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 |
|---|---|---|---|---|
| Granisetron hcl injection HCPCS J1626 | $8.96 | $15.18 | $0.30 – $1.76 | 12 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,000.43 – $6,084.83 | 4 |
| Great toe with reduction 28495 CPT 28495 | $359.31 | $609.00 | $140.07 – $572.46 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $942.44 – $942.44 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $959.30 – $959.30 | 1 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $272.96 – $272.96 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $898.07 – $898.07 | 1 |
| Ground mileage HCPCS A0425 | $29.50 | $50.00 | $11.50 – $47.00 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,134.98 – $1,157.24 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $961.48 – $2,324.22 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,178.16 – $1,201.26 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,295.60 – $1,321.01 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $969.11 – $988.11 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,285.54 – $1,285.54 | 1 |
| G-tube reposition CPT 43761 | $446.04 | $756.00 | $173.88 – $710.64 | 7 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,253.75 | $2,125.00 | $152.80 – $1,997.50 | 11 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,667.98 | $4,522.00 | $252.97 – $4,250.68 | 7 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $5,493.52 | $9,311.04 | $0.33 – $1.32 | 11 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,528.89 | $4,286.25 | $0.01 – $0.01 | 11 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,504.06 | $2,549.25 | $19.32 – $78.96 | 11 |
| Guid loc target vol rad tx CPT 77387 | $696.79 | $1,181.00 | $192.53 – $1,110.14 | 7 |
| Gum graft CPT 41870 | not published | not published | $568.39 – $568.39 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $8,637.60 | $14,640.00 | $0.02 – $0.08 | 11 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $802.18 – $802.18 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $145.55 – $145.55 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $471.62 – $471.62 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $645.39 – $645.39 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $93.21 | $157.98 | $4.63 – $18.93 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.38 | $2.34 | $0.47 – $2.02 | 12 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,588.61 – $1,588.61 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,302.88 – $1,302.88 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,427.94 – $1,427.94 | 1 |
| Hand X-ray CPT 73130 | $359.31 | $609.00 | $54.43 – $572.46 | 11 |
| Haptoglobin quantitative CPT 83010 | $103.84 | $176.00 | $12.19 – $165.44 | 17 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $161.36 – $161.36 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $158.19 – $158.19 | 1 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $230.81 – $230.81 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $785.88 – $785.88 | 1 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $599.66 – $599.66 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $89.42 – $89.42 | 1 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $555.30 – $555.30 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $480.26 | $814.00 | $187.22 – $814.00 | 11 |
| Hcg qualitative CPT 84703 | $99.12 | $168.00 | $7.28 – $157.92 | 17 |
| Hcg quantitative CPT 84702 | $88.50 | $150.00 | $14.59 – $150.00 | 17 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $252.67 – $252.67 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $671.75 – $671.75 | 1 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $357.19 – $357.19 | 1 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $602.53 – $602.53 | 1 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $94.50 – $94.50 | 1 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $331.23 – $331.23 | 1 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $333.35 | $565.00 | $129.95 – $565.00 | 11 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,142.39 | $7,021.00 | $640.37 – $6,599.74 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,419.64 | $5,796.00 | $464.08 – $5,448.24 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,886.28 | $4,892.00 | $766.54 – $4,598.48 | 7 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $1,299.18 | $2,202.00 | $506.46 – $2,069.88 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $1,923.99 | $3,261.00 | $223.00 – $3,065.34 | 11 |
| Head CT scan (with contrast) CPT 70460 | $1,610.70 | $2,730.00 | $186.86 – $2,566.20 | 11 |
| Head CT scan (without contrast) CPT 70450 | $1,564.09 | $2,651.00 | $130.10 – $2,491.94 | 11 |
| Heart image spect CPT 78494 | $539.85 | $915.00 | $210.45 – $915.00 | 11 |
| Heart infarct image CPT 78466 | $1,054.92 | $1,788.00 | $254.31 – $1,680.72 | 11 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,207.33 – $1,231.01 | 3 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $231.76 – $240.17 | 4 |
| Hematocrit CPT 85014 | $28.32 | $48.00 | $2.29 – $45.12 | 17 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,267.10 – $1,267.10 | 1 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $6,454.89 | $10,940.49 | $32.72 – $10,284.07 | 12 |
| Hemodialysis one evaluation CPT 90935 | $1,007.13 | $1,707.00 | $123.45 – $1,604.58 | 11 |
| Hemoglobin CPT 85018 | $29.50 | $50.00 | $2.29 – $47.00 | 17 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $66.67 | $113.00 | $7.95 – $106.22 | 17 |
| Hemoglobin plasma CPT 83051 | $38.94 | $66.00 | $7.08 – $66.00 | 17 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $830.36 – $830.36 | 1 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $364.43 – $364.43 | 1 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $723.16 – $723.16 | 1 |
| Heparin assay CPT 85520 | $168.15 | $285.00 | $12.69 – $267.90 | 17 |
| Heparin bolus from bag HCPCS J1644 | $2.78 | $4.71 | $0.01 – $0.01 | 12 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $26.88 | $45.55 | $0.02 – $0.11 | 12 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,286.93 – $1,312.17 | 3 |
| Hepatitis a antibody igm CPT 86709 | $66.67 | $113.00 | $10.91 – $113.00 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $79.65 | $135.00 | $11.40 – $126.90 | 17 |
| Hepatitis b core antibody total CPT 86704 | $104.43 | $177.00 | $11.68 – $166.38 | 17 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $97.87 | $165.87 | $30.68 – $138.71 | 10 |
| Hepatitis b surface antibody CPT 86706 | $105.02 | $178.00 | $10.40 – $167.32 | 17 |
| Hepatitis c antibody CPT 86803 | $104.43 | $177.00 | $13.83 – $171.66 | 17 |
| Hepatobiliary system imaging CPT 78226 | $1,420.13 | $2,407.00 | $494.13 – $2,407.00 | 11 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $64.53 | $109.36 | $25.16 – $113.74 | 13 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $958.25 – $958.25 | 1 |
| Herpes simplex type 1 antibody igg CPT 86695 | $46.61 | $79.00 | $12.78 – $74.26 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $44.25 | $75.00 | $17.25 – $75.00 | 17 |
| Heterophile antibodies screening CPT 86308 | $61.36 | $104.00 | $5.02 – $97.76 | 17 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $433.29 – $433.29 | 1 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $1,529.54 – $1,529.54 | 1 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $1,528.70 – $1,528.70 | 1 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,899.81 – $1,899.81 | 1 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $1,233.67 – $1,233.67 | 1 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $1,339.13 – $1,339.13 | 1 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,855.27 – $1,855.27 | 1 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,892.88 – $1,892.88 | 1 |
| Hip clevis type 2 posit jnt HCPCS L2570 | $691.69 | $1,172.35 | $269.65 – $1,102.01 | 9 |
| Hip X-ray CPT 73502 | $153.99 | $261.00 | $44.39 – $181.42 | 7 |
| Histamine CPT 83088 | $47.20 | $80.00 | $18.40 – $80.00 | 17 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $760.91 | $1,289.67 | $296.63 – $1,212.29 | 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.