CHI Health Plainview Hospital
P O Box 489, 704 North Third St, Plainview, NE 68769 · 106 Priced Procedures
Typical commercial prices here are +105% above the fair benchmark (2.05×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
CHI Health Plainview Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.93× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.58× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.40× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (66.4% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.05× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.93× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.58×) jump +34% above the median procedure ratio (Q50 1.93×)
- Consolidated metro market (HHI 9,436) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at CHI Health Plainview Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Rabies immune globulin HCPCS Code: 90375 | $6,120 | 19.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,878 | unverified |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $5,526 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $5,137 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $4,809 | 14.0× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $4,453 | 8.7× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,919 | 11.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $3,350 | 9.1× |
| Total knee replacement CPT Code: 27447 | $3,348 | 0.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,204 | 12.4× |
| Trauma team activation HCPCS Code: G0390 | $2,751 | 1.9× |
| CT scan, pelvis CPT Code: 72192 | $2,700 | 16.6× |
| CT scan, chest (no contrast) CPT Code: 71250 | $2,670 | unverified |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $2,639 | 15.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $2,623 | 10.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $2,597 | 15.4× |
| CT scan, sinuses CPT Code: 70486 | $2,352 | 14.2× |
| CT scan, head (no contrast) CPT Code: 70450 | $2,150 | 13.4× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $2,092 | 7.7× |
| Breast lump removal CPT Code: 19120 | $1,890 | 0.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,817 | 1.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,709 | 0.3× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $1,377 | 1.4× |
| Inguinal hernia repair CPT Code: 49505 | $1,357 | 0.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,067 | 1.1× |
Audit a Bill or Quote at CHI Health Plainview Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,834
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (66.4% of gross = $4,834).
Self-Pay Cash Rate ($6,120) Beats Your Bill
CHI Health Plainview Hospital's published 45 CFR § 180 self-pay cash rate is $6,120 (vs. $6,120 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $322 Fair BaseRate ($275 Medicare)
Your bill ($7,285) is $6,963 above the denoised Fair BaseRate ($322) and 26.5× the $275 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (66.4% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI Health Plainview Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.