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 |
|---|---|---|---|---|
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,571.64 – $3,148.78 | 4 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,404.25 – $2,821.06 | 4 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,173.39 – $2,944.64 | 4 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,216.97 – $3,074.57 | 4 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,037.29 – $4,063.63 | 4 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,823.69 – $3,665.03 | 4 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,741.86 – $3,404.94 | 4 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,713.68 – $5,275.35 | 4 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,552.10 – $4,865.36 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,404.88 – $1,404.88 | 1 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,706.94 – $1,706.94 | 1 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $2,030.89 – $2,030.89 | 1 |
| Realignment of knee CPT 27457 | not published | not published | $928.50 – $1,762.28 | 4 |
| Realignment of knee CPT 27455 | not published | not published | $889.16 – $1,793.99 | 4 |
| Realignment of tendons CPT 26437 | not published | not published | $1,266.15 – $1,266.15 | 1 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,171.94 – $2,401.01 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $2,052.86 – $2,052.86 | 1 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,994.71 – $1,994.71 | 1 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $2,666.56 – $2,666.56 | 1 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $2,113.40 – $2,113.40 | 1 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $2,951.87 – $2,951.87 | 1 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,431.10 – $1,459.16 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $418.21 – $774.10 | 4 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,532.67 – $1,562.72 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,543.23 – $1,573.49 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,114.31 – $1,136.16 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,468.97 – $1,497.78 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,159.41 – $1,182.15 | 3 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,328.83 – $1,354.88 | 3 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $834.26 – $1,715.53 | 4 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,114.31 – $1,136.16 | 3 |
| Recipient nephrectomy CPT 50340 | not published | not published | $833.83 – $1,757.20 | 4 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,718.62 – $2,718.62 | 1 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,705.35 – $2,705.35 | 1 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $2,544.34 – $2,544.34 | 1 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $2,340.66 – $2,340.66 | 1 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,419.54 – $1,447.38 | 3 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,066.29 – $1,846.22 | 4 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $1,914.28 – $1,914.28 | 1 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,934.21 – $1,934.21 | 1 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,802.16 – $1,802.16 | 1 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,515.52 – $1,545.23 | 3 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $2,053.61 – $2,053.61 | 1 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,729.60 – $1,729.60 | 1 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,796.78 – $1,796.78 | 1 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,006.34 – $2,006.34 | 1 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $1,314.96 – $1,314.96 | 1 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $1,084.90 – $1,084.90 | 1 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $1,839.18 – $1,839.18 | 1 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,985.70 – $3,916.25 | 4 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $2,140.43 – $4,258.30 | 4 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $2,403.09 – $4,579.05 | 4 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $1,688.34 – $1,688.34 | 1 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $1,879.40 – $1,879.40 | 1 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,976.65 – $1,976.65 | 1 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $2,065.77 – $2,065.77 | 1 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $2,065.77 – $2,065.77 | 1 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,952.22 – $1,952.22 | 1 |
| Reconstruct finger joint CPT 26545 | not published | not published | $1,394.44 – $1,394.44 | 1 |
| Reconstruct finger joint CPT 26548 | not published | not published | $1,514.04 – $1,514.04 | 1 |
| Reconstruct head of radius CPT 24365 | not published | not published | $1,207.33 – $1,207.33 | 1 |
| Reconstruct head of radius CPT 24366 | not published | not published | $1,282.37 – $1,282.37 | 1 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,031.70 – $2,076.06 | 4 |
| Reconstruction knee CPT 27427 | not published | not published | $1,334.21 – $1,334.21 | 1 |
| Reconstruction knee CPT 27428 | not published | not published | $2,087.42 – $2,087.42 | 1 |
| Reconstruction knee CPT 27429 | not published | not published | $2,352.46 – $2,352.46 | 1 |
| Reconstruction of anus CPT 46753 | not published | not published | $1,134.40 – $1,134.40 | 1 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $1,147.82 – $1,170.32 | 3 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,366.28 – $1,366.28 | 1 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $1,756.50 – $1,756.50 | 1 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,754.03 – $1,754.03 | 1 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $1,293.58 – $1,293.58 | 1 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,231.96 – $2,409.88 | 4 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $1,078.50 – $2,052.27 | 4 |
| Reconstruction of jaw CPT 21245 | not published | not published | $1,801.19 – $1,801.19 | 1 |
| Reconstruction of jaw CPT 21246 | not published | not published | $1,616.77 – $1,616.77 | 1 |
| Reconstruction of jaw CPT 21248 | not published | not published | $1,516.96 – $1,516.96 | 1 |
| Reconstruction of jaw CPT 21249 | not published | not published | $2,119.24 – $2,119.24 | 1 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,995.59 – $1,995.59 | 1 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $1,927.04 – $1,927.04 | 1 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $3,190.13 – $3,190.13 | 1 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $1,906.97 – $1,906.97 | 1 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,380.95 – $2,998.99 | 4 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,196.31 – $1,196.31 | 1 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,268.59 – $1,268.59 | 1 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,623.05 – $1,623.05 | 1 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,196.96 – $2,196.96 | 1 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,279.51 – $2,279.51 | 1 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $356.60 – $356.60 | 1 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,656.90 – $2,656.90 | 1 |
| Reconstruction of nose CPT 30420 | not published | not published | $2,753.54 – $2,753.54 | 1 |
| Reconstruction of orbit CPT 21256 | not published | not published | $2,311.13 – $2,311.13 | 1 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,506.58 – $1,506.58 | 1 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,850.23 – $1,850.23 | 1 |
| Reconstruction of urethra CPT 53415 | not published | not published | $1,075.70 – $2,130.79 | 4 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,831.12 – $1,831.12 | 1 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,357.76 – $1,357.76 | 1 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,550.33 – $1,550.33 | 1 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,878.62 – $1,878.62 | 1 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,350.59 – $1,350.59 | 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.