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 |
|---|---|---|---|---|
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,951.68 – $1,989.95 | 3 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,273.17 – $1,298.14 | 3 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,270.37 – $1,295.28 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $278.54 – $278.54 | 1 |
| Close tear duct opening CPT 68761 | not published | not published | $224.74 – $224.74 | 1 |
| Close tear system fistula CPT 68770 | not published | not published | $1,193.81 – $1,193.81 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,336.35 | $2,265.00 | $111.59 – $2,129.10 | 7 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $609.67 – $1,583.57 | 4 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,225.10 – $1,249.12 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $786.49 – $1,854.95 | 4 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $802.34 – $818.07 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $382.66 – $382.66 | 1 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $181.73 – $181.73 | 1 |
| Closure of salivary fistula CPT 42600 | not published | not published | $680.11 – $680.11 | 1 |
| Closure of valve CPT 33600 | not published | not published | $2,034.61 – $2,074.51 | 3 |
| Closure of valve CPT 33602 | not published | not published | $1,964.24 – $2,002.76 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $630.46 – $630.46 | 1 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,071.79 – $1,092.80 | 3 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $834.41 – $1,667.65 | 4 |
| Clot factor xii hageman CPT 85280 | $77.88 | $132.00 | $18.75 – $132.00 | 17 |
| Clot factor xiii fibrin stab CPT 85290 | $257.24 | $436.00 | $15.83 – $409.84 | 17 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $529.23 | $897.00 | $206.31 – $843.18 | 7 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $596.72 – $596.72 | 1 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $356.95 | $605.00 | $139.15 – $568.70 | 7 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $466.18 – $466.18 | 1 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $462.17 – $462.17 | 1 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $751.07 | $1,273.00 | $292.79 – $1,196.62 | 7 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $181.72 | $308.00 | $70.84 – $289.52 | 7 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $372.02 – $372.02 | 1 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $195.88 | $332.00 | $76.36 – $312.08 | 7 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $273.17 | $463.00 | $106.49 – $435.22 | 7 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $299.13 | $507.00 | $116.61 – $476.58 | 7 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $372.88 | $632.00 | $145.36 – $594.08 | 7 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,048.43 | $1,777.00 | $408.71 – $1,670.38 | 7 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,035.70 – $1,035.70 | 1 |
| Clsd tx fracture of radius 25500 CPT 25500 | $335.12 | $568.00 | $130.64 – $533.92 | 7 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $243.96 – $243.96 | 1 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $276.71 | $469.00 | $107.87 – $440.86 | 7 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $311.52 | $528.00 | $121.44 – $496.32 | 7 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,124.54 | $1,906.00 | $438.38 – $1,791.64 | 7 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $189.39 | $321.00 | $73.83 – $301.74 | 7 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,756.43 | $2,977.00 | $684.71 – $2,798.38 | 7 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $507.38 – $507.38 | 1 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $307.39 | $521.00 | $119.83 – $489.74 | 7 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $215.94 | $366.00 | $84.18 – $344.04 | 7 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $171.69 | $291.00 | $66.93 – $273.54 | 7 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $321.55 | $545.00 | $125.35 – $512.30 | 7 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $915.26 – $915.26 | 1 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $432.98 – $432.98 | 1 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $259.01 | $439.00 | $100.97 – $412.66 | 7 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $506.81 | $859.00 | $197.57 – $807.46 | 7 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $965.20 – $965.20 | 1 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $359.31 | $609.00 | $140.07 – $572.46 | 7 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $359.31 | $609.00 | $140.07 – $572.46 | 7 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $178.67 – $178.67 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,096.27 | $3,553.00 | $632.60 – $3,339.82 | 7 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $331.58 | $562.00 | $129.26 – $528.28 | 7 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $586.05 – $586.05 | 1 |
| Clsd tx pelvic ring fx CPT 27197 | $262.55 | $445.00 | $102.35 – $418.30 | 7 |
| Clsd tx pelvic ring fx CPT 27198 | $497.96 | $844.00 | $194.12 – $793.36 | 7 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $987.07 | $1,673.00 | $384.79 – $1,572.62 | 7 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $296.18 | $502.00 | $115.46 – $471.88 | 7 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $120.95 | $205.00 | $47.15 – $192.70 | 7 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,813.66 | $3,074.00 | $707.02 – $2,889.56 | 7 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $474.14 – $474.14 | 1 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,731.06 | $2,934.00 | $674.82 – $2,757.96 | 7 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $960.46 – $960.46 | 1 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,984.17 | $3,363.00 | $694.14 – $2,836.92 | 7 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $654.17 – $654.17 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $141.60 | $240.00 | $55.20 – $225.60 | 7 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $308.57 | $523.00 | $120.29 – $491.62 | 7 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $234.23 | $397.00 | $91.31 – $373.18 | 7 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,613.65 | $2,735.00 | $629.05 – $2,570.90 | 7 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $189.39 | $321.00 | $73.83 – $301.74 | 7 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $561.04 – $561.04 | 1 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $554.67 – $554.67 | 1 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $556.04 – $556.04 | 1 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $1,013.82 – $1,013.82 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $268.45 | $455.00 | $104.65 – $427.70 | 7 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $522.67 – $522.67 | 1 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,098.13 – $2,139.27 | 3 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,996.78 – $2,035.94 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $751.07 | $1,273.00 | $292.79 – $1,196.62 | 7 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $497.96 | $844.00 | $194.12 – $793.36 | 7 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $461.99 – $1,322.71 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,274.45 | $3,855.00 | $681.81 – $3,623.70 | 7 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $294.41 | $499.00 | $114.77 – $469.06 | 7 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,826.05 | $3,095.00 | $711.85 – $2,909.30 | 7 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $612.84 – $612.84 | 1 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,389.45 | $2,355.00 | $541.65 – $2,213.70 | 7 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,760.68 – $1,760.68 | 1 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,221.40 – $1,221.40 | 1 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $1,154.60 – $1,154.60 | 1 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $1,041.29 – $1,041.29 | 1 |
| Cltx post ankle fx CPT 27767 | not published | not published | $566.12 – $566.12 | 1 |
| Cltx post ankle fx w/mnpj CPT 27768 | $377.60 | $640.00 | $147.20 – $601.60 | 7 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $732.38 – $732.38 | 1 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $703.16 – $703.16 | 1 |
| Cltx thigh fx CPT 27267 | not published | not published | $841.95 – $841.95 | 1 |
| Cltx thigh fx w/mnpj CPT 27268 | $1,823.10 | $3,090.00 | $380.63 – $2,904.60 | 9 |
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.