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 |
|---|---|---|---|---|
| Somatropin injection HCPCS J2941 | $165.12 | $279.85 | $52.94 – $263.06 | 8 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $296.23 – $296.23 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $322.10 – $322.10 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $215.12 – $215.12 | 1 |
| Special physics consult CPT 77370 | $1,298.00 | $2,200.00 | $257.70 – $2,068.00 | 11 |
| Special radiation treatment CPT 77470 | $2,770.64 | $4,696.00 | $67.26 – $4,414.24 | 11 |
| Special teletx port plan CPT 77321 | $1,436.06 | $2,434.00 | $84.06 – $2,287.96 | 11 |
| Specimen fat stain CPT 89125 | $62.54 | $106.00 | $5.70 – $99.64 | 17 |
| Sperm washing 58323 CPT 58323 | not published | not published | $22.32 – $102.45 | 5 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,319.18 – $1,319.18 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,403.16 – $1,403.16 | 1 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $193.54 – $193.54 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $228.94 – $228.94 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $915.09 | $1,551.00 | $161.62 – $1,457.94 | 7 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $550.47 | $933.00 | $54.43 – $877.02 | 7 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $752.43 – $767.19 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,488.71 – $1,517.90 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,153.19 – $1,175.80 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,294.67 – $1,294.67 | 1 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $241.73 – $241.73 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $6,718.33 | $11,387.00 | $2,619.01 – $10,703.78 | 7 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,428.19 – $2,428.19 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,801.74 – $1,801.74 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $518.22 – $518.22 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $374.91 – $374.91 | 1 |
| Srs linear based CPT 77372 | $15,042.64 | $25,496.00 | $1,794.32 – $23,966.24 | 11 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,985.84 – $1,985.84 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $430.82 – $430.82 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $287.92 | $488.00 | $88.93 – $458.72 | 13 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $160.48 | $272.00 | $62.56 – $255.68 | 9 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,590.26 | $29,814.00 | $1,265.38 – $28,025.16 | 7 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $18,190.59 | $30,831.50 | $6.79 – $27.72 | 11 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $3,486.02 | $5,908.50 | $9.12 – $37.25 | 11 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $18,205.09 | $30,856.08 | $3.41 – $13.91 | 11 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $581.15 | $985.00 | $226.55 – $925.90 | 11 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $14,322.84 | $24,276.00 | $866.71 – $22,819.44 | 7 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $9,114.32 | $15,448.00 | $371.36 – $14,521.12 | 7 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,032.86 – $1,053.11 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $10,162.75 | $17,225.00 | $1,223.75 – $16,191.50 | 7 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,156.11 – $1,178.78 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $603.24 – $1,014.01 | 4 |
| St evaluate speech sound production CPT 92522 | $174.64 | $296.00 | $68.08 – $278.24 | 13 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $260.78 | $442.00 | $101.66 – $415.48 | 13 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $302.08 | $512.00 | $100.68 – $481.28 | 9 |
| St evaluation swallow function CPT 92610 | $214.76 | $364.00 | $83.72 – $342.16 | 9 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,001.91 – $1,001.91 | 1 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $454.85 – $848.78 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $150.45 | $255.00 | $33.12 – $239.70 | 7 |
| Strapping of chest CPT 29200 | not published | not published | $35.43 – $35.43 | 1 |
| Strapping of elbow or wrist 29260 CPT 29260 | $158.12 | $268.00 | $36.27 – $251.92 | 7 |
| Strapping of hand or finger CPT 29280 | $187.03 | $317.00 | $37.95 – $297.98 | 7 |
| Strapping of hip CPT 29520 | $161.07 | $273.00 | $35.43 – $256.62 | 7 |
| Strapping of knee CPT 29530 | $145.73 | $247.00 | $34.80 – $232.18 | 7 |
| Strapping of toes 29550 CPT 29550 | $71.98 | $122.00 | $21.40 – $114.68 | 7 |
| Strep a ag ia CPT 87430 | $50.15 | $85.00 | $16.29 – $85.00 | 17 |
| Strep b dna amp probe CPT 87653 | $70.80 | $120.00 | $27.60 – $120.00 | 17 |
| Stress test pulmonary CPT 94618 | $434.24 | $736.00 | $22.91 – $691.84 | 7 |
| Stress tte complete CPT 93351 | $1,563.50 | $2,650.00 | $284.59 – $2,316.16 | 11 |
| St treatment speech individual CPT 92507 | $244.26 | $414.00 | $77.91 – $389.16 | 13 |
| St treatment swallow dysfunction/oral CPT 92526 | $214.76 | $364.00 | $72.01 – $342.16 | 9 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $198.74 – $198.74 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $95.78 – $95.78 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $188.90 – $188.90 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $210.15 – $210.15 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,239.71 – $1,239.71 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,000.25 – $1,000.25 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,202.46 – $1,202.46 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,641.61 – $1,641.61 | 1 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,204.82 – $1,228.45 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $10.42 | $17.65 | $0.15 – $0.69 | 8 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $840.00 – $840.00 | 1 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,134.35 | $7,007.36 | $63.56 – $259.76 | 7 |
| Sulfonylurea screen qn-sendout CPT 80377 | $4.72 | $8.00 | $1.84 – $7.52 | 7 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $179.61 | $304.42 | $15.59 – $63.72 | 8 |
| Support clav 29.6-40.5in med HCPCS L3650 | $12.01 | $20.34 | $4.43 – $20.04 | 9 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $196.04 – $196.04 | 1 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $684.47 – $1,470.02 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $649.24 – $1,470.21 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $809.59 – $809.59 | 1 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $783.66 – $799.02 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,248.81 – $1,248.81 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,376.55 – $1,376.55 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,714.46 – $1,714.46 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,263.40 – $1,263.40 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,653.33 – $1,653.33 | 1 |
| Surgical opening esophagus CPT 43351 | not published | not published | $907.52 – $925.32 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $791.25 – $806.77 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,727.08 – $1,727.08 | 1 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $501.27 – $1,431.70 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,434.91 – $1,434.91 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $53.69 | $91.00 | $20.93 – $85.54 | 11 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $143.96 | $244.00 | $50.02 – $229.36 | 11 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $173.46 | $294.00 | $60.10 – $276.36 | 11 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $243.67 | $413.00 | $67.05 – $388.22 | 11 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $821.28 | $1,392.00 | $320.16 – $1,392.00 | 11 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $404.74 | $686.00 | $157.78 – $686.00 | 11 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $855.16 – $871.93 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $965.59 – $984.53 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $810.36 – $826.25 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $798.63 – $798.63 | 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.