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 |
|---|---|---|---|---|
| Ins vag brachytx device CPT 57156 | $345.74 | $586.00 | $134.78 – $550.84 | 7 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $6,027.65 | $10,216.35 | $1,578.63 – $9,603.37 | 8 |
| Integra meshed bil wound mat HCPCS C9363 | $7,205.53 | $12,212.75 | $2,808.94 – $11,479.99 | 11 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $146.30 | $247.95 | $57.03 – $233.08 | 11 |
| Interdental fixation CPT 21110 | not published | not published | $1,353.66 – $1,353.66 | 1 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,120.88 – $1,120.88 | 1 |
| Interdiscal perq aspir dx CPT 62267 | $418.90 | $710.00 | $163.30 – $667.40 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $339.23 – $339.23 | 1 |
| Interrog device eval heart CPT 93289 | $66.67 | $113.00 | $25.99 – $106.22 | 11 |
| Interrog evl pm/ldls pm ip CPT 93288 | $63.72 | $108.00 | $24.84 – $101.52 | 11 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,204.77 – $2,566.64 | 4 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $770.44 – $785.54 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $643.15 – $643.15 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $719.63 – $719.63 | 1 |
| Intracard echo interv w/s&i CPT 93662 | $2,461.48 | $4,172.00 | $41.62 – $3,921.68 | 7 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,051.28 – $1,071.90 | 3 |
| Intracranial angioplasty CPT 61630 | not published | not published | $491.72 – $501.36 | 3 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,094.82 – $2,135.90 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,674.33 – $3,746.37 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,537.11 – $2,586.85 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,847.71 – $3,923.15 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,943.58 – $1,981.69 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,059.53 – $3,119.52 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $129.78 – $129.78 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,284.82 – $1,284.82 | 1 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $301.56 – $301.56 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $199.37 – $199.37 | 1 |
| Intrapul surf admin endo tube CPT 94610 | $113.87 | $193.00 | $44.39 – $181.42 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $635.61 – $635.61 | 1 |
| Intrinsic factor antibody CPT 86340 | $86.73 | $147.00 | $14.62 – $147.00 | 17 |
| Intro cath dialysis circuit CPT 36901 | $985.89 | $1,671.00 | $306.64 – $1,570.74 | 7 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,041.65 | $11,935.00 | $437.98 – $11,218.90 | 7 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $10,562.18 | $17,902.00 | $572.54 – $16,827.88 | 7 |
| Intro catheter aorta CPT 36200 | $1,192.39 | $2,021.00 | $246.73 – $1,899.74 | 7 |
| Intro cath svc/ivc CPT 36010 | $1,040.17 | $1,763.00 | $195.47 – $1,657.22 | 7 |
| Intro long gi tube CPT 44500 | $1,239.59 | $2,101.00 | $35.85 – $1,974.94 | 7 |
| Intro long gi tube w/mult fluo CPT 74340 | $329.81 | $559.00 | $128.57 – $525.46 | 7 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $268.63 – $268.63 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,528.20 | $5,980.00 | $158.84 – $5,621.20 | 7 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $2,803.09 | $4,751.00 | $126.74 – $4,465.94 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $672.60 | $1,140.00 | $258.06 – $1,054.68 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | $1,118.05 | $1,895.00 | $435.85 – $1,781.30 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $2.39 | $4.05 | $0.10 – $0.40 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $345.15 | $585.00 | $0.05 – $0.17 | 8 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $523.76 | $887.72 | $172.61 – $834.46 | 14 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $5.83 | $9.88 | $0.51 – $2.19 | 12 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $159.25 | $269.90 | $61.88 – $253.71 | 14 |
| Iron CPT 83540 | $42.48 | $72.00 | $6.27 – $72.00 | 17 |
| Iron binding capacity CPT 83550 | $54.87 | $93.00 | $8.47 – $93.00 | 17 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $10.06 | $17.05 | $3.93 – $17.73 | 14 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $6.81 | $11.54 | $0.23 – $6.11 | 12 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $149.27 | $253.00 | $42.84 – $237.82 | 11 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $362.38 – $362.38 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $48.03 – $48.03 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,585.94 – $1,585.94 | 1 |
| Ivc venogram s&i CPT 75825 | $2,534.05 | $4,295.00 | $116.24 – $4,037.30 | 11 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $257.24 | $436.00 | $49.33 – $409.84 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $143.96 | $244.00 | $33.93 – $229.36 | 7 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $113.87 | $193.00 | $35.12 – $181.42 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $598.26 | $1,014.00 | $107.67 – $953.16 | 7 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $194.80 – $194.80 | 1 |
| Ivp w/nephrotomography CPT 74415 | $1,015.39 | $1,721.00 | $241.92 – $1,617.74 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $849.01 | $1,439.00 | $211.03 – $1,352.66 | 11 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $3,427.30 | $5,808.98 | $127.12 – $5,460.45 | 14 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,001.32 – $1,001.32 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,138.64 – $1,138.64 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $446.10 – $446.10 | 1 |
| John cunningham antibody CPT 86711 | $19.47 | $33.00 | $7.59 – $37.50 | 16 |
| J-tube placement CPT 44015 | $295.59 | $501.00 | $115.23 – $470.94 | 9 |
| Keratomileusis CPT 65760 | not published | not published | $2,127.43 – $2,127.43 | 1 |
| Keratophakia CPT 65765 | not published | not published | $1,233.96 – $3,084.77 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,678.00 – $2,678.00 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $84.37 | $143.00 | $7.92 – $134.42 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $2.79 | $4.72 | $0.22 – $0.97 | 14 |
| Kidney endoscopy CPT 50551 | not published | not published | $549.30 – $549.30 | 1 |
| Kidney endoscopy CPT 50553 | $2,310.44 | $3,916.00 | $587.24 – $3,681.04 | 7 |
| Kidney endoscopy CPT 50570 | not published | not published | $917.07 – $917.07 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,330.29 – $1,330.29 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $637.62 – $637.62 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,053.65 – $1,053.65 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $645.92 – $645.92 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $736.97 – $736.97 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,050.76 – $1,050.76 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,132.01 – $1,132.01 | 1 |
| Kidney imag w/bld flow multi CPT 78709 | $1,250.21 | $2,119.00 | $487.37 – $2,119.00 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,307.44 | $2,216.00 | $323.04 – $2,083.04 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $793.55 | $1,345.00 | $138.94 – $1,264.30 | 11 |
| Kit case 4.2mm spinejack HCPCS C1062 | $4,976.14 | $8,434.13 | $41.72 – $170.50 | 7 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $14.90 | $25.25 | $5.81 – $23.74 | 7 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,239.25 | $10,575.00 | $2,432.25 – $9,940.50 | 11 |
| Kit ipg optimizer smart HCPCS C1824 | $26,845.00 | $45,500.00 | $10,465.00 – $42,770.00 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | $40,110.86 | $67,984.50 | $26.78 – $109.42 | 11 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $641.35 | $1,087.02 | $250.02 – $1,021.80 | 11 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,373.97 | $2,328.75 | $25.64 – $2,150.25 | 12 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $4,205.52 | $7,128.00 | $1,639.44 – $6,700.32 | 7 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,168.52 – $1,168.52 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $972.51 – $972.51 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $776.92 – $776.92 | 1 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,021.52 – $1,021.52 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,175.08 – $1,175.08 | 1 |
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.