Supplies, drugs & other prices at CHI Health Plainview
Plainview, NE · every code in this section with a posted price and a Medicare benchmark.
35 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) | $1,497.72 | $1,783 | 4.1× |
| Ca screen;flexi sigmoidscope (G0104) | $449.40 | $535 | 0.5× |
| Catheterize for urine spec (P9612) | $126 | $150 | 13.5× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$819.84–$1,794.24 | $976–$2,136 | varies |
| Colorectal scrn; hi risk ind (G0105) | $819.84 | $976 | 0.8× |
| Covid-19 lab test non-cdc (U0002) | $168 | $200 | 3.3× |
| Diab manage trn per indiv (G0108) | $66.36 | $79 | 1.2× |
| Diab manage trn ind/group (G0109) | $27.72 | $33 | 1.7× |
| Direct refer hospital observ (G0379) | $98.28 | $117 | 0.2× |
| Drug test def 1-7 classes (G0480) | $184.80 | $220 | 1.6× |
| Ekg tracing for initial prev (G0404) range across 2 matching MRF lines |
$15.12–$52.92 | $18–$63 | varies |
| Elec stim other than wound (G0283) range across 4 matching MRF lines |
$63–$139.44 | $75–$166 | varies |
| Facility svs dental rehab (G0330) | $1,722.84 | $2,051 | 0.5× |
| Fecal blood scrn immunoassay (G0328) | $63 | $75 | 3.5× |
| Group mnt 2 or more 30 mins (G0271) | $36.96 | $44 | 2.2× |
| Hopd mntl hlt, 15-29 min (C7900) | $34.44 | $41 | 0.9× |
| Hopd mntl hlt, 30-60 min (C7901) | $90.72 | $108 | 0.9× |
| Hopd mntl hlt, grp (C7903) | $35.28 | $42 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) | $399 | $475 | 0.5× |
| Mnt subs tx for change dx (G0270) | $36.96 | $44 | 1.2× |
| Obtaining screen pap smear (Q0091) | $78.12 | $93 | 2.6× |
| Oral hiv-1/hiv-2 screen (G0435) | $127.68 | $152 | 10.7× |
| Oth resp proc, group (G0239) | $126 | $150 | 3.2× |
| Oth resp proc, indiv (G0238) | $94.08 | $112 | 3.1× |
| Pemivibart infusion (M0224) | $540.96 | $644 | 1.2× |
| Perq Sacral Augmt Bilat Inj (0201T) likely a partial charge, not the full procedure |
$1,932 | $2,300 | 0.3× |
| Prolonged iv inf, req pump (C8957) | $405.72 | $483 | 1.8× |
| Psa screening (G0103) range across 2 matching MRF lines |
$47.04–$176.40 | $56–$210 | varies |
| Scr c/v cyto,thinlayer,rescr (G0145) | $134.40 | $160 | 5.1× |
| Therapeutic procd strg endur (G0237) | $94.08 | $112 | 3.1× |
| Trauma respons w/hosp criti (G0390) | $2,407.44 | $2,866 | 1.7× |
| Tte w or w/o contr, cont ecg (C8930) | $2,729.16 | $3,249 | 3.4× |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$1,748.88–$2,729.16 | $2,082–$3,249 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$3,236.52–$3,438.96 | $3,853–$4,094 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 3 matching MRF lines |
$426.72–$835.80 | $508–$995 | varies |
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.