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 |
|---|---|---|---|---|
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,875.83 – $1,875.83 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $1,226.13 – $1,226.13 | 1 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $1,081.25 – $1,081.25 | 1 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,106.24 – $1,106.24 | 1 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,360.44 – $1,360.44 | 1 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,356.77 – $1,356.77 | 1 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $2,205.46 – $2,205.46 | 1 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,532.23 – $3,215.67 | 4 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $571.64 – $1,332.28 | 4 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,589.49 – $3,782.23 | 4 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,085.19 – $2,620.19 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,080.70 – $1,080.70 | 1 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $1,469.16 – $1,469.16 | 1 |
| Optx lunate dislocation CPT 25695 | not published | not published | $1,196.18 – $1,196.18 | 1 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,143.70 – $1,143.70 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,530.69 – $1,530.69 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,011.49 – $2,011.49 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $939.62 – $939.62 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $1,197.55 – $1,197.55 | 1 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,181.10 – $1,181.10 | 1 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $686.50 – $1,487.39 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,026.82 – $2,026.82 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,364.79 – $1,364.79 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,655.35 – $1,655.35 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,298.53 – $2,298.53 | 1 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,268.88 – $1,268.88 | 1 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,197.06 – $1,197.06 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,149.46 – $1,149.46 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,490.08 – $1,490.08 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,792.58 – $1,792.58 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,699.22 – $1,699.22 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,276.23 – $1,276.23 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,823.33 – $1,823.33 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,634.20 – $1,634.20 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,726.39 – $1,726.39 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $1,182.45 – $1,182.45 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,087.55 – $1,087.55 | 1 |
| Optx thigh fx CPT 27269 | not published | not published | $906.22 – $923.99 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,508.70 – $1,508.70 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,381.72 – $1,381.72 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,185.18 – $1,185.18 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,180.81 – $1,180.81 | 1 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,154.39 – $2,196.64 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,393.63 – $2,440.57 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,471.23 – $2,519.68 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,115.58 – $1,115.58 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,352.25 – $1,352.25 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $815.81 – $815.81 | 1 |
| Organic acids total quant ea spec CPT 83918 | $354.59 | $601.00 | $22.87 – $306.44 | 17 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $588.81 | $997.98 | $28.65 – $938.11 | 14 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $223.21 – $223.21 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $4.00 | $6.77 | $1.56 – $6.77 | 12 |
| Oscillation chest wall mechanical per session CPT 94669 | $135.70 | $230.00 | $32.04 – $216.20 | 7 |
| Osmolality blood CPT 83930 | $95.58 | $162.00 | $6.41 – $152.28 | 17 |
| Osmolality urine CPT 83935 | $78.47 | $133.00 | $6.61 – $125.02 | 17 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $615.32 – $615.32 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,086.88 – $1,086.88 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,550.56 – $2,550.56 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,827.76 – $1,827.76 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,278.58 – $2,278.58 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,990.51 – $1,990.51 | 1 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,377.87 – $2,940.55 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $375.36 – $638.72 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,331.70 – $2,911.88 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,249.79 – $3,118.25 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,552.30 – $1,552.30 | 1 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $943.78 – $2,053.32 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,285.41 – $1,285.41 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $122.13 | $207.00 | $47.61 – $194.58 | 13 |
| Ot evaluation low complexity patient/family CPT 97165 | $218.30 | $370.00 | $72.58 – $347.80 | 13 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $122.13 | $207.00 | $47.61 – $194.58 | 13 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,404.84 – $4,935.00 | 4 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $54.28 | $92.00 | $21.16 – $92.00 | 13 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $59.00 | $100.00 | $23.00 – $94.00 | 9 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $67.26 | $114.00 | $23.75 – $114.00 | 13 |
| Otoplasty 69300 CPT 69300 | not published | not published | $893.78 – $893.78 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $76.11 | $129.00 | $29.67 – $129.00 | 13 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $86.14 | $146.00 | $31.45 – $146.00 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $83.19 | $141.00 | $26.50 – $124.00 | 13 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $83.19 | $141.00 | $26.50 – $141.00 | 13 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $80.83 | $137.00 | $25.38 – $137.00 | 13 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $62.54 | $106.00 | $23.23 – $101.00 | 13 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $85.55 | $145.00 | $28.47 – $145.00 | 13 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,942.61 – $1,980.70 | 3 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,433.10 – $1,433.10 | 1 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $59.36 | $100.60 | $0.95 – $7.28 | 12 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $12.62 | $21.39 | $0.14 – $7.74 | 12 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $1.95 | $3.30 | $0.54 – $3.11 | 8 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $1.82 | $3.08 | $0.21 – $2.90 | 12 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $852.63 | $1,445.12 | $12.92 – $1,358.42 | 14 |
| Pad repl cerv collr univ adult HCPCS L0999 | $90.27 | $153.00 | $35.19 – $143.82 | 7 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $3,842.75 | $6,513.12 | $756.56 – $3,092.03 | 9 |
| Palonosetron hcl HCPCS J2469 | $2.45 | $4.15 | $0.93 – $3.79 | 12 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $29.49 | $49.98 | $0.31 – $1.32 | 12 |
| Pancreatectomy CPT 48146 | not published | not published | $1,412.61 – $1,440.31 | 3 |
| Pancreatectomy CPT 48152 | not published | not published | $2,232.68 – $2,276.46 | 3 |
| Pancreatectomy CPT 48154 | not published | not published | $2,238.48 – $2,282.37 | 3 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,398.78 – $2,445.82 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,194.93 – $1,218.36 | 3 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $904.41 – $922.15 | 3 |
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.