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 |
|---|---|---|---|---|
| Biopsy of tear gland CPT 68510 | not published | not published | $545.79 – $545.79 | 1 |
| Biopsy of tear sac CPT 68525 | not published | not published | $487.58 – $487.58 | 1 |
| Biopsy of testis CPT 54500 | not published | not published | $140.72 – $140.72 | 1 |
| Biopsy of testis CPT 54505 | not published | not published | $398.27 – $398.27 | 1 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $456.06 – $456.06 | 1 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $235.18 – $235.18 | 1 |
| Biopsy of urethra CPT 53200 | not published | not published | $266.76 – $266.76 | 1 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $668.75 – $668.75 | 1 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $809.99 – $809.99 | 1 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $867.45 – $867.45 | 1 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,764.69 | $2,991.00 | $238.04 – $2,811.54 | 7 |
| Biopsy roof of mouth CPT 42100 | $1,695.66 | $2,874.00 | $210.15 – $2,701.56 | 7 |
| Biopsy skin incisional single lesion CPT 11106 | not published | not published | $106.22 – $106.22 | 1 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | not published | not published | $295.34 – $295.34 | 1 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $771.23 – $771.23 | 1 |
| Biopsy tongue anterior two-thirds CPT 41100 | not published | not published | $204.39 – $204.39 | 1 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $278.31 – $278.31 | 1 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $170.14 – $170.14 | 1 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $766.86 – $766.86 | 1 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $714.23 – $714.23 | 1 |
| Biotinidase - quest CPT 82261 | $74.34 | $126.00 | $16.35 – $126.00 | 17 |
| Biovance 1 square cm HCPCS Q4154 | $4,383.41 | $7,429.50 | $151.78 – $2,232.50 | 12 |
| Bivalirudin HCPCS J0583 | $64.59 | $109.47 | $0.21 – $1.30 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $225.97 | $383.00 | $56.18 – $360.02 | 7 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $221.68 – $221.68 | 1 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $96.24 – $96.24 | 1 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $50.50 | $85.58 | $10.61 – $46.11 | 12 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $991.22 – $991.22 | 1 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $760.49 – $760.49 | 1 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,055.67 – $1,055.67 | 1 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,053.11 – $1,053.11 | 1 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $2,502.84 | $4,242.10 | $144.64 – $3,987.58 | 14 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $14,145.25 | $23,975.00 | $7.50 – $30.65 | 11 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,183.89 | $8,786.25 | $22.99 – $93.94 | 11 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,277.35 | $2,165.00 | $100.05 – $408.90 | 11 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,347.07 | $5,673.00 | $69.00 – $282.00 | 11 |
| Bln press regulation 71-80cm HCPCS C1815 | $5,849.12 | $9,913.75 | $920.00 – $3,760.00 | 11 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $4,642.71 | $7,869.00 | $506.00 – $2,068.00 | 11 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $75.17 | $127.40 | $6.59 – $26.94 | 7 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | not published | not published | $147.71 – $147.71 | 1 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | not published | not published | $137.99 – $137.99 | 1 |
| Block paracervical nrv CPT 64435 | not published | not published | $81.40 – $81.40 | 1 |
| Block plantar digital nerve CPT 64455 | $397.07 | $673.00 | $64.18 – $632.62 | 7 |
| Block tap inj(s) w/wo img bi CPT 64488 | not published | not published | $131.65 – $131.65 | 1 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,249.03 | $2,117.00 | $105.40 – $1,989.98 | 7 |
| Blood Clotting (PT/INR) Test CPT 85610 | $43.66 | $74.00 | $4.16 – $69.56 | 17 |
| Blood Clotting (PTT) Test CPT 85730 | $65.49 | $111.00 | $5.82 – $104.34 | 17 |
| Blood Count (CBC) Test CPT 85025 | $75.52 | $128.00 | $7.53 – $120.32 | 17 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $79.06 | $134.00 | $6.27 – $125.96 | 17 |
| Blood Culture Test CPT 87040 | $220.66 | $374.00 | $10.00 – $351.56 | 17 |
| Blood draw capillary 36416 CPT 36416 | $14.16 | $24.00 | $5.52 – $22.56 | 7 |
| Blood gases ph venous CPT 82800 | $96.76 | $164.00 | $10.66 – $110.92 | 17 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $47.20 | $80.00 | $15.42 – $80.00 | 17 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $35.40 | $60.00 | $4.10 – $37.60 | 17 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $21.83 | $37.00 | $4.24 – $34.78 | 17 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $34.22 | $58.00 | $5.15 – $54.52 | 17 |
| Blood smear interpretation CPT 85060 | $56.05 | $95.00 | $21.85 – $95.00 | 11 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $60.18 | $102.00 | $3.68 – $95.88 | 17 |
| Blood split unit HCPCS P9011 | $456.07 | $773.00 | $115.40 – $726.62 | 7 |
| Blood typing abo CPT 86900 | $54.28 | $92.00 | $5.67 – $62.04 | 11 |
| Blood typing ag donor ea ag CPT 86902 | $169.92 | $288.00 | $11.99 – $270.72 | 11 |
| Blood typing patient serum CPT 86904 | $65.49 | $111.00 | $25.53 – $111.00 | 11 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $199.42 | $338.00 | $7.56 – $317.72 | 11 |
| Blood typing rh (d) CPT 86901 | $49.56 | $84.00 | $5.67 – $78.96 | 11 |
| Bls-emergency HCPCS A0429 | $735.14 | $1,246.00 | $34.50 – $141.00 | 7 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $265.82 – $265.82 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $367.57 | $623.00 | $55.69 – $585.62 | 11 |
| Bone imaging multiple areas CPT 78305 | $922.17 | $1,563.00 | $359.49 – $1,563.00 | 11 |
| Bone/joint imaging ltd area CPT 78300 | $824.82 | $1,398.00 | $321.54 – $1,314.12 | 11 |
| Bone marrow;aspiration only 38220 CPT 38220 | $430.11 | $729.00 | $128.12 – $685.26 | 7 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $123.44 – $123.44 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,010.67 | $1,713.00 | $134.25 – $1,610.22 | 7 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $370.06 – $370.06 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $352.21 – $352.21 | 1 |
| Bone marrow interpretation CPT 85097 | $512.71 | $869.00 | $92.17 – $816.86 | 11 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $5,517.18 – $5,517.18 | 1 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,807.93 – $5,241.29 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $5,225.54 – $5,225.54 | 1 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,862.53 – $5,085.19 | 4 |
| Bone survey-lead poisoning CPT 77074 | $232.46 | $394.00 | $84.06 – $370.36 | 11 |
| Bone void filler nanoss 10cc HCPCS C9362 | $383.50 | $650.00 | $149.50 – $611.00 | 11 |
| Boot j walker l HCPCS L4386 | $90.61 | $153.57 | $35.33 – $144.36 | 9 |
| Boot mlti podous univ xlg HCPCS L4396 | $250.85 | $425.16 | $41.40 – $169.20 | 9 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $349.52 | $592.40 | $17.40 – $78.66 | 9 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $164.02 | $278.00 | $63.94 – $261.32 | 9 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $89.68 | $152.00 | $16.50 – $152.00 | 17 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $945.77 | $1,603.00 | $1.69 – $11.87 | 12 |
| (both sides) donor search management CPT 38204 | not published | not published | $191.10 – $191.10 | 1 |
| Bowel imaging CPT 78290 | $824.82 | $1,398.00 | $321.54 – $1,398.00 | 11 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $920.14 – $938.18 | 3 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $1,001.11 – $1,740.27 | 4 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,745.16 – $1,779.38 | 3 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,884.73 – $1,921.68 | 3 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,707.87 – $1,741.36 | 3 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,008.50 – $1,028.28 | 3 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,276.14 – $1,301.16 | 3 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,032.14 – $1,052.38 | 3 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $1,006.64 – $1,665.07 | 4 |
| Brace afo lg left 6607 HCPCS L1930 | $970.57 | $1,645.03 | $17.40 – $78.66 | 9 |
| Brace ank air stirrup univ HCPCS L4350 | $109.64 | $185.82 | $42.74 – $174.68 | 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.