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 |
|---|---|---|---|---|
| Susceptibility agar dilution per agent CPT 87181 | $10.62 | $18.00 | $4.14 – $18.00 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $51.33 | $87.00 | $4.60 – $81.78 | 17 |
| Susceptibility mic per plate CPT 87186 | $111.51 | $189.00 | $8.38 – $177.66 | 17 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $861.78 – $1,855.29 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $566.27 – $566.27 | 1 |
| Suspension of uterus CPT 58410 | not published | not published | $680.22 – $1,531.72 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $401.35 – $878.20 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $794.67 – $810.25 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,026.09 – $1,046.21 | 3 |
| Svc venogram s&i CPT 75827 | $1,571.76 | $2,664.00 | $124.43 – $2,504.16 | 11 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,516.33 – $1,516.33 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,441.78 – $1,441.78 | 1 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $650.10 – $1,449.57 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,482.18 – $1,482.18 | 1 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $830.50 – $846.79 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $40.48 | $68.60 | $8.99 – $64.49 | 12 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $47.20 | $80.00 | $4.26 – $75.20 | 17 |
| System cardiomems hosp electronics HCPCS C2624 | $24,532.20 | $41,580.00 | $9,563.40 – $39,085.20 | 11 |
| System pacing micra av HCPCS C1786 | $24,293.25 | $41,175.00 | $1,216.13 – $4,970.25 | 11 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $11,336.85 | $19,215.00 | $1.41 – $5.76 | 11 |
| System sealant biosentry tract HCPCS C2613 | $617.79 | $1,047.09 | $240.84 – $984.27 | 11 |
| T3 (triiodothyronine) free CPT 84481 | $112.10 | $190.00 | $16.41 – $178.60 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $96.76 | $164.00 | $13.74 – $154.16 | 17 |
| T4 (thyroxine) free CPT 84439 | $79.65 | $135.00 | $8.74 – $126.90 | 17 |
| T4 (thyroxine) total CPT 84436 | $56.64 | $96.00 | $6.66 – $90.24 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.63 | $1.06 | $0.24 – $0.95 | 12 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $137.62 | $233.25 | $53.65 – $242.58 | 14 |
| Tacrolimus therapeutic drug level CPT 80197 | $154.58 | $262.00 | $13.30 – $246.28 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $751.45 | $1,273.63 | $292.94 – $1,197.22 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,909.02 – $1,946.45 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,755.79 – $1,790.21 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $897.53 – $915.13 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $6,109.35 | $10,354.82 | $119.09 – $486.68 | 7 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $147.71 – $147.71 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $121.30 – $121.30 | 1 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,330.35 – $1,330.35 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $242.80 – $242.80 | 1 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,188.07 – $1,211.36 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $300.22 | $508.84 | $0.41 – $476.07 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $184.67 | $313.00 | $60.06 – $313.00 | 17 |
| Tc-99m diag per dose HCPCS A4641 | $3,977.19 | $6,741.00 | $1,550.43 – $6,336.54 | 7 |
| Tc-99m labeled rbc HCPCS A9560 | $164.02 | $278.00 | $39.33 – $160.74 | 7 |
| Tc-99m maa HCPCS A9540 | $210.63 | $357.00 | $70.32 – $335.58 | 7 |
| Tc-99m mebrofenin HCPCS A9537 | $55.46 | $94.00 | $21.62 – $88.36 | 7 |
| Tc-99m medronate HCPCS A9503 | $79.65 | $135.00 | $30.47 – $126.90 | 7 |
| Tc-99m mertiatide HCPCS A9562 | $302.08 | $512.00 | $117.76 – $481.28 | 7 |
| Tc-99m oxidronate HCPCS A9561 | $84.96 | $144.00 | $33.12 – $135.36 | 7 |
| Tc-99m pentetate dtpa HCPCS A9539 | $192.34 | $326.00 | $74.98 – $306.44 | 7 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $399.43 | $677.00 | $44.82 – $636.38 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $35.99 | $61.00 | $3.74 – $57.34 | 7 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $64.31 | $109.00 | $25.07 – $102.46 | 7 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $197.06 | $334.00 | $21.49 – $87.80 | 7 |
| Tc-99m sulfur colloid HCPCS A9541 | $134.52 | $228.00 | $52.44 – $214.32 | 7 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $175.82 | $298.00 | $68.54 – $280.12 | 7 |
| Tc-99m tilmanocept diag HCPCS A9520 | $926.89 | $1,571.00 | $361.33 – $1,476.74 | 7 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $783.36 – $783.36 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $149.77 – $149.77 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $120.95 | $205.00 | $45.52 – $205.00 | 17 |
| T cells absolute cd 4 count CPT 86361 | $35.99 | $61.00 | $14.03 – $61.00 | 17 |
| T cells total count CPT 86359 | $84.37 | $143.00 | $32.89 – $143.00 | 17 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $367.57 – $837.33 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,026.63 – $1,804.99 | 4 |
| Team conf without pat by hc pro CPT 99368 | $59.00 | $100.00 | $19.78 – $80.84 | 7 |
| Team conf w/pat by hc prof CPT 99366 | $110.33 | $187.00 | $19.78 – $80.84 | 7 |
| Telethx isodose plan cplx CPT 77307 | $2,535.23 | $4,297.00 | $256.22 – $4,039.18 | 11 |
| Telethx isodose plan simple CPT 77306 | $1,424.26 | $2,414.00 | $141.67 – $2,269.16 | 11 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $1,079.40 | $1,829.49 | $30.02 – $1,719.73 | 14 |
| Tendon lengthening CPT 26476 | not published | not published | $1,221.11 – $1,221.11 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,099.71 – $1,099.71 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $1,196.56 – $1,196.56 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,748.12 – $1,748.12 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,724.05 | $8,006.86 | $152.45 – $7,526.45 | 14 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,133.66 – $1,133.66 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,149.37 – $1,149.37 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,163.78 – $1,163.78 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,463.03 – $1,463.03 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $982.74 – $982.74 | 1 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $576.26 – $1,352.82 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $568.22 – $568.22 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $468.11 – $468.11 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $1.35 | $2.29 | $0.53 – $2.29 | 12 |
| Testicular imaging w/vasc flow CPT 78761 | $880.87 | $1,493.00 | $307.92 – $1,462.78 | 11 |
| Testosterone undecanoate 1mg HCPCS J3145 | $407.59 | $690.83 | $1.93 – $649.39 | 12 |
| Test stress cardiovascular tracing only CPT 93017 | $1,138.11 | $1,929.00 | $67.17 – $1,543.48 | 11 |
| Tetanus immune globulin inj HCPCS J1670 | $265.20 | $449.48 | $103.39 – $467.46 | 14 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,285.31 | $2,178.49 | $501.06 – $2,047.79 | 7 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $53.63 – $53.63 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $82.01 | $139.00 | $13.70 – $139.00 | 17 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $51.92 | $88.00 | $15.49 – $82.72 | 13 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $41.89 | $71.00 | $14.72 – $66.74 | 13 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $225.83 – $225.83 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $2.31 | $3.91 | $0.90 – $3.90 | 12 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,362.45 – $1,389.17 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,487.90 – $1,517.08 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,052.56 | $1,784.00 | $205.46 – $1,543.48 | 7 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,203.70 – $2,246.91 | 3 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.98 – $1,087.07 | 4 |
| Thoracic duct procedure CPT 38381 | not published | not published | $833.36 – $1,450.18 | 4 |
| Thoracic duct procedure CPT 38382 | not published | not published | $615.18 – $1,238.77 | 4 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $240.44 – $377.56 | 4 |
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.