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 |
|---|---|---|---|---|
| Prq trluml c angiop 1art&/br CPT 92920 | $8,565.03 | $14,517.00 | $936.43 – $13,645.98 | 7 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $18,957.29 | $32,131.00 | $1,116.57 – $30,203.14 | 7 |
| Prq trluml revsc ch occ ant CPT 92943 | $9,012.25 | $15,275.00 | $1,169.62 – $14,358.50 | 7 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $134.99 – $134.99 | 1 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $169.33 | $287.00 | $66.01 – $269.78 | 7 |
| Pr removal intrauterine device CPT 58301 | not published | not published | $123.25 – $123.25 | 1 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $948.72 | $1,608.00 | $361.58 – $1,511.52 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $327.45 | $555.00 | $101.93 – $521.70 | 7 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $353.41 | $599.00 | $105.92 – $563.06 | 7 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $288.51 | $489.00 | $82.55 – $459.66 | 7 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $322.14 | $546.00 | $108.21 – $513.24 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $4,070.41 | $6,899.00 | $1,331.48 – $6,485.06 | 7 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,190.28 – $1,190.28 | 1 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $1,122.43 – $1,122.43 | 1 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $186.48 – $186.48 | 1 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $1,240.32 – $1,240.32 | 1 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,267.79 – $1,267.79 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,178.23 | $1,997.00 | $284.45 – $1,203.20 | 7 |
| PSA (Prostate) Test CPT 84153 | $92.04 | $156.00 | $17.82 – $156.00 | 17 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $54.28 | $92.00 | $16.31 – $92.00 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $65.49 | $111.00 | $13.90 – $111.00 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $67.85 | $115.00 | $10.53 – $81.00 | 13 |
| Pt application of modality traction mechanical CPT 97012 | $117.41 | $199.00 | $12.97 – $187.06 | 13 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,529.20 – $1,529.20 | 1 |
| Pt evaluation high complexity patient/family CPT 97163 | $107.97 | $183.00 | $42.09 – $183.00 | 13 |
| Pt evaluation low complexity patient/family CPT 97161 | $193.52 | $328.00 | $74.80 – $308.32 | 13 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $107.97 | $183.00 | $42.09 – $183.00 | 13 |
| Pt prgrm for implt neurostim HCPCS L8681 | $23,747.50 | $40,250.00 | $207.00 – $846.00 | 11 |
| Pt re-evaluation patient/family CPT 97164 | $75.52 | $128.00 | $29.44 – $128.00 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $116.82 | $198.00 | $39.62 – $186.12 | 9 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $69.62 | $118.00 | $22.00 – $118.00 | 13 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $51.92 | $88.00 | $19.95 – $88.00 | 13 |
| Pt wheelchair management each 15 minutes CPT 97542 | $46.61 | $79.00 | $18.17 – $79.00 | 13 |
| Pul art balloon repr percut CPT 92997 | $10,781.66 | $18,274.00 | $1,138.58 – $17,177.56 | 7 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,609.55 – $1,641.11 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $970.72 – $1,786.70 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $331.58 | $562.00 | $42.63 – $528.28 | 7 |
| Pulse ox multiple CPT 94761 | $194.70 | $330.00 | $5.83 – $310.20 | 7 |
| Pulse ox single CPT 94760 | $66.08 | $112.00 | $3.57 – $105.28 | 7 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $104.27 – $104.27 | 1 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $99.12 | $168.00 | $28.73 – $157.92 | 7 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $331.58 | $562.00 | $129.26 – $528.28 | 7 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $89.46 – $89.46 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $805.35 | $1,365.00 | $115.40 – $1,283.10 | 7 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $178.77 | $303.00 | $69.69 – $284.82 | 7 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $156.07 – $156.07 | 1 |
| Pvb thoracic single inj site CPT 64461 | $645.46 | $1,094.00 | $148.91 – $1,028.36 | 7 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $952.77 – $1,855.88 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $917.44 – $1,793.55 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,011.15 – $1,030.97 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $612.49 – $1,686.49 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $6.55 | $11.09 | $2.56 – $11.09 | 12 |
| Pyruvate CPT 84210 | $92.04 | $156.00 | $14.04 – $146.64 | 17 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,516.30 | $2,570.00 | $446.84 – $2,415.80 | 11 |
| Quant diff pulm perf w/imaging CPT 78597 | $801.81 | $1,359.00 | $283.75 – $1,359.00 | 11 |
| Quest t3 uptake CPT 84479 | $60.18 | $102.00 | $6.27 – $95.88 | 17 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $238.54 | $404.31 | $93.00 – $420.48 | 10 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $286.56 | $485.69 | $111.71 – $456.55 | 10 |
| Radial keratotomy CPT 65771 | not published | not published | $1,169.64 – $1,169.64 | 1 |
| Radiation physics consult CPT 77336 | $1,008.90 | $1,710.00 | $160.53 – $1,607.40 | 11 |
| Radiation therapy dose plan CPT 77300 | $664.34 | $1,126.00 | $63.27 – $1,058.44 | 11 |
| Radiation treatment aid(s) CPT 77332 | $545.16 | $924.00 | $29.21 – $868.56 | 11 |
| Radiation treatment aid(s) CPT 77333 | $623.04 | $1,056.00 | $63.72 – $992.64 | 11 |
| Radiation treatment aid(s) CPT 77334 | $1,298.59 | $2,201.00 | $123.80 – $2,068.94 | 11 |
| Radiation treatment delivery CPT 77402 | $443.68 | $752.00 | $172.96 – $706.88 | 7 |
| Radiation treatment delivery CPT 77412 | $1,422.49 | $2,411.00 | $433.61 – $2,266.34 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,615.77 – $1,647.45 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $841.17 – $2,786.03 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,004.01 – $3,572.50 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $842.08 – $3,262.25 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,214.24 – $2,214.24 | 1 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,118.19 – $2,446.10 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,923.64 – $1,923.64 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,639.43 – $2,639.43 | 1 |
| Radiesse injection HCPCS Q2026 | $1,587.16 | $2,690.10 | $618.73 – $2,528.70 | 11 |
| Radiology port images(s) CPT 77417 | $368.16 | $624.00 | $25.64 – $586.56 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | $8,046.42 | $13,638.00 | $2,688.44 – $12,819.72 | 11 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $185.26 | $314.00 | $72.22 – $295.16 | 9 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,285.07 | $3,873.00 | $461.77 – $3,640.62 | 11 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,150.55 | $3,645.00 | $838.35 – $3,645.00 | 11 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,103.94 | $3,566.00 | $561.60 – $2,418.47 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,299.18 | $2,202.00 | $380.44 – $2,069.88 | 11 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,857.55 – $2,857.55 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,069.95 – $2,069.95 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,436.06 – $2,436.06 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,893.55 – $1,893.55 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,342.13 – $1,342.13 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,429.57 – $2,429.57 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,402.15 – $1,402.15 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,959.68 – $1,959.68 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,491.23 – $2,491.23 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,771.60 – $1,771.60 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $86.30 | $146.26 | $33.64 – $146.26 | 14 |
| Range of motion measurements CPT 95852 | $90.86 | $154.00 | $9.26 – $144.76 | 9 |
| Rapid Strep Test CPT 87880 | $34.81 | $59.00 | $13.57 – $59.00 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,637.40 | $4,470.16 | $247.14 – $1,010.05 | 12 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,284.65 | $2,177.36 | $220.52 – $2,046.72 | 14 |
| Rbc count only automated CPT 85041 | $38.94 | $66.00 | $2.93 – $62.04 | 17 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $89.42 – $89.42 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,092.50 – $4,092.50 | 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.