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 |
|---|---|---|---|---|
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $956.11 – $956.11 | 1 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $882.36 – $882.36 | 1 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $939.56 – $939.56 | 1 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $1,065.60 – $1,065.60 | 1 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $1,883.87 – $1,883.87 | 1 |
| Ankle X-ray CPT 73610 | $346.92 | $588.00 | $53.17 – $552.72 | 11 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $86.67 – $86.67 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $690.31 – $690.31 | 1 |
| Anoscopy CPT 46611 | not published | not published | $150.95 – $150.95 | 1 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $170.58 – $170.58 | 1 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $140.51 – $140.51 | 1 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $123.14 – $123.14 | 1 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $120.67 – $120.67 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | $651.95 | $1,105.00 | $153.26 – $1,038.70 | 7 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $148.51 – $148.51 | 1 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $172.45 – $172.45 | 1 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $1,158.51 – $1,158.51 | 1 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $119.18 | $202.00 | $12.48 – $189.88 | 17 |
| Antibody elution rbc reference CPT 86860 | $166.38 | $282.00 | $48.07 – $196.46 | 7 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $72.57 | $123.00 | $17.80 – $123.00 | 17 |
| Antibody id rbc panel CPT 86870 | $175.82 | $298.00 | $37.26 – $152.28 | 7 |
| Antibody influenza virus CPT 86710 | $30.09 | $51.00 | $11.73 – $51.00 | 17 |
| Antibody screen rbc CPT 86850 | $82.60 | $140.00 | $18.92 – $107.16 | 7 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $0.65 | $1.10 | $0.26 – $3.29 | 17 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $86.73 | $147.00 | $33.81 – $138.18 | 7 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $71.39 | $121.00 | $27.83 – $113.74 | 7 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $1,274.15 – $1,274.15 | 1 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $765.04 – $780.04 | 3 |
| Antinuclear antibodies CPT 86038 | $97.94 | $166.00 | $11.72 – $156.04 | 17 |
| Antinuclear antibodies titer CPT 86039 | $51.92 | $88.00 | $10.81 – $88.00 | 17 |
| Antistreptolysin o titer CPT 86060 | $46.02 | $78.00 | $7.08 – $78.00 | 17 |
| Antithrombin iii activity CPT 85300 | $165.79 | $281.00 | $11.49 – $264.14 | 17 |
| Antithrombin iii injection HCPCS J7197 | $2.06 | $3.49 | $0.81 – $3.63 | 14 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $548.89 | $930.31 | $213.98 – $967.53 | 14 |
| Antithymocyte globuln rabbit HCPCS J7511 | $660.49 | $1,119.47 | $257.48 – $1,119.47 | 14 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,636.91 – $1,636.91 | 1 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $634.41 – $1,271.21 | 4 |
| Aortic suspension CPT 33800 | not published | not published | $1,183.29 – $1,757.34 | 4 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $155.99 – $155.99 | 1 |
| Apheresis plasma CPT 36514 | $1,767.64 | $2,996.00 | $177.41 – $2,816.24 | 7 |
| Apheresis platelets CPT 36513 | $1,523.97 | $2,583.00 | $200.76 – $2,428.02 | 7 |
| Apheresis rbc CPT 36512 | not published | not published | $203.09 – $203.09 | 1 |
| Apheresis wbc CPT 36511 | not published | not published | $212.75 – $212.75 | 1 |
| Appendectomy CPT 44950 | not published | not published | $1,168.71 – $1,168.71 | 1 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $150.78 – $150.78 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $610.73 – $1,591.25 | 4 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,177.51 – $1,200.60 | 3 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $1,101.64 – $1,101.64 | 1 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,558.78 | $2,642.00 | $409.27 – $2,483.48 | 7 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $101.33 – $101.33 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $230.69 | $391.00 | $46.56 – $367.54 | 7 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $358.72 – $358.72 | 1 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $80.64 – $80.64 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $223.02 | $378.00 | $31.31 – $355.32 | 7 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $312.40 – $312.40 | 1 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $350.62 – $350.62 | 1 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $323.48 – $323.48 | 1 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $268.80 – $268.80 | 1 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $130.54 – $130.54 | 1 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $174.34 – $174.34 | 1 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $256.87 – $256.87 | 1 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $516.00 – $1,598.23 | 4 |
| Appl halo type body cast CPT 29000 | not published | not published | $354.71 – $354.71 | 1 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $330.77 – $330.77 | 1 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $295.70 – $295.70 | 1 |
| Application clubfoot cast CPT 29450 | not published | not published | $214.68 – $214.68 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $225.97 | $383.00 | $53.93 – $360.02 | 7 |
| Application halo femoral CPT 20663 | not published | not published | $909.72 – $909.72 | 1 |
| Application halo pelvic CPT 20662 | not published | not published | $985.05 – $985.05 | 1 |
| Application long leg splint 29505 CPT 29505 | $374.65 | $635.00 | $98.51 – $588.44 | 7 |
| Application lower leg splint 29515 CPT 29515 | $288.51 | $489.00 | $94.12 – $459.66 | 7 |
| Application multi layer compression below knee (both sides) CPT 29581 | $515.66 | $874.00 | $52.82 – $398.56 | 7 |
| Application of body cast CPT 29010 | not published | not published | $299.25 – $299.25 | 1 |
| Application of body cast CPT 29015 | not published | not published | $336.13 – $336.13 | 1 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $163.72 – $163.72 | 1 |
| Application of forearm cast 29075 CPT 29075 | $305.62 | $518.00 | $117.24 – $486.92 | 7 |
| Application of long arm cast 29065 CPT 29065 | $483.80 | $820.00 | $127.70 – $770.80 | 7 |
| Application of long leg cast CPT 29355 | not published | not published | $197.86 – $197.86 | 1 |
| Application of long leg cast 29345 CPT 29345 | $242.49 | $411.00 | $94.53 – $386.34 | 7 |
| Application of paste boot 29580 CPT 29580 | $630.12 | $1,068.00 | $49.37 – $673.98 | 7 |
| Application short leg cast 29405 CPT 29405 | $279.66 | $474.00 | $109.02 – $445.56 | 7 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $769.36 | $1,304.00 | $177.09 – $1,225.76 | 7 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $769.36 | $1,304.00 | $156.93 – $1,225.76 | 7 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $484.98 | $822.00 | $14.84 – $60.63 | 11 |
| Appl long leg cast brace CPT 29358 | not published | not published | $191.63 – $191.63 | 1 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $2,121.02 – $2,121.02 | 1 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $43.66 | $74.00 | $6.39 – $74.00 | 13 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $30.58 – $30.58 | 1 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $161.20 – $161.20 | 1 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,115.12 – $1,115.12 | 1 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $94.54 – $94.54 | 1 |
| Apply forearm splintdynamic 29126 CPT 29126 | $428.34 | $726.00 | $93.62 – $682.44 | 7 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $362.03 – $964.30 | 4 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $126.86 – $126.86 | 1 |
| Apply interstit radiat compl CPT 77778 | $3,489.26 | $5,914.00 | $871.63 – $5,559.16 | 11 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $64.93 – $64.93 | 1 |
| Apply rem fixation device CPT 20660 | not published | not published | $422.88 – $422.88 | 1 |
| Apply rigid leg cast 29445 CPT 29445 | $529.23 | $897.00 | $187.74 – $843.18 | 7 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $1,524.22 – $1,554.10 | 3 |
| Apply short leg castambul type 29425 CPT 29425 | $265.50 | $450.00 | $103.13 – $423.00 | 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.