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 |
|---|---|---|---|---|
| Pelvic MRI (with contrast) CPT 72196 | $3,354.15 | $5,685.00 | $368.24 – $5,343.90 | 11 |
| Pelvic MRI (without contrast) CPT 72195 | $2,944.10 | $4,990.00 | $315.06 – $4,690.60 | 11 |
| Pelvic Ultrasound (complete) CPT 76856 | $786.47 | $1,333.00 | $138.31 – $1,253.02 | 11 |
| Pelvic Ultrasound (limited) CPT 76857 | $408.87 | $693.00 | $49.39 – $651.42 | 11 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $869.92 | $1,474.43 | $55.32 – $1,385.97 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,181.67 | $3,697.73 | $5.49 – $695.18 | 14 |
| Pemivibart infusion HCPCS M0224 | $425.39 | $721.00 | $165.83 – $677.74 | 7 |
| Peng benzathine/procaine inj HCPCS J0558 | $65.59 | $111.17 | $17.30 – $104.50 | 14 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $104.52 | $177.14 | $21.71 – $144.21 | 14 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $29.68 | $50.30 | $0.94 – $5.57 | 12 |
| Penile injection CPT 54235 | not published | not published | $139.82 – $139.82 | 1 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $5,895.17 | $9,991.80 | $782.00 – $3,196.00 | 11 |
| Penile vascular study CPT 93980 | $846.65 | $1,435.00 | $109.94 – $1,348.90 | 11 |
| Penile venous occlusion CPT 37790 | not published | not published | $921.10 – $921.10 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,366.66 – $1,366.66 | 1 |
| Penis study CPT 54240 | not published | not published | $82.38 – $82.38 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $19.40 | $32.88 | $7.57 – $30.91 | 8 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $1,371.99 | $2,325.39 | $534.84 – $2,418.41 | 14 |
| Perc cryo ablate renal tum CPT 50593 | $6,775.56 | $11,484.00 | $856.21 – $10,794.96 | 7 |
| Perc d-e cor revasc chro add HCPCS C9608 | $4,350.66 | $7,374.00 | $1,696.02 – $6,931.56 | 7 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $10,411.14 | $17,646.00 | $4,058.58 – $16,587.24 | 7 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $10,989.34 | $18,626.00 | $4,283.98 – $17,508.44 | 7 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $15,072.73 | $25,547.00 | $5,875.81 – $24,014.18 | 7 |
| Perc d-e cor stent ather br HCPCS C9603 | $6,464.04 | $10,956.00 | $2,519.88 – $10,298.64 | 7 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,248.06 | $29,234.00 | $6,723.82 – $27,479.96 | 7 |
| Perc drug-el cor stent bran HCPCS C9601 | $10,181.04 | $17,256.00 | $3,968.88 – $16,220.64 | 7 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,160.10 | $27,390.00 | $6,299.70 – $25,746.60 | 7 |
| Perc rf ablate renal tumor CPT 50592 | $5,418.56 | $9,184.00 | $642.22 – $8,632.96 | 7 |
| Percut ablate liver rf CPT 47382 | $3,648.56 | $6,184.00 | $1,375.16 – $5,812.96 | 7 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $23.60 | $40.00 | $9.20 – $40.00 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $224.67 – $390.35 | 4 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,392.40 – $1,419.70 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $466.10 | $790.00 | $181.70 – $742.60 | 7 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $901.18 – $1,476.70 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,329.85 – $1,329.85 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $515.40 – $515.40 | 1 |
| Peripheral vascular rehab CPT 93668 | $244.85 | $415.00 | $23.94 – $187.06 | 7 |
| Peri-proc device eval icd CPT 93287 | $143.96 | $244.00 | $56.12 – $229.36 | 11 |
| Peri-proc device eval pm CPT 93286 | $145.73 | $247.00 | $56.81 – $232.18 | 11 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $762.43 – $762.43 | 1 |
| Peritoneogram rs&i CPT 74190 | $918.04 | $1,556.00 | $59.68 – $1,462.64 | 7 |
| Perit-vens shunt pat tst CPT 78291 | $533.36 | $904.00 | $207.92 – $904.00 | 11 |
| Perq art m-thrombect &/nfs CPT 61645 | $399.43 | $677.00 | $155.71 – $704.08 | 9 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $735.81 – $1,385.62 | 4 |
| Perq dev breast 1st mr guide CPT 19287 | $1,076.16 | $1,824.00 | $237.53 – $1,714.56 | 7 |
| Perq dev breast 1st strtctc CPT 19283 | $1,342.84 | $2,276.00 | $186.69 – $2,139.44 | 7 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,120.43 – $2,120.43 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,317.69 – $1,317.69 | 1 |
| Perq plmt bile duct stent CPT 47538 | $6,659.33 | $11,287.00 | $435.23 – $10,609.78 | 7 |
| Perq plmt bile duct stent CPT 47539 | $6,659.33 | $11,287.00 | $789.05 – $10,609.78 | 7 |
| Perq plmt bile duct stent CPT 47540 | $6,659.33 | $11,287.00 | $813.14 – $10,609.78 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $421.85 | $715.00 | $161.24 – $672.10 | 7 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,018.71 – $1,018.71 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $937.92 – $937.92 | 1 |
| Perq transcath closure pda CPT 93582 | $20,707.82 | $35,098.00 | $1,169.20 – $32,992.12 | 7 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $524.64 – $524.64 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $627.08 – $627.08 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $869.97 – $869.97 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,429.07 – $1,429.07 | 1 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $286.43 | $485.48 | $15.57 – $456.36 | 14 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,739.52 | $9,728.00 | $1,488.40 – $8,596.30 | 7 |
| Pet CT whole body initial CPT 78816 | $5,280.50 | $8,950.00 | $1,501.84 – $8,413.00 | 7 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,142.39 | $7,021.00 | $907.70 – $6,599.74 | 7 |
| Pet image w/ct lmtd CPT 78814 | $4,821.48 | $8,172.00 | $1,336.44 – $7,681.68 | 7 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $29,151.90 | $49,410.00 | $14.49 – $59.22 | 11 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $540.52 – $540.52 | 1 |
| Ph body fluid CPT 83986 | $80.24 | $136.00 | $3.47 – $127.84 | 17 |
| Phencyclidine (pcp) CPT 83992 | $126.26 | $214.00 | $19.74 – $201.16 | 13 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $29.68 | $50.31 | $4.53 – $19.67 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | $115.05 | $195.00 | $14.83 – $183.30 | 17 |
| Phentolaine mesylate inj HCPCS J2760 | $251.18 | $425.72 | $97.92 – $442.75 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.39 | $4.04 | $0.05 – $0.18 | 7 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $0.94 | $1.59 | $0.37 – $1.50 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $63.13 | $107.00 | $12.84 – $107.00 | 17 |
| Phlebotomy therapeutic CPT 99195 | $231.87 | $393.00 | $90.39 – $369.42 | 7 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $484.64 – $484.64 | 1 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $594.03 – $594.03 | 1 |
| Phosphorus CPT 84100 | $37.17 | $63.00 | $4.59 – $59.22 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $12.98 | $22.00 | $5.06 – $22.00 | 17 |
| Photopheresis CPT 36522 | not published | not published | $182.74 – $182.74 | 1 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $25.83 | $43.78 | $0.16 – $0.69 | 12 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $57.31 – $57.31 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $873.79 | $1,481.00 | $340.63 – $1,392.14 | 7 |
| Pin caspar distraction 12mm HCPCS C1821 | $10,365.12 | $17,568.00 | $1,821.60 – $7,444.80 | 11 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $858.12 – $858.12 | 1 |
| Pin finger dislocation CPT 26776 | not published | not published | $862.60 – $862.60 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $815.07 – $815.07 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $976.58 – $976.58 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $860.43 – $860.43 | 1 |
| Pinworm exam CPT 87172 | $11.80 | $20.00 | $4.14 – $20.00 | 17 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $64.23 | $108.85 | $0.03 – $0.13 | 12 |
| Place breast cath for rad CPT 19297 | not published | not published | $168.04 – $168.04 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $609.71 – $609.71 | 1 |
| Place cath intracranial art CPT 36228 | $5,301.74 | $8,986.00 | $432.29 – $8,446.84 | 7 |
| Place cath xtrnl carotid CPT 36227 | $1,936.38 | $3,282.00 | $211.11 – $3,085.08 | 7 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $389.61 – $389.61 | 1 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $444.61 – $444.61 | 1 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $698.53 – $712.22 | 3 |
| Place gastrostomy tube perc CPT 49440 | $2,552.93 | $4,327.00 | $379.07 – $4,067.38 | 7 |
| Placement bile duct support CPT 47801 | not published | not published | $705.71 – $719.54 | 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.