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 |
|---|---|---|---|---|
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,106.34 – $1,106.34 | 1 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,931.96 – $1,931.96 | 1 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,116.89 – $1,116.89 | 1 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,280.20 – $1,280.20 | 1 |
| Shortening of thigh bone CPT 27465 | not published | not published | $962.00 – $2,314.56 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,241.37 – $2,486.48 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,448.48 – $1,448.48 | 1 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,890.46 – $1,890.46 | 1 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,993.74 – $1,993.74 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,050.30 | $5,170.00 | $561.18 – $4,859.80 | 11 |
| Shoulder MRI (with contrast) CPT 73222 | $2,847.34 | $4,826.00 | $464.08 – $4,536.44 | 11 |
| Shoulder MRI (without contrast) CPT 73221 | $2,406.61 | $4,079.00 | $273.44 – $3,834.26 | 11 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,978.75 – $1,978.75 | 1 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,165.25 – $2,356.79 | 4 |
| Shoulder X-ray CPT 73030 | $346.92 | $588.00 | $48.76 – $552.72 | 11 |
| Shrinker prosth below knee HCPCS L8440 | $90.63 | $153.60 | $35.33 – $144.39 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,416.59 – $1,444.36 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,458.45 – $1,487.04 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,454.73 – $1,483.26 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,387.78 | $5,742.00 | $1,047.94 – $4,282.88 | 11 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $774.08 | $1,312.00 | $111.83 – $1,233.28 | 11 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,438.56 – $1,466.76 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,619.58 – $1,651.33 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Sialography s&i CPT 70390 | $458.43 | $777.00 | $178.71 – $730.38 | 11 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $315.32 – $315.32 | 1 |
| Sickling rbc CPT 85660 | $24.78 | $42.00 | $5.33 – $42.00 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $135.74 – $135.74 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $213.74 – $213.74 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $220.73 – $220.73 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $125.52 – $125.52 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $300.17 – $300.17 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $197.30 – $197.30 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $288.52 – $288.52 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $371.05 – $371.05 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $225.23 – $225.23 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $232.97 – $232.97 | 1 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $317.94 – $317.94 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $175.29 – $175.29 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $146.48 – $146.48 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $288.58 – $288.58 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $212.99 | $361.00 | $28.00 – $121.71 | 12 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,975.28 – $6,043.99 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,787.11 | $3,029.00 | $244.44 – $2,847.26 | 11 |
| Sinus CT scan (with contrast) CPT 70487 | $1,746.99 | $2,961.00 | $194.63 – $2,783.34 | 11 |
| Sinus CT scan (without contrast) CPT 70486 | $1,370.57 | $2,323.00 | $172.35 – $2,183.62 | 11 |
| Sinus/juglr venogram s&i CPT 75860 | $2,362.36 | $4,004.00 | $137.26 – $3,763.76 | 11 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $652.87 – $652.87 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,132.30 – $1,132.30 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $983.96 – $983.96 | 1 |
| Sirolimus, oral HCPCS J7520 | $17.50 | $29.66 | $0.98 – $4.00 | 12 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,984.02 – $1,984.02 | 1 |
| Skin Biopsy CPT 11102 | not published | not published | $71.44 – $71.44 | 1 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,259.54 – $1,259.54 | 1 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $198.07 – $198.07 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,378.99 – $1,378.99 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,355.30 – $1,355.30 | 1 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $201.87 – $201.87 | 1 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,286.05 – $2,330.88 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,066.47 – $3,126.59 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | $537.05 | $910.24 | $209.36 – $946.65 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $3,156.50 | $5,350.00 | $955.27 – $5,029.00 | 11 |
| Sleep study unattended CPT 95806 | $361.08 | $612.00 | $96.26 – $869.24 | 11 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,608.00 – $1,639.53 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $10.16 | $17.22 | $3.97 – $16.19 | 7 |
| Sling suprapubic suburetheral HCPCS C1771 | $5,568.28 | $9,437.75 | $141.45 – $578.10 | 11 |
| Slitting of prepuce CPT 54000 | not published | not published | $212.31 – $212.31 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $268.13 – $268.13 | 1 |
| Slp pure tone screening CPT 92551 | $127.44 | $216.00 | $14.40 – $203.04 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $269.56 – $269.56 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $382.60 – $382.60 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $449.06 – $449.06 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $459.56 – $459.56 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $531.47 – $531.47 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $718.66 – $718.66 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $139.08 – $139.08 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $285.26 – $285.26 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $358.74 – $358.74 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $341.12 – $341.12 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $297.00 – $297.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $558.64 – $558.64 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $108.15 – $108.15 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $159.18 – $159.18 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $499.82 – $499.82 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | $0.01 | $0.01 – $0.01 | 7 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $69.62 | $118.00 | $5.22 – $110.92 | 17 |
| Smear gram stain CPT 87205 | $45.43 | $77.00 | $4.14 – $72.38 | 17 |
| Smear nasal eosinophil CPT 89190 | $22.42 | $38.00 | $5.61 – $38.00 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $73.16 | $124.00 | $5.80 – $116.56 | 17 |
| Smear wet mount CPT 87210 | $70.21 | $119.00 | $5.64 – $111.86 | 17 |
| Sock fracture or equal each HCPCS L3995 | $31.86 | $54.00 | $9.87 – $40.32 | 9 |
| Sodium 24 hour urine CPT 84300 | $47.79 | $81.00 | $4.91 – $76.14 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $0.01 | $0.01 | $0.01 – $0.01 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $0.01 | $0.02 | $0.01 – $0.02 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.01 | $0.02 | $0.01 – $0.02 | 7 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $3.44 | $5.82 | $1.34 – $5.48 | 12 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $53.35 | $90.42 | $20.80 – $90.42 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $34.22 | $58.00 | $4.66 – $57.90 | 17 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $1.17 | $1.98 | $0.46 – $1.87 | 7 |
| Soft interface below knee se HCPCS L2820 | $109.63 | $185.80 | $42.74 – $174.66 | 9 |
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.