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 |
|---|---|---|---|---|
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,717.30 | $16,470.00 | $42.94 – $175.47 | 11 |
| Cover eye w/membrane CPT 65778 | not published | not published | $85.07 – $85.07 | 1 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $224.15 – $224.15 | 1 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $43.07 | $73.00 | $16.79 – $68.62 | 7 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $284.38 | $482.00 | $110.86 – $453.08 | 7 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $284.38 | $482.00 | $110.86 – $453.08 | 7 |
| Covid-19 lab test non-cdc HCPCS U0002 | $97.35 | $165.00 | $37.95 – $155.10 | 13 |
| #covid19rsv-rsv CPT 87634 | $152.22 | $258.00 | $59.34 – $242.52 | 13 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $185.26 | $314.00 | $12.63 – $295.16 | 17 |
| C-peptide CPT 84681 | $80.24 | $136.00 | $20.17 – $136.00 | 17 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $263.91 – $263.91 | 1 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $1,633.75 – $1,665.79 | 3 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,522.17 – $1,552.01 | 3 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,630.74 – $1,662.71 | 3 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $2,404.41 – $2,451.55 | 3 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $2,622.98 – $2,674.41 | 3 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $1,030.38 – $1,050.59 | 3 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,610.84 – $1,642.42 | 3 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $1,817.89 – $1,853.54 | 3 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,676.36 – $1,709.23 | 3 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $2,028.98 – $2,068.77 | 3 |
| Craniofacial approach skull CPT 61580 | not published | not published | $1,839.05 – $1,875.11 | 3 |
| Craniofacial approach skull CPT 61581 | not published | not published | $2,072.75 – $2,113.39 | 3 |
| Craniofacial approach skull CPT 61582 | not published | not published | $1,951.08 – $1,989.33 | 3 |
| Craniofacial approach skull CPT 61583 | not published | not published | $2,261.24 – $2,305.58 | 3 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,621.91 | $2,749.00 | $520.84 – $2,584.06 | 11 |
| C-reactive protein CPT 86140 | $90.86 | $154.00 | $5.02 – $144.76 | 17 |
| C-reactive protein high sensitivity CPT 86141 | $57.23 | $97.00 | $12.55 – $97.00 | 17 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $1,402.53 – $1,402.53 | 1 |
| Create eardrum opening CPT 69436 | not published | not published | $304.44 – $304.44 | 1 |
| Create passage to kidney CPT 52334 | not published | not published | $342.24 – $342.24 | 1 |
| Create tear duct drain CPT 68745 | not published | not published | $1,554.40 – $1,554.40 | 1 |
| Create tear duct drain CPT 68750 | not published | not published | $1,638.78 – $1,638.78 | 1 |
| Create tear sac drain CPT 68720 | not published | not published | $1,544.45 – $1,544.45 | 1 |
| Creatine kinase CPT 82550 | $68.44 | $116.00 | $6.30 – $109.04 | 17 |
| Creatine kinase isoenzymes CPT 82552 | $120.36 | $204.00 | $12.97 – $191.76 | 17 |
| Creatine kinase mb CPT 82553 | $126.26 | $214.00 | $11.19 – $201.16 | 17 |
| Creatinine CPT 82565 | $43.66 | $74.00 | $4.96 – $69.56 | 17 |
| Creatinine 24 hour urine CPT 82570 | $86.73 | $147.00 | $5.02 – $138.18 | 17 |
| Creatinine clearance urine CPT 82575 | $111.51 | $189.00 | $9.17 – $177.66 | 17 |
| #creutz-prot.,western blot CPT 84182 | $88.50 | $150.00 | $23.46 – $102.00 | 17 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $992.75 – $992.75 | 1 |
| Cricotracheal resection CPT 31592 | not published | not published | $3,273.19 – $3,273.19 | 1 |
| Critical care 30-74 minutes CPT 99291 | $1,804.22 | $3,058.00 | $405.87 – $2,874.52 | 7 |
| Critical care each additional 30 minutes CPT 99292 | $685.58 | $1,162.00 | $203.66 – $893.94 | 7 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,759.57 – $1,794.07 | 3 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,837.77 – $1,873.81 | 3 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,669.81 – $1,702.55 | 3 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $1,245.35 – $2,351.06 | 4 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,850.45 – $1,886.74 | 3 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,847.79 – $1,884.02 | 3 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $1,650.74 – $1,683.10 | 3 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $1,717.95 – $1,751.63 | 3 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $1,709.88 – $1,743.40 | 3 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,052.55 – $1,073.19 | 3 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,010.50 – $1,030.32 | 3 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,195.78 – $1,219.22 | 3 |
| Cross-over vein graft CPT 34520 | not published | not published | $1,739.75 – $1,739.75 | 1 |
| Crotalidae poly immune fab HCPCS J0840 | $1,056.47 | $1,790.63 | $411.85 – $1,862.25 | 14 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,054.33 | $1,787.00 | $411.01 – $1,679.78 | 9 |
| Cryoablate prostate CPT 55873 | not published | not published | $1,448.27 – $1,448.27 | 1 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $279.07 – $279.07 | 1 |
| Cryoprecipitate each unit HCPCS P9012 | $99.71 | $169.00 | $38.87 – $158.86 | 7 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $85.16 – $85.16 | 1 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $376.38 – $376.38 | 1 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $214.60 – $214.60 | 1 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $93.30 – $93.30 | 1 |
| Crystal identification light microscopy CPT 89060 | $64.31 | $109.00 | $7.10 – $102.46 | 17 |
| Csf shunt reprogram 62252 CPT 62252 | $198.24 | $336.00 | $76.50 – $315.84 | 7 |
| CT 3d report other modality w/workstation CPT 76377 | $565.22 | $958.00 | $76.08 – $848.82 | 11 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,111.66 | $5,274.00 | $431.93 – $4,957.56 | 11 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,568.27 | $4,353.00 | $585.56 – $4,091.82 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,040.22 | $3,458.00 | $458.62 – $3,250.52 | 11 |
| Cta neck without &/or w/contrast CPT 70498 | $2,139.93 | $3,627.00 | $378.97 – $3,409.38 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,614.88 | $4,432.00 | $543.12 – $4,166.08 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,439.65 | $4,135.00 | $384.01 – $3,886.90 | 11 |
| CT Angiogram of the Head CPT 70496 | $1,967.65 | $3,335.00 | $379.60 – $3,134.90 | 11 |
| CT angio hrt w/3d image CPT 75574 | $238.36 | $404.00 | $92.92 – $404.00 | 11 |
| CT angio pelvis CPT 72191 | $1,031.32 | $1,748.00 | $402.04 – $1,715.40 | 11 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,044.35 | $3,465.00 | $416.79 – $3,257.10 | 11 |
| CT bone density axial CPT 77078 | $251.93 | $427.00 | $98.21 – $427.00 | 11 |
| CT colonography dx CPT 74261 | $1,316.29 | $2,231.00 | $513.13 – $2,097.14 | 11 |
| CT colonography dx w/dye CPT 74262 | $1,643.74 | $2,786.00 | $640.78 – $2,618.84 | 11 |
| CT colonography screening CPT 74263 | $2,793.06 | $4,734.00 | $1,071.32 – $4,734.00 | 11 |
| CT guidance for needle placement CPT 77012 | $1,576.48 | $2,672.00 | $133.27 – $2,265.40 | 11 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,903.34 | $3,226.00 | $107.39 – $3,032.44 | 11 |
| CT guid parench tis ablat CPT 77013 | $1,663.80 | $2,820.00 | $581.95 – $2,650.80 | 7 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $171.69 | $291.00 | $66.93 – $273.54 | 11 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $214.76 | $364.00 | $83.72 – $364.00 | 11 |
| CT hrt w/3d image CPT 75572 | $214.76 | $364.00 | $83.72 – $364.00 | 11 |
| CT limited or localized follow-up study CPT 76380 | $742.81 | $1,259.00 | $168.57 – $1,183.46 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,840.80 | $3,120.00 | $219.85 – $2,932.80 | 11 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,422.49 | $2,411.00 | $162.27 – $2,266.34 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,050.25 | $3,475.00 | $270.92 – $3,266.50 | 11 |
| CT neck soft tissue w/contrast CPT 70491 | $1,917.50 | $3,250.00 | $234.36 – $3,055.00 | 11 |
| CT neck soft tissue without contrast CPT 70490 | $1,466.74 | $2,486.00 | $176.76 – $2,336.84 | 11 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,349.97 | $3,983.00 | $285.43 – $3,744.02 | 11 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,431.98 | $4,122.00 | $296.14 – $3,874.68 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $2,053.79 | $3,481.00 | $249.48 – $3,272.14 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,837.85 | $3,115.00 | $193.37 – $2,928.10 | 11 |
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.