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 |
|---|---|---|---|---|
| Chemo adm cns w/lmbr punct CPT 96450 | $804.17 | $1,363.00 | $131.18 – $1,281.22 | 11 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $203.76 – $203.76 | 1 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $208.27 | $353.00 | $81.19 – $331.82 | 7 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $208.27 | $353.00 | $81.19 – $331.82 | 7 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $381.73 | $647.00 | $148.81 – $608.18 | 7 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $381.73 | $647.00 | $148.81 – $608.18 | 7 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $471.45 – $471.45 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $222.41 – $222.41 | 1 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $404.71 – $404.71 | 1 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $94.75 – $94.75 | 1 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $75.87 – $75.87 | 1 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $217.31 – $217.31 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $195.53 – $195.53 | 1 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $205.30 – $205.30 | 1 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $381.73 | $647.00 | $148.81 – $608.18 | 7 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $381.73 | $647.00 | $148.81 – $608.18 | 7 |
| Chemotherapy injection 96542 CPT 96542 | $687.94 | $1,166.00 | $71.87 – $1,096.04 | 11 |
| Chemotx admn pertl cav impl CPT 96446 | $659.03 | $1,117.00 | $36.79 – $1,049.98 | 11 |
| Chest 2 vws w oblique CPT 71048 | $472.00 | $800.00 | $58.84 – $752.00 | 7 |
| Chest apical lordotic proj CPT 71047 | $316.83 | $537.00 | $55.06 – $399.50 | 7 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,946.41 | $3,299.00 | $269.66 – $3,101.06 | 11 |
| Chest CT scan (with contrast) CPT 71260 | $2,211.91 | $3,749.00 | $219.85 – $3,524.06 | 11 |
| Chest CT scan (without contrast) CPT 71250 | $1,172.33 | $1,987.00 | $161.64 – $1,867.78 | 11 |
| Chest X-ray CPT 71046 | $316.83 | $537.00 | $43.72 – $504.78 | 7 |
| Chest X-ray (single view) CPT 71045 | $202.37 | $343.00 | $32.36 – $322.42 | 7 |
| Chg pr pul rehab for copd patients CPT 94626 | $158.71 | $269.00 | $61.87 – $252.86 | 7 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $658.44 | $1,116.00 | $145.24 – $1,049.04 | 7 |
| Chlamydia culture CPT 87110 | $100.30 | $170.00 | $18.99 – $170.00 | 17 |
| Chlamydia type CPT 87140 | $31.27 | $53.00 | $5.40 – $53.00 | 17 |
| Chloramphenicol sodium injec HCPCS J0720 | $21.43 | $36.32 | $8.36 – $34.15 | 8 |
| Chloride CPT 82435 | $28.91 | $49.00 | $4.46 – $49.00 | 17 |
| Chloride 24 hour urine CPT 82436 | $35.40 | $60.00 | $5.57 – $60.00 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.58 | $0.98 | $0.22 – $0.88 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $53.86 | $91.28 | $21.00 – $91.28 | 12 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $14.81 | $25.11 | $5.78 – $25.11 | 12 |
| Cholangiogram percutaneous compl CPT 47532 | $4,500.52 | $7,628.00 | $391.61 – $7,170.32 | 7 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $573.48 | $972.00 | $43.72 – $913.68 | 7 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $983.57 – $1,002.85 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $722.39 – $736.56 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $802.51 – $818.24 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,335.22 | $3,958.00 | $624.67 – $3,720.52 | 7 |
| Cholesterol CPT 82465 | $40.71 | $69.00 | $4.21 – $64.86 | 17 |
| Cholesterol (Lipid) Test CPT 80061 | $84.96 | $144.00 | $1.38 – $13.32 | 17 |
| Cholinesterase CPT 82480 | $53.10 | $90.00 | $7.63 – $90.00 | 17 |
| Chorion biopsy CPT 59015 | not published | not published | $232.95 – $232.95 | 1 |
| Chromatography CPT 83021 | $96.76 | $164.00 | $17.50 – $164.00 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $815.38 | $1,382.00 | $121.60 – $1,382.00 | 17 |
| Chromosome analysis 5 CPT 88261 | $349.87 | $593.00 | $136.39 – $593.00 | 17 |
| Chromosome analys placenta CPT 88267 | $2,986.58 | $5,062.00 | $182.72 – $4,758.28 | 17 |
| Chromosome count additional CPT 88285 | $99.12 | $168.00 | $26.07 – $168.00 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | $126.26 | $214.00 | $49.22 – $214.00 | 17 |
| Cidofovir injection HCPCS J0740 | $84.67 | $143.50 | $33.01 – $149.24 | 14 |
| Cilastatin sodium injection HCPCS J0743 | $17.62 | $29.87 | $1.31 – $5.69 | 12 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $746.45 – $746.45 | 1 |
| Cine/video x-rays CPT 76120 | $470.23 | $797.00 | $183.31 – $749.18 | 11 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $0.02 | $0.03 | $0.01 – $0.02 | 12 |
| Circum 28 days or older CPT 54161 | not published | not published | $375.38 – $375.38 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $276.30 – $276.30 | 1 |
| Circumcision (newborn) CPT 54150 | $176.41 | $299.00 | $68.77 – $281.06 | 7 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $269.81 | $457.30 | $0.14 – $0.60 | 12 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $8.50 | $14.40 | $3.32 – $14.98 | 14 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,492.97 – $1,522.25 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $18,916.88 | $32,062.50 | $316.25 – $1,292.50 | 11 |
| Clamp neck artery CPT 61703 | not published | not published | $1,098.63 – $1,120.17 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,113.53 – $1,113.53 | 1 |
| Claviculectomy total CPT 23125 | not published | not published | $1,334.61 – $1,334.61 | 1 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $260.48 – $260.48 | 1 |
| Clearance of airways CPT 31720 | $208.86 | $354.00 | $81.42 – $332.76 | 7 |
| Clearance of airways CPT 31725 | not published | not published | $107.66 – $150.15 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $483.27 – $483.27 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $0.90 | $1.51 | $0.02 – $0.07 | 7 |
| Clip ligating vesolock lg HCPCS C1760 | $593.84 | $1,006.50 | $13.67 – $55.84 | 11 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,185.28 – $2,185.28 | 1 |
| Cllr miami j sm HCPCS L0174 | $447.22 | $758.00 | $20.48 – $92.61 | 9 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,028.61 – $2,068.38 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $6.51 | $11.03 | $0.37 – $1.58 | 12 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $683.98 – $1,447.38 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,471.15 – $1,499.99 | 3 |
| Close chest after drainage CPT 32810 | not published | not published | $832.87 – $1,619.25 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $397.07 | $673.00 | $154.79 – $632.62 | 7 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $761.04 – $761.04 | 1 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $704.14 – $1,350.85 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $779.73 – $779.73 | 1 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,309.80 | $2,220.00 | $510.60 – $2,086.80 | 7 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $290.28 | $492.00 | $113.16 – $462.48 | 7 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $241.31 | $409.00 | $94.07 – $384.46 | 7 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $290.28 | $492.00 | $113.16 – $462.48 | 7 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,219.34 – $1,219.34 | 1 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $323.80 – $323.80 | 1 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $624.16 – $624.16 | 1 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,138.11 | $1,929.00 | $408.48 – $1,669.44 | 7 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $573.76 – $573.76 | 1 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $200.53 – $200.53 | 1 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $187.03 | $317.00 | $72.91 – $297.98 | 7 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,448.85 – $1,448.85 | 1 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $995.60 – $1,015.12 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $283.20 | $480.00 | $110.40 – $451.20 | 7 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,264.60 – $1,264.60 | 1 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $771.95 – $1,223.92 | 4 |
| Close mult vsd CPT 33675 | not published | not published | $1,895.95 – $1,933.12 | 3 |
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.