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 |
|---|---|---|---|---|
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $994.15 | $1,685.00 | $367.19 – $1,685.00 | 11 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $703.28 | $1,192.00 | $96.26 – $1,120.48 | 11 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $455.39 – $455.39 | 1 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $326.26 – $326.26 | 1 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $10,762.19 | $18,241.00 | $1,871.67 – $17,146.54 | 11 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $2,073.52 – $2,073.52 | 1 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,946.24 – $1,946.24 | 1 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,998.47 – $1,998.47 | 1 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $2,124.38 – $2,124.38 | 1 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $2,339.38 – $2,339.38 | 1 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $2,532.54 – $2,532.54 | 1 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $2,445.16 – $2,445.16 | 1 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $2,637.16 – $2,637.16 | 1 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $1,670.68 – $1,670.68 | 1 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $317.63 – $317.63 | 1 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $2,023.88 – $2,023.88 | 1 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $1,865.07 – $1,865.07 | 1 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $881.22 – $881.22 | 1 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $336.48 – $336.48 | 1 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $478.97 – $478.97 | 1 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $295.95 – $295.95 | 1 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $2,310.76 – $2,310.76 | 1 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $269.89 – $269.89 | 1 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $934.42 – $934.42 | 1 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $833.30 – $833.30 | 1 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $1,155.38 – $1,155.38 | 1 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $831.83 – $831.83 | 1 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $2,519.89 | $4,271.00 | $670.91 – $4,014.74 | 7 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,120.46 | $3,594.00 | $669.86 – $3,378.36 | 7 |
| Nuclear rx intra-arterial CPT 79445 | $422.44 | $716.00 | $160.36 – $673.04 | 7 |
| Nuclear rx IV admin CPT 79101 | $569.35 | $965.00 | $100.67 – $907.10 | 11 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,892.23 | $6,597.00 | $675.74 – $4,052.34 | 11 |
| Nushield 1 square cm HCPCS Q4160 | $3,305.48 | $5,602.50 | $99.49 – $1,410.00 | 12 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $127.04 | $215.32 | $49.53 – $202.41 | 14 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,881.92 – $1,918.82 | 3 |
| Obstetric panel inc HIV tstg CPT 80081 | $202.96 | $344.00 | $72.54 – $323.36 | 13 |
| Obstetrics panel CPT 80055 | $125.67 | $213.00 | $46.33 – $200.22 | 13 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $343.97 | $583.00 | $113.72 – $548.02 | 11 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $171.69 | $291.00 | $52.54 – $273.54 | 11 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $477.88 – $477.88 | 1 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $1,163.15 | $1,971.43 | $61.39 – $1,853.15 | 14 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $14.78 | $25.05 | $0.78 – $3.19 | 12 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $3,692.81 | $6,259.00 | $210.39 – $3,929.06 | 14 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $395.89 – $395.89 | 1 |
| Ocular reconst transplant CPT 65780 | not published | not published | $1,127.76 – $1,127.76 | 1 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,523.23 – $2,523.23 | 1 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,179.28 – $2,179.28 | 1 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $26.35 | $44.66 | $10.28 – $41.99 | 7 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $835.52 | $1,416.12 | $39.05 – $1,301.87 | 14 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,244.86 – $1,269.27 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $351.96 – $633.86 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $6.47 | $10.96 | $0.10 – $0.38 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,059.78 – $2,256.39 | 4 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,062.39 – $1,083.22 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,074.83 – $1,095.90 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,779.56 – $1,814.46 | 3 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,924.05 – $1,961.77 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,924.05 – $1,961.77 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | $2,797.19 | $4,741.00 | $822.70 – $4,456.54 | 7 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $678.78 – $1,360.30 | 4 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $405.45 – $405.45 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,437.07 – $1,437.07 | 1 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $1,272.45 – $1,272.45 | 1 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $1,257.12 – $1,257.12 | 1 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,660.58 – $1,693.14 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $551.36 – $551.36 | 1 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $1,091.54 – $1,091.54 | 1 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,122.69 – $2,628.57 | 4 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $1,016.19 – $1,016.19 | 1 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $1,358.68 – $1,358.68 | 1 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $1,066.40 – $1,066.40 | 1 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $1,287.66 – $1,287.66 | 1 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,751.21 – $1,751.21 | 1 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $617.44 – $1,019.34 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $722.06 – $1,433.80 | 4 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $780.78 – $1,436.32 | 4 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $167.50 – $167.50 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | $31.69 | $53.70 | $12.36 – $50.48 | 7 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $626.79 – $639.08 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $520.65 – $520.65 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $472.67 – $472.67 | 1 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $590.84 – $683.61 | 4 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $1,119.93 – $1,119.93 | 1 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $579.52 – $579.52 | 1 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $590.96 – $590.96 | 1 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $1,235.96 – $1,235.96 | 1 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $2,034.17 – $2,034.17 | 1 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,374.91 – $2,374.91 | 1 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $805.05 – $2,059.32 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $758.90 – $758.90 | 1 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,961.09 – $1,961.09 | 1 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,932.65 – $1,932.65 | 1 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $994.87 – $2,069.13 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,430.84 – $1,430.84 | 1 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,295.13 – $1,295.13 | 1 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,371.45 – $1,371.45 | 1 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,683.95 – $1,683.95 | 1 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,220.81 – $1,220.81 | 1 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,096.26 – $1,096.26 | 1 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,522.19 – $1,522.19 | 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.