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 |
|---|---|---|---|---|
| Revision of scrotum CPT 55180 | not published | not published | $1,305.47 – $1,305.47 | 1 |
| Revision of spinal shunt CPT 63744 | not published | not published | $1,228.71 – $1,228.71 | 1 |
| Revision of testis CPT 54660 | not published | not published | $684.89 – $684.89 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,394.74 – $1,394.74 | 1 |
| Revision of toe CPT 28312 | not published | not published | $661.46 – $661.46 | 1 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,255.18 – $2,299.40 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $1,694.60 – $1,727.82 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $1,240.39 – $1,240.39 | 1 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,408.11 – $1,408.11 | 1 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,393.98 – $1,393.98 | 1 |
| Revision of upper arm CPT 24940 | not published | not published | $788.57 – $2,028.43 | 4 |
| Revision of ureter CPT 50700 | not published | not published | $925.08 – $1,750.22 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $779.67 – $779.67 | 1 |
| Revision of urethra CPT 53460 | not published | not published | $871.84 – $871.84 | 1 |
| Revision of urethra CPT 57220 | not published | not published | $656.25 – $656.25 | 1 |
| Revision of urinary tract CPT 51820 | not published | not published | $961.76 – $980.62 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,337.99 – $1,337.99 | 1 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,575.36 – $1,575.36 | 1 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,405.91 – $1,405.91 | 1 |
| Revision tips CPT 37183 | $10,092.54 | $17,106.00 | $694.60 – $16,079.64 | 7 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $2,980.26 – $2,980.26 | 1 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,565.72 – $3,214.97 | 4 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $2,170.16 – $2,170.16 | 1 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $2,097.12 – $2,097.12 | 1 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,929.94 – $1,929.94 | 1 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $2,109.30 – $2,109.30 | 1 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,385.77 – $1,412.94 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $2,663.64 – $2,663.64 | 1 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $2,065.18 – $2,065.18 | 1 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $555.43 – $555.43 | 1 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,298.74 – $1,480.50 | 4 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $272.43 – $272.43 | 1 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $432.47 – $432.47 | 1 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,009.30 – $4,049.26 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $2,010.48 – $4,060.90 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | $3,344.71 | $5,669.00 | $497.45 – $5,328.86 | 7 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $1,208.72 | $2,048.67 | $471.20 – $1,925.75 | 7 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $374.09 – $374.09 | 1 |
| Rheumatoid factor quantitative CPT 86431 | $56.64 | $96.00 | $5.50 – $90.24 | 17 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,312.84 – $2,312.84 | 1 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $20.93 | $35.47 | $4.85 – $33.35 | 12 |
| Rho d immune globulin inj HCPCS J2790 | $48.18 | $81.66 | $18.79 – $81.66 | 12 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,405.57 – $1,405.57 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $469.05 | $795.00 | $12.52 – $148.90 | 11 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $12,744.05 | $21,600.07 | $230.23 – $940.92 | 7 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $682.54 | $1,156.84 | $12.39 – $271.87 | 14 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $55.44 | $93.96 | $21.62 – $97.72 | 14 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $26.59 | $45.07 | $10.37 – $46.87 | 14 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $31.64 | $53.62 | $12.34 – $50.41 | 7 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $31.56 | $53.48 | $12.31 – $55.62 | 14 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $912.90 – $2,001.36 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $172.18 – $172.18 | 1 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,221.55 – $1,221.55 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $648.59 – $648.59 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $759.63 – $759.63 | 1 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $427.37 – $427.37 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $267.56 – $267.56 | 1 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $226.82 – $226.82 | 1 |
| Rmvl icd by tv extr CPT 33244 | $1,850.24 | $3,136.00 | $721.28 – $2,947.84 | 7 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $27,014.33 | $45,787.00 | $696.21 – $43,039.78 | 7 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $14,814.31 | $25,109.00 | $725.70 – $23,602.46 | 7 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $12,781.17 | $21,663.00 | $670.51 – $20,363.22 | 7 |
| Rmvl icd pulse gen only CPT 33241 | $1,850.24 | $3,136.00 | $389.51 – $2,947.84 | 7 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $190.16 – $190.16 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $455.79 – $866.33 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,514.82 – $1,544.52 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $533.95 | $905.00 | $208.15 – $850.70 | 7 |
| Rmvl perm pm pulse gen CPT 33233 | $8,344.37 | $14,143.00 | $423.91 – $13,294.42 | 7 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $144.01 – $285.24 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $5,428.00 | $9,200.00 | $671.64 – $8,648.00 | 7 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $6,847.54 | $11,606.00 | $611.42 – $10,909.64 | 7 |
| Rmvl pq iabp CPT 33968 | $358.13 | $607.00 | $37.56 – $570.58 | 9 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,145.93 | $7,027.00 | $199.54 – $6,605.38 | 9 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,333.02 – $2,333.02 | 1 |
| Rmvl sq defib electrode CPT 33272 | $4,927.68 | $8,352.00 | $625.61 – $7,850.88 | 7 |
| Rmvl subq card rhythm mntr CPT 33286 | $826.59 | $1,401.00 | $153.13 – $1,316.94 | 7 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,038.30 – $1,038.30 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $188.52 – $188.52 | 1 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,795.22 – $3,622.67 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,963.03 – $3,965.33 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $869.94 – $887.00 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $1,682.68 | $2,852.00 | $655.96 – $2,680.88 | 7 |
| Rmvl tv pm lead sgl CPT 33234 | $1,570.58 | $2,662.00 | $612.26 – $2,502.28 | 7 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $274.50 – $486.17 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,911.33 – $1,948.80 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,270.57 – $2,315.09 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,168.25 – $1,191.15 | 3 |
| Romiplostim injection HCPCS J2796 | $703.51 | $1,192.38 | $98.43 – $1,120.84 | 8 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $662.85 | $1,123.47 | $11.37 – $1,056.07 | 14 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.62 | $1.04 | $0.06 – $0.22 | 12 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $1,784.75 | $3,025.00 | $695.75 – $2,843.50 | 7 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,107.88 – $3,168.82 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,062.10 – $1,062.10 | 1 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,885.05 | $3,195.00 | $120.75 – $3,003.30 | 7 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,329.27 | $2,253.00 | $406.29 – $2,117.82 | 11 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,086.24 | $3,536.00 | $109.62 – $3,323.84 | 7 |
| Rpl tun-cvad w subq port CPT 36582 | $4,130.59 | $7,001.00 | $526.93 – $6,580.94 | 7 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $594.85 – $594.85 | 1 |
| Rpl tun cvc wo subq port CPT 36581 | $3,105.76 | $5,264.00 | $339.97 – $4,948.16 | 7 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,063.72 – $1,084.57 | 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.