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 |
|---|---|---|---|---|
| Male sling procedure CPT 53440 | not published | not published | $1,426.30 – $1,426.30 | 1 |
| Mammosite ced HCPCS C1728 | $5,938.35 | $10,065.00 | $38.07 – $155.56 | 11 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,649.06 – $1,681.40 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $690.82 – $690.82 | 1 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $834.29 – $834.29 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $95.58 | $162.00 | $37.26 – $152.28 | 7 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $210.04 | $356.00 | $38.84 – $334.64 | 7 |
| Manipulation of hip joint CPT 27275 | not published | not published | $348.43 – $348.43 | 1 |
| Manipulation of spine CPT 22505 | not published | not published | $239.93 – $239.93 | 1 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $148.09 – $148.09 | 1 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $0.07 | $0.12 | $0.03 – $0.12 | 12 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $247.30 – $247.30 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $3,717.00 | $6,300.00 | $0.38 – $1.52 | 11 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $600.22 – $611.99 | 3 |
| Mastectomy partial CPT 19301 | not published | not published | $1,206.60 – $1,206.60 | 1 |
| Mast mod rad CPT 19307 | not published | not published | $2,152.50 – $2,152.50 | 1 |
| Mastoidectomy CPT 69501 | not published | not published | $1,349.25 – $1,349.25 | 1 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $1,791.01 – $1,791.01 | 1 |
| Mastoids complete CPT 70130 | $237.18 | $402.00 | $86.60 – $377.88 | 11 |
| Mastoid surgery revision CPT 69603 | not published | not published | $2,431.51 – $2,431.51 | 1 |
| Mastopexy CPT 19316 | not published | not published | $1,475.90 – $1,475.90 | 1 |
| Mast radical CPT 19305 | not published | not published | $883.25 – $900.57 | 3 |
| Mast rad urban type CPT 19306 | not published | not published | $917.53 – $935.52 | 3 |
| Mast simple complete CPT 19303 | not published | not published | $1,747.75 – $1,747.75 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $5,660.46 | $9,594.00 | $19.34 – $717.22 | 12 |
| Maxillofacial fixation CPT 21100 | not published | not published | $683.99 – $683.99 | 1 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $156.94 | $266.00 | $14.01 – $250.04 | 17 |
| Mayo aathr protein s free CPT 85306 | $149.27 | $253.00 | $14.84 – $237.82 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $50.15 | $85.00 | $14.84 – $85.00 | 17 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $120.95 | $205.00 | $46.45 – $192.70 | 7 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $75.52 | $128.00 | $14.32 – $128.00 | 17 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $105.61 | $179.00 | $41.17 – $168.26 | 7 |
| Mayo alpha 1 antitrypsin CPT 82103 | $110.92 | $188.00 | $13.03 – $176.72 | 17 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $84.37 | $143.00 | $32.89 – $134.42 | 7 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $142.78 | $242.00 | $46.45 – $227.48 | 7 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $459.61 | $779.00 | $88.82 – $779.00 | 17 |
| Mayo androstenedione CPT 82157 | $60.18 | $102.00 | $23.46 – $102.00 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $80.24 | $136.00 | $14.15 – $136.00 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $79.06 | $134.00 | $10.48 – $130.02 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $80.24 | $136.00 | $14.59 – $136.00 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $225.38 | $382.00 | $29.91 – $359.08 | 17 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $56.64 | $96.00 | $9.86 – $96.00 | 17 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $33.63 | $57.00 | $12.51 – $57.00 | 17 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $33.04 | $56.00 | $12.78 – $56.00 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $51.92 | $88.00 | $8.65 – $82.72 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $252.52 | $428.00 | $9.76 – $402.32 | 17 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $46.61 | $79.00 | $18.17 – $74.26 | 7 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $95.58 | $162.00 | $16.35 – $162.00 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $100.30 | $170.00 | $26.78 – $170.00 | 16 |
| Mayo ceruloplasmin CPT 82390 | $79.06 | $134.00 | $10.40 – $129.23 | 17 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $243.67 | $413.00 | $9.76 – $85.54 | 17 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $79.06 | $134.00 | $12.48 – $134.00 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $16.52 | $28.00 | $6.44 – $28.00 | 17 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $38.94 | $66.00 | $12.29 – $66.00 | 17 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $381.14 | $646.00 | $112.88 – $646.00 | 17 |
| Mayo chromium CPT 82495 | $48.38 | $82.00 | $18.86 – $82.00 | 17 |
| Mayo coccidioides antibody CPT 86635 | $86.73 | $147.00 | $11.12 – $138.18 | 17 |
| Mayo cocou cortisone urine CPT 82542 | $355.18 | $602.00 | $23.35 – $565.88 | 17 |
| Mayo cortisol free CPT 82530 | $113.28 | $192.00 | $16.19 – $180.48 | 17 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $61.36 | $104.00 | $23.92 – $97.76 | 13 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $60.18 | $102.00 | $11.74 – $95.88 | 17 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $107.38 | $182.00 | $41.86 – $171.08 | 7 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $64.90 | $110.00 | $12.84 – $105.19 | 17 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $118.00 | $200.00 | $24.49 – $191.45 | 17 |
| Mayo efpo chloride stool CPT 82438 | $38.94 | $66.00 | $4.84 – $62.04 | 17 |
| Mayo estriol CPT 82677 | $83.78 | $142.00 | $23.43 – $142.00 | 17 |
| Mayo estrone CPT 82679 | $32.45 | $55.00 | $12.65 – $55.39 | 17 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $65.49 | $111.00 | $15.83 – $111.00 | 17 |
| Mayo everolimus therapeutic drug level CPT 80169 | $38.94 | $66.00 | $13.30 – $66.00 | 17 |
| Mayo factor ii CPT 85210 | $136.88 | $232.00 | $12.58 – $218.08 | 17 |
| Mayo factor v CPT 85220 | $141.60 | $240.00 | $17.11 – $225.60 | 17 |
| Mayo factor vii CPT 85230 | $231.87 | $393.00 | $17.35 – $369.42 | 17 |
| Mayo factor viii vw factor antigen CPT 85246 | $139.24 | $236.00 | $22.23 – $236.00 | 17 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $156.94 | $266.00 | $22.23 – $250.04 | 17 |
| Mayo factor x CPT 85260 | $253.70 | $430.00 | $17.35 – $404.20 | 17 |
| Mayo factor xi CPT 85270 | $82.60 | $140.00 | $17.35 – $140.00 | 17 |
| Mayo fat/lipids feces quantitative CPT 82710 | $350.46 | $594.00 | $16.28 – $558.36 | 17 |
| Mayo fbl culture fungi blood CPT 87103 | $136.88 | $232.00 | $19.83 – $218.08 | 17 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $107.38 | $182.00 | $21.00 – $171.08 | 17 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $56.64 | $96.00 | $22.08 – $90.24 | 7 |
| Mayo hemosiderin qualitative urine CPT 83070 | $40.71 | $69.00 | $4.60 – $64.86 | 17 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $70.80 | $120.00 | $13.36 – $120.00 | 17 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $68.44 | $116.00 | $25.01 – $116.00 | 17 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $92.63 | $157.00 | $8.62 – $147.58 | 17 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $83.78 | $142.00 | $13.10 – $133.48 | 17 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $109.15 | $185.00 | $26.33 – $185.00 | 17 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $431.88 | $732.00 | $16.74 – $140.00 | 17 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $79.06 | $134.00 | $14.52 – $134.00 | 17 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $89.68 | $152.00 | $20.17 – $152.00 | 17 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $59.59 | $101.00 | $20.17 – $101.00 | 17 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $149.86 | $254.00 | $15.58 – $238.76 | 17 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $341.61 | $579.00 | $11.61 – $544.26 | 17 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $225.38 | $382.00 | $34.01 – $382.00 | 17 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $120.36 | $204.00 | $34.01 – $191.76 | 13 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $267.86 | $454.00 | $34.01 – $426.76 | 17 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $151.63 | $257.00 | $41.51 – $257.00 | 17 |
| Mayo inhab inhibin a CPT 86336 | $86.73 | $147.00 | $15.11 – $147.00 | 17 |
| Mayo insft insulin free CPT 83527 | $34.81 | $59.00 | $12.55 – $59.00 | 17 |
| Mayo insulin antibodies CPT 86337 | $51.33 | $87.00 | $20.01 – $87.00 | 17 |
| Mayo iodine CPT 83789 | $67.26 | $114.00 | $23.36 – $114.00 | 17 |
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.