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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $396.19 – $396.19 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $1,262.58 – $1,262.58 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $1,551.56 – $1,551.56 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,339.34 – $1,339.34 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,220.23 – $1,220.23 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $946.74 – $946.74 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $963.29 – $982.18 | 3 |
| Troponin quantitative CPT 84484 | $162.25 | $275.00 | $12.09 – $258.50 | 17 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $726.96 – $726.96 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,970.01 | $3,339.00 | $767.97 – $3,138.66 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,024.29 | $3,431.00 | $789.13 – $3,225.14 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $700.54 – $700.54 | 1 |
| Tube drain vert dev st 5-40f HCPCS A5200 | $1,386.83 | $2,350.55 | $30.88 – $2,209.52 | 7 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $371.53 | $629.70 | $7.45 – $79.55 | 11 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $150.86 | $255.69 | $21.20 – $86.64 | 11 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $135.45 – $135.45 | 1 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $2,154.94 – $2,154.94 | 1 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $878.31 – $2,005.98 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $259.60 | $440.00 | $101.20 – $413.60 | 7 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,389.45 | $2,355.00 | $541.65 – $2,213.70 | 7 |
| Tx closed tib shaft fx without manip CPT 27750 | $296.77 | $503.00 | $115.69 – $472.82 | 7 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $206.20 – $206.20 | 1 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $134.36 – $134.36 | 1 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $776.75 – $1,703.33 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $734.06 – $1,616.01 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $1,402.80 – $1,402.80 | 1 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,771.23 | $4,697.00 | $961.91 – $4,415.18 | 7 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $2,363.54 | $4,006.00 | $921.38 – $3,765.64 | 7 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $846.66 – $846.66 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,209.47 – $1,209.47 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,130.93 – $1,130.93 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $380.08 – $842.18 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $374.75 – $374.75 | 1 |
| Tympanic membrane repair CPT 69610 | not published | not published | $544.38 – $544.38 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,042.73 – $1,042.73 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $252.76 – $252.76 | 1 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,655.01 – $2,655.01 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $2,405.89 – $2,405.89 | 1 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $1,029.80 | $1,745.42 | $401.45 – $1,640.70 | 7 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $185.26 | $314.00 | $72.22 – $295.16 | 7 |
| Ultrasound breast complete CPT 76641 | $485.57 | $823.00 | $128.84 – $773.62 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $485.57 | $823.00 | $99.83 – $773.62 | 11 |
| Ultrasound chest CPT 76604 | $401.20 | $680.00 | $56.95 – $639.20 | 11 |
| Ultrasound encephalogram CPT 76506 | $588.23 | $997.00 | $155.32 – $937.18 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $672.60 | $1,140.00 | $211.03 – $1,071.60 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $415.36 | $704.00 | $93.11 – $661.76 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $628.35 | $1,065.00 | $46.24 – $1,001.10 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $751.07 | $1,273.00 | $53.17 – $1,196.62 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $1,150.50 | $1,950.00 | $85.47 – $1,833.00 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $415.36 | $704.00 | $161.92 – $704.00 | 11 |
| Ultrasound infant hips ltd without stress CPT 76886 | $415.36 | $704.00 | $133.27 – $661.76 | 11 |
| Ultrasound joint complete left CPT 76881 | $680.27 | $1,153.00 | $20.39 – $1,083.82 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $198.83 | $337.00 | $58.21 – $316.78 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $564.04 | $956.00 | $77.76 – $898.64 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $591.77 | $1,003.00 | $39.73 – $942.82 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,053.74 | $1,786.00 | $165.84 – $1,678.84 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $388.81 | $659.00 | $131.99 – $619.46 | 11 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $414.18 | $702.00 | $95.42 – $659.88 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $637.20 | $1,080.00 | $108.02 – $1,015.20 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | $463.15 | $785.00 | $180.55 – $737.90 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $521.56 | $884.00 | $61.38 – $830.96 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $709.77 | $1,203.00 | $132.64 – $1,130.82 | 11 |
| Ultrasound spinal canal and contents CPT 76800 | $484.98 | $822.00 | $189.06 – $772.68 | 11 |
| Ultrasound transabd ea addl gest CPT 76812 | $355.77 | $603.00 | $138.69 – $603.00 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $643.10 | $1,090.00 | $163.74 – $1,024.60 | 11 |
| Umbilical artery cath newborn 36660 CPT 36660 | $245.44 | $416.00 | $67.74 – $391.04 | 9 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $919.70 – $919.70 | 1 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $906.65 – $906.65 | 1 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $785.43 – $1,706.54 | 4 |
| Unlisted px casting/strpg CPT 29799 | $207.68 | $352.00 | $27.60 – $112.80 | 7 |
| Unlisted px hands/fingers CPT 26989 | $178.77 | $303.00 | $69.69 – $284.82 | 7 |
| Unlisted px male genital sys CPT 55899 | $237.18 | $402.00 | $92.46 – $377.88 | 7 |
| Unlisted transfusion med px CPT 86999 | $71.39 | $121.00 | $27.83 – $113.74 | 7 |
| Upgrade pm system CPT 33214 | $6,901.23 | $11,697.00 | $862.64 – $10,995.18 | 7 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,709.28 | $4,592.00 | $419.31 – $4,316.48 | 11 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,443.19 | $4,141.00 | $372.02 – $3,892.54 | 11 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,419.00 | $4,100.00 | $238.14 – $3,854.00 | 11 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $229.87 – $229.87 | 1 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $483.80 | $820.00 | $188.60 – $770.80 | 7 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $265.55 – $327.26 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $259.52 – $259.52 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,210.31 – $1,210.31 | 1 |
| Urea nitrogen CPT 84520 | $33.04 | $56.00 | $3.83 – $52.64 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $47.79 | $81.00 | $5.39 – $76.14 | 17 |
| Ureteral embolization/occl CPT 50705 | $388.22 | $658.00 | $151.34 – $618.52 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $691.95 – $691.95 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $658.41 – $658.41 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $882.38 – $882.38 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $668.26 – $668.26 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $661.79 – $661.79 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $592.85 – $592.85 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $870.07 – $870.07 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $664.88 – $664.88 | 1 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,080.05 – $2,082.11 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,078.48 – $1,099.62 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $770.54 | $1,306.00 | $93.72 – $1,227.64 | 7 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,408.24 – $1,408.24 | 1 |
| Urethrocystography void s&i CPT 74455 | $785.88 | $1,332.00 | $167.31 – $1,252.08 | 11 |
| Uric acid blood CPT 84550 | $38.35 | $65.00 | $4.38 – $61.10 | 17 |
| Uric acid urine CPT 84560 | $13.57 | $23.00 | $4.93 – $23.00 | 17 |
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.