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 |
|---|---|---|---|---|
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,077.93 | $1,827.00 | $144.61 – $1,717.38 | 7 |
| Bx breast perq without image 19100 CPT 19100 | $2,032.55 | $3,445.00 | $124.07 – $3,238.30 | 7 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $249.71 – $249.71 | 1 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $2,231.18 – $2,274.93 | 3 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $2,283.44 – $2,328.22 | 3 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $2,290.59 – $4,780.50 | 4 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,920.40 – $1,958.06 | 3 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $1,554.91 – $1,585.40 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $777.34 – $777.34 | 1 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $469.22 – $469.22 | 1 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $2,339.07 – $4,860.35 | 4 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $1,646.63 – $1,678.91 | 3 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,449.27 – $2,782.33 | 4 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $1,429.19 – $1,457.22 | 3 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $1,623.16 – $1,654.98 | 3 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $789.45 – $789.45 | 1 |
| Bx liver with other CPT 47001 | $869.07 | $1,473.00 | $184.61 – $1,384.62 | 7 |
| Bx muscle CPT 20200 | not published | not published | $173.08 – $173.08 | 1 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $270.33 – $270.33 | 1 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $410.13 – $410.13 | 1 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $297.74 – $297.74 | 1 |
| Bx pancreas pq ndl CPT 48102 | $904.47 | $1,533.00 | $352.59 – $1,441.02 | 7 |
| Bx pleura pq ndl CPT 32400 | $901.52 | $1,528.00 | $157.58 – $1,436.32 | 7 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $714.23 – $714.23 | 1 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $697.45 – $697.45 | 1 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $302.93 – $302.93 | 1 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | not published | $57.52 – $57.52 | 1 |
| Bx skin punch ea sep/ addl les CPT 11105 | not published | not published | $47.96 – $47.96 | 1 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | not published | $41.48 – $41.48 | 1 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $300.41 – $300.41 | 1 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | not published | not published | $374.98 – $374.98 | 1 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,326.55 – $1,326.55 | 1 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $709.19 – $709.19 | 1 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $292.59 – $292.59 | 1 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $492.43 – $492.43 | 1 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $332.12 – $332.12 | 1 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $932.20 | $1,580.00 | $144.25 – $1,485.20 | 7 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $122.01 – $122.01 | 1 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $110.29 – $110.29 | 1 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $54.20 – $54.20 | 1 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $279.59 – $279.59 | 1 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $343.90 – $343.90 | 1 |
| C-1 esterase, berinert HCPCS J0597 | $2,052.10 | $3,478.12 | $69.05 – $3,269.44 | 14 |
| C1 esterase inhibitor func - sendout CPT 86161 | $95.58 | $162.00 | $11.63 – $152.28 | 17 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $6,676.17 | $11,315.54 | $210.42 – $10,636.61 | 14 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,030.96 – $2,070.79 | 3 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,219.96 – $2,263.49 | 3 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,406.96 – $2,454.15 | 3 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,846.84 – $1,883.06 | 3 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $1,799.71 – $1,835.00 | 3 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $382.80 – $922.24 | 4 |
| Cabg vein five CPT 33514 | not published | not published | $2,447.10 – $2,495.08 | 3 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $1,947.18 – $1,985.36 | 3 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,090.89 – $2,131.89 | 3 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,244.35 – $2,288.35 | 3 |
| Cabg vein six or more CPT 33516 | not published | not published | $2,605.42 – $2,656.50 | 3 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $167.98 – $329.47 | 4 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $317.02 – $722.25 | 4 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $465.13 – $955.40 | 4 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $613.91 – $1,145.34 | 4 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $762.10 – $1,286.57 | 4 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $911.55 – $1,453.14 | 4 |
| Cable cath 22-pin diag HCPCS C1730 | $3,783.38 | $6,412.50 | $24.46 – $99.95 | 11 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $632.22 | $1,071.56 | $246.46 – $1,007.27 | 7 |
| Cadd pump refill CPT 96521 | $450.76 | $764.00 | $175.72 – $718.16 | 11 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $5.60 | $9.49 | $0.56 – $8.93 | 8 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $222.60 | $377.28 | $86.78 – $392.37 | 14 |
| Calcium 24 hour urine CPT 82340 | $48.97 | $83.00 | $5.84 – $78.02 | 17 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.10 | $0.17 | $0.04 – $0.16 | 7 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.05 | $0.09 | $0.03 – $0.09 | 7 |
| Calcium ionized CPT 82330 | $88.50 | $150.00 | $13.26 – $143.28 | 17 |
| Calcium total CPT 82310 | $38.35 | $65.00 | $5.00 – $62.05 | 17 |
| Calprotectin fecal CPT 83993 | $308.57 | $523.00 | $19.02 – $491.62 | 17 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $78.79 – $78.79 | 1 |
| Canakinumab injection HCPCS J0638 | $10,103.00 | $17,123.72 | $122.70 – $16,096.30 | 14 |
| Candida dna CPT 87480 | $88.50 | $150.00 | $19.43 – $150.00 | 17 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $245.30 – $245.30 | 1 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $9,177.45 | $15,555.00 | $4.92 – $20.08 | 11 |
| Canthotomy 67715 CPT 67715 | not published | not published | $202.90 – $202.90 | 1 |
| Cap nerve 2x15mm HCPCS C1763 | $19,465.73 | $32,992.75 | $69.83 – $285.39 | 11 |
| Capsaicin 8% patch HCPCS J7336 | $506.49 | $858.45 | $3.26 – $806.95 | 14 |
| Capsular contracture release CPT 23020 | not published | not published | $1,298.35 – $1,298.35 | 1 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $902.60 – $1,901.51 | 4 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $488.73 – $488.73 | 1 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $646.23 – $646.23 | 1 |
| Cap trach decann 15mm HCPCS C1750 | $3,281.58 | $5,562.00 | $20.04 – $81.90 | 11 |
| Carbamazepine free CPT 80157 | $69.62 | $118.00 | $12.84 – $118.00 | 17 |
| Carbamazepine total therapeutic drug level CPT 80156 | $103.25 | $175.00 | $14.12 – $164.50 | 17 |
| Carbon dioxide CPT 82374 | $12.98 | $22.00 | $4.73 – $22.00 | 17 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $0.99 | $1.67 | $0.39 – $1.67 | 12 |
| Carboxyhemoglobin quantitative CPT 82375 | $112.10 | $190.00 | $11.93 – $148.52 | 17 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $1,066.31 – $1,675.25 | 4 |
| Carcinoembryonic ag (cea) CPT 82378 | $109.15 | $185.00 | $18.37 – $185.00 | 17 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $2,080.93 | $3,527.00 | $632.65 – $3,315.38 | 11 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,657.31 | $2,809.00 | $470.80 – $2,640.46 | 11 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $312.70 | $530.00 | $23.36 – $498.20 | 7 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $297.36 | $504.00 | $15.29 – $473.76 | 7 |
| Cardiac shunt imaging CPT 78428 | $489.70 | $830.00 | $190.90 – $830.00 | 11 |
| Cardiolipin antibody iga CPT 86147 | $97.35 | $165.00 | $24.66 – $165.00 | 17 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,700.97 | $2,883.00 | $205.61 – $2,710.02 | 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.