Kearney, NE
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 28, 2026 | Aug 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Good Samaritan Hospital’s price for it.
The codes Good Samaritan Hospital has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Comprehensive metabolic blood panelCPT 80053 | $106 | $95 | $79 | 83% | 1,397 | $10 | $227 |
| Lactated Ringer's solution infusionHCPCS J7120 | $0 | $0 | $1 | 345% | 1,042–1,060 | $0 | $5 |
| Lipid panel blood testCPT 80061 | $13 | $43 | $55 | 128% | 852–870 | $1 | $154 |
| Propofol intravenous emulsionHCPCS J2704 | $0 | $0 | $0 | 50% | 856–865 | $0 | $0 |
| Complete blood count with automated differentialCPT 85025 | $47 | $53 | $44 | 84% | 795–804 | $8 | $130 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $0 | $28 | $94 | 338% | 799 | $0 | $544 |
| Hemoglobin A1c blood testCPT 83036 | $46 | $49 | $35 | 71% | 742–751 | $9 | $93 |
| Thyroid stimulating hormone blood testCPT 84443 | $78 | $84 | $59 | 71% | 665–674 | $16 | $160 |
| Dexamethasone sodium phosphate injection, 4 mg per mLHCPCS J1100 | $1 | $1 | $1 | 82% | 614–641 | $0 | $2 |
| Complete blood count (CBC), automatedCPT 85027 | $49 | $44 | $33 | 75% | 576–585 | $6 | $92 |
EIN: 470379755
Last updated: Feb 28, 2026
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Hospital ID: c478cdde6b63f8e8f58c0a4a41960deb5482dcb81b4a42ffacd8758107dabec7