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 |
|---|---|---|---|---|
| Mnl appl strs jt radiography CPT 77071 | $153.40 | $260.00 | $59.80 – $260.00 | 11 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $155.23 – $155.23 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $274.16 – $274.16 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $260.97 – $260.97 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,281.48 | $2,172.00 | $369.41 – $2,041.68 | 7 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $848.36 – $848.36 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $457.88 – $457.88 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $119.69 – $216.13 | 4 |
| Modified maze/limited 33254 CPT 33254 | $2,264.42 | $3,838.00 | $882.74 – $3,607.72 | 9 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $464.14 – $1,045.72 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $472.00 | $800.00 | $184.00 – $752.00 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,973.75 | $10,125.00 | $1,992.38 – $8,142.75 | 11 |
| Monovisc inj per dose HCPCS J7327 | $119.78 | $203.02 | $46.70 – $203.02 | 12 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $3.66 | $6.20 | $0.19 – $0.79 | 12 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $2.47 | $4.18 | $0.37 – $1.51 | 7 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $8.92 | $15.11 | $0.48 – $2.06 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $495.60 | $840.00 | $193.20 – $840.00 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $246.62 | $418.00 | $96.14 – $418.00 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $196.47 | $333.00 | $76.59 – $333.00 | 11 |
| Motor &/ sens nrve cndj test CPT 95905 | $119.18 | $202.00 | $46.46 – $189.88 | 7 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $540.46 – $540.46 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $495.60 | $840.00 | $82.57 – $359.00 | 11 |
| M/phmtrc alysishquant/semiq CPT 88369 | $528.64 | $896.00 | $181.19 – $842.24 | 11 |
| MRA abdomen post contrast CPT 74185 | $1,988.89 | $3,371.00 | $495.83 – $2,917.76 | 11 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,194.16 | $2,024.00 | $465.52 – $2,024.00 | 11 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,328.14 | $3,946.00 | $492.66 – $2,602.86 | 11 |
| MRA pelvis CPT 72198 | $1,504.50 | $2,550.00 | $498.35 – $2,511.37 | 11 |
| MRA spinal canal CPT 72159 | $1,899.21 | $3,219.00 | $510.95 – $3,025.86 | 11 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,056.10 | $1,790.00 | $411.70 – $1,790.00 | 11 |
| MRI breast c- unilateral CPT 77046 | $1,952.31 | $3,309.00 | $285.43 – $3,110.46 | 7 |
| MRI breast without cont bi CPT 77047 | $2,844.39 | $4,821.00 | $283.54 – $4,531.74 | 7 |
| MRI breast w IV cont bi CPT 77049 | $2,199.52 | $3,728.00 | $461.56 – $3,504.32 | 9 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $824.23 | $1,397.00 | $321.31 – $1,397.00 | 11 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,918.09 | $3,251.00 | $477.96 – $3,055.94 | 11 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,071.49 | $3,511.00 | $562.44 – $3,300.34 | 11 |
| MRI chest without contrast CPT 71550 | $2,631.40 | $4,460.00 | $527.14 – $4,192.40 | 11 |
| MRI chest without & w/contrast CPT 71552 | $3,170.07 | $5,373.00 | $715.89 – $5,050.62 | 11 |
| MRI chest w IV cont CPT 71551 | $2,916.37 | $4,943.00 | $572.54 – $4,646.42 | 11 |
| MRI guid ndl plc s&i CPT 77021 | $1,326.91 | $2,249.00 | $517.27 – $2,249.00 | 11 |
| MRI loex nonjt w IV cont CPT 73719 | $2,419.59 | $4,101.00 | $367.61 – $3,854.94 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,263.24 | $3,836.00 | $314.43 – $3,605.84 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,601.90 | $4,410.00 | $464.71 – $4,145.40 | 11 |
| MRI orbit/face/neck without contrast CPT 70540 | $3,270.96 | $5,544.00 | $320.10 – $5,211.36 | 11 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,594.28 | $6,092.00 | $467.86 – $5,726.48 | 11 |
| MRI orbit fac&nck w IV cont CPT 70542 | $3,185.41 | $5,399.00 | $377.71 – $5,075.06 | 11 |
| MRI tmj CPT 70336 | $1,577.07 | $2,673.00 | $382.54 – $2,512.62 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $2,126.95 | $3,605.00 | $469.14 – $3,388.70 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,532.28 | $4,292.00 | $605.96 – $4,034.48 | 11 |
| MRI upper extremity w/dye CPT 73219 | $2,279.17 | $3,863.00 | $500.03 – $3,631.22 | 11 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,844.39 | $4,821.00 | $1,108.83 – $4,531.74 | 7 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,203.06 | $3,734.00 | $858.82 – $3,509.96 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,844.39 | $4,821.00 | $1,108.83 – $4,531.74 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,454.40 | $4,160.00 | $956.80 – $3,910.40 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | $72.57 | $123.00 | $28.29 – $115.62 | 7 |
| Mr safety implant elec prepj CPT 76018 | $76.11 | $129.00 | $29.67 – $121.26 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $20.06 | $34.00 | $7.82 – $31.96 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | $48.97 | $83.00 | $19.09 – $78.02 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $20.06 | $34.00 | $7.82 – $31.96 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | $199.42 | $338.00 | $77.74 – $317.72 | 7 |
| Mr spectroscopy CPT 76390 | $830.13 | $1,407.00 | $323.61 – $1,407.00 | 11 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,367.73 – $5,064.02 | 4 |
| Mthfr gene analy common variants CPT 81291 | $59.00 | $100.00 | $23.00 – $145.05 | 17 |
| Multiple sleep latency test CPT 95805 | $2,974.19 | $5,041.00 | $706.21 – $4,738.54 | 11 |
| Mumps antibody igg CPT 86735 | $37.17 | $63.00 | $12.65 – $63.00 | 17 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $2,349.02 – $2,349.02 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,759.48 – $2,759.48 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $2,121.65 – $2,121.65 | 1 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,393.03 – $2,393.03 | 1 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,926.86 – $1,926.86 | 1 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,409.65 – $1,409.65 | 1 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.55 | $4.31 | $0.14 – $0.56 | 12 |
| Mycophenolic acid HCPCS J7518 | $3.15 | $5.33 | $0.38 – $5.02 | 12 |
| Mycoplasma antibody igm CPT 86738 | $70.21 | $119.00 | $12.83 – $111.86 | 17 |
| Myelogphy 2/> spine regions CPT 72270 | $1,194.16 | $2,024.00 | $166.68 – $1,902.56 | 11 |
| Myelography l-s spine CPT 72265 | $1,120.41 | $1,899.00 | $131.36 – $1,785.06 | 11 |
| Myelography neck spine CPT 72240 | $935.15 | $1,585.00 | $130.10 – $1,489.90 | 11 |
| Myelography thoracic spine CPT 72255 | $900.34 | $1,526.00 | $122.54 – $1,434.44 | 11 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $850.19 | $1,441.00 | $231.15 – $1,354.54 | 7 |
| Myelography via inj w/s&i cervical CPT 62302 | $935.74 | $1,586.00 | $225.12 – $1,490.84 | 7 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,747.58 | $2,962.00 | $222.37 – $2,784.28 | 7 |
| Myelography via inj w/s&i thoracic CPT 62303 | $764.05 | $1,295.00 | $225.54 – $1,217.30 | 7 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $115.64 | $196.00 | $11.17 – $184.24 | 17 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,059.60 – $2,099.99 | 3 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $983.30 – $2,161.85 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $811.99 – $1,728.83 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $1,072.60 – $1,072.60 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $940.84 – $940.84 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $2.98 | $5.05 | $1.15 – $4.96 | 12 |
| Naltrexone, depot form HCPCS J2315 | $912.13 | $1,545.98 | $4.15 – $1,453.23 | 14 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $789.42 | $1,338.00 | $121.23 – $1,257.72 | 7 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $377.22 – $377.22 | 1 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,128.90 – $1,151.03 | 3 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,194.34 – $1,217.76 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $300.87 – $300.87 | 1 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $438.23 – $438.23 | 1 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $299.02 – $299.02 | 1 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $455.81 – $455.81 | 1 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $605.05 – $605.05 | 1 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $707.43 – $707.43 | 1 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $254.96 – $254.96 | 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.