Chi Health Good Samaritan

P O Box 1990, 10 East 31St St, Kearney, NE 68848 · (308) 865-7900

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Kearney, NE metro Website ↗

Price file

Prices published

File dated 2026-02-28

2,395 price rows for 64 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $111

$111

cash

$8 to $169

37 negotiated rates

$182

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,606

$3,606

cash

$291 to $5,497

37 negotiated rates

$5,911

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,585

$1,585

cash

$87 to $2,416

37 negotiated rates

$2,598

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,826

$1,826

cash

$145 to $2,783

37 negotiated rates

$2,993

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,036 to $14,483

22 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,895 to $2,517

3 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$5,451 to $19,008

22 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $49

$49

cash

$17 to $81

37 negotiated rates

$81

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$345 to $4,182

22 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$375 to $4,182

22 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$475 to $4,182

22 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $85

$85

cash

$8 to $130

37 negotiated rates

$140

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $149

$149

cash

$10 to $227

37 negotiated rates

$244

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $275

$275

cash

$95 to $419

21 negotiated rates

$450

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $367

$367

cash

$126 to $560

18 negotiated rates

$602

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $155

$155

cash

$53 to $338

30 negotiated rates

$254

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$1,205 to $15,961

22 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $49

$49

cash

$17 to $81

37 negotiated rates

$81

list

Group psychotherapy

CPT 90853 · lowest of 6 lines · metro median $96

$96

cash

$33 to $612

98 negotiated rates

$157

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$12,279 to $38,161

22 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,004 to $15,792

22 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$5,550 to $24,260

22 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$958 to $12,665

22 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,022 to $12,665

22 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$447 to $4,182

22 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $12,551

$12,551

cash

$1,236 to $19,136

37 negotiated rates

$20,576

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $4

cash

$1 to $154

74 negotiated rates

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $132

$132

cash

$8 to $201

37 negotiated rates

$216

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,997

$2,997

cash

$291 to $4,569

37 negotiated rates

$4,913

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,752

$1,752

cash

$197 to $2,671

37 negotiated rates

$2,872

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,821

$1,821

cash

$197 to $2,777

37 negotiated rates

$2,986

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,622

$1,622

cash

$197 to $2,473

37 negotiated rates

$2,659

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$8,194 to $47,914

26 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,469

$1,469

cash

$213 to $3,908

37 negotiated rates

$2,408

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $326

$326

cash

$112 to $497

18 negotiated rates

$534

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $392

$392

cash

$135 to $597

18 negotiated rates

$642

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $401

$401

cash

$138 to $612

18 negotiated rates

$658

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $79

$79

cash

$18 to $130

37 negotiated rates

$130

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $63

$63

cash

$6 to $97

37 negotiated rates

$104

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $84

$84

cash

$25 to $296

84 negotiated rates

$137

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $864

$864

cash

$87 to $1,318

37 negotiated rates

$1,417

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,299

$1,299

cash

$245 to $4,306

37 negotiated rates

$2,130

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$2,253 to $23,295

22 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $51

$51

cash

$4 to $78

37 negotiated rates

$84

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $135

$135

cash

$46 to $338

30 negotiated rates

$221

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $196

$196

cash

$68 to $338

30 negotiated rates

$322

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$770 to $11,086

22 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $242

$242

cash

$83 to $368

21 negotiated rates

$396

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$314 to $11,086

10 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,078

$3,078

cash

$829 to $4,693

37 negotiated rates

$5,046

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$19,687 to $20,073

3 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,848

$1,848

cash

$150 to $3,908

37 negotiated rates

$3,030

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,848

$1,848

cash

$189 to $3,908

37 negotiated rates

$3,030

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $98

$98

cash

$16 to $160

37 negotiated rates

$160

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$556 to $12,434

22 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $651

$651

cash

$87 to $993

37 negotiated rates

$1,068

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $811

$811

cash

$87 to $1,236

37 negotiated rates

$1,329

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$230 to $3,908

22 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$260 to $4,182

22 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $46

$46

cash

$3 to $78

74 negotiated rates

$75

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,895 to $2,517

3 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,738 to $11,881

22 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,895 to $2,517

3 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $536

$536

cash

$75 to $817

37 negotiated rates

$879

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470379755-1336184019_good-samaritan-hospital_standardcharges.json
CHI Health Good Samaritan · parsed · json v3.0.0 · file dated 2026-02-28 · 100 MB · 2395 price rows read · read Nov 2026
https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470484764-1396969499_alegent-health-bergan-mercy-health-system_standardcharges.json
Lasting Hope Recovery Center · discovered