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 |
|---|---|---|---|---|
| Ctrl nosebld postir subsq 30906 CPT 30906 | $235.41 | $399.00 | $91.77 – $375.06 | 7 |
| CT scan for therapy guide CPT 77014 | $820.69 | $1,391.00 | $142.09 – $1,307.54 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,089.34 | $8,626.00 | $482.37 – $8,108.44 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,558.88 | $6,032.00 | $427.31 – $5,670.08 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,704.56 | $4,584.00 | $200.30 – $4,308.96 | 11 |
| CT thoracic spine w/contrast CPT 72129 | $1,920.45 | $3,255.00 | $220.48 – $3,059.70 | 11 |
| CT thoracic spine without contrast CPT 72128 | $1,674.42 | $2,838.00 | $162.90 – $2,667.72 | 11 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,239.00 | $2,100.00 | $170.04 – $1,974.00 | 7 |
| CT t-spine w /wo contrast CPT 72130 | $1,936.97 | $3,283.00 | $272.18 – $3,086.02 | 11 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,767.64 | $2,996.00 | $286.06 – $2,816.24 | 11 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,515.12 | $2,568.00 | $224.05 – $2,413.92 | 11 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,124.59 | $3,601.00 | $374.98 – $3,384.94 | 11 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,357.86 – $1,357.86 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,165.82 – $1,165.82 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $71.39 | $121.00 | $7.83 – $113.74 | 17 |
| Culture afb any source CPT 87116 | $184.08 | $312.00 | $10.47 – $265.08 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $54.28 | $92.00 | $7.83 – $92.00 | 17 |
| Culture anaerobic except blood CPT 87075 | $116.82 | $198.00 | $9.18 – $186.12 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | $57.82 | $98.00 | $9.15 – $98.00 | 17 |
| Culture body fluid CPT 87070 | $105.02 | $178.00 | $8.35 – $167.32 | 17 |
| Culture fungi definitive id mold CPT 87107 | $105.61 | $179.00 | $10.00 – $168.26 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $97.94 | $166.00 | $10.00 – $156.04 | 17 |
| Culture fungi other (except blood) CPT 87102 | $178.77 | $303.00 | $8.15 – $284.82 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $112.69 | $191.00 | $7.47 – $179.54 | 17 |
| Culture mycoplasma any source CPT 87109 | $43.07 | $73.00 | $14.91 – $73.00 | 17 |
| Culture screening strep group a CPT 87081 | $75.52 | $128.00 | $6.43 – $120.32 | 17 |
| Culture typing immunologic CPT 87147 | $52.51 | $89.00 | $5.02 – $83.66 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $159.30 | $270.00 | $34.01 – $270.00 | 17 |
| Culture urine each isolate CPT 87088 | $79.06 | $134.00 | $7.84 – $125.96 | 17 |
| Curette/treat cornea CPT 65435 | not published | not published | $132.83 – $132.83 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $705.10 – $705.10 | 1 |
| Cutter lead HCPCS C1773 | $5,074.59 | $8,601.00 | $13.36 – $54.57 | 11 |
| Cv line/pic reposition CPT 36597 | $1,070.85 | $1,815.00 | $111.55 – $1,706.10 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.78 | $6.40 | $1.13 – $6.02 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $113.28 | $192.00 | $12.55 – $180.48 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $205.87 | $348.93 | $11.56 – $47.23 | 7 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $4.05 | $6.85 | $0.35 – $1.52 | 12 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $7.54 | $12.77 | $2.94 – $12.77 | 12 |
| Cyclosporine 2 hour CPT 80158 | $41.89 | $71.00 | $16.33 – $71.00 | 17 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.43 | $4.11 | $0.63 – $2.54 | 12 |
| Cyclosporine oral 100 mg HCPCS J7502 | $8.51 | $14.42 | $0.90 – $3.88 | 12 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,688.22 | $26,590.20 | $292.10 – $1,193.80 | 11 |
| Cystatin c CPT 82610 | $58.41 | $99.00 | $9.76 – $93.06 | 17 |
| Cystine urine quantitative CPT 82131 | $205.32 | $348.00 | $22.27 – $327.12 | 17 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $901.36 – $901.36 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $538.67 | $913.00 | $49.39 – $858.22 | 11 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $494.15 – $494.15 | 1 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $891.78 – $1,685.44 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,399.65 – $1,399.65 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $311.03 – $311.03 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $447.41 – $447.41 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $327.01 – $327.01 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $378.27 – $378.27 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $459.92 – $459.92 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $539.41 – $539.41 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $732.31 – $732.31 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $393.44 – $393.44 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $303.22 – $303.22 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $494.38 – $494.38 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $603.83 – $603.83 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $377.08 – $377.08 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $366.45 – $366.45 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $455.70 – $455.70 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $523.49 – $523.49 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $542.28 – $542.28 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $519.69 – $519.69 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $283.77 – $283.77 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $512.82 – $512.82 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $460.32 – $460.32 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $492.30 – $492.30 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | not published | not published | $150.80 – $150.80 | 1 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $315.63 – $315.63 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $309.98 – $309.98 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $629.10 – $629.10 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $483.90 – $483.90 | 1 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $536.89 – $536.89 | 1 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $340.28 – $340.28 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $464.73 – $464.73 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $597.89 – $597.89 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $250.36 – $250.36 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $557.34 – $557.34 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $897.14 – $897.14 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,476.03 – $1,476.03 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | $2,443.78 | $4,142.00 | $565.97 – $3,893.48 | 7 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $690.25 – $690.25 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $778.68 – $778.68 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $872.21 – $872.21 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $776.14 – $776.14 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $731.68 – $731.68 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $832.84 – $832.84 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $661.63 – $661.63 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $736.60 – $736.60 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $495.56 – $495.56 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $285.12 – $285.12 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $265.50 – $265.50 | 1 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $94.67 – $94.67 | 1 |
| Cystourethro w/implant CPT 52441 | not published | not published | $392.28 – $392.28 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $642.83 – $642.83 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $578.11 – $578.11 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $531.11 – $531.11 | 1 |
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.