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 |
|---|---|---|---|---|
| Drain ovary abscess open CPT 58820 | not published | not published | $642.37 – $642.37 | 1 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $729.00 – $743.30 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $577.84 – $577.84 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,273.46 – $1,273.46 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $418.78 – $418.78 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $477.71 – $477.71 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,741.09 | $2,951.00 | $678.73 – $2,773.94 | 7 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $302.04 – $302.04 | 1 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $688.67 – $1,398.60 | 4 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $318.01 | $539.00 | $123.97 – $506.66 | 7 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $233.05 | $395.00 | $90.85 – $371.30 | 7 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $409.46 | $694.00 | $159.62 – $652.36 | 7 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $82.87 – $82.87 | 1 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $726.84 – $1,620.42 | 4 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | not published | not published | $349.35 – $535.84 | 4 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $164.28 – $164.28 | 1 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $164.28 – $164.28 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $498.48 – $1,424.33 | 4 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,056.38 – $1,056.38 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | $358.13 | $607.00 | $139.61 – $570.58 | 7 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,228.97 | $2,083.00 | $350.51 – $1,958.02 | 7 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $160.10 – $160.10 | 1 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $380.71 – $380.71 | 1 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $596.93 – $596.93 | 1 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $933.03 – $933.03 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $796.05 – $796.05 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $803.21 – $803.21 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $444.07 – $444.07 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,414.82 | $2,398.00 | $318.51 – $2,254.12 | 7 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $644.57 – $657.21 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $591.89 – $1,825.97 | 4 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $528.44 – $1,343.83 | 4 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $853.74 – $870.48 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | $684.40 | $1,160.00 | $266.80 – $1,090.40 | 7 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $258.66 – $258.66 | 1 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $1.88 | $3.18 | $0.74 – $3.18 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $2.49 | $4.21 | $0.97 – $3.96 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $643.92 | $1,091.38 | $251.02 – $1,025.90 | 11 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $2,741.96 | $4,647.38 | $12.02 – $4,368.54 | 12 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $2,163.92 | $3,667.66 | $7.99 – $3,447.61 | 12 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $8,983.30 | $15,225.93 | $50.46 – $11,722.85 | 12 |
| Drug admin & hemodynmic meas CPT 93463 | $627.17 | $1,063.00 | $185.01 – $999.22 | 7 |
| Drug assay voriconazole CPT 80285 | $209.45 | $355.00 | $26.27 – $333.70 | 13 |
| Drug of abuse screen urine CPT 80305 | $106.20 | $180.00 | $12.21 – $169.20 | 13 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $438.37 | $743.00 | $24.84 – $137.95 | 13 |
| Drvvt confirm - quest CPT 85597 | $40.71 | $69.00 | $15.87 – $69.00 | 17 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $484.66 – $484.66 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $279.49 – $279.49 | 1 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $384.03 – $384.03 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $324.70 – $324.70 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $377.85 – $377.85 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $513.35 – $513.35 | 1 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,261.87 – $1,286.62 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $240.72 | $408.00 | $93.84 – $383.52 | 10 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $446.04 | $756.00 | $173.88 – $710.64 | 11 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $932.20 | $1,580.00 | $257.27 – $1,485.20 | 11 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $959.93 | $1,627.00 | $302.67 – $1,529.38 | 11 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,879.74 | $3,186.00 | $732.78 – $2,994.84 | 11 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $248.42 | $421.05 | $79.94 – $395.79 | 14 |
| Dxa bone density axl vrt fx CPT 77085 | $425.39 | $721.00 | $73.56 – $677.74 | 11 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $249.33 – $249.33 | 1 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,251.39 | $2,121.00 | $252.06 – $1,993.74 | 7 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,252.57 | $2,123.00 | $247.30 – $1,995.62 | 7 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $96.45 – $96.45 | 1 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $145.26 – $145.26 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $70.25 – $70.25 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $112.96 – $112.96 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $293.69 – $293.69 | 1 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $294.38 – $294.38 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $219.07 – $219.07 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $120.86 – $120.86 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,085.20 – $1,085.20 | 1 |
| Ear irrigation 69209 CPT 69209 | $67.85 | $115.00 | $26.45 – $108.10 | 7 |
| Ecg 12 lead tracing only CPT 93005 | $277.89 | $471.00 | $11.55 – $442.74 | 11 |
| Ecg external < 48 hours recording CPT 93225 | $482.03 | $817.00 | $34.25 – $767.98 | 11 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $482.03 | $817.00 | $67.05 – $767.98 | 11 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $675.55 | $1,145.00 | $22.28 – $1,076.30 | 11 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $675.55 | $1,145.00 | $22.28 – $1,076.30 | 11 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,722.21 | $2,919.00 | $242.76 – $2,743.86 | 11 |
| Echocardiography doppler color flow mapping CPT 93325 | $435.42 | $738.00 | $38.47 – $693.72 | 11 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,229.61 | $3,779.00 | $869.17 – $3,552.26 | 7 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $854.91 | $1,449.00 | $139.78 – $1,362.06 | 11 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,487.39 | $2,521.00 | $579.83 – $2,369.74 | 7 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $270.22 | $458.00 | $34.04 – $430.52 | 11 |
| Echo exam uterus 76831- CPT 76831 | $247.21 | $419.00 | $96.37 – $419.00 | 11 |
| Echo guidance radiotherapy CPT 76965 | $253.11 | $429.00 | $51.91 – $403.26 | 11 |
| Echo guide for amniocentesis CPT 76946 | $526.28 | $892.00 | $28.58 – $838.48 | 11 |
| Echo guide for artery repair CPT 76936 | $929.84 | $1,576.00 | $317.16 – $1,481.44 | 11 |
| Echo stress CPT 93350 | $1,610.11 | $2,729.00 | $222.37 – $2,565.26 | 11 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,805.40 | $3,060.00 | $247.80 – $2,876.40 | 11 |
| Echo transesophageal CPT 93314 | $538.67 | $913.00 | $209.99 – $858.22 | 11 |
| Echo transthoracic CPT 93303 | $1,469.10 | $2,490.00 | $300.13 – $2,340.60 | 11 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,957.62 | $3,318.00 | $176.97 – $3,118.92 | 11 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $871.43 | $1,477.00 | $220.56 – $1,388.38 | 9 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $871.43 | $1,477.00 | $226.38 – $1,388.38 | 9 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,847.29 | $3,131.00 | $318.94 – $2,943.14 | 9 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,847.29 | $3,131.00 | $290.90 – $2,943.14 | 9 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $819.14 – $1,453.73 | 4 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $774.87 – $1,470.53 | 4 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $422.75 – $830.49 | 4 |
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.