healthcosts.net

CHI Health St. Francis

2620 West Faidley Avenue, Grand Island, NE · Chihealth · · NPI 1982675955

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

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
Ghs moderate sedation < 5 yr, 30 min CPT 99151 $223.61 $379.00 $41.88 – $356.26 7
Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 $223.61 $379.00 $87.17 – $356.26 7
Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 $223.61 $379.00 $87.17 – $356.26 7
Ghs moderate sedation ea addtl 15 min CPT 99153 $223.61 $379.00 $17.89 – $356.26 7
Ghs moderate sedation ea addtl 15 min, other CPT 99157 $223.61 $379.00 $87.17 – $356.26 7
Ghs musc test done w/n test comp CPT 95886 $480.85 $815.00 $98.36 – $766.10 7
Ghs musc tst done w/nerv tst lim CPT 95885 $442.50 $750.00 $82.59 – $705.00 7
Ghs musc tst done w/n tst non ext CPT 95887 $134.52 $228.00 $52.44 – $214.32 7
Ghs myocardial strain img spckl track CPT 93356 $358.72 $608.00 $19.74 – $571.52 7
Ghs nailbed repair/nail removal CPT 11760 $174.64 $296.00 $68.08 – $278.24 7
Ghs nerve blk intercostal, ea addtl level CPT 64421 $954.03 $1,617.00 $47.40 – $1,519.98 7
Ghs nerve blk intercostal, single level CPT 64420 $958.16 $1,624.00 $111.03 – $1,526.56 7
Ghs nerve block axillary nerve CPT 64417 not published not published $121.80 – $121.80 1
Ghs nerve block brachial plexus CPT 64415 not published not published $132.97 – $132.97 1
Ghs nerve block celiac plexus CPT 64530 $1,682.68 $2,852.00 $180.52 – $2,680.88 7
Ghs nerve block interscaline CPT 64510 $1,180.00 $2,000.00 $146.94 – $1,880.00 7
Ghs nerve block lumbar or thoracic symp CPT 64520 $539.85 $915.00 $162.39 – $860.10 7
Ghs nerve block sciatic nerve CPT 64445 not published not published $136.96 – $136.96 1
Ghs nerve block suprascapular CPT 64418 not published not published $105.25 – $105.25 1
Ghs ng placement w fluoro guidance CPT 43752 $332.17 $563.00 $74.82 – $529.22 7
Ghs o2 saturation CPT 82810 $73.16 $124.00 $9.47 – $116.56 17
Ghs opcc repair cvp without subq port CPT 36575 $920.99 $1,561.00 $62.66 – $1,467.34 7
Ghs opcc repair cvp w subq port CPT 36576 not published not published $335.43 – $335.43 1
Ghs ot dds rom CPT 95851 $70.21 $119.00 $13.48 – $111.86 9
Ghs ot prosthetic training/15 min CPT 97761 $63.72 $108.00 $24.84 – $101.52 9
Ghs ot sensory integrative tech/15min CPT 97533 $48.97 $83.00 $19.09 – $83.00 13
Ghs pacing - transcutaneous CPT 92953 $516.25 $875.00 $1.53 – $822.50 7
Ghs paravert facet/nerve cerv ea add bil CPT 64492 $585.28 $992.00 $114.43 – $932.48 7
Ghs paravert facet/nerve lumb ea add bil CPT 64495 $577.02 $978.00 $98.60 – $919.32 7
Ghs peritonsillar abscess i andd CPT 42700 $307.39 $521.00 $119.83 – $489.74 7
Ghs picc line insert < 5 CPT 36568 $1,044.30 $1,770.00 $171.76 – $1,663.80 7
Ghs plngl fx pm cl CPT 26725 $497.37 $843.00 $193.89 – $792.42 7
Ghs ppd (tb intradermal) CPT 86580 $62.69 $106.25 $14.72 – $61.70 11
Ghs protoporphyrins fract CPT 84202 $95.58 $162.00 $13.90 – $152.28 17
Ghs pr without cont pulse ox CPT 94625 $158.71 $269.00 $61.87 – $252.86 7
Ghs removal intranasal foreign body CPT 30300 $210.63 $357.00 $82.11 – $335.58 7
Ghs removal pharyngeal foreign body CPT 42809 $445.45 $755.00 $173.65 – $709.70 7
Ghs repair extensor tendon hand, ea tendon CPT 26410 $1,774.72 $3,008.00 $691.84 – $2,827.52 7
Ghs repair tendon ext forearm/wrist ea CPT 25270 $2,857.37 $4,843.00 $940.55 – $4,552.42 7
Ghs rsv eia (respir synctial vrs) CPT 87420 $59.00 $100.00 $13.47 – $100.00 17
Ghs sensitivity (per antimicro) CPT 87184 $43.07 $73.00 $7.25 – $73.00 17
Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 $355.77 $603.00 $138.69 – $566.82 7
Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 $435.42 $738.00 $169.74 – $693.72 7
Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 $380.55 $645.00 $148.35 – $606.30 7
Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 $438.37 $743.00 $170.89 – $698.42 7
Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 $369.93 $627.00 $136.71 – $589.38 7
Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 $334.53 $567.00 $130.41 – $532.98 7
Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 $405.92 $688.00 $158.24 – $646.72 7
Ghs simple repair over 30 cm - 12007 CPT 12007 $398.84 $676.00 $155.48 – $635.44 7
Ghs simple repair over 30 cm - 12018 CPT 12018 $478.49 $811.00 $186.53 – $762.34 7
Ghs somatosensory testing lower extremit CPT 95926 $1,120.41 $1,899.00 $246.54 – $1,785.06 7
Ghs somatosensory testing upper & lower limbs CPT 95938 $1,060.23 $1,797.00 $413.31 – $1,689.18 7
Ghs sphenopalatine ganglion block CPT 64505 $661.98 $1,122.00 $192.05 – $1,054.68 7
Ghs strapping shoulder - 29240 CPT 29240 $323.91 $549.00 $20.70 – $84.60 7
Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 $82.01 $139.00 $26.61 – $130.66 7
Ghs superficial wnd dehiscence simp12020 CPT 12020 $427.16 $724.00 $166.52 – $680.56 7
Ghs superficial wnd dehis w packing12021 CPT 12021 $360.49 $611.00 $140.53 – $574.34 7
Ghs tracheostomy emergency - transtracheal CPT 31603 $512.12 $868.00 $199.64 – $815.92 7
Ghs tx distal phalangeal fx with manipulation CPT 26755 $204.73 $347.00 $79.81 – $326.18 7
Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 not published not published $444.07 – $444.07 1
Ghs urine, porphyrins quant CPT 84120 $54.87 $93.00 $14.25 – $93.00 17
Ghs vaginal delivery only CPT 59409 not published not published $1,431.17 – $1,431.17 1
Ghs windowing of cast CPT 29730 not published not published $83.29 – $83.29 1
Gi inhouse confirmation CPT 87045 $83.19 $141.00 $9.15 – $132.54 17
Gingivoplasty each quadrant CPT 41872 not published not published $575.36 – $575.36 1
Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 $1,831.36 $3,104.00 $713.92 – $2,917.76 7
Gi trc img intral colon i&r CPT 91113 $1,670.29 $2,831.00 $651.13 – $2,661.14 7
Glassia injection HCPCS J0257 $0.37 $0.62 $0.15 – $0.65 14
Glaucoma surgery CPT 66150 not published not published $1,673.81 – $1,673.81 1
Glaucoma surgery CPT 66155 not published not published $1,672.48 – $1,672.48 1
Glaucoma surgery CPT 66160 not published not published $1,879.46 – $1,879.46 1
Glaucoma surgery CPT 66170 not published not published $2,084.61 – $2,084.61 1
Glucagon 1 mg solution for injection HCPCS J1610 $151.10 $256.09 $21.59 – $97.61 14
Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 $116.02 $196.64 $25.96 – $106.07 7
Glucose 1 hr post dose CPT 82950 $41.30 $70.00 $4.60 – $65.80 17
Glucose blood by monitoring device cleared by fda for home use CPT 82962 $38.94 $66.00 $3.18 – $62.04 17
Glucose blood quantitative CPT 82947 $35.40 $60.00 $3.80 – $56.40 17
Glucose body fluid CPT 82945 $53.10 $90.00 $3.80 – $84.60 17
Glucose tolerance test (gtt) 3 specimens CPT 82951 $86.73 $147.00 $12.47 – $147.00 17
Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 $30.09 $51.00 $3.79 – $47.94 17
Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 $284.42 $482.07 $11.58 – $453.15 14
Gonadotropin follicle stimulating hormone (fsh) CPT 83001 $94.40 $160.00 $18.00 – $160.00 17
Gonadotropin luteinizing hormone (lh) CPT 83002 $96.76 $164.00 $17.94 – $164.00 17
Goniotomy CPT 65820 not published not published $1,568.72 – $1,568.72 1
Goserelin 10.8 mg subcutaneous implant HCPCS J9202 $1,722.82 $2,920.02 $228.35 – $992.82 12
Graft axiofill 1000mg HCPCS J3590 $1,150.50 $1,950.00 $1.47 – $6.00 7
Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 $1,298.00 $2,200.00 $18.86 – $77.08 11
Graft hand or finger tendon CPT 26416 not published not published $1,733.51 – $1,733.51 1
Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 $25,634.24 $43,447.86 $31.70 – $381.89 12
Graft nerve adv 3-4x70mm HCPCS C1762 $3,776.74 $6,401.25 $158.42 – $647.43 11
Graft patch felt ptfe 2x2 HCPCS C1768 $20,820.37 $35,288.75 $51.69 – $211.22 11
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 $3,835.00 $6,500.00 $44.99 – $938.01 12
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 $2,293.92 $3,888.00 $24.84 – $101.52 12
Graft repair of spine defect 63710 CPT 63710 not published not published $887.95 – $905.36 3
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 $4,130.00 $7,000.00 $60.14 – $245.77 12
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 $1,785.49 $3,026.25 $47.16 – $2,844.68 12
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 $27,495.93 $46,603.26 $905.63 – $4,313.88 11
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 $5,225.75 $8,857.20 $99.16 – $781.71 12
Graft xenmtrx sft rect 15x20cm HCPCS C1781 $18,291.77 $31,003.00 $8.27 – $33.77 11
Graft xenmtrx sft rect 19x28cm HCPCS C2625 $2,148.61 $3,641.70 $12.05 – $49.21 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.