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 |
|---|---|---|---|---|
| Prep donor liver 3-segment CPT 47144 | not published | not published | $560.25 – $898.53 | 4 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $335.34 – $680.82 | 4 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $424.85 – $927.05 | 4 |
| Prep donor liver/venous CPT 47146 | not published | not published | $287.64 – $582.44 | 4 |
| Prep donor liver whole CPT 47143 | not published | not published | $436.11 – $670.22 | 4 |
| Prep donor pancreas CPT 48551 | not published | not published | $230.28 – $461.90 | 4 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $418.09 – $418.09 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $124.48 – $364.20 | 4 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $293.85 – $293.85 | 1 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $166.70 – $339.15 | 4 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $321.85 – $321.85 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $156.59 – $386.76 | 4 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $486.17 – $486.17 | 1 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $404.75 – $404.75 | 1 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $81.48 – $81.48 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $187.03 | $317.00 | $8.74 – $35.72 | 7 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $195.87 – $397.80 | 4 |
| Pressure velocity wire add ves CPT 93572 | $965.24 | $1,636.00 | $105.29 – $1,537.84 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $94.40 | $160.00 | $36.80 – $150.40 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $76.70 | $130.00 | $29.90 – $122.20 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $174.64 | $296.00 | $42.25 – $278.24 | 7 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $158.05 – $158.05 | 1 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $310.67 – $310.67 | 1 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $330.99 | $561.00 | $129.03 – $527.34 | 7 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $690.21 – $2,463.97 | 4 |
| Prgrmg eval implantable dfb CPT 93283 | $187.03 | $317.00 | $72.91 – $297.98 | 11 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $4,008.46 | $6,794.00 | $773.16 – $6,386.36 | 7 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $3,674.52 | $6,228.00 | $291.04 – $5,854.32 | 7 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,129.85 | $1,915.00 | $351.08 – $1,800.10 | 7 |
| Pr incision & drainage abscess simple/single CPT 10060 | $354.00 | $600.00 | $138.00 – $564.00 | 7 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $270.22 | $458.00 | $105.34 – $430.52 | 7 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $638.38 | $1,082.00 | $201.79 – $1,017.08 | 7 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $223.61 | $379.00 | $20.69 – $356.26 | 7 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,139.90 – $1,139.90 | 1 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,088.70 | $6,930.00 | $698.63 – $2,855.25 | 11 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $243.98 – $243.98 | 1 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $257.08 – $257.08 | 1 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $423.57 – $423.57 | 1 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $299.29 – $299.29 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $153.79 | $260.67 | $1.11 – $4.99 | 14 |
| Procalcitonin CPT 84145 | $208.27 | $353.00 | $26.38 – $331.82 | 17 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $5.00 | $8.46 | $1.95 – $7.96 | 12 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,472.64 – $1,501.51 | 3 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,391.58 – $1,418.86 | 3 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $189.88 – $189.88 | 1 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $206.91 – $206.91 | 1 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $159.31 – $159.31 | 1 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $89.88 – $89.88 | 1 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $153.26 – $153.26 | 1 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $162.44 – $162.44 | 1 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $191.46 – $191.46 | 1 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $187.19 – $187.19 | 1 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $135.60 – $135.60 | 1 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $182.07 – $182.07 | 1 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $211.30 – $211.30 | 1 |
| Progesterone CPT 84144 | $90.86 | $154.00 | $20.22 – $154.00 | 17 |
| Prolactin CPT 84146 | $105.02 | $178.00 | $18.78 – $178.00 | 17 |
| Prolonged IV inf, req pump HCPCS C8957 | $394.12 | $668.00 | $153.64 – $627.92 | 7 |
| Promethazine hcl injection HCPCS J2550 | $1.87 | $3.17 | $0.51 – $2.20 | 12 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $412.71 – $412.71 | 1 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $412.71 – $412.71 | 1 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $1,622.02 – $1,622.02 | 1 |
| Prophylactic tx radius CPT 25490 | not published | not published | $1,352.36 – $1,352.36 | 1 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $1,696.46 – $1,696.46 | 1 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $1,388.79 – $1,388.79 | 1 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $0.08 | $0.13 | $0.03 – $0.13 | 12 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $6.20 | $10.50 | $0.05 – $0.19 | 8 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $1,377.43 – $1,377.43 | 1 |
| Prostate laser enucleation CPT 52649 | not published | not published | $1,562.17 – $1,562.17 | 1 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $679.08 – $679.08 | 1 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $726.96 – $726.96 | 1 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1.18 | $2.00 | $0.46 – $2.00 | 12 |
| Protect body sock ea pre ots HCPCS L0984 | $169.92 | $288.00 | $33.33 – $136.18 | 9 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,420.36 | $4,102.29 | $419.35 – $1,713.85 | 11 |
| Protein c activity CPT 85303 | $88.50 | $150.00 | $13.41 – $150.00 | 17 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $43.66 | $74.00 | $10.40 – $74.00 | 17 |
| Protein s total CPT 85305 | $119.18 | $202.00 | $11.25 – $189.88 | 17 |
| Protein total 24 hour urine CPT 84156 | $51.92 | $88.00 | $3.56 – $82.72 | 17 |
| Protein total body fluid CPT 84157 | $57.82 | $98.00 | $3.88 – $92.12 | 17 |
| Protein total serum plasma whole blood CPT 84155 | $35.99 | $61.00 | $3.56 – $57.34 | 17 |
| Prothrombin complex kcentra HCPCS J7168 | $1.10 | $1.85 | $0.42 – $1.72 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $77.88 | $132.00 | $3.81 – $124.08 | 17 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $410.20 – $812.07 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $1,076.27 – $1,076.27 | 1 |
| Prq card angio/athrect addl CPT 92925 | $11,188.17 | $18,963.00 | $4,361.49 – $17,825.22 | 7 |
| Prq cardiac angio addl art CPT 92921 | $6,625.70 | $11,230.00 | $2,582.90 – $10,556.20 | 7 |
| Prq card revasc chronic addl CPT 92944 | $1,864.99 | $3,161.00 | $727.03 – $2,971.34 | 7 |
| Prq card revasc mi 1 vsl CPT 92941 | $15,837.37 | $26,843.00 | $595.54 – $25,232.42 | 9 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $12,120.37 | $20,543.00 | $4,724.89 – $19,310.42 | 7 |
| Prq card stent/ath/angio CPT 92934 | $16,471.03 | $27,917.00 | $6,420.91 – $26,241.98 | 7 |
| Prq card stent w/angio addl CPT 92929 | $10,181.04 | $17,256.00 | $3,968.88 – $16,220.64 | 7 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $9,696.06 | $16,434.00 | $1,041.45 – $15,447.96 | 7 |
| Prq revasc byp graft addl CPT 92938 | $14,059.70 | $23,830.00 | $5,480.90 – $22,400.20 | 7 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,119.95 – $1,119.95 | 1 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,362.42 – $1,362.42 | 1 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,487.09 – $1,487.09 | 1 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $945.53 – $945.53 | 1 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $710.70 – $710.70 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $13,574.72 | $23,008.00 | $1,041.94 – $21,627.52 | 7 |
| Prq trlml c athrc st angiop1 CPT 92933 | $17,869.33 | $30,287.00 | $1,168.25 – $28,469.78 | 7 |
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.