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 |
|---|---|---|---|---|
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,060.48 – $1,060.48 | 1 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $539.62 | $914.60 | $6.83 – $859.73 | 10 |
| Fondaparinux sodium HCPCS J1652 | $128.24 | $217.35 | $1.29 – $42.75 | 12 |
| Foot X-ray CPT 73630 | $350.46 | $594.00 | $49.39 – $558.36 | 11 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,876.79 – $1,876.79 | 1 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $177.00 | $300.00 | $69.00 – $282.00 | 7 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $180.55 | $306.01 | $0.16 – $287.65 | 12 |
| Foscarnet sodium injection HCPCS J1455 | $0.92 | $1.56 | $0.36 – $1.62 | 14 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $10.91 | $18.49 | $1.44 – $10.44 | 8 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $1,086.16 – $1,086.16 | 1 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,222.65 – $4,221.32 | 4 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $783.42 – $798.78 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $1,727.92 – $1,761.80 | 3 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,227.02 – $4,255.36 | 4 |
| Free omental flap microvasc CPT 49906 | not published | not published | $1,727.92 – $1,761.80 | 3 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,370.35 – $1,397.22 | 3 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,229.54 – $4,237.44 | 4 |
| Frenectomy 41115 CPT 41115 | not published | not published | $278.38 – $278.38 | 1 |
| Frenotomy 40806 CPT 40806 | not published | not published | $55.78 – $55.78 | 1 |
| Frenulotomy of penis CPT 54164 | not published | not published | $371.47 – $371.47 | 1 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $148.09 | $251.00 | $57.73 – $235.94 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $136.29 | $231.00 | $0.01 – $0.01 | 7 |
| Fructosamine glycated protein CPT 82985 | $112.69 | $191.00 | $16.24 – $181.29 | 17 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $252.29 – $252.29 | 1 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $140.13 – $140.13 | 1 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,606.29 – $1,606.29 | 1 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,152.46 – $1,152.46 | 1 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $127.20 – $127.20 | 1 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,507.00 – $1,507.00 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,448.07 – $1,476.47 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $994.39 – $1,013.89 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,044.80 – $1,065.28 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,000.47 – $1,020.08 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $917.55 – $935.54 | 3 |
| Fuse/graft added joint CPT 26863 | not published | not published | $417.27 – $417.27 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,253.99 – $1,278.58 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,341.74 – $1,368.05 | 3 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,042.67 – $1,063.12 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $851.14 – $867.83 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $963.68 – $982.57 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $1,454.59 – $1,454.59 | 1 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,622.59 – $1,622.59 | 1 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,893.76 – $1,893.76 | 1 |
| Fusion of big toe joint CPT 28750 | not published | not published | $1,099.08 – $1,099.08 | 1 |
| Fusion of big toe joint CPT 28755 | not published | not published | $643.84 – $643.84 | 1 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $956.23 – $974.98 | 3 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $187.09 – $187.09 | 1 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,165.90 – $1,165.90 | 1 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,253.45 – $1,253.45 | 1 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,235.77 – $1,235.77 | 1 |
| Fusion of foot bones CPT 28730 | not published | not published | $1,376.42 – $1,376.42 | 1 |
| Fusion of foot bones CPT 28735 | not published | not published | $1,473.42 – $1,473.42 | 1 |
| Fusion of foot bones CPT 28740 | not published | not published | $1,175.48 – $1,175.48 | 1 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,477.69 – $1,477.69 | 1 |
| Fusion of knee CPT 27580 | not published | not published | $1,265.15 – $2,742.62 | 4 |
| Fusion of knuckle CPT 26850 | not published | not published | $1,392.93 – $1,392.93 | 1 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,408.87 – $1,408.87 | 1 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,633.04 – $1,633.04 | 1 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,653.25 – $1,653.25 | 1 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $1,579.03 – $1,579.03 | 1 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,393.14 – $2,440.07 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,516.20 – $1,516.20 | 1 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,999.37 – $1,999.37 | 1 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,302.08 – $1,302.08 | 1 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,219.37 – $1,219.37 | 1 |
| Fusion of thumb CPT 26841 | not published | not published | $1,468.74 – $1,468.74 | 1 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,300.22 – $1,300.22 | 1 |
| Fusion of toes CPT 28280 | not published | not published | $665.53 – $665.53 | 1 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,182.83 – $1,206.03 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,074.22 – $1,095.29 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,133.00 – $1,155.21 | 3 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $90.86 | $154.00 | $35.42 – $144.76 | 7 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.80 | $4.74 | $0.31 – $2.07 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $2.64 | $4.47 | $0.30 – $1.20 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $3.04 | $5.16 | $0.13 – $1.39 | 8 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $7.66 | $12.99 | $2.99 – $12.22 | 8 |
| Galactose transferase test CPT 82776 | $37.17 | $63.00 | $11.37 – $63.00 | 17 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $1,204.54 – $1,204.54 | 1 |
| Gamma globulin 1 cc inj HCPCS J1460 | $25.99 | $44.05 | $10.14 – $45.81 | 14 |
| Gammaglobulin iga CPT 82784 | $105.61 | $179.00 | $9.02 – $168.26 | 17 |
| Gammaglobulin ige CPT 82785 | $65.49 | $111.00 | $15.95 – $111.00 | 17 |
| Gamma glutamyltransferase CPT 82977 | $54.28 | $92.00 | $6.98 – $86.62 | 17 |
| Gamunex-c/gammaked HCPCS J1561 | $4.60 | $7.79 | $1.10 – $4.96 | 14 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $26.99 | $45.73 | $0.98 – $4.22 | 12 |
| Gastric emptying imag study CPT 78265 | $372.88 | $632.00 | $145.36 – $594.08 | 7 |
| Gastric emptying imag study CPT 78266 | $463.15 | $785.00 | $180.55 – $737.90 | 7 |
| Gastroduodenostomy CPT 43810 | not published | not published | $654.03 – $1,840.38 | 4 |
| Gastroesophageal reflux study CPT 78262 | $613.60 | $1,040.00 | $239.20 – $1,040.00 | 11 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,755.86 – $1,790.29 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,002.22 – $2,041.48 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $691.92 – $705.48 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $870.84 – $887.91 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | $234.58 | $397.59 | $8.09 – $36.56 | 13 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,178.16 – $1,201.26 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,119.93 – $1,119.93 | 1 |
| Gated heart multiple CPT 78473 | $2,047.30 | $3,470.00 | $378.13 – $3,261.80 | 11 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $61.21 | $103.74 | $0.20 – $0.83 | 12 |
| General health panel CPT 80050 | $266.68 | $452.00 | $52.42 – $424.88 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $52,268.28 | $88,590.30 | $165.26 – $675.41 | 11 |
| Generator emblem MRI sicd subq HCPCS C1722 | $44,267.70 | $75,030.00 | $2,213.75 – $9,047.50 | 11 |
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.