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 |
|---|---|---|---|---|
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,172.33 | $1,987.00 | $186.06 – $1,867.78 | 7 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $68.44 | $116.00 | $26.68 – $109.04 | 7 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,579.43 | $2,677.00 | $158.28 – $2,516.38 | 7 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $4,043.86 | $6,854.00 | $381.78 – $6,442.76 | 7 |
| Placement of drain pancreas CPT 48001 | not published | not published | $1,011.16 – $1,030.98 | 3 |
| Placement of seton CPT 46020 | not published | not published | $216.55 – $216.55 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $9,613.46 | $16,294.00 | $779.06 – $15,316.36 | 7 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $644.99 – $644.99 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $938.62 – $938.62 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $883.05 – $883.05 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | $5,679.93 | $9,627.00 | $354.14 – $9,049.38 | 7 |
| Place po breast cath for rad CPT 19296 | not published | not published | $378.78 – $378.78 | 1 |
| Place right device/marker pros CPT 55876 | not published | not published | $194.19 – $194.19 | 1 |
| Place slctv cath carotd art uni CPT 36224 | $6,970.85 | $11,815.00 | $644.36 – $11,106.10 | 7 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,453.91 | $7,549.00 | $506.27 – $7,096.06 | 7 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $4,453.91 | $7,549.00 | $577.23 – $7,096.06 | 7 |
| Place slctv cath subclavian art CPT 36225 | $4,453.91 | $7,549.00 | $572.59 – $7,096.06 | 7 |
| Place slctv cath vertebral art uni CPT 36226 | $5,809.14 | $9,846.00 | $641.21 – $9,255.24 | 7 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $187.62 | $318.00 | $68.31 – $279.18 | 7 |
| Plastic mod low ext pad/line HCPCS L2275 | $201.28 | $341.15 | $76.24 – $311.59 | 9 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,495.70 – $1,495.70 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $120.95 | $205.00 | $24.13 – $205.00 | 17 |
| Platelet automated CPT 85049 | $47.79 | $81.00 | $4.35 – $76.14 | 17 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $22.60 – $22.60 | 1 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $502.09 | $851.00 | $195.73 – $799.94 | 7 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $657.26 | $1,114.00 | $256.22 – $1,047.16 | 7 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $640.74 | $1,086.00 | $249.78 – $1,020.84 | 7 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $793.55 | $1,345.00 | $309.35 – $1,264.30 | 7 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,047.89 | $3,471.00 | $489.26 – $3,262.74 | 7 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $835.44 | $1,416.00 | $325.68 – $1,331.04 | 7 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,993.66 | $5,074.00 | $379.66 – $4,769.56 | 7 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,993.66 | $5,074.00 | $635.86 – $4,769.56 | 7 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $721.68 – $1,401.79 | 4 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $814.79 | $1,381.00 | $158.28 – $1,298.14 | 7 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $611.24 | $1,036.00 | $79.46 – $973.84 | 7 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $3,820.25 | $6,475.00 | $290.24 – $6,086.50 | 9 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $578.20 | $980.00 | $118.69 – $921.20 | 7 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $411.23 | $697.00 | $93.14 – $655.18 | 7 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $480.85 | $815.00 | $79.25 – $766.10 | 7 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $640.15 | $1,085.00 | $83.01 – $1,019.90 | 7 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $934.91 – $1,649.09 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | $5,774.33 | $9,787.00 | $622.34 – $9,199.78 | 7 |
| Plmt biliary drainage cath CPT 47534 | $3,496.34 | $5,926.00 | $684.98 – $5,570.44 | 7 |
| Plmt nephroureteral catheter CPT 50433 | $2,064.41 | $3,499.00 | $473.51 – $3,289.06 | 7 |
| Plmt ureteral stent prq CPT 50694 | $2,993.66 | $5,074.00 | $496.10 – $4,769.56 | 7 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $172.54 – $172.54 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $152.81 | $259.00 | $25.27 – $243.46 | 17 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $10,660.91 | $18,069.33 | $122.12 – $3,639.69 | 14 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,587.20 | $6,080.00 | $999.62 – $5,715.20 | 11 |
| Positional change of finger CPT 26555 | not published | not published | $2,590.71 – $2,590.71 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $442.50 | $750.00 | $161.59 – $660.39 | 9 |
| Postop app non-wgt bear dsg HCPCS L5460 | $868.19 | $1,471.50 | $338.45 – $1,383.21 | 9 |
| Post-op hip abduct custom fa HCPCS L1685 | $1,367.03 | $2,317.00 | $532.91 – $2,177.98 | 9 |
| Postpartum Care Only CPT 59430 | $1,404.20 | $2,380.00 | $320.31 – $2,237.20 | 7 |
| Potassium 24 hour urine CPT 84133 | $50.74 | $86.00 | $4.58 – $80.84 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $0.54 | $0.91 | $0.01 – $0.01 | 12 |
| Potassium serum/plasma/whole blood CPT 84132 | $33.63 | $57.00 | $4.61 – $55.33 | 17 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $3.19 | $5.39 | $1.24 – $5.07 | 7 |
| Pq biliary strict dil s&i CPT 74363 | $908.01 | $1,539.00 | $138.50 – $1,446.66 | 7 |
| Pq dr cath chg w cont s&i CPT 75984 | $538.67 | $913.00 | $109.31 – $858.22 | 11 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $8,796.90 | $14,910.00 | $876.50 – $14,015.40 | 7 |
| Pq thr inj ext pse CPT 36002 | $372.29 | $631.00 | $145.13 – $593.14 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,043.81 | $5,159.00 | $379.01 – $4,849.46 | 7 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,043.81 | $5,159.00 | $805.62 – $4,849.46 | 7 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,043.81 | $5,159.00 | $758.44 – $4,849.46 | 7 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $46.79 | $79.30 | $18.24 – $74.55 | 8 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,458.48 | $2,472.00 | $568.56 – $2,323.68 | 7 |
| Pr application of long arm splint CPT 29105 | $265.50 | $450.00 | $76.65 – $423.00 | 7 |
| Pr application splint static short arm CPT 29125 | $240.72 | $408.00 | $75.98 – $383.52 | 7 |
| Pr biopsy skin punch single lesion CPT 11104 | $371.70 | $630.00 | $88.18 – $592.20 | 7 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,152.38 – $1,152.38 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $746.84 – $746.84 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $27.73 | $47.00 | $10.81 – $44.18 | 7 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $224.67 – $512.63 | 4 |
| Prcrd drg 6+yr without anomly CPT 33017 | $466.10 | $790.00 | $181.70 – $742.60 | 9 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $291.40 – $291.40 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $338.66 | $574.00 | $68.08 – $375.06 | 7 |
| Prealbumin CPT 84134 | $98.53 | $167.00 | $14.14 – $167.00 | 17 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $0.36 | $0.60 | $0.05 – $0.20 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.26 | $0.43 | $0.01 – $0.14 | 12 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $370.42 – $370.42 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $849.60 | $1,440.00 | $167.52 – $1,353.60 | 11 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $679.68 | $1,152.00 | $133.90 – $1,082.88 | 11 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $774.88 – $774.88 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,421.51 – $1,421.51 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $72.79 – $72.79 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $207.90 – $207.90 | 1 |
| Prepare donor heart CPT 33944 | not published | not published | $268.03 – $610.07 | 4 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $781.49 – $781.49 | 1 |
| Prepare donor intestine CPT 44715 | not published | not published | $670.22 – $670.22 | 1 |
| Prepare donor lung double CPT 32856 | not published | not published | $267.74 – $674.37 | 4 |
| Prepare donor lung single CPT 32855 | not published | not published | $223.11 – $547.91 | 4 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $135.45 – $135.45 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,062.71 – $2,103.15 | 3 |
| Prepare penis study CPT 54230 | $490.88 | $832.00 | $150.97 – $782.08 | 7 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $349.71 – $349.71 | 1 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $172.79 – $404.38 | 4 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $233.58 – $233.58 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $680.19 – $680.19 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $485.96 – $485.96 | 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.