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 |
|---|---|---|---|---|
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $379.05 – $743.90 | 4 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $4,661.59 | $7,901.00 | $412.70 – $7,426.94 | 9 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $4,006.10 | $6,790.00 | $369.95 – $6,382.60 | 9 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $547.66 – $901.13 | 4 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $521.06 – $921.92 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $293.63 – $478.82 | 4 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $228.62 – $324.28 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $287.91 – $499.30 | 4 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $4,882.25 | $8,275.00 | $260.79 – $7,778.50 | 9 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $497.83 – $866.33 | 4 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $489.73 – $820.62 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $276.70 – $411.92 | 4 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $231.45 – $324.28 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $262.57 – $411.92 | 4 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $4,882.25 | $8,275.00 | $225.49 – $7,778.50 | 9 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $966.08 – $966.08 | 1 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,102.71 | $1,869.00 | $429.87 – $1,756.86 | 7 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $994.15 | $1,685.00 | $108.44 – $1,583.90 | 7 |
| Eeg during surgery CPT 95955 | $991.79 | $1,681.00 | $261.26 – $1,580.14 | 7 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $837.80 | $1,420.00 | $326.60 – $1,334.80 | 7 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,234.87 | $2,093.00 | $481.39 – $1,967.42 | 7 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $834.85 | $1,415.00 | $325.45 – $1,330.10 | 7 |
| Eeg recording awake and asleep CPT 95819 | $900.34 | $1,526.00 | $350.98 – $1,434.44 | 7 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $932.79 | $1,581.00 | $289.53 – $1,486.14 | 7 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,025.47 | $3,433.00 | $392.22 – $3,227.02 | 7 |
| E equine encephalitis igg CPT 86652 | $37.76 | $64.00 | $12.78 – $64.00 | 17 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $182.62 | $309.52 | $71.19 – $290.95 | 7 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $423.55 – $423.55 | 1 |
| Egd control bleeding any CPT 43255 | not published | not published | $375.06 – $375.06 | 1 |
| Egd dilate stricture CPT 43245 | not published | not published | $326.30 – $326.30 | 1 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $505.05 – $505.05 | 1 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $405.28 – $405.28 | 1 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $791.07 – $791.07 | 1 |
| Egd guide wire insertion CPT 43248 | not published | not published | $311.03 – $311.03 | 1 |
| Egd injection varices CPT 43243 | not published | not published | $442.37 – $442.37 | 1 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $265.76 – $265.76 | 1 |
| Egd lesion ablation CPT 43270 | not published | not published | $419.87 – $419.87 | 1 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $315.11 – $315.11 | 1 |
| Egd remove foreign body CPT 43247 | $1,601.85 | $2,715.00 | $330.04 – $2,552.10 | 7 |
| Egd remove lesion snare CPT 43251 | not published | not published | $366.56 – $366.56 | 1 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $315.99 – $315.99 | 1 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $422.98 – $422.98 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $434.81 – $434.81 | 1 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $491.86 – $491.86 | 1 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $491.23 – $491.23 | 1 |
| Egd varices ligation CPT 43244 | not published | not published | $458.87 – $458.87 | 1 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $433.69 – $433.69 | 1 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $732.65 – $732.65 | 1 |
| Elbow arthroscopy CPT 29830 | not published | not published | $866.40 – $866.40 | 1 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $929.15 – $929.15 | 1 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $961.59 – $961.59 | 1 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $1,101.11 – $1,101.11 | 1 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $991.16 – $991.16 | 1 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,122.83 – $1,122.83 | 1 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $791.78 | $1,342.00 | $64.76 – $1,261.48 | 7 |
| Elect analysis of infusion pump 62367 CPT 62367 | $376.42 | $638.00 | $46.87 – $599.72 | 7 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $837.80 | $1,420.00 | $66.02 – $1,334.80 | 7 |
| Electrd sq emblem s-icd HCPCS C1896 | $14,971.25 | $25,375.00 | $2,169.48 – $8,866.55 | 11 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $75.61 – $167.85 | 9 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,040.76 | $1,764.00 | $185.59 – $2,486.42 | 11 |
| Electroejaculation CPT 55870 | not published | not published | $267.33 – $267.33 | 1 |
| Electrolyte panel CPT 80051 | $59.00 | $100.00 | $6.79 – $86.48 | 17 |
| Electron microscopy diagnostic CPT 88348 | $657.26 | $1,114.00 | $256.22 – $1,114.00 | 11 |
| Electrophysiology evaluation CPT 93641 | $2,442.01 | $4,139.00 | $484.43 – $3,890.66 | 7 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $1,720.66 | $2,916.36 | $7.38 – $2,056.06 | 14 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $340.18 – $340.18 | 1 |
| Embolization s&i CPT 75894 | $2,523.43 | $4,277.00 | $983.71 – $4,020.38 | 7 |
| Embo or occlude vascular arterial s&i CPT 37242 | $11,992.34 | $20,326.00 | $863.71 – $19,106.44 | 7 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $10,539.76 | $17,864.00 | $1,224.03 – $16,792.16 | 7 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $8,982.16 | $15,224.00 | $1,040.45 – $14,310.56 | 7 |
| Embo or occlude vascular venous s&i CPT 37241 | $7,535.48 | $12,772.00 | $779.35 – $12,005.68 | 7 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $271.32 – $271.32 | 1 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $1,794.83 – $1,794.83 | 1 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $1,669.21 – $1,669.21 | 1 |
| Emb w/colposcopy 58110 CPT 58110 | not published | not published | $74.59 – $74.59 | 1 |
| Emb without cervical dilation 58100 CPT 58100 | $219.48 | $372.00 | $85.56 – $349.68 | 7 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $1,013.03 | $1,717.00 | $150.91 – $1,613.98 | 7 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $1,164.07 | $1,973.00 | $208.30 – $1,854.62 | 7 |
| Emg needle test 1-extremity CPT 95860 | $629.53 | $1,067.00 | $118.13 – $1,002.98 | 7 |
| Emg needle test 4-extremities CPT 95864 | $733.96 | $1,244.00 | $241.92 – $1,169.36 | 7 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $498.20 – $498.20 | 1 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | not published | not published | $495.68 – $495.68 | 1 |
| Endo cath bile duct s&i CPT 74328 | $420.08 | $712.00 | $96.89 – $669.28 | 7 |
| Endocerv curettage w/scope 57456 CPT 57456 | not published | not published | $188.56 – $188.56 | 1 |
| Endocervical curettage 57505 CPT 57505 | not published | not published | $208.34 – $208.34 | 1 |
| Endo cholangiopancreatograph CPT 43261 | not published | not published | $632.56 – $632.56 | 1 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $667.15 – $667.15 | 1 |
| Endoluminal bx biliary tree CPT 47543 | $197.06 | $334.00 | $76.82 – $313.96 | 7 |
| Endoluminal bx urtr rnl plvs CPT 50606 | not published | not published | $257.61 – $257.61 | 1 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,021.44 | $6,816.00 | $312.52 – $6,407.04 | 7 |
| Endoluminl ivus oct c ea CPT 92979 | $1,045.48 | $1,772.00 | $156.58 – $1,665.68 | 7 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $434.74 – $434.74 | 1 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $660.49 – $660.49 | 1 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $373.09 – $373.09 | 1 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $222.52 – $222.52 | 1 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $366.77 – $366.77 | 1 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $28.46 – $28.46 | 1 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $167.64 – $167.64 | 1 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $1,115.73 – $1,115.73 | 1 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $497.03 – $497.03 | 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.