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 |
|---|---|---|---|---|
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $292.05 | $495.00 | $7.82 – $31.96 | 11 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,467.63 | $2,487.50 | $14.95 – $61.10 | 11 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $515.27 | $873.33 | $19.55 – $79.90 | 11 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $46.51 | $78.83 | $0.18 – $0.78 | 12 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $573.31 | $971.70 | $20.84 – $94.22 | 14 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,915.74 | $4,941.92 | $378.88 – $1,713.20 | 14 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | $736.09 | $1,247.61 | $286.96 – $1,172.76 | 7 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $6.20 | $10.51 | $0.03 – $0.12 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | $146.32 | $248.00 | $12.84 – $233.12 | 17 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $0.07 | $0.12 | $0.02 – $0.08 | 12 |
| Liberta rc ipg HCPCS C1820 | $40,402.38 | $68,478.60 | $698.63 – $2,855.25 | 11 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $0.79 | $1.34 | $0.06 – $0.25 | 7 |
| Lifileucel til/dose 7.5b-72b snij HCPCS J9999 | $2,506.05 | $4,247.54 | $976.94 – $3,992.69 | 7 |
| Ligate esophagus veins CPT 43400 | not published | not published | $978.04 – $2,747.03 | 4 |
| Ligate leg veins open CPT 37761 | not published | not published | $961.11 – $961.11 | 1 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,020.50 – $1,020.50 | 1 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $140.03 – $241.16 | 4 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,023.25 – $1,043.32 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $820.45 – $820.45 | 1 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $698.59 – $698.59 | 1 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $699.28 – $699.28 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $375.69 – $375.69 | 1 |
| Ligation common iliac vein CPT 37660 | not published | not published | $608.63 – $620.57 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $439.55 – $439.55 | 1 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $1,390.39 – $1,390.39 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $1,300.38 – $1,300.38 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,336.13 – $1,336.13 | 1 |
| Ligation major artery chest CPT 37616 | not published | not published | $924.05 – $942.17 | 3 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $332.22 – $713.35 | 4 |
| Ligation major artery neck CPT 37615 | not published | not published | $953.82 – $953.82 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,147.48 – $1,147.48 | 1 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $875.99 – $2,383.92 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $814.55 – $814.55 | 1 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $3,093.38 – $3,093.38 | 1 |
| Ligation of neck artery CPT 37606 | not published | not published | $1,306.77 – $1,306.77 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $415.99 – $415.99 | 1 |
| Ligation of shunt CPT 49428 | not published | not published | $141.85 – $782.86 | 4 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,656.19 – $1,656.19 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $459.50 – $459.50 | 1 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $670.47 – $670.47 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,030.64 – $1,030.64 | 1 |
| Liletta, 52 mg HCPCS J7297 | $351.83 | $596.31 | $137.16 – $620.17 | 9 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $391.44 – $391.44 | 1 |
| Limited ankle motion ea jnt HCPCS L2200 | $94.05 | $159.40 | $36.67 – $149.84 | 9 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $0.06 | $0.10 | $0.03 – $0.10 | 12 |
| Lipase CPT 83690 | $83.19 | $141.00 | $6.68 – $132.54 | 17 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $665.34 – $665.34 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $67.26 | $114.00 | $7.94 – $107.16 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $67.26 | $114.00 | $10.18 – $114.00 | 17 |
| Lithium therapeutic drug level CPT 80178 | $90.86 | $154.00 | $6.41 – $144.76 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,363.05 | $7,395.00 | $1,700.85 – $6,951.30 | 7 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $612.71 – $624.73 | 3 |
| Liver elastography 91200 CPT 91200 | $266.68 | $452.00 | $38.05 – $424.88 | 7 |
| Liver Function Test CPT 80076 | $105.61 | $179.00 | $7.92 – $168.26 | 17 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $657.51 – $670.40 | 3 |
| Liver imaging CPT 78201 | $610.65 | $1,035.00 | $238.05 – $1,035.00 | 11 |
| Liver imag w/vasclr flow CPT 78202 | $849.01 | $1,439.00 | $322.41 – $1,439.00 | 11 |
| Liver/spleen imag static only CPT 78215 | $690.30 | $1,170.00 | $269.10 – $1,170.00 | 11 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $892.48 – $892.48 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $1.49 | $2.51 | $0.01 – $0.01 | 12 |
| Low back disk surgery CPT 63030 | not published | not published | $1,660.20 – $1,660.20 | 1 |
| Low cost skin substitute app HCPCS C5271 | $623.04 | $1,056.00 | $242.88 – $992.64 | 7 |
| Low cost skin substitute app HCPCS C5275 | $623.04 | $1,056.00 | $242.88 – $992.64 | 7 |
| Low cost skin substitute app HCPCS C5272 | $167.56 | $284.00 | $65.32 – $266.96 | 7 |
| Low cost skin substitute app HCPCS C5276 | $176.41 | $299.00 | $68.77 – $281.06 | 7 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,011.90 | $3,410.00 | $270.92 – $3,205.40 | 11 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,910.42 | $3,238.00 | $219.22 – $3,043.72 | 11 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,639.61 | $2,779.00 | $161.64 – $2,612.26 | 11 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,330.55 | $5,645.00 | $416.79 – $5,306.30 | 11 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,871.53 | $4,867.00 | $366.98 – $4,574.98 | 11 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,413.10 | $4,090.00 | $239.40 – $3,844.60 | 11 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $450.76 | $764.00 | $55.06 – $718.16 | 11 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,508.81 – $1,508.81 | 1 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $1,377.89 – $1,377.89 | 1 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,581.93 – $1,581.93 | 1 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $1,561.10 – $1,561.10 | 1 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,699.17 – $1,699.17 | 1 |
| Lso flex no ri stays pre ots HCPCS L0628 | $365.49 | $619.47 | $70.45 – $582.31 | 9 |
| Lumbar diskogram s&i CPT 72295 | $2,091.55 | $3,545.00 | $136.42 – $3,332.30 | 11 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,863.62 – $2,863.62 | 1 |
| Lung function test (mbc/mvv) CPT 94200 | $212.99 | $361.00 | $22.91 – $339.34 | 7 |
| Lung Function Test (Spirometry) CPT 94010 | $259.60 | $440.00 | $36.14 – $413.60 | 7 |
| Lung perfusion imaging CPT 78580 | $1,211.86 | $2,054.00 | $343.85 – $1,930.76 | 11 |
| Lung transplant double CPT 32853 | not published | not published | $4,061.77 – $4,141.42 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $2,905.63 – $2,962.61 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $3,151.44 – $3,213.24 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,301.31 – $4,385.65 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,367.10 – $1,393.90 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $4,070.01 | $6,898.32 | $197.97 – $6,484.43 | 14 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $6,997.53 | $11,860.22 | $39.26 – $3,716.22 | 14 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $28,025.00 | $47,500.00 | $267.46 – $44,650.00 | 9 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $59.64 – $59.64 | 1 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $618.60 – $1,321.49 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $1,459.66 | $2,474.00 | $506.33 – $2,474.00 | 11 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $287.85 – $287.85 | 1 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $295.03 – $295.03 | 1 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $381.68 – $381.68 | 1 |
| Macroscopic exam parasite CPT 87169 | $45.43 | $77.00 | $4.17 – $72.38 | 17 |
| Magnesium CPT 83735 | $64.90 | $110.00 | $6.50 – $103.40 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $1.91 | $3.23 | $0.01 – $0.02 | 12 |
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.