Nebraska / CHI Health Good Samaritan

CMS certification 280009 · Kearney, NE · 1 entry in CMS's price-transparency list

CHI Health Good Samaritan: charges and Medicare payments

CHI Health Good Samaritan reported 863 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 4.09 times what it was paid — mid-range in Nebraska, number 8 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 263 stays at an average charge of $61,725, 32% below the national average. It also billed 1,139 outpatient services, charging 6.06 times what Medicare paid.

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  1. 1Medicare inpatient stays 863
  2. 2Charge ÷ paid, inpatient 4.09×
  3. 3Rank in NE (highest ratio = 1) 8 of 22
  4. 4CMS price-transparency actions 1
DRG 871$61,725DRG 291$47,952DRG 885$24,763DRG 853$162,938DRG 682$37,327DRG 481$70,784DRG 872$43,657DRG 064$65,639DRG 065$34,362DRG 193$43,472
Average charge per stay at CHI Health Good Samaritan, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 29 DRGs that can be compared with the national average, CHI Health Good Samaritan charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC263$61,725-32%$15,165
291 Heart Failure and Shock with MCC60$47,952-15%$10,158
885 Psychoses48$24,763-44%$10,537
853 Infectious and Parasitic Diseases with O.R. Procedures with...40$162,938-29%$41,083
682 Renal Failure with MCC36$37,327-43%$11,228
481 Hip and Femur Procedures except Major Joint with CC30$70,784-30%$15,205
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC28$43,657-11%$7,954
064 Intracranial Hemorrhage or Cerebral Infarction with MCC27$65,639-34%$14,637
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...24$34,362-38%$7,978
193 Simple Pneumonia and Pleurisy with MCC23$43,472-27%$12,465
280 Acute Myocardial Infarction, Discharged Alive with MCC22$46,402-39%$11,208
177 Respiratory Infections and Inflammations with MCC20$41,183-42%$11,981
480 Hip and Femur Procedures except Major Joint with MCC20$101,775-27%$20,750
377 Gastrointestinal Hemorrhage with MCC17$57,419-33%$15,742
698 Other Kidney and Urinary Tract Diagnoses with MCC17$65,496-11%$14,235
378 Gastrointestinal Hemorrhage with CC16$30,934-36%$8,232
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...16$27,073-33%$6,272
522 Hip Replacement with Principal Diagnosis of Hip Fracture...16$55,753-46%$15,553
552 Medical Back Problems without MCC16$26,552-46%$7,669
683 Renal Failure with CC16$26,365-35%$7,006
516 Other Musculoskeletal System and Connective Tissue O.R....15$75,768-25%$14,032
025 Craniotomy and Endovascular Intracranial Procedures with MCC14$116,070-50%$31,141
163 Major Chest Procedures with MCC12$116,657-45%$30,044
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale12$55,121-15%$12,116
286 Circulatory Disorders except AMI, with Cardiac...11$75,344-33%$14,206
287 Circulatory Disorders except AMI, with Cardiac...11$53,970-16%$9,845
432 Cirrhosis and Alcoholic Hepatitis with MCC11$59,062-38%$16,893
519 Back and Neck Procedures except Spinal Fusion with CC11$79,264-24%$14,723
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...11$50,410-16%$11,343

Outpatient services

Against the Nebraska average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Health Good Samaritan charged $61,725 on average, 7% more than the Nebraska average of $57,675, and was paid $15,165 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), CHI Health Good Samaritan charged $47,952 on average, 30% more than the Nebraska average of $36,928, and was paid $10,158 against a state average of $10,527. For Psychoses (DRG 885), CHI Health Good Samaritan charged $24,763 on average, 45% less than the Nebraska average of $44,667, and was paid $10,537 against a state average of $14,808. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), CHI Health Good Samaritan charged $162,938 on average, 13% more than the Nebraska average of $143,960, and was paid $41,083 against a state average of $40,903. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $50,215 was 9% above the state average of $46,218. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,821 was 11% above the state average of $8,843. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $23,083 was 17% above the state average of $19,767. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,433 was 7% above the state average of $26,619.

Price-transparency record

CMS's enforcement list records these actions for a hospital named CHI Health Good Samaritan in Kearney, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.