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 |
|---|---|---|---|---|
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $249.29 – $249.29 | 1 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $253.51 – $253.51 | 1 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $193.91 – $193.91 | 1 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,241.90 – $3,305.46 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,395.54 – $3,462.12 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,846.89 – $2,902.71 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $1,901.87 – $1,939.16 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $862.32 – $862.32 | 1 |
| Establish access to aorta CPT 36160 | $441.32 | $748.00 | $172.04 – $703.12 | 7 |
| Establish access to artery CPT 36100 | not published | not published | $267.06 – $267.06 | 1 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $910.05 – $1,850.18 | 4 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,318.68 – $1,344.53 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $784.36 – $1,655.77 | 4 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $870.19 – $1,767.36 | 4 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,233.32 – $1,257.51 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $921.79 – $1,732.75 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $157.53 | $267.00 | $15.29 – $250.98 | 7 |
| Established Patient Office Visit (level 2) CPT 99212 | $199.42 | $338.00 | $60.82 – $317.72 | 7 |
| Established Patient Office Visit (level 3) CPT 99213 | $243.08 | $412.00 | $94.76 – $387.28 | 7 |
| Established Patient Office Visit (level 4) CPT 99214 | $358.72 | $608.00 | $139.84 – $571.52 | 7 |
| Established Patient Office Visit (level 5) CPT 99215 | $481.44 | $816.00 | $187.68 – $767.04 | 7 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $319.75 – $319.75 | 1 |
| Estradiol total CPT 82670 | $112.69 | $191.00 | $27.07 – $191.00 | 17 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $20.19 | $34.22 | $7.88 – $32.17 | 12 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,805.85 – $1,805.85 | 1 |
| Ethylene glycol -sendout CPT 82693 | $120.36 | $204.00 | $14.44 – $191.76 | 17 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $91.93 | $155.80 | $0.53 – $2.16 | 12 |
| Etoposide 50 mg cap HCPCS J8560 | $40.65 | $68.90 | $15.85 – $68.90 | 12 |
| Euflexxa inj per dose HCPCS J7323 | $31.48 | $53.36 | $12.28 – $53.36 | 12 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $981.83 – $981.83 | 1 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $123.31 | $209.00 | $43.93 – $217.80 | 17 |
| Evaluation of speech fluency 92521 CPT 92521 | $119.18 | $202.00 | $46.46 – $189.88 | 13 |
| Evaluation psychiatric diagnostic CPT 90791 | $218.30 | $370.00 | $85.10 – $347.80 | 7 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,025.47 | $3,433.00 | $484.04 – $3,227.02 | 9 |
| Evasc prlng admn rx agnt add CPT 61651 | $938.69 | $1,591.00 | $205.55 – $1,495.54 | 9 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,109.53 – $1,131.28 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $1,660.17 – $1,692.72 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $9,574.52 | $16,228.00 | $2,070.73 – $15,254.32 | 9 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $772.67 – $772.67 | 1 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,242.70 – $1,267.06 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,072.00 – $2,112.62 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $7,806.29 | $13,231.00 | $1,034.50 – $12,437.14 | 9 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $1,666.35 – $1,699.03 | 3 |
| Evoked oa emissions ltd CPT 92587 | $145.73 | $247.00 | $6.51 – $232.18 | 7 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $663.75 | $1,125.00 | $47.54 – $1,057.50 | 7 |
| Evoked potentials upper limbs CPT 95925 | $490.29 | $831.00 | $191.13 – $781.14 | 7 |
| Evoked potential visual not glaucoma CPT 95930 | $929.84 | $1,576.00 | $92.90 – $1,481.44 | 7 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $167.79 – $167.79 | 1 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $3,355.92 | $5,688.00 | $198.91 – $5,346.72 | 7 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,026.21 – $1,026.21 | 1 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $1,286.29 – $1,286.29 | 1 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $799.65 – $1,283.56 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $812.51 – $812.51 | 1 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $1,046.68 – $1,046.68 | 1 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $1,226.69 – $1,226.69 | 1 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $2,187.84 – $2,187.84 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $3,194.29 – $3,194.29 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $754.99 – $754.99 | 1 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $619.96 – $619.96 | 1 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $2,009.30 – $2,048.70 | 3 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,014.38 – $2,014.38 | 1 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $2,999.83 – $2,999.83 | 1 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $682.58 – $682.58 | 1 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $1,358.60 – $1,358.60 | 1 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $593.15 – $593.15 | 1 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $427.81 – $427.81 | 1 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $599.66 – $599.66 | 1 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $342.85 – $342.85 | 1 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $800.63 | $1,357.00 | $160.86 – $1,275.58 | 7 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $205.65 – $205.65 | 1 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $279.95 – $279.95 | 1 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $340.37 – $340.37 | 1 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $208.68 – $208.68 | 1 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,439.60 | $2,440.00 | $299.25 – $2,293.60 | 7 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $505.01 – $505.01 | 1 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $201.71 – $201.71 | 1 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $284.13 – $284.13 | 1 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $599.63 – $599.63 | 1 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,136.16 – $1,158.44 | 3 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $1,107.31 – $1,107.31 | 1 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $673.80 – $1,565.36 | 4 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $1,165.69 – $1,165.69 | 1 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,085.95 – $2,085.95 | 1 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $1,200.10 – $2,793.06 | 4 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $1,288.94 – $3,053.59 | 4 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,624.32 – $1,656.17 | 3 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,547.88 – $1,578.23 | 3 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $1,493.33 – $1,493.33 | 1 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $1,168.86 – $1,168.86 | 1 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,541.11 – $1,541.11 | 1 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $1,010.46 – $1,010.46 | 1 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,385.27 – $1,385.27 | 1 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,608.29 – $1,608.29 | 1 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $1,176.21 – $1,176.21 | 1 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $1,226.86 – $1,226.86 | 1 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $827.76 – $827.76 | 1 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $1,116.93 – $1,116.93 | 1 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $2,786.93 – $2,786.93 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $1,738.32 – $1,738.32 | 1 |
| Exc excessive skin hip CPT 15834 | not published | not published | $1,668.70 – $1,668.70 | 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.