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CHI Health Plainview prices. From its own published file.

CHI Health Plainview in Plainview, 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.

3,702prices published
Feb 2026file last updated
$5,878cash price for ct abdomen and pelvis with contrast (list $6,998)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$170$476$50.50–$1,016
Emergency visit, high (level 4)
99284
$287$759$85.50–$1,593
Emergency visit, highest (level 5)
99285
$417$1,080$124–$2,253
Comprehensive metabolic panel
80053
$26.88$192$10.56–$344
Basic metabolic panel
80048
$21.84$151$8.46–$270
Complete blood count (CBC)
85025
$12.60$105$7.77–$190
Blood draw (venipuncture)
36415
$5.88$59.00$4.55–$111
Urinalysis
81001
$8.40$74.00$3.17–$99.96
Troponin (heart test)
84484
$25.20$167$12.47–$298
EKG tracing
93005
$15.12$164$10.98–$418
Chest X-ray, 2 views
71046
$49.56$268$35.99–$615
CT head without contrast
70450
$2,150$2,560$1,335–$3,467
CT abdomen and pelvis with contrast
74177
$5,878$6,998$2,650–$9,477
MRI lower back without contrast
72148
$3,919$4,665$1,903–$6,317
Ultrasound, abdomen
76700
$965$1,149$675–$1,556
IV push, single drug
96374
$105$132$76.25–$191
IV fluids, first hour
96360
$192$241$139–$540
Ketorolac injection, 15 mg
J1885
$83.58$99.50$60.70–$135
Ondansetron injection
J2405
$83.58$105$60.70–$148
Colonoscopy, diagnostic
45378
$630$1,662$458–$3,185
Upper GI endoscopy with biopsy
43239
$924$1,100$275–$3,358

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 Plainview price transparency page.

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