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 |
|---|---|---|---|---|
| Injection treatment of nerve CPT 64681 | $1,180.00 | $2,000.00 | $417.94 – $1,880.00 | 7 |
| Injection treatment of nose CPT 30200 | not published | not published | $113.32 – $113.32 | 1 |
| Inject sacroiliac joint CPT 27096 | $950.49 | $1,611.00 | $158.30 – $1,251.14 | 7 |
| Inject/treat eye socket CPT 67500 | not published | not published | $122.96 – $122.96 | 1 |
| Inject/treat eye socket CPT 67505 | not published | not published | $137.26 – $137.26 | 1 |
| Inject/treat eye socket CPT 67515 | not published | not published | $89.40 – $89.40 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $1,661.80 | $2,816.61 | $647.83 – $2,647.62 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $880.87 | $1,493.00 | $187.64 – $1,403.42 | 7 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $880.87 | $1,493.00 | $150.49 – $1,403.42 | 7 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $96.47 | $163.50 | $7.50 – $153.69 | 7 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $177.87 | $301.47 | $21.04 – $283.39 | 14 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $5.92 | $10.04 | $2.31 – $9.44 | 7 |
| Inj for ext venography CPT 36005 | $687.35 | $1,165.00 | $86.33 – $1,095.10 | 7 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $143.03 – $143.03 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $6.86 | $11.62 | $2.68 – $10.93 | 7 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $602.92 | $1,021.90 | $235.04 – $960.59 | 7 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $1.09 | $1.85 | $0.43 – $1.74 | 7 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | $981.35 | $1,663.30 | $5.73 – $1,563.51 | 14 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $8,293.40 | $14,056.61 | $136.50 – $652.03 | 13 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,761.79 | $4,681.00 | $83.18 – $4,400.14 | 11 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,657.31 | $2,809.00 | $46.98 – $2,640.46 | 11 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $170.54 | $289.05 | $2.46 – $271.71 | 14 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $271.38 – $271.38 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $56.55 – $56.55 | 1 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $86.31 – $86.31 | 1 |
| Inj ivig privigen 500 mg HCPCS J1459 | $4.30 | $7.28 | $1.68 – $7.58 | 14 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $75.17 | $127.41 | $29.31 – $119.77 | 7 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $4.20 | $7.12 | $1.64 – $7.12 | 12 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $7.71 | $13.06 | $3.01 – $12.28 | 7 |
| Inj, levothyroxine, hikma HCPCS J0652 | $30.49 | $51.67 | $11.89 – $48.57 | 7 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.56 | $0.94 | $0.04 – $0.14 | 7 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $110.68 | $187.58 | $43.15 – $195.09 | 14 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $0.19 | $0.32 | $0.05 – $0.19 | 12 |
| Inj, meropenem (b. braun) HCPCS J2184 | $11.07 | $18.75 | $4.32 – $17.63 | 7 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $104.95 | $177.88 | $2.23 – $167.21 | 9 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $377.34 | $639.55 | $147.10 – $601.18 | 7 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $0.10 | $0.17 | $0.04 – $0.17 | 12 |
| Inj multihance HCPCS A9577 | $0.93 | $1.57 | $0.37 – $1.48 | 8 |
| Inj. mycophenolate mofetil HCPCS J7519 | $39.35 | $66.69 | $15.34 – $62.69 | 7 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $849.01 | $1,439.00 | $124.17 – $1,352.66 | 7 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $1.94 | $3.29 | $0.76 – $3.10 | 7 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $272.85 – $272.85 | 1 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $214.10 – $214.10 | 1 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $1,058.98 | $1,794.87 | $412.83 – $1,687.18 | 7 |
| Inj ogivri 10 mg HCPCS Q5114 | $880.44 | $1,492.26 | $56.84 – $500.98 | 14 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $1,121.00 | $1,900.00 | $101.08 – $1,786.00 | 14 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $108.12 | $183.26 | $42.15 – $172.27 | 14 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $1.34 | $2.27 | $0.53 – $2.14 | 7 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $94.65 | $160.42 | $36.90 – $150.80 | 7 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $72.32 – $72.32 | 1 |
| Inj proc ankle arthr CPT 27648 | $512.12 | $868.00 | $96.05 – $815.92 | 7 |
| Inj proc elbow arthro CPT 24220 | $260.19 | $441.00 | $101.43 – $414.54 | 7 |
| Inj proc for lymphang CPT 38790 | not published | not published | $152.80 – $152.80 | 1 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $297.70 – $297.70 | 1 |
| Inj proc myelogram lumbar CPT 62284 | $995.92 | $1,688.00 | $156.74 – $1,586.72 | 7 |
| Inj proc sialogram CPT 42550 | not published | not published | $116.00 – $116.00 | 1 |
| Inj progesterone per 50 mg HCPCS J2675 | $1.64 | $2.77 | $0.64 – $2.61 | 12 |
| Inj, releuko 1 mcg HCPCS Q5125 | $105.26 | $178.40 | $41.04 – $167.70 | 7 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $207.37 | $351.47 | $0.69 – $16.53 | 14 |
| Inj retro urethrocysto CPT 51610 | $433.06 | $734.00 | $121.38 – $689.96 | 7 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $136.52 – $136.52 | 1 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $68.59 – $68.59 | 1 |
| Inj secretin synthetic human HCPCS J2850 | $389.99 | $661.00 | $33.90 – $621.34 | 10 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $2,172.43 | $3,682.07 | $98.27 – $401.60 | 7 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $2,011.24 | $3,408.87 | $784.05 – $3,204.34 | 7 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $3,195.25 | $5,415.67 | $1,245.61 – $5,090.73 | 7 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $9,128.25 | $15,471.60 | $328.93 – $14,543.31 | 14 |
| Inj testosterone cypionate HCPCS J1071 | $11.84 | $20.06 | $0.03 – $3.29 | 12 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $7,857.51 | $13,317.80 | $136.07 – $12,518.74 | 14 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $65.49 | $111.00 | $25.53 – $104.34 | 7 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $52.95 | $89.73 | $20.64 – $84.34 | 7 |
| Inj, uzedy, 1 mg HCPCS J2799 | $4,707.80 | $7,979.33 | $0.01 – $0.01 | 7 |
| Inj w/fluor eval cv device CPT 36598 | $348.10 | $590.00 | $66.84 – $554.60 | 7 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,053.82 – $3,113.70 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $3,407.25 | $5,775.00 | $633.34 – $5,428.50 | 7 |
| Ins cath ren art 1st uni CPT 36251 | $2,839.67 | $4,813.00 | $460.72 – $4,524.22 | 7 |
| Ins cath ren art 2nd+ bi CPT 36254 | $4,174.25 | $7,075.00 | $739.35 – $6,650.50 | 7 |
| Ins cath ren art 2nd+ uni CPT 36253 | $7,604.51 | $12,889.00 | $653.42 – $12,115.66 | 7 |
| Ins cerv dilator (sep proc) CPT 59200 | $271.99 | $461.00 | $78.69 – $433.34 | 7 |
| Ins device for right guide open CPT 49412 | not published | not published | $73.86 – $145.97 | 4 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $703.91 – $1,421.30 | 4 |
| Insert and remove bone pin CPT 20650 | not published | not published | $316.47 – $316.47 | 1 |
| Insert ant drainage device CPT 66183 | not published | not published | $1,961.84 – $1,961.84 | 1 |
| Insert balloon device CPT 33973 | not published | not published | $580.47 – $881.20 | 4 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $934.58 – $934.58 | 1 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $238.31 – $238.31 | 1 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $226.13 – $226.13 | 1 |
| Insert cath pleura with image CPT 32557 | $1,777.08 | $3,012.00 | $280.29 – $2,831.28 | 7 |
| Insert cath pleura without image CPT 32556 | $906.24 | $1,536.00 | $229.45 – $1,443.84 | 7 |
| Insert drug delivery implant CPT 11981 | not published | not published | $115.56 – $115.56 | 1 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $703.92 – $1,445.33 | 4 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $682.73 – $1,380.02 | 4 |
| Insert eye socket implant CPT 67550 | not published | not published | $2,066.76 – $2,066.76 | 1 |
| Insert hepatic shunt (tips) CPT 37182 | $1,945.82 | $3,298.00 | $758.54 – $3,100.12 | 9 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $959.91 – $959.91 | 1 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $586.70 – $586.70 | 1 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,801.46 – $1,836.79 | 3 |
| Insert intrauterine device iud CPT 58300 | not published | not published | $73.76 – $96.14 | 4 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $225.94 – $225.94 | 1 |
| Insertion catheter bladder non indwelling CPT 51701 | $158.12 | $268.00 | $47.82 – $251.92 | 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.