CHI Health Good Samaritan prices. From its own published file.

CHI Health Good Samaritan in Kearney, NE publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

8,958prices published

Feb 2026file last updated

$3,606cash price for ct abdomen and pelvis with contrast (list $5,911)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$588	$964	$135–$1,702
Emergency visit, high (level 4) `99284`	$1,010	$1,655	$230–$4,242
Emergency visit, highest (level 5) `99285`	$1,491	$2,445	$333–$5,404
Comprehensive metabolic panel `80053`	$149	$244	$10.23–$227
Basic metabolic panel `80048`	$111	$182	$8.20–$169
Complete blood count (CBC) `85025`	$85.40	$140	$7.53–$130
Blood draw (venipuncture) `36415`	$20.74	$34.00	$7.14–$31.62
Urinalysis `81001`	$45.75	$79.50	$3.07–$78.12
Troponin (heart test) `84484`	$167	$273	$12.09–$254
EKG tracing `93005`	$285	$488	$11.55–$473
Chest X-ray, 2 views `71046`	$303	$497	$43.72–$462
CT head without contrast `70450`	$1,585	$2,598	$86.61–$2,416
CT abdomen and pelvis with contrast `74177`	$3,606	$5,911	$291–$5,497
MRI lower back without contrast `72148`	$1,821	$2,986	$197–$2,777
Ultrasound, abdomen `76700`	$811	$1,329	$86.61–$1,236
IV push, single drug `96374`	$465	$762	$69.55–$709
IV fluids, first hour `96360`	$470	$771	$55.44–$717
Ketorolac injection, 15 mg `J1885`	$0.57	$2.15	$0.20–$4.39
Ondansetron injection `J2405`	$0.25	$5.68	$0.09–$10.20
Colonoscopy, diagnostic `45378`	—	—	$345–$4,182
Upper GI endoscopy with biopsy `43239`	—	—	$260–$4,182
Knee arthroscopy `29881`	—	—	$1,022–$12,665
Vaginal delivery, routine care `59400`	—	—	$1,895–$2,517
Cesarean delivery, routine care `59510`	—	—	$1,895–$2,517

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: CHI Health Good Samaritan price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.