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 |
|---|---|---|---|---|
| Extraction of lens CPT 66940 | not published | not published | $1,494.23 – $1,494.23 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,425.61 – $1,425.61 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $52.08 – $52.08 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $295.37 – $295.37 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $355.13 – $355.13 | 1 |
| F-18 fdg pet diag HCPCS A9552 | $174.05 | $295.00 | $67.85 – $277.30 | 7 |
| F-18 sodium fluoride HCPCS A9580 | $247.80 | $420.00 | $96.60 – $394.80 | 7 |
| Fabrication & fitting HCPCS V2628 | $129.57 | $219.60 | $50.51 – $206.43 | 7 |
| Face bone graft CPT 21210 | not published | not published | $1,451.71 – $1,451.71 | 1 |
| Facial bones <3 CPT 70140 | $87.32 | $148.00 | $34.04 – $148.00 | 11 |
| Factor ix CPT 85250 | $76.70 | $130.00 | $18.45 – $122.20 | 17 |
| Factor ix complex HCPCS J7194 | $0.68 | $1.14 | $0.27 – $3.77 | 16 |
| Factor ix recombinant nos HCPCS J7195 | $0.61 | $1.02 | $0.23 – $4.15 | 16 |
| Factor viii CPT 85240 | $142.19 | $241.00 | $17.35 – $226.54 | 17 |
| Factor viii HCPCS J7190 | $0.55 | $0.92 | $0.22 – $2.51 | 17 |
| Factor viii recombinant nos HCPCS J7192 | $1.06 | $1.79 | $0.27 – $3.40 | 17 |
| Fallopian tube recnl CPT 58345 | not published | not published | $544.01 – $544.01 | 1 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $1,725.45 | $2,924.48 | $27.10 – $2,749.02 | 14 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $690.52 – $1,735.84 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $46.02 | $78.00 | $4.95 – $73.32 | 17 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $35.40 | $60.00 | $13.80 – $56.40 | 7 |
| #fecal-sodium CPT 84302 | $49.56 | $84.00 | $4.71 – $78.96 | 17 |
| Feeding tube reposition CPT 74355 | $516.25 | $875.00 | $176.34 – $822.50 | 7 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $253.05 – $409.10 | 4 |
| Fem/popl revasc w/stent CPT 37226 | $14,427.86 | $24,454.00 | $911.74 – $22,986.76 | 7 |
| Feno poc CPT 95012 | $89.09 | $151.00 | $31.30 – $141.94 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $1.20 | $2.03 | $0.01 – $0.01 | 12 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $52.98 | $89.79 | $1.15 – $51.23 | 14 |
| Ferritin CPT 82728 | $102.07 | $173.00 | $13.21 – $163.88 | 17 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $6.35 | $10.76 | $0.33 – $10.12 | 10 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $502.09 | $851.00 | $129.89 – $799.94 | 11 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $188.21 | $319.00 | $65.79 – $299.86 | 7 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $356.01 – $356.01 | 1 |
| Fetal fibronectin CPT 82731 | $224.20 | $380.00 | $62.41 – $380.00 | 17 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $546.36 – $546.36 | 1 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $108.56 | $184.00 | $7.49 – $172.96 | 17 |
| Fetal hemoglobin rosette CPT 85461 | $97.35 | $165.00 | $9.07 – $155.10 | 17 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $73.98 – $73.98 | 1 |
| Fetal monitor w/report CPT 59050 | $94.40 | $160.00 | $36.80 – $150.40 | 9 |
| Fetal non stress test CPT 59025 | $343.38 | $582.00 | $38.05 – $263.20 | 7 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $197.93 – $197.93 | 1 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $919.70 – $919.70 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $179.36 | $304.00 | $9.86 – $285.76 | 17 |
| Fibrin degradation products CPT 85362 | $89.68 | $152.00 | $6.68 – $142.88 | 17 |
| Fibrinogen activity CPT 85384 | $88.50 | $150.00 | $9.41 – $141.00 | 17 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $34.22 | $58.00 | $13.34 – $54.52 | 17 |
| Fibrinolytic plasminogen CPT 85415 | $186.44 | $316.00 | $16.66 – $297.04 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $74.34 | $126.00 | $6.32 – $118.44 | 17 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,564.85 – $4,563.91 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $92.67 | $157.07 | $0.29 – $73.82 | 14 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $69.06 | $117.04 | $0.97 – $110.02 | 14 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $225.52 | $382.23 | $0.24 – $359.30 | 14 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,294.42 – $1,294.42 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,777.68 | $8,097.75 | $75.90 – $310.20 | 11 |
| Filter vena cava fem denali HCPCS C1880 | $3,228.31 | $5,471.70 | $26.68 – $109.04 | 11 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $687.82 – $1,541.06 | 4 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $762.28 | $1,292.00 | $168.15 – $1,214.48 | 7 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $762.28 | $1,292.00 | $96.26 – $1,214.48 | 7 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $80.43 – $80.43 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $762.28 | $1,292.00 | $94.82 – $1,214.48 | 7 |
| Fine needle asp without image guide 10021 CPT 10021 | $248.98 | $422.00 | $97.06 – $396.68 | 7 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $3,309.57 | $5,609.43 | $436.39 – $1,783.50 | 11 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,705.01 – $1,705.01 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,209.10 – $2,209.10 | 1 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $840.47 – $856.95 | 3 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $594.85 – $1,261.07 | 4 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $87.78 – $87.78 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $311.85 – $311.85 | 1 |
| Fixation of knee joint CPT 27570 | $1,388.86 | $2,354.00 | $290.98 – $2,212.76 | 7 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,815.39 – $1,815.39 | 1 |
| Fix g/colon tube w/device CPT 49460 | $638.38 | $1,082.00 | $93.95 – $1,017.08 | 7 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,267.98 – $1,267.98 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $255.47 | $433.00 | $57.12 – $407.02 | 7 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $106.30 – $106.30 | 1 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,349.75 – $1,349.75 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,472.16 – $1,472.16 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $173.99 – $173.99 | 1 |
| Flow cytometry marker each additional CPT 88185 | $68.44 | $116.00 | $26.68 – $116.00 | 11 |
| Flow cytometry one marker technical component CPT 88184 | $264.91 | $449.00 | $103.27 – $449.00 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $0.11 | $0.18 | $0.03 – $0.10 | 12 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $73.36 | $124.33 | $23.15 – $104.64 | 14 |
| Fluidotherapy charges pt CPT 97022 | $53.10 | $90.00 | $15.04 – $90.00 | 13 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $165.65 – $165.65 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $97.35 | $165.00 | $11.68 – $155.10 | 17 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $618.91 | $1,049.00 | $145.24 – $986.06 | 11 |
| Fluoroguide needle placement CPT 77002 | $1,036.04 | $1,756.00 | $169.20 – $1,650.64 | 11 |
| Fluoroscopy up to 1 hour CPT 76000 | $528.05 | $895.00 | $52.54 – $708.76 | 11 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $0.71 | $1.19 | $0.05 – $0.18 | 12 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $6.54 | $11.08 | $2.55 – $11.08 | 12 |
| Fmri brain by phys/psych CPT 70555 | $1,852.01 | $3,139.00 | $721.97 – $2,950.66 | 7 |
| Fmri brain by tech CPT 70554 | $1,696.25 | $2,875.00 | $550.05 – $2,762.31 | 11 |
| Fna bx w/ct gdn 1st les CPT 10009 | $762.28 | $1,292.00 | $205.40 – $1,214.48 | 7 |
| Fna bx w/ct gdn ea addl CPT 10010 | $762.28 | $1,292.00 | $134.88 – $1,214.48 | 7 |
| Fna bx w/mr gdn 1st les CPT 10011 | $762.28 | $1,292.00 | $297.16 – $1,214.48 | 7 |
| Fna bx w/mr gdn ea addl CPT 10012 | $762.28 | $1,292.00 | $297.16 – $1,214.48 | 7 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $12.41 | $21.03 | $4.84 – $19.77 | 7 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $11.64 | $19.72 | $4.54 – $18.54 | 7 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $22.45 | $38.05 | $6.45 – $26.35 | 7 |
| Folic acid CPT 82746 | $117.41 | $199.00 | $14.25 – $187.06 | 17 |
| Follow-up angiography CPT 75898 | $961.70 | $1,630.00 | $80.28 – $1,532.20 | 7 |
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.