Good Samaritan Hospital
Good Samaritan Hospital in Kearney, NE publishes cash prices for 46 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Click a procedure to compare it with other hospitals nearby.
10 East 31st Street, Kearney, NE 68847,1755 Prairie View Pl, Kearney, NE 68847 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $3,605.71 | $5,911.00 | 39% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $3,605.71 | $5,911.00 | 39% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $1,584.78 | $2,598.00 | 39% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $1,584.78 | $2,598.00 | 39% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,825.73 | $2,993.00 | 39% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,825.73 | $2,993.00 | 39% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $274.50 | $450.00 | 39% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI | $274.50 | $450.00 | 39% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $193.37 | $317.00 | 39% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $244.61 | $401.00 | 39% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $193.37 | $317.00 | 39% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $244.61 | $401.00 | 39% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,751.92 | $2,872.00 | 39% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,751.92 | $2,872.00 | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR JNT LOWER EXT W WO CONT | $2,347.89 | $3,849.00 | 39% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR JNT LOWER EXT W WO CONT | $2,347.89 | $3,849.00 | 39% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST | $2,357.04 | $3,864.00 | 39% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST | $2,357.04 | $3,864.00 | 39% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $2,996.93 | $4,913.00 | 39% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $2,996.93 | $4,913.00 | 39% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR LUMBAR WO CONTRAST | $1,821.46 | $2,986.00 | 39% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR LUMBAR WO CONTRAST | $1,821.46 | $2,986.00 | 39% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC ULTRASOUND COMPLETE | $864.37 | $1,417.00 | 39% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC ULTRASOUND COMPLETE | $864.37 | $1,417.00 | 39% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $241.56 | $396.00 | 39% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $241.56 | $396.00 | 39% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $3,078.06 | $5,046.00 | 39% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $3,078.06 | $5,046.00 | 39% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $651.48 | $1,068.00 | 39% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $651.48 | $1,068.00 | 39% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN | $810.69 | $1,329.00 | 39% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN | $810.69 | $1,329.00 | 39% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $536.19 | $879.00 | 39% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $536.19 | $879.00 | 39% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $111.02 | $182.00 | 39% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $111.02 | $182.00 | 39% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $98.82 | $162.00 | 39% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $98.82 | $162.00 | 39% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF | $85.40 | $140.00 | 39% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF | $85.40 | $140.00 | 39% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $60.39 | $99.00 | 39% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $60.39 | $99.00 | 39% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE PANEL | $148.84 | $244.00 | 39% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE PANEL | $148.84 | $244.00 | 39% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $127.49 | $209.00 | 39% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $127.49 | $209.00 | 39% |
| Liver function blood test panel CPT 80076 HC HEPATIC PROFILE | $131.76 | $216.00 | 39% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PROFILE | $131.76 | $216.00 | 39% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $110.41 | $181.00 | 39% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $110.41 | $181.00 | 39% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $68.93 | $113.00 | 39% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $68.93 | $113.00 | 39% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA | $79.30 | $130.00 | 39% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA | $79.30 | $130.00 | 39% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $63.44 | $104.00 | 39% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $63.44 | $104.00 | 39% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT | $51.24 | $84.00 | 39% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT | $51.24 | $84.00 | 39% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $97.60 | $160.00 | 39% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $97.60 | $160.00 | 39% |
| Urinalysis with microscope exam, automated CPT 81001 HC RHC COMPL UA W MICRO | $45.75 | $75.00 | 39% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS | $51.24 | $84.00 | 39% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC RHC COMPL UA W MICRO | $45.75 | $75.00 | 39% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS | $51.24 | $84.00 | 39% |
| Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS DIPSTICK W MICRO | $39.04 | $64.00 | 39% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS DIPSTICK W MICRO | $39.04 | $64.00 | 39% |
| Urinalysis without microscope exam, automated CPT 81003 HC RHC UA WO MICRO AUTO | $23.18 | $38.00 | 39% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICRO | $33.55 | $55.00 | 39% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC RHC UA WO MICRO AUTO | $23.18 | $38.00 | 39% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICRO | $33.55 | $55.00 | 39% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALY NON AUTO WO SCOPE | $47.58 | $78.00 | 39% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALY NON AUTO WO SCOPE | $47.58 | $78.00 | 39% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH NO ANGIO | $12,551.36 | $20,576.00 | 39% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH NO ANGIO | $12,551.36 | $20,576.00 | 39% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ ANE DRG LUM SAC W IMG GDN | $1,848.30 | $3,030.00 | 39% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ ANE DRG LUM SAC W IMG GDN | $1,848.30 | $3,030.00 | 39% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ ANE DRG LUM SAC W O IMG GDN | $1,848.30 | $3,030.00 | 39% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ ANE DRG LUM SAC W O IMG GDN | $1,848.30 | $3,030.00 | 39% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRNSFRM LUM SNGL W IMAG | $1,468.88 | $2,408.00 | 39% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRNSFRM LUM SNGL W IMAG | $1,468.88 | $2,408.00 | 39% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE | $1,299.30 | $2,130.00 | 39% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE | $1,299.30 | $2,130.00 | 39% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC SP PSY FAMILY THERAPY W PT 50 MIN | $154.94 | $254.00 | 39% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC SP PSY FAMILY THERAPY W PT 50 MIN | $154.94 | $254.00 | 39% |
| Group psychotherapy session CPT 90853 HC PHP GROUP THERAPY | $95.77 | $157.00 | 39% |
| Group psychotherapy session CPT 90853 HC PHP AFTERCARE | $95.77 | $157.00 | 39% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $100.65 | $165.00 | 39% |
| Group psychotherapy session inpatient CPT 90853 HC PHP GROUP THERAPY | $95.77 | $157.00 | 39% |
| Group psychotherapy session inpatient CPT 90853 HC PHP AFTERCARE | $95.77 | $157.00 | 39% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $100.65 | $165.00 | 39% |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW 30-44 MINS | $325.74 | $534.00 | 39% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW 30-44 MINS | $325.74 | $534.00 | 39% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW 45-59 MINS | $391.62 | $642.00 | 39% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW 45-59 MINS | $391.62 | $642.00 | 39% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW 60-74 MINS | $401.38 | $658.00 | 39% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW 60-74 MINS | $401.38 | $658.00 | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15M M59 | $83.57 | $137.00 | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $83.57 | $137.00 | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $193.98 | $318.00 | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15M M59 | $83.57 | $137.00 | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $83.57 | $137.00 | 39% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $193.98 | $318.00 | 39% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W PATIENT 45 MINUTES | $134.81 | $221.00 | 39% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY W PATIENT 45 MINUTES | $134.81 | $221.00 | 39% |
| Psychotherapy session, 60 minutes CPT 90837 HC SP NEUPSY 60 MIN PSYCHOTHERAPY | $196.42 | $322.00 | 39% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC SP NEUPSY 60 MIN PSYCHOTHERAPY | $196.42 | $322.00 | 39% |