CMS Price Transparency Data

Culture, blood

Facility: CHI Health Good Samaritan

Billing Code: 87040 (CPT)

The BaseRate · fair price low confidence
A fair price for this
$93
about 9.3× the $10 Medicare rate · typically $12–$104
modeled estimate · not a bill or quote
Medicare pays $10 Fair price $93 Cash price $212 Hospital's list price $348

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $10 - $264 97%
Blue Cross Blue Shieldmajor $10 97%
Humanamajor $10 97%
Ambetter (Centene) $10 - $74 97%
Amerigroup $10 - $11 97%
Medica $10 - $271 97%
Molina $10 97%
+ 9 smaller / regional plans $10 - $202
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: P O Box 1990, 10 East 31St St, Kearney, NE 68848
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals