TrueHospitalCost

CHI Health Good Samaritan

10 East 31st Street, Kearney, NE 68847

This hospital publishes its prices in a machine-readable file, as federal law requires. Below are the consumer procedures we track from that file. Prices come from the file dated September 30, 2026. See the hospital's own source file.

Procedures and cash prices (38)

ProcedureCash priceList price
CT abdomen and pelvis with contrast CPT 74177$3,490.44$6,018
CT abdomen and pelvis without contrast CPT 74176$2,670.90$4,605
CT chest with contrast CPT 71260$2,174.42$3,749
CT chest without contrast CPT 71250$1,152.46$1,987
CT head with contrast CPT 70460$1,583.40$2,730
CT head without contrast CPT 70450$1,537.58$2,651
Colonoscopy CPT 45378Not publishedNot published
Colonoscopy with biopsy CPT 45380Not publishedNot published
Complete blood count (CBC) CPT 85025$82.94$143
Comprehensive metabolic panel CPT 80053$162.98$281
ER visit level 3 CPT 99283$676.28$1,166
ER visit level 4 CPT 99284$1,165.80$2,010
ER visit level 5 CPT 99285$1,713.90$2,955
Echocardiogram complete CPT 93306$1,932.56$3,332
Electrocardiogram (ECG) CPT 93005$287.10$495
Hemoglobin A1c (diabetes) CPT 83036$60.32$104
Lipid panel (cholesterol) CPT 80061$3.48$6
MRA head without contrast CPT 70544$2,459.78$4,241
MRI brain with and without contrast CPT 70553$3,310.06$5,707
MRI brain with contrast CPT 70552$2,758.48$4,756
MRI brain without contrast CPT 70551$2,351.90$4,055
MRI cervical spine without contrast CPT 72141$2,364.08$4,076
MRI knee without contrast CPT 73721$2,532.28$4,366
MRI lumbar spine without contrast CPT 72148$2,374.52$4,094
MRI thoracic spine with and without contrast CPT 72157$2,857.08$4,926
Office visit established patient level 3 CPT 99213$238.96$412
Office visit established patient level 4 CPT 99214$352.64$608
Physical therapy evaluation CPT 97161$200.68$346
TSH (thyroid) CPT 84443$91.64$158
Therapeutic exercises (per session) CPT 97110$79.46$137
Ultrasound abdomen complete CPT 76700$780.10$1,345
Ultrasound pelvis complete CPT 76856$926.84$1,598
Upper endoscopy (EGD) with biopsy CPT 43239$2,337.98$4,031
Urinalysis CPT 81001$22.04$38
X-ray chest 1 view CPT 71045$191.40$330
X-ray chest 2 views CPT 71046$300.44$518
X-ray knee 3 views CPT 73562$479.08$826
X-ray lumbar spine 2-3 views CPT 72100$531.86$917

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