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 |
|---|---|---|---|---|
| Hizentra injection HCPCS J1559 | $13.05 | $22.12 | $5.09 – $22.60 | 14 |
| Hla ii typing 1 loc hr CPT 81382 | $436.60 | $740.00 | $119.85 – $740.00 | 17 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $0.14 | $0.24 | $0.06 – $0.23 | 8 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $0.24 | $0.40 | $0.10 – $0.38 | 8 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | $63.07 | $106.89 | $19.89 – $89.92 | 9 |
| Homocysteine CPT 83090 | $194.70 | $330.00 | $17.36 – $310.20 | 17 |
| Homogenization tissue CPT 87176 | $46.61 | $79.00 | $5.70 – $74.26 | 17 |
| Ho post-op hip abduction HCPCS L1686 | $910.40 | $1,543.05 | $41.67 – $188.39 | 9 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $18.52 | $31.39 | $7.22 – $31.39 | 12 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $30.15 | $51.09 | $0.37 – $46.57 | 12 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $6.47 | $10.96 | $2.53 – $10.31 | 12 |
| Hydration IV infusion each additional hour CPT 96361 | $125.67 | $213.00 | $21.59 – $200.22 | 7 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $460.79 | $781.00 | $55.44 – $734.14 | 7 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $89.71 | $152.05 | $0.01 – $0.01 | 12 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | $0.44 | $0.74 | $0.18 – $0.70 | 7 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $11.80 | $19.99 | $3.93 – $17.06 | 12 |
| Hymenotomy CPT 56442 | not published | not published | $89.00 – $89.00 | 1 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,859.53 – $1,859.53 | 1 |
| Hyoscyamine sulfate inj HCPCS J1980 | $25.92 | $43.92 | $10.11 – $41.29 | 8 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | $8.69 | $14.72 | $3.39 – $15.31 | 14 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $905.39 – $923.15 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $869.20 – $1,862.43 | 4 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $878.55 – $1,987.52 | 4 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $757.40 – $1,721.01 | 4 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $287.52 – $491.27 | 4 |
| Hysterosalpingography s&i CPT 74740 | $914.50 | $1,550.00 | $142.72 – $1,457.00 | 11 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $457.36 – $457.36 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $430.21 – $430.21 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $282.22 – $282.22 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $527.92 – $527.92 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $412.23 – $412.23 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $664.73 – $664.73 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $581.07 – $581.07 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,539.78 – $1,539.78 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $107.98 | $183.01 | $42.10 – $190.33 | 9 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $101.48 | $172.00 | $39.56 – $161.68 | 7 |
| I131 iodide cap, rx HCPCS A9517 | $242.49 | $411.00 | $88.08 – $386.34 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $69.62 | $118.00 | $27.14 – $118.00 | 17 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $99.12 | $168.00 | $17.53 – $157.92 | 17 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $43.17 | $73.17 | $16.83 – $68.78 | 12 |
| Ibuprofen injection HCPCS J1741 | $397.16 | $673.15 | $5.63 – $632.77 | 11 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $16.11 | $27.30 | $6.28 – $28.39 | 10 |
| Icatibant injection HCPCS J1744 | $196.56 | $333.15 | $76.63 – $313.17 | 9 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $47,506.80 | $80,520.00 | $13.71 – $56.03 | 11 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $37,789.50 | $64,050.00 | $2,146.59 – $8,773.02 | 11 |
| Icd crtp serena MRI HCPCS C2621 | $12,906.25 | $21,875.00 | $16.10 – $65.80 | 11 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $11,876.70 | $20,130.00 | $931.50 – $3,807.00 | 11 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $410.86 – $1,739.14 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $729.10 – $729.10 | 1 |
| Idarubicin hcl injection HCPCS J9211 | $3.91 | $6.63 | $1.53 – $6.63 | 12 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $184.59 – $184.59 | 1 |
| Idet 1 or more levels CPT 22527 | not published | not published | $289.23 – $289.23 | 1 |
| Idet single level CPT 22526 | not published | not published | $625.19 – $625.19 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,308.99 – $1,308.99 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $822.19 – $822.19 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $250.57 – $250.57 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $317.10 – $317.10 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $402.26 – $402.26 | 1 |
| Idursulfase injection HCPCS J1743 | $616.72 | $1,045.28 | $240.42 – $1,045.28 | 14 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $602.22 – $602.22 | 1 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $342.15 – $342.15 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $56.46 | $95.69 | $0.35 – $1.48 | 12 |
| Igh gene rearrange amp meth CPT 81261 | $339.25 | $575.00 | $132.25 – $575.00 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $96.76 | $164.00 | $37.72 – $164.00 | 11 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $282.61 | $479.00 | $110.17 – $479.00 | 11 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $325.68 | $552.00 | $74.52 – $324.00 | 11 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $732.24 – $746.60 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,434.85 – $4,859.59 | 4 |
| Iliac revasc add-on 37222 CPT 37222 | $6,022.13 | $10,207.00 | $326.38 – $9,594.58 | 7 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $846.86 – $1,613.66 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $6,006.51 | $10,180.52 | $585.38 – $2,392.43 | 7 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $64.31 | $109.00 | $24.80 – $102.46 | 7 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $186.27 | $315.70 | $2.97 – $13.42 | 9 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $109.15 | $185.00 | $10.64 – $48.10 | 9 |
| Immobilizer shldr sling med HCPCS L3660 | $64.06 | $108.57 | $17.84 – $80.66 | 9 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,415.06 – $1,415.06 | 1 |
| Immune complex assay CPT 86332 | $93.22 | $158.00 | $23.61 – $158.00 | 17 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5.53 | $9.36 | $2.16 – $9.74 | 14 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $776.65 | $1,316.34 | $81.41 – $1,237.36 | 14 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $4.43 | $7.50 | $0.85 – $3.81 | 14 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $130.39 | $221.00 | $20.17 – $221.00 | 17 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $119.18 | $202.00 | $20.17 – $202.00 | 17 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $73.75 | $125.00 | $11.61 – $125.00 | 17 |
| Immunofixation electrophoresis serum CPT 86334 | $136.29 | $231.00 | $21.64 – $231.00 | 17 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $171.10 | $290.00 | $66.70 – $272.60 | 7 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $313.88 | $532.00 | $122.36 – $532.00 | 11 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,558.82 – $1,589.38 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,019.51 – $2,174.34 | 4 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,300.13 – $1,325.63 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,273.23 – $1,298.19 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,340.93 | $7,357.50 | $530.44 – $2,167.88 | 11 |
| Implant cochlear device CPT 69930 | not published | not published | $2,297.53 – $2,297.53 | 1 |
| Implant cochlear osia osi300 HCPCS L8690 | $1,847.54 | $3,131.42 | $659.96 – $2,697.23 | 11 |
| Implant eye drug system CPT 67027 | not published | not published | $1,612.13 – $1,612.13 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $103.99 – $103.99 | 1 |
| Implant nerve end CPT 64787 | not published | not published | $430.90 – $430.90 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $249.46 – $482.98 | 4 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $422.59 – $852.31 | 4 |
| Implant neuroelectrode CPT 61863 | not published | not published | $867.63 – $884.64 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,321.00 – $1,346.90 | 3 |
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.