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 |
|---|---|---|---|---|
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $44.33 | $75.14 | $5.66 – $70.64 | 14 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $421.97 – $687.20 | 4 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,245.54 | $3,806.00 | $875.38 – $3,577.64 | 9 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $1,263.78 | $2,142.00 | $492.66 – $2,013.48 | 9 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $166.07 – $166.07 | 1 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $225.31 – $225.31 | 1 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $259.92 – $259.92 | 1 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $182.47 – $182.47 | 1 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $200.68 – $200.68 | 1 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $231.27 – $231.27 | 1 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $134.95 – $134.95 | 1 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $166.70 – $166.70 | 1 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $210.86 – $210.86 | 1 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $233.27 – $233.27 | 1 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $931.02 | $1,578.00 | $362.94 – $1,483.32 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $306.21 | $519.00 | $119.37 – $487.86 | 7 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $288.29 – $288.29 | 1 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $105.63 – $105.63 | 1 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $401.94 – $401.94 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $254.27 – $254.27 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $159.60 – $159.60 | 1 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $686.64 – $686.64 | 1 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $526.93 – $526.93 | 1 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $999.39 – $999.39 | 1 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $4.01 – $4.01 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $255.32 – $255.32 | 1 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $342.20 – $342.20 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $261.62 – $261.62 | 1 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $131.57 – $131.57 | 1 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $358.26 – $358.26 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $428.93 | $727.00 | $111.70 – $683.38 | 7 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,227.20 | $2,080.00 | $368.03 – $1,955.20 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $747.08 – $747.08 | 1 |
| Destruction ciliary body CPT 66720 | not published | not published | $784.79 – $784.79 | 1 |
| Destruction ciliary body CPT 66740 | not published | not published | $747.08 – $747.08 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $271.51 – $271.51 | 1 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $244.17 – $244.17 | 1 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $285.05 – $285.05 | 1 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $261.24 – $261.24 | 1 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $318.97 – $318.97 | 1 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $249.06 – $249.06 | 1 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $291.90 – $291.90 | 1 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $204.71 – $204.71 | 1 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $329.13 – $329.13 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $187.51 – $187.51 | 1 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,315.15 – $1,315.15 | 1 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $352.07 – $352.07 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $218.84 – $218.84 | 1 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $183.67 – $183.67 | 1 |
| Device ablt adv novasure HCPCS C1886 | $7,475.95 | $12,671.10 | $453.22 – $1,852.27 | 11 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,692.17 | $4,563.00 | $1,049.49 – $4,289.22 | 11 |
| Device intraute mirena HCPCS J7298 | $644.98 | $1,093.17 | $251.43 – $1,136.90 | 9 |
| Device sut capio slim opn HCPCS C2631 | $876.44 | $1,485.48 | $151.80 – $620.40 | 11 |
| Device tiss remov myosure reach HCPCS C1782 | $1,447.86 | $2,453.99 | $196.65 – $803.70 | 11 |
| Devise bowel pouch CPT 44316 | not published | not published | $948.78 – $967.39 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $227.15 | $385.00 | $41.83 – $244.16 | 11 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $0.81 | $1.36 | $0.01 – $0.03 | 12 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $1.55 | $2.63 | $0.21 – $1.34 | 12 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $295.99 | $501.67 | $15.18 – $68.62 | 14 |
| Dextran 40 infusion HCPCS J7100 | $0.04 | $0.07 | $0.02 – $0.06 | 8 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $0.01 | $0.01 | $0.01 – $0.01 | 12 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $0.01 | $0.01 | $0.01 – $0.01 | 7 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $0.01 | $0.02 | $0.01 – $0.02 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $57.23 | $97.00 | $21.54 – $97.00 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $57.82 | $98.00 | $9.40 – $98.00 | 17 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $321.30 – $321.30 | 1 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $604.67 – $604.67 | 1 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $176.42 – $176.42 | 1 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $233.63 – $233.63 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $77.53 – $77.53 | 1 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $41.30 | $70.00 | $16.10 – $65.80 | 7 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $41.30 | $70.00 | $16.10 – $65.80 | 7 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $167.56 | $284.00 | $65.32 – $266.96 | 7 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $331.58 | $562.00 | $129.26 – $528.28 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $292.05 | $495.00 | $82.11 – $335.58 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $263.14 | $446.00 | $80.04 – $327.12 | 9 |
| Diagnostic radio unlisted proc CPT 76499 | $36.58 | $62.00 | $14.26 – $58.28 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $874.97 | $1,483.00 | $341.09 – $1,394.02 | 7 |
| Dialysis one evaluation CPT 90945 | $2,265.60 | $3,840.00 | $147.11 – $3,609.60 | 11 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $0.08 | $0.13 | $0.02 – $0.05 | 8 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $9.74 | $16.50 | $0.85 – $3.66 | 12 |
| Dicyclomine injection HCPCS J0500 | $22.68 | $38.44 | $8.85 – $36.14 | 12 |
| Diffusing capacity CPT 94729 | $469.64 | $796.00 | $90.38 – $748.24 | 7 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $328.13 – $328.13 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $68.22 | $115.62 | $7.31 – $47.03 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $2,831.95 | $4,799.91 | $1,103.98 – $4,844.18 | 14 |
| Digoxin total therapeutic drug level CPT 80162 | $89.68 | $152.00 | $12.87 – $152.00 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $26.99 | $45.73 | $10.52 – $45.73 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | $3,515.22 | $5,958.00 | $251.43 – $5,600.52 | 7 |
| Dilate esophagus CPT 43453 | not published | not published | $162.73 – $162.73 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $150.00 – $150.00 | 1 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $491.72 – $620.15 | 4 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $310.09 – $501.36 | 4 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $491.72 – $882.48 | 4 |
| Dilate tear duct opening CPT 68801 | not published | not published | $152.65 – $152.65 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $119.13 – $119.13 | 1 |
| Dilate urethra stricture CPT 53601 | not published | not published | $100.17 – $100.17 | 1 |
| Dilate urethra stricture CPT 53605 | not published | not published | $119.74 – $119.74 | 1 |
| Dilate urethra stricture CPT 53621 | not published | not published | $134.84 – $134.84 | 1 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $78.46 – $78.46 | 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.