $1,580.00 | $963.80 – $2,139.64 | 19 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $556.92 | $663.00 | $404.43 – $897.84 | 19 |
| Cholecystectomy expl duct 47612 CPT 47612 | $2,872.80 | $3,420.00 | $2,086.20 – $4,631.37 | 19 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $2,548.56 | $3,034.00 | $1,850.74 – $4,108.65 | 19 |
| Cholesterol CPT 82465 | $92.40 | $110.00 | $4.35 – $13.72 | 19 |
| Cholesterol body fluid CPT 84999 | $89.04 | $106.00 | $34.77 – $77.19 | 19 |
| Cholesterol (Lipid) Test CPT 80061 | $253.68 | $302.00 | $6.50 – $29.73 | 19 |
| Cholinesterase CPT 82480 | $110.88 | $132.00 | $7.87 – $129.36 | 19 |
| Cholinesterase challenge CPT 95857 | $150.36 | $179.00 | $44.75 – $161.70 | 19 |
| Chromatography CPT 83021 | $152.04 | $181.00 | $18.06 – $53.90 | 19 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,399.44 | $1,666.00 | $125.49 – $1,632.68 | 19 |
| Chromosome analysis 5 CPT 88261 | $1,050.84 | $1,251.00 | $264.34 – $1,225.98 | 19 |
| Chromosome count additional CPT 88285 | $162.12 | $193.00 | $26.91 – $189.14 | 19 |
| Chromosome karyotype study CPT 88280 | $154.56 | $184.00 | $33.47 – $180.32 | 19 |
| Chromosome study additional CPT 88289 | $162.12 | $193.00 | $34.43 – $189.14 | 19 |
| Chylomicron screen, bf - sendout CPT 82664 | $266.28 | $317.00 | $61.50 – $310.66 | 19 |
| Cidofovir injection HCPCS J0740 | $3,013.46 | $3,587.45 | $1,060.03 – $2,353.27 | 19 |
| Cilastatin sodium injection HCPCS J0743 | $125.43 | $149.32 | $60.70 – $134.75 | 19 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $173.67 | $206.75 | $60.70 – $134.75 | 19 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $1,920.66 | $2,286.50 | $60.70 – $134.75 | 19 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $604.59 | $719.75 | $223.17 – $495.44 | 19 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $26,932.50 | $32,062.50 | $838.75 – $1,862.03 | 19 |
| Clearance of airways CPT 31720 | $591.36 | $704.00 | $41.75 – $163.66 | 19 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $173.67 | $206.75 | $2.54 – $5.62 | 19 |
| Clip ligating vesolock lg HCPCS C1760 | $845.46 | $1,006.50 | $40.14 – $89.10 | 19 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $83.58 | $99.50 | $60.70 – $134.75 | 19 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $982.80 | $1,170.00 | $248.88 – $552.52 | 19 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,014.72 | $1,208.00 | $261.08 – $579.60 | 19 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,098.72 | $1,308.00 | $327.00 – $1,210.30 | 19 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $783.72 | $933.00 | $189.71 – $421.16 | 19 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,177.68 | $1,402.00 | $350.50 – $981.96 | 19 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $359.52 | $428.00 | $107.00 – $237.54 | 19 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,497.72 | $1,783.00 | $402.25 – $1,576.82 | 19 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $567.00 | $675.00 | $168.75 – $399.84 | 19 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $558.60 | $665.00 | $166.25 – $520.38 | 19 |
| Close tear duct opening CPT 68761 | $337.68 | $402.00 | $245.22 – $544.39 | 19 |
| Clos txnose fx without stablz 21315 CPT 21315 | $357.00 | $425.00 | $106.25 – $377.30 | 19 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,437.24 | $1,711.00 | $220.00 – $862.40 | 19 |
| Clot factor fletcher fact CPT 85292 | $395.64 | $471.00 | $18.93 – $461.58 | 19 |
| Clot factor xii hageman CPT 85280 | $330.96 | $394.00 | $19.35 – $386.12 | 19 |
| Clot factor xiii fibrin stab CPT 85290 | $466.20 | $555.00 | $16.34 – $543.90 | 19 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $764.40 | $910.00 | $147.62 – $327.72 | 19 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $790.44 | $941.00 | $235.25 – $522.26 | 19 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $819.00 | $975.00 | $243.75 – $541.13 | 19 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $566.16 | $674.00 | $168.50 – $630.14 | 19 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $560.28 | $667.00 | $141.52 – $314.18 | 19 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $843.36 | $1,004.00 | $147.62 – $327.72 | 19 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $522.48 | $622.00 | $147.62 – $327.72 | 19 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $440.16 | $524.00 | $131.00 – $351.82 | 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.