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 |
|---|---|---|---|---|
| Dilation of anal sphincter CPT 45905 | not published | not published | $319.81 – $319.81 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $90.34 – $90.34 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $363.01 – $363.01 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $159.01 – $159.01 | 1 |
| Dilation of urethra CPT 53661 | not published | not published | $75.98 – $75.98 | 1 |
| Dilation of urethra CPT 53665 | not published | not published | $71.17 – $71.17 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $243.05 – $243.05 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $111.99 – $111.99 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $163.51 – $163.51 | 1 |
| Dilator fascial 10fx20cm HCPCS C2627 | $573.48 | $972.00 | $41.30 – $168.78 | 11 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,676.83 | $4,537.00 | $279.83 – $4,264.78 | 7 |
| Dilat xst trc new access rcs CPT 50437 | $2,676.83 | $4,537.00 | $465.02 – $4,264.78 | 7 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $7.88 | $13.35 | $3.08 – $13.89 | 14 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.62 | $2.75 | $0.07 – $0.29 | 12 |
| Disability dlco CPT 94727 | $284.97 | $483.00 | $62.01 – $454.02 | 7 |
| Disaccharidases CPT 82657 | $483.21 | $819.00 | $19.32 – $84.00 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $894.47 – $894.47 | 1 |
| Disarticulation shoulder CPT 23920 | not published | not published | $998.78 – $2,091.73 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,401.86 – $1,429.34 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $200.91 – $352.97 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | $3,581.89 | $6,071.00 | $1,396.33 – $5,706.74 | 7 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,084.32 – $1,105.58 | 3 |
| Dissolve clot heart vessel CPT 92975 | $620.09 | $1,051.00 | $241.73 – $987.94 | 9 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $2,002.22 – $2,002.22 | 1 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,338.78 – $1,365.03 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,483.48 – $1,483.48 | 1 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $229.90 – $635.99 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $267.85 – $513.30 | 4 |
| Dna antibody native/double stranded CPT 86225 | $48.97 | $83.00 | $13.31 – $83.00 | 17 |
| Dna gardnerella CPT 87510 | $85.55 | $145.00 | $19.43 – $145.00 | 17 |
| Dna trichomonas CPT 87660 | $92.04 | $156.00 | $19.43 – $156.00 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $0.21 | $0.35 | $0.01 – $0.03 | 12 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $37.68 | $63.86 | $1.19 – $7.85 | 12 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $0.37 | $0.63 | $0.02 – $0.05 | 12 |
| Doppler echo complete CPT 93320 | $370.52 | $628.00 | $62.64 – $590.32 | 11 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $4,387.24 | $7,436.00 | $238.12 – $6,989.84 | 7 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $879.10 | $1,490.00 | $204.92 – $1,400.60 | 11 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $348.10 | $590.00 | $132.83 – $554.60 | 11 |
| Dornhoffer fixed part w/window HCPCS L8614 | $16,195.58 | $27,450.13 | $5,880.83 – $24,034.67 | 11 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $668.85 | $1,133.64 | $260.74 – $1,065.63 | 7 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,503.42 – $7,030.40 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $114.48 | $194.02 | $0.14 – $0.58 | 12 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $27.09 | $45.91 | $10.56 – $47.75 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $323.91 | $549.00 | $126.27 – $516.06 | 7 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $274.39 – $274.39 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $306.77 – $306.77 | 1 |
| Drainage external ear simple 69000 CPT 69000 | $329.81 | $559.00 | $128.57 – $525.46 | 7 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $389.21 – $389.21 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $911.46 – $911.46 | 1 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $208.01 – $208.01 | 1 |
| Drainage of abdomen CPT 48000 | not published | not published | $816.78 – $832.79 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $1,593.00 | $2,700.00 | $305.99 – $2,538.00 | 7 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $780.36 – $780.36 | 1 |
| Drainage of bone lesion CPT 26992 | not published | not published | $880.40 – $1,889.03 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $628.34 – $1,206.11 | 4 |
| Drainage of eye CPT 65800 | $624.22 | $1,058.00 | $169.51 – $994.52 | 7 |
| Drainage of eye CPT 65810 | not published | not published | $885.68 – $885.68 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $908.99 – $908.99 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $702.89 – $702.89 | 1 |
| Drainage of kidney lesion CPT 50390 | $676.14 | $1,146.00 | $176.80 – $1,077.24 | 7 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $222.26 – $222.26 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $442.97 – $442.97 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $425.15 – $425.15 | 1 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $491.99 – $491.99 | 1 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $545.54 – $545.54 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $573.30 – $573.30 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $657.36 – $657.36 | 1 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $654.42 – $654.42 | 1 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $762.22 – $762.22 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | $221.25 | $375.00 | $86.25 – $352.50 | 7 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $233.73 – $233.73 | 1 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $989.73 – $989.73 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,278.12 – $1,278.12 | 1 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $841.97 – $841.97 | 1 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $860.37 – $860.37 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,133.58 – $1,133.58 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $305.32 – $305.32 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,060.71 – $1,060.71 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $825.15 – $825.15 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $341.33 – $341.33 | 1 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,268.97 – $1,293.85 | 3 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,407.17 – $1,434.76 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,509.54 – $1,509.54 | 1 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $747.52 – $747.52 | 1 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $311.60 – $311.60 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $801.95 – $801.95 | 1 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,230.39 – $1,230.39 | 1 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $95.55 – $95.55 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $81.42 | $138.00 | $31.74 – $129.72 | 7 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $382.98 – $382.98 | 1 |
| Drain cath image guided visceral pq CPT 49405 | $2,869.76 | $4,864.00 | $363.49 – $4,572.16 | 7 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $516.25 | $875.00 | $163.02 – $822.50 | 7 |
| Drain chest lesion CPT 21502 | not published | not published | $930.49 – $930.49 | 1 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $129.76 | $219.92 | $38.84 – $158.71 | 7 |
| Drain finger abscess;simple 26010 CPT 26010 | $323.91 | $549.00 | $126.27 – $516.06 | 7 |
| Drain lower leg bursa CPT 27604 | not published | not published | $614.21 – $614.21 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $735.13 – $735.13 | 1 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $634.47 – $634.47 | 1 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $877.60 – $894.81 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $808.73 – $808.73 | 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.