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 |
|---|---|---|---|---|
| Urinalysis (with microscopy) CPT 81001 | $50.15 | $85.00 | $3.07 – $38.00 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $30.68 | $52.00 | $2.18 – $39.48 | 17 |
| Urinary reflex study CPT 51792 | not published | not published | $413.64 – $413.64 | 1 |
| Urine Culture Test CPT 87086 | $68.44 | $116.00 | $7.82 – $109.04 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $10.29 – $10.29 | 1 |
| Urine pregnancy test CPT 81025 | $65.49 | $111.00 | $8.34 – $104.34 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,271.84 – $1,296.78 | 3 |
| Urography, antegrade CPT 74425 | $713.90 | $1,210.00 | $212.08 – $1,137.40 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $45.92 | $77.83 | $13.12 – $73.17 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $16,597.40 | $28,131.18 | $161.15 – $22,739.38 | 14 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $219.48 | $372.00 | $79.69 – $325.66 | 7 |
| Vaccine dtap < 7 years im CPT 90700 | $33.40 | $56.61 | $10.19 – $41.62 | 8 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $77.52 | $131.39 | $30.22 – $123.51 | 9 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $56.83 | $96.32 | $22.16 – $90.55 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $33.16 | $56.19 | $12.93 – $52.82 | 8 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $7.52 | $12.73 | $2.93 – $11.97 | 8 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $40.17 | $68.09 | $13.04 – $53.28 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $32.99 | $55.91 | $12.86 – $52.56 | 8 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $26.90 | $45.60 | $7.83 – $35.37 | 13 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $25.01 | $42.38 | $8.49 – $34.67 | 13 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $75.78 | $128.43 | $29.54 – $120.73 | 13 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $17.76 | $30.10 | $6.93 – $28.30 | 13 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $60.72 | $102.90 | $23.67 – $96.73 | 13 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $18.93 | $32.08 | $7.38 – $30.16 | 13 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $14.46 | $24.50 | $5.64 – $25.48 | 13 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $30.35 | $51.43 | $11.83 – $48.35 | 13 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $197.05 | $333.97 | $76.82 – $313.94 | 9 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $65.49 | $111.00 | $25.53 – $115.44 | 9 |
| Vaccine mmr live subcutaneous CPT 90707 | $153.72 | $260.53 | $19.71 – $80.53 | 8 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $133.32 | $225.96 | $51.98 – $212.41 | 13 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $228.30 | $386.94 | $89.00 – $363.73 | 13 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $275.89 | $467.60 | $107.55 – $439.55 | 7 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $48.40 | $82.03 | $18.87 – $77.11 | 8 |
| Vaccine rabies im CPT 90675 | $193.70 | $328.29 | $75.51 – $341.43 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $620.61 | $1,051.87 | $216.46 – $884.64 | 7 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $310.31 | $525.94 | $120.97 – $494.39 | 7 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $23.96 | $40.60 | $9.34 – $42.22 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $56.05 | $94.99 | $16.95 – $69.27 | 8 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $45.95 | $77.88 | $10.01 – $40.91 | 8 |
| Vaccine varicella live subcutaneous CPT 90716 | $102.60 | $173.89 | $40.00 – $180.85 | 10 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $55.55 | $94.14 | $21.66 – $88.50 | 7 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,866.92 – $1,866.92 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $2,327.58 – $2,327.58 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,742.31 – $1,742.31 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,452.42 – $2,452.42 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $2,278.02 – $2,278.02 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,679.18 – $1,679.18 | 1 |
| Vaginal bx CPT 58999 | $2,642.02 | $4,478.00 | $1,029.94 – $4,209.32 | 7 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,600.18 – $1,600.18 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,576.79 – $1,576.79 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,254.41 – $3,254.41 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,397.01 – $3,254.41 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $788.62 – $1,698.08 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $110.52 – $200.45 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $879.28 – $896.52 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $864.46 – $881.41 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $112.69 | $191.00 | $13.12 – $179.54 | 17 |
| Valrubicin injection HCPCS J9357 | $197.16 | $334.16 | $76.86 – $347.53 | 14 |
| Valvuloplasty aortic CPT 92986 | $3,249.72 | $5,508.00 | $1,266.84 – $5,177.52 | 7 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,760.69 – $1,795.22 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,086.44 – $2,127.35 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,832.38 – $1,868.31 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,947.88 – $1,986.08 | 3 |
| Vancomycin hcl injection HCPCS J3370 | $1.10 | $1.86 | $0.43 – $1.86 | 12 |
| Vancomycin peak therapeutic drug level CPT 80202 | $114.46 | $194.00 | $13.12 – $182.36 | 17 |
| Varicella zoster antibody igg CPT 86787 | $82.01 | $139.00 | $12.48 – $130.66 | 17 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,378.52 – $1,378.52 | 1 |
| Vasectomy CPT 55250 | not published | not published | $439.34 – $439.34 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $49.24 | $83.45 | $19.20 – $78.45 | 7 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $5,522.35 | $9,359.91 | $23.31 – $8,798.32 | 14 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,416.13 – $1,443.89 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,751.28 – $1,785.62 | 3 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,302.46 – $1,328.00 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,560.55 | $2,645.00 | $136.00 – $2,486.30 | 11 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $158.71 | $269.00 | $17.20 – $73.32 | 7 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $17.01 – $17.01 | 1 |
| Venogram ext bil s&i CPT 75822 | $1,619.55 | $2,745.00 | $123.80 – $2,580.30 | 11 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,315.11 | $2,229.00 | $111.83 – $2,095.26 | 11 |
| Venous mech thrombectomy CPT 37187 | $8,850.59 | $15,001.00 | $712.87 – $14,100.94 | 7 |
| Venous m-thrombectomy add-on CPT 37188 | $6,855.21 | $11,619.00 | $506.71 – $10,921.86 | 7 |
| Venous sampling s&i CPT 75893 | $1,686.22 | $2,858.00 | $150.49 – $2,686.52 | 11 |
| Venous thrombosis imaging CPT 78457 | $421.85 | $715.00 | $164.45 – $715.00 | 11 |
| Ven thrombosis images bilat CPT 78458 | $489.70 | $830.00 | $190.90 – $830.00 | 11 |
| Ventilator each subsequent day CPT 94003 | $884.41 | $1,499.00 | $110.02 – $1,409.06 | 7 |
| Ventilator initial day CPT 94002 | $1,184.72 | $2,008.00 | $156.82 – $1,887.52 | 7 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $189.32 – $189.32 | 1 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $2,054.84 – $2,095.13 | 3 |
| Version cephalic external CPT 59412 | $1,772.95 | $3,005.00 | $182.68 – $2,824.70 | 7 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $297.61 – $466.12 | 4 |
| Very long chain fatty acids CPT 82726 | $129.21 | $219.00 | $19.14 – $217.27 | 17 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $472.62 – $998.24 | 4 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $678.62 – $678.62 | 1 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $2.88 | $4.87 | $1.13 – $4.87 | 12 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $8.13 | $13.77 | $3.17 – $13.76 | 12 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $3.73 | $6.31 | $1.46 – $6.31 | 12 |
| Vital capacity test CPT 94150 | $61.36 | $104.00 | $23.92 – $97.76 | 7 |
| Vitamin b-12 CPT 82607 | $122.72 | $208.00 | $14.62 – $195.52 | 17 |
| Vitamin D Test CPT 82306 | $102.66 | $174.00 | $28.68 – $151.00 | 17 |
| Vit for macular hole CPT 67042 | not published | not published | $2,171.15 – $2,171.15 | 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.