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 |
|---|---|---|---|---|
| Genioplasty augmentation CPT 21120 | not published | not published | $954.45 – $954.45 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,609.02 – $1,609.02 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $1,015.54 – $1,015.54 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,401.23 – $1,401.23 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $0.92 | $1.56 | $0.01 – $0.03 | 12 |
| Gentamicin peak therapeutic drug level CPT 80170 | $146.32 | $248.00 | $15.87 – $233.12 | 17 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $263.82 – $263.82 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $663.16 | $1,124.00 | $190.53 – $1,056.56 | 7 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,970.01 | $3,339.00 | $331.51 – $3,138.66 | 7 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $66.08 | $112.00 | $9.51 – $105.28 | 17 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $130.39 | $221.00 | $16.57 – $207.74 | 17 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $109.15 | $185.00 | $31.43 – $173.90 | 7 |
| Ghs antibodies (torch) igm CPT 86694 | $86.73 | $147.00 | $13.94 – $147.00 | 17 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $73.37 – $73.37 | 1 |
| Ghs bladder cath - complex-foley CPT 51703 | $229.51 | $389.00 | $89.47 – $365.66 | 7 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $594.72 | $1,008.00 | $103.64 – $947.52 | 7 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,077.39 | $3,521.00 | $160.65 – $3,309.74 | 7 |
| Ghs change cysto/gastrost CPT 43762 | $421.85 | $715.00 | $68.38 – $672.10 | 7 |
| Ghs chemo >8 hrs CPT 96416 | $1,119.23 | $1,897.00 | $215.19 – $1,783.18 | 11 |
| Ghs chemo IV push, ea addtl CPT 96411 | $496.78 | $842.00 | $92.90 – $791.48 | 11 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $204.73 | $347.00 | $79.81 – $326.18 | 7 |
| Ghs closed reduction ankle dislocation CPT 27840 | $299.72 | $508.00 | $116.84 – $477.52 | 7 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,377.06 | $2,334.00 | $536.82 – $2,193.96 | 7 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $862.95 – $862.95 | 1 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,558.78 | $2,642.00 | $607.66 – $2,483.48 | 7 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $1,487.85 – $1,487.85 | 1 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $600.89 – $600.89 | 1 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $1,048.43 | $1,777.00 | $408.71 – $1,670.38 | 7 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,310.98 | $2,222.00 | $511.06 – $2,088.68 | 7 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $485.57 | $823.00 | $189.29 – $773.62 | 7 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $256.06 | $434.00 | $99.82 – $407.96 | 7 |
| Ghs community re-entry 15 minutes CPT 97537 | $56.05 | $95.00 | $21.85 – $95.00 | 13 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $201.19 | $341.00 | $69.05 – $320.54 | 7 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $283.20 | $480.00 | $55.76 – $451.20 | 7 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $397.07 | $673.00 | $77.83 – $632.62 | 7 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $413.00 | $700.00 | $96.64 – $658.00 | 7 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $601.02 – $601.02 | 1 |
| Ghs cutdown placement age 1 and over CPT 36425 | $55.46 | $94.00 | $21.62 – $88.36 | 7 |
| Ghs cutdown placement under 1 yr CPT 36420 | $248.98 | $422.00 | $85.41 – $396.68 | 7 |
| Ghs dislocation elbow closed treatment CPT 24600 | $515.66 | $874.00 | $201.02 – $821.56 | 7 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $192.34 – $192.34 | 1 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $195.29 | $331.00 | $61.47 – $311.14 | 7 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $56.05 | $95.00 | $21.85 – $89.30 | 7 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $134.27 – $134.27 | 1 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $179.30 – $179.30 | 1 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $381.73 | $647.00 | $148.81 – $608.18 | 7 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $599.78 – $599.78 | 1 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,311.03 | $3,917.00 | $462.15 – $3,681.98 | 7 |
| Ghs fb removal - incisional CPT 10121 | $1,053.15 | $1,785.00 | $346.84 – $1,677.90 | 7 |
| Ghs fb removal - non-incisional CPT 20520 | $1,028.96 | $1,744.00 | $280.48 – $1,639.36 | 7 |
| Ghs fish cytogen CPT 88271 | $90.86 | $154.00 | $20.76 – $154.00 | 17 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $202.96 | $344.00 | $49.60 – $344.00 | 17 |
| Ghs flow volume loop CPT 94375 | $223.61 | $379.00 | $46.87 – $356.26 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $402.97 | $683.00 | $39.54 – $642.02 | 7 |
| Ghs hcv amplificaiton CPT 87521 | $293.82 | $498.00 | $34.01 – $468.12 | 17 |
| Ghs hgb stability-thal CPT 83068 | $128.62 | $218.00 | $9.18 – $204.92 | 17 |
| Ghs histoplasma antigen CPT 87385 | $237.18 | $402.00 | $12.84 – $377.88 | 17 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $60.18 | $102.00 | $23.46 – $226.44 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $342.79 | $581.00 | $133.63 – $546.14 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,440.19 | $2,441.00 | $561.43 – $2,294.54 | 7 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $319.20 – $319.20 | 1 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $417.13 | $707.00 | $162.61 – $664.58 | 7 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $173.46 | $294.00 | $67.62 – $276.36 | 7 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $252.95 – $252.95 | 1 |
| Ghs inf midline insertion CPT 36140 | $424.21 | $719.00 | $158.82 – $675.86 | 7 |
| Ghs init tx 1st degree burn CPT 16000 | $83.78 | $142.00 | $32.66 – $133.48 | 7 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $337.62 – $337.62 | 1 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,325.73 | $2,247.00 | $226.93 – $2,112.18 | 7 |
| Ghs inj tendon origin/insertion CPT 20551 | $268.45 | $455.00 | $73.00 – $427.70 | 7 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $518.02 | $878.00 | $116.34 – $825.32 | 7 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,502.14 | $2,546.00 | $249.50 – $2,393.24 | 7 |
| Ghs insertion of needle - bone CPT 36680 | $522.15 | $885.00 | $109.18 – $831.90 | 7 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,108.61 | $1,879.00 | $432.17 – $1,766.26 | 7 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,718.08 | $2,912.00 | $521.14 – $2,737.28 | 7 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,777.67 | $3,013.00 | $604.32 – $2,832.22 | 7 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $327.45 | $555.00 | $17.20 – $521.70 | 7 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $194.70 | $330.00 | $75.90 – $310.20 | 7 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $274.35 | $465.00 | $31.65 – $437.10 | 7 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $407.10 | $690.00 | $158.70 – $648.60 | 7 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $407.10 | $690.00 | $158.70 – $648.60 | 7 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $407.10 | $690.00 | $158.70 – $648.60 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,028.96 | $1,744.00 | $401.12 – $1,639.36 | 7 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $161.07 | $273.00 | $62.79 – $256.62 | 7 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $638.97 | $1,083.00 | $249.09 – $1,018.02 | 7 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $557.55 | $945.00 | $217.35 – $888.30 | 7 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $579.97 | $983.00 | $226.09 – $924.02 | 7 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $794.73 | $1,347.00 | $309.81 – $1,266.18 | 7 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $605.93 | $1,027.00 | $236.21 – $965.38 | 7 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $857.86 | $1,454.00 | $334.42 – $1,366.76 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $998.87 | $1,693.00 | $387.89 – $1,591.42 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $630.12 | $1,068.00 | $245.64 – $1,003.92 | 7 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $882.05 | $1,495.00 | $343.85 – $1,405.30 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $720.98 | $1,222.00 | $281.06 – $1,148.68 | 7 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $913.91 | $1,549.00 | $356.27 – $1,456.06 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $594.13 | $1,007.00 | $231.61 – $946.58 | 7 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $969.37 | $1,643.00 | $377.89 – $1,544.42 | 7 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $682.63 | $1,157.00 | $266.11 – $1,087.58 | 7 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $895.62 | $1,518.00 | $349.14 – $1,426.92 | 7 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $174.64 | $296.00 | $8.33 – $278.24 | 17 |
| Ghs mbp CPT 83873 | $141.60 | $240.00 | $16.67 – $225.60 | 17 |
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.