CHI Health Plainview
Plainview, NE · Critical Access Hospital
Posts prices for 54 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) range across 2 matching MRF lines |
$1,194.48–$2,603.16 | $1,422–$3,099 | varies |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 2 matching MRF lines |
$721.56–$2,043.72 | $859–$2,433 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$924–$2,083.20 | $1,100–$2,480 | varies |
| Diagnostic colonoscopy (45378) range across 4 matching MRF lines |
$630–$1,975.68 | $750–$2,352 | varies |
| Colonoscopy with biopsy (45380) range across 2 matching MRF lines |
$1,057.56–$2,656.92 | $1,259–$3,163 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$1,100.40–$1,916.04 | $1,310–$2,281 | varies |
| Colonoscopy with endoscopic ultrasound (45391) | $603.96 | $719 | 0.5× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,495.20 | $1,780 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $1,187.76 | $1,414 | 0.3× |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 3 matching MRF lines |
$293.16–$1,044.96 | $349–$1,244 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 2 matching MRF lines |
$593.04–$1,387.68 | $706–$1,652 | varies |
| After-cataract laser surgery (YAG capsulotomy) (66821) range across 2 matching MRF lines |
$577.92–$866.88 | $688–$1,032 | varies |
| CT head/brain without contrast (70450) | $2,150.40 | $2,560 | 19.8× |
| MRI brain without contrast (70551) | $4,809 | $5,725 | 19.4× |
| MRI brain with contrast (70552) | $5,032.44 | $5,991 | 13.9× |
| MRI brain without and with contrast (70553) | $4,452.84 | $5,301 | 12.3× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$84–$610.68 | $100–$727 | varies |
| MRI lumbar spine without contrast (72148) | $3,918.60 | $4,665 | 15.8× |
| CT pelvis with contrast (72193) | $2,483.88 | $2,957 | 13.6× |
| MRI lower-extremity joint without contrast (73721) | $2,931.60 | $3,490 | 11.8× |
| CT abdomen and pelvis with contrast (74177) | $5,878.32 | $6,998 | 16.2× |
| Ultrasound, abdomen complete (76700) | $965.16 | $1,149 | 8.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$842.52–$853.44 | $1,003–$1,016 | varies |
| Ultrasound, transvaginal (76830) | $720.72 | $858 | 6.6× |
| Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines |
$189–$258.72 | $225–$308 | varies |
| Mammography, both breasts (diagnostic) (77066) | $258.72 | $308 | 2.3× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$183.12–$330.96 | $218–$394 | varies |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$21.84–$231 | $26–$275 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$26.88–$294.84 | $32–$351 | varies |
| Obstetric panel (80055) range across 2 matching MRF lines |
$110.04–$121.80 | $131–$145 | varies |
| Lipid panel (80061) range across 3 matching MRF lines |
$8.40–$253.68 | $10–$302 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$22.68–$305.76 | $27–$364 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$21–$255.36 | $25–$304 | varies |
| Urinalysis, non-automated, with microscopy (81000) range across 2 matching MRF lines |
$8.40–$60.48 | $10–$72 | varies |
| Urinalysis, non-automated, without microscopy (81002) range across 3 matching MRF lines |
$6.72–$75.60 | $8–$90 | varies |
| PSA, total (84153) range across 2 matching MRF lines |
$47.04–$185.64 | $56–$221 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$42.84–$147.84 | $51–$176 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$12.60–$162.96 | $15–$194 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$16.80–$118.44 | $20–$141 | varies |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$10.08–$76.44 | $12–$91 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$21–$109.20 | $25–$130 | varies |
| Psychotherapy, 30 minutes (90832) | $291.48 | $347 | 1.6× |
| Psychotherapy, 45 minutes (90834) | $291.48 | $347 | 1.6× |
| Psychotherapy, 60 minutes (90837) | $291.48 | $347 | 1.6× |
| Family psychotherapy, without patient (50 min) (90846) | $291.48 | $347 | 1.6× |
| Family psychotherapy, with patient (50 min) (90847) | $291.48 | $347 | 1.6× |
| Group psychotherapy (90853) | $291.48 | $347 | 2.8× |
| Sleep study (attended polysomnography) (95810) | $4,494.84 | $5,351 | 5.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 7 matching MRF lines |
$73.92–$1,475.88 | $88–$1,757 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$263.76–$305.76 | $314–$364 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$394.80–$464.52 | $470–$553 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$522.48–$575.40 | $622–$685 | varies |
| Office consultation (low complexity, ~30 min) (99243) | $220.92 | $263 | 1.6× |
| Office consultation (moderate complexity, ~40 min) (99244) | $330.96 | $394 | 2.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 326 codes with posted prices and Medicare benchmarks
- Lab & pathology: 781 codes with posted prices and Medicare benchmarks
- Visits & medical services: 221 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 887 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 35 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 217.4 MB) ↓ — captured 2026-07-20
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.