CHI Health St. Francis
2620 West Faidley Avenue, Grand Island, NE · Chihealth · · NPI 1982675955
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 2019-ncov diagnostic p HCPCS U0001 | $34.22 | $58.00 | $13.34 – $79.74 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,527.02 | $5,978.00 | $1,374.94 – $5,619.32 | 7 |
| 2nd order venous cath CPT 36012 | $1,667.93 | $2,827.00 | $315.69 – $2,657.38 | 7 |
| 3-d radiotherapy plan CPT 77295 | $7,402.14 | $12,546.00 | $483.84 – $11,793.24 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $320.96 | $544.00 | $29.21 – $511.36 | 11 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,437.96 – $2,485.77 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $861.81 | $1,460.69 | $44.56 – $1,373.05 | 14 |
| Abd aorta w/runoff s&i CPT 75630 | $2,759.43 | $4,677.00 | $121.49 – $4,396.38 | 11 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $594.10 – $605.75 | 3 |
| Abd/low ext cath 1st CPT 36245 | $1,955.85 | $3,315.00 | $425.38 – $3,116.10 | 7 |
| Abd/low ext cath 2nd CPT 36246 | $1,644.92 | $2,788.00 | $450.16 – $2,620.72 | 7 |
| Abd/low ext cath 3rd CPT 36247 | $2,454.99 | $4,161.00 | $539.01 – $3,911.34 | 7 |
| Abd/low ext cath addl CPT 36248 | $687.35 | $1,165.00 | $88.98 – $1,095.10 | 7 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,449.68 | $4,152.00 | $384.43 – $3,902.88 | 11 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,191.85 | $3,715.00 | $339.02 – $3,492.10 | 11 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,654.36 | $2,804.00 | $159.12 – $2,635.76 | 11 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,134.08 | $5,312.00 | $462.19 – $4,993.28 | 11 |
| Abdominal MRI (with contrast) CPT 74182 | $2,570.04 | $4,356.00 | $434.45 – $4,094.64 | 11 |
| Abdominal MRI (without contrast) CPT 74181 | $2,444.37 | $4,143.00 | $250.74 – $3,894.42 | 11 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,247.26 | $2,114.00 | $199.71 – $1,987.16 | 7 |
| Abdominal Ultrasound (complete) CPT 76700 | $792.37 | $1,343.00 | $147.97 – $1,262.42 | 11 |
| Abdominal Ultrasound (limited) CPT 76705 | $570.53 | $967.00 | $112.46 – $908.98 | 11 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,174.11 – $2,174.11 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $648.41 | $1,099.00 | $136.52 – $1,033.06 | 7 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,190.79 – $1,214.14 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,714.00 – $1,747.61 | 3 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,436.08 – $1,464.24 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $523.91 – $1,163.86 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,629.63 – $1,661.59 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $4,279.86 | $7,254.00 | $640.73 – $6,818.76 | 7 |
| Ablate bone tumor(s) perq CPT 20982 | $7,702.45 | $13,055.00 | $676.81 – $12,271.70 | 7 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,295.73 – $1,321.13 | 3 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,588.23 – $1,619.37 | 3 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,532.87 – $1,562.92 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $385.12 – $385.12 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $289.40 – $289.40 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | $8,862.98 | $15,022.00 | $815.87 – $14,120.68 | 7 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $817.13 – $817.13 | 1 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $10,078.97 | $17,083.00 | $67.16 – $274.48 | 7 |
| Ablation cryo abd perit om CPT 49999 | $1,786.52 | $3,028.00 | $696.44 – $2,846.32 | 7 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $5,602.05 | $9,495.00 | $838.13 – $8,925.30 | 7 |
| Ablation of upper extremity nerves rf CPT 64999 | $802.99 | $1,361.00 | $284.51 – $1,162.78 | 7 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,851.99 – $1,851.99 | 1 |
| Abortion CPT 59850 | not published | not published | $344.29 – $708.16 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $422.39 – $422.39 | 1 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $31.94 – $31.94 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $256.91 – $256.91 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,216.68 | $5,452.00 | $363.49 – $5,124.88 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $215.36 – $215.36 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $532.43 – $532.43 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.08 | $0.14 | $0.03 – $0.09 | 12 |
| Acetaminophen level CPT 80143 | $288.51 | $489.00 | $18.06 – $459.66 | 13 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $21.58 | $36.57 | $8.42 – $36.57 | 12 |
| Acetylcholine receptor modulating antibody CPT 86043 | $125.67 | $213.00 | $48.99 – $200.22 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $3.73 | $6.31 | $0.58 – $3.14 | 12 |
| Acne surgery 10040 CPT 10040 | not published | not published | $98.72 – $98.72 | 1 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $30.09 | $51.00 | $11.73 – $47.94 | 12 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,168.44 – $1,168.44 | 1 |
| Actigraphy testing CPT 95803 | $142.19 | $241.00 | $55.43 – $226.54 | 7 |
| Acute hepatitis panel CPT 80074 | $315.06 | $534.00 | $46.16 – $511.87 | 17 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.16 | $0.26 | $0.06 – $0.25 | 7 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $4.39 | $7.43 | $0.04 – $0.26 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,852.57 | $4,834.86 | $113.85 – $465.30 | 11 |
| Adding walker to prev cast CPT 29440 | not published | not published | $54.12 – $54.12 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2.99 | $5.07 | $0.41 – $1.67 | 12 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $391.58 – $1,684.24 | 4 |
| Adh-sendout CPT 84588 | $110.92 | $188.00 | $32.88 – $188.00 | 17 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $847.88 – $847.88 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,445.51 – $1,445.51 | 1 |
| Adjustment gastric band HCPCS S2083 | $214.76 | $364.00 | $83.72 – $342.16 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $53.95 | $91.43 | $0.05 – $0.19 | 8 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $251.34 | $426.00 | $47.80 – $400.44 | 11 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $562.27 | $953.00 | $108.25 – $895.82 | 11 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,131.03 | $1,917.00 | $219.54 – $1,801.98 | 11 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $430.70 | $730.00 | $167.90 – $686.20 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $260.78 | $442.00 | $57.42 – $415.48 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $161.66 | $274.00 | $63.02 – $257.56 | 11 |
| Administration immunization 1 vaccine CPT 90471 | $93.81 | $159.00 | $4.37 – $17.86 | 8 |
| Administration immunization each additional vaccine CPT 90472 | $65.49 | $111.00 | $25.53 – $104.34 | 7 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $86.14 | $146.00 | $33.58 – $137.24 | 7 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,673.81 | $6,226.79 | $38.66 – $3,658.25 | 14 |
| Adrenal cortex & medulla img CPT 78075 | $1,627.22 | $2,758.00 | $634.34 – $2,758.00 | 11 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,165.07 – $1,187.92 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $93.81 | $159.00 | $19.43 – $159.00 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $284.38 | $482.00 | $110.86 – $482.00 | 17 |
| After cataract laser surgery CPT 66821 | not published | not published | $594.76 – $594.76 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $4,066.85 | $6,892.95 | $213.59 – $925.47 | 14 |
| Air injection into abdomen 49400 CPT 49400 | $1,050.20 | $1,780.00 | $168.34 – $1,673.20 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $29.50 | $50.00 | $7.54 – $50.00 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $0.51 | $0.86 | $0.08 – $0.33 | 12 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $0.17 | $0.28 | $0.04 – $0.15 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $139.24 | $236.00 | $5.60 – $221.84 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $34.81 | $59.00 | $4.79 – $59.00 | 17 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $61.36 | $104.00 | $16.74 – $97.76 | 13 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $23.13 | $39.20 | $9.02 – $36.85 | 7 |
| Alginate drsg wound filler HCPCS A6199 | $24.28 | $41.15 | $9.47 – $38.69 | 7 |
| Alkaline phosphatase CPT 84075 | $27.14 | $46.00 | $5.02 – $46.00 | 17 |
| Allergen egg white ige CPT 86003 | $20.65 | $35.00 | $5.06 – $35.00 | 17 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $2,380.41 – $2,380.41 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $3,053.25 | $5,175.00 | $80.50 – $533.41 | 12 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.