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 |
|---|---|---|---|---|
| Wrist arthroscopy CPT 29840 | not published | not published | $856.44 – $856.44 | 1 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $920.47 – $920.47 | 1 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $945.23 – $945.23 | 1 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $1,108.09 – $1,108.09 | 1 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $989.63 – $989.63 | 1 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $1,025.33 – $1,025.33 | 1 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $973.33 – $973.33 | 1 |
| Wrist X-ray CPT 73110 | $326.86 | $554.00 | $62.01 – $520.76 | 11 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $1,645.81 – $1,645.81 | 1 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $1,419.35 – $1,419.35 | 1 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $1,326.15 – $1,326.15 | 1 |
| Xe133 xenon 10mci HCPCS A9558 | $181.13 | $307.00 | $70.61 – $288.58 | 7 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,182.91 – $1,182.91 | 1 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,072.68 – $1,072.68 | 1 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $653.94 – $653.94 | 1 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $3,266.83 | $5,537.00 | $356.12 – $5,204.78 | 9 |
| X-ray abdomen 1 view CPT 74018 | $292.05 | $495.00 | $40.57 – $465.30 | 7 |
| X-ray abdomen 2 views CPT 74019 | $402.97 | $683.00 | $48.76 – $642.02 | 7 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $527.46 | $894.00 | $65.79 – $840.36 | 11 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $276.12 | $468.00 | $37.42 – $439.92 | 11 |
| X-ray ankle 2 views (both sides) CPT 73600 | $263.73 | $447.00 | $46.24 – $420.18 | 11 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $886.77 | $1,503.00 | $198.83 – $1,412.82 | 11 |
| X-ray bone age studies CPT 77072 | $155.17 | $263.00 | $31.73 – $247.22 | 11 |
| X-ray bone length studies CPT 77073 | $266.68 | $452.00 | $60.73 – $424.88 | 11 |
| X-ray bone survey complete CPT 77075 | $933.97 | $1,583.00 | $138.52 – $1,488.02 | 11 |
| X-ray bone survey infant CPT 77076 | $362.85 | $615.00 | $139.78 – $578.10 | 11 |
| X-ray cervical spine 2-3 views CPT 72040 | $369.93 | $627.00 | $54.43 – $589.38 | 11 |
| X-ray cervical spine 4-5 views CPT 72050 | $510.35 | $865.00 | $77.13 – $813.10 | 11 |
| X-ray cervical spine >= 6 views CPT 72052 | $695.61 | $1,179.00 | $91.01 – $1,108.26 | 11 |
| X-ray clavicle complete (both sides) CPT 73000 | $302.08 | $512.00 | $46.24 – $481.28 | 11 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $949.31 | $1,609.00 | $198.20 – $1,512.46 | 11 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,205.96 | $2,044.00 | $303.09 – $1,921.36 | 11 |
| X-ray elbow 2 views (both sides) CPT 73070 | $291.46 | $494.00 | $39.94 – $464.36 | 11 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $369.93 | $627.00 | $46.24 – $589.38 | 11 |
| Xray endovasc thor ao repr CPT 75956 | $769.95 | $1,305.00 | $300.15 – $1,226.70 | 9 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $658.44 | $1,116.00 | $130.73 – $1,049.04 | 11 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $223.02 | $378.00 | $86.94 – $355.32 | 7 |
| X-ray exam entire spi 6/> vw CPT 72084 | $234.82 | $398.00 | $91.54 – $374.12 | 7 |
| X-ray exam of arm infant CPT 73092 | $156.35 | $265.00 | $44.98 – $249.10 | 11 |
| X-ray exam of eye sockets CPT 70200 | $374.65 | $635.00 | $65.16 – $596.90 | 11 |
| X-ray exam of femur 1 CPT 73551 | $139.83 | $237.00 | $39.94 – $222.78 | 7 |
| X-ray exam of jaw joint CPT 70332 | $445.45 | $755.00 | $108.02 – $709.70 | 11 |
| X-ray exam of sinuses CPT 70210 | $236.59 | $401.00 | $44.98 – $376.94 | 11 |
| X-ray exam of teeth CPT 70310 | $104.43 | $177.00 | $40.71 – $177.00 | 11 |
| X-ray exam si joints CPT 72200 | $217.12 | $368.00 | $47.50 – $345.92 | 11 |
| X-ray exam thorac spine4/>vw CPT 72074 | $285.56 | $484.00 | $62.01 – $454.96 | 11 |
| X-ray facial bones complete > 3 views CPT 70150 | $367.57 | $623.00 | $65.79 – $585.62 | 11 |
| X-ray femur >=2 views (both sides) CPT 73552 | $233.64 | $396.00 | $50.65 – $372.24 | 7 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $231.87 | $393.00 | $59.47 – $369.42 | 11 |
| X-ray foot 2 views (both sides) CPT 73620 | $213.58 | $362.00 | $39.94 – $340.28 | 11 |
| X-ray forearm 2 views (both sides) CPT 73090 | $275.53 | $467.00 | $40.57 – $438.98 | 11 |
| X-ray hand 2 views (both sides) CPT 73120 | $312.70 | $530.00 | $44.35 – $498.20 | 11 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $181.13 | $307.00 | $39.31 – $288.58 | 11 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $207.68 | $352.00 | $80.96 – $330.88 | 7 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $243.08 | $412.00 | $57.58 – $387.28 | 7 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $329.81 | $559.00 | $75.24 – $525.46 | 7 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $394.12 | $668.00 | $88.49 – $627.92 | 7 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $126.26 | $214.00 | $44.98 – $201.16 | 7 |
| X-ray humerus >= 2 views left CPT 73060 | $394.12 | $668.00 | $45.61 – $627.92 | 11 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $378.78 | $642.00 | $49.39 – $603.48 | 11 |
| X-ray knee 3 views (both sides) CPT 73562 | $405.33 | $687.00 | $60.10 – $645.78 | 11 |
| X-ray knee ap standing bilateral CPT 73565 | $204.73 | $347.00 | $60.10 – $326.18 | 11 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $127.44 | $216.00 | $44.98 – $203.04 | 11 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $550.47 | $933.00 | $56.32 – $877.02 | 11 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $559.32 | $948.00 | $74.61 – $891.12 | 11 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $600.03 | $1,017.00 | $88.49 – $955.98 | 11 |
| X-ray mandible complete > 4 views CPT 70110 | $354.59 | $601.00 | $60.10 – $564.94 | 11 |
| X-ray mandible ltd <4 views CPT 70100 | $170.51 | $289.00 | $56.95 – $271.66 | 11 |
| X-ray nasal bones complete > 3 views CPT 70160 | $261.96 | $444.00 | $55.69 – $417.36 | 11 |
| X-ray neck soft tissue CPT 70360 | $279.07 | $473.00 | $42.46 – $444.62 | 11 |
| X-ray nose to rectum for foreign body child CPT 76010 | $284.97 | $483.00 | $39.31 – $454.02 | 11 |
| X-ray pelvis 1-2 views CPT 72170 | $294.41 | $499.00 | $36.77 – $469.06 | 11 |
| X-ray pelvis complete > 3 views CPT 72190 | $329.81 | $559.00 | $56.95 – $525.46 | 11 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $793.55 | $1,345.00 | $101.72 – $1,264.30 | 7 |
| X-ray ribs 2 views left CPT 71100 | $281.43 | $477.00 | $49.39 – $448.38 | 11 |
| X-ray ribs 3 views bilateral CPT 71110 | $430.11 | $729.00 | $56.95 – $685.26 | 11 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $380.55 | $645.00 | $55.69 – $606.30 | 11 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $502.09 | $851.00 | $70.20 – $799.94 | 11 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $454.30 | $770.00 | $53.80 – $723.80 | 11 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $272.58 | $462.00 | $45.61 – $434.28 | 11 |
| X-ray scapula complete (both sides) CPT 73010 | $317.42 | $538.00 | $28.58 – $505.72 | 11 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $228.92 | $388.00 | $26.69 – $364.72 | 11 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $320.37 | $543.00 | $51.28 – $510.42 | 11 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,097.99 | $1,861.00 | $66.42 – $1,749.34 | 11 |
| X-ray skull < 4 views CPT 70250 | $323.91 | $549.00 | $51.91 – $516.06 | 11 |
| X-ray skull > 4 views complete CPT 70260 | $463.15 | $785.00 | $58.84 – $737.90 | 11 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $259.01 | $439.00 | $100.97 – $439.00 | 11 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $592.36 | $1,004.00 | $158.49 – $943.76 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $373.47 | $633.00 | $93.53 – $595.02 | 7 |
| X-ray spine single view CPT 72020 | $295.59 | $501.00 | $31.10 – $470.94 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $197.06 | $334.00 | $58.21 – $313.96 | 11 |
| X-ray sternum > 2 views CPT 71120 | $108.56 | $184.00 | $42.32 – $172.96 | 11 |
| X-ray surgical specimen CPT 76098 | $329.22 | $558.00 | $51.91 – $524.52 | 11 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $448.40 | $760.00 | $174.80 – $760.00 | 11 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,040.76 | $1,764.00 | $78.39 – $1,658.16 | 11 |
| X-ray thoracic spine 2 views CPT 72070 | $292.05 | $495.00 | $43.72 – $465.30 | 11 |
| X-ray thoracic spine 3 views CPT 72072 | $434.83 | $737.00 | $54.43 – $692.78 | 11 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $276.12 | $468.00 | $46.24 – $439.92 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $282.02 | $478.00 | $56.95 – $449.32 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $358.13 | $607.00 | $104.24 – $570.58 | 7 |
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.