healthcosts.net

CHI Health St. Mary's

1301 GRUNDMAN BLVD, Nebraska City, NE · Chihealth · · NPI 1528016995

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

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
11-desoxycortisol - sendout CPT 82634 $23.24 $28.00 $6.00 – $62.16 16
17-ketosteroids CPT 83586 $67.23 $81.00 $12.80 – $77.76 16
24 hr ambulatory b/p monitor CPT 93786 $163.51 $197.00 $42.20 – $189.12 16
3-d radiotherapy plan CPT 77295 $8,684.29 $10,463.00 $2,241.18 – $10,044.48 16
5' nucleotidase - sendout CPT 83915 $64.74 $78.00 $11.15 – $74.88 16
Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 $1,212.38 $1,460.69 $312.88 – $1,402.27 16
Abdominal CT scan (with and without contrast) CPT 74170 $3,316.68 $3,996.00 $855.95 – $3,836.16 16
Abdominal CT scan (with contrast) CPT 74160 $2,591.26 $3,122.00 $668.74 – $2,997.12 16
Abdominal CT scan (without contrast) CPT 74150 $2,151.36 $2,592.00 $555.21 – $2,488.32 16
Abdominal MRI (with and without contrast) CPT 74183 $4,584.92 $5,524.00 $1,183.25 – $5,303.04 16
Abdominal MRI (with contrast) CPT 74182 $2,751.45 $3,315.00 $710.08 – $3,182.40 16
Abdominal MRI (without contrast) CPT 74181 $3,393.04 $4,088.00 $875.65 – $3,924.48 16
Abdominal paracentesis w/image guidance CPT 49083 $1,005.96 $1,212.00 $182.29 – $816.96 16
Abdominal Ultrasound (complete) CPT 76700 $887.27 $1,069.00 $228.98 – $1,026.24 16
Abdominal Ultrasound (limited) CPT 76705 $470.61 $567.00 $121.46 – $544.32 16
Abd paracentesis/w/o image guide 49082 CPT 49082 $805.10 $970.00 $130.45 – $584.64 16
Ablation cryo abd perit om CPT 49999 $2,602.05 $3,135.00 $671.52 – $3,009.60 16
Abscess imaging ltd area CPT 78805 $1,215.12 $1,464.00 $313.59 – $1,405.44 16
Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 $0.12 $0.14 $0.02 – $0.09 16
Acetaminophen level CPT 80143 $103.75 $125.00 $18.64 – $120.00 16
Acetazolamide 500 mg solution for injection HCPCS J1120 $30.36 $36.57 $7.84 – $35.11 16
Acetone qualitative CPT 82009 $31.54 $38.00 $4.52 – $36.48 16
Acetylcholine receptor modulating antibody CPT 86043 $175.96 $212.00 $45.42 – $203.52 16
Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 $5.24 $6.31 $0.72 – $3.20 16
Acne surgery 10040 CPT 10040 $232.40 $280.00 $59.98 – $268.80 16
Aco ccm; at least 20 min 99490aco CPT 99490 $145.25 $175.00 $37.49 – $168.00 16
Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 $318.72 $384.00 $82.26 – $368.64 16
Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 $42.33 $51.00 $10.93 – $48.96 16
Acute hepatitis panel CPT 80074 $305.44 $368.00 $29.14 – $130.56 16
Acyclovir 400 mg tablet HCPCS J8499 $0.22 $0.26 $0.06 – $0.25 16
Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 $6.17 $7.43 $0.06 – $0.26 16
Adapter b 8 channel 10cm HCPCS C1883 $4,012.94 $4,834.86 $106.03 – $475.20 16
Adenosine 3 mg/250 ml bag for osm HCPCS J0153 $4.21 $5.07 $0.38 – $1.70 16
Adenovirus ag ia CPT 87301 $65.57 $79.00 $11.98 – $75.84 16
Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 $75.89 $91.43 $0.05 – $0.20 16
Administration chemotherapy IV infusion each additional hour CPT 96415 $119.52 $144.00 $30.85 – $138.24 16
Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 $330.34 $398.00 $85.26 – $382.08 16
Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 $428.28 $516.00 $110.53 – $495.36 16
Administration chemotherapy IV push single/initial substance/drug CPT 96409 $330.34 $398.00 $85.26 – $382.08 16
Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 $217.46 $262.00 $56.13 – $251.52 16
Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 $217.46 $262.00 $56.13 – $251.52 16
Administration immunization 1 vaccine CPT 90471 $332.83 $401.00 $4.07 – $18.24 16
Administration immunization intranasal/oral route 1 vaccine CPT 90473 $45.65 $55.00 $11.79 – $52.80 16
Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 $110.39 $133.00 $28.49 – $127.68 16
Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 $5,168.24 $6,226.79 $833.62 – $3,736.08 16
_afb id by dna probe rflx ast CPT 87149 $141.93 $171.00 $20.05 – $164.16 16
Agalsidase beta 35 mg intravenous solution HCPCS J0180 $5,721.15 $6,892.95 $210.89 – $945.16 16
Airway resistance by impulse oscillometry 94728 CPT 94728 $118.69 $143.00 $30.64 – $137.28 16
Albumin body fluid quantitative each specimen CPT 82042 $19.92 $24.00 $5.15 – $23.04 16
Albumin (human), 25%, 50ml HCPCS P9047 $0.72 $0.86 $0.08 – $0.32 16
Albumin (human), 5%, 250 ml HCPCS P9045 $0.24 $0.28 $0.04 – $0.15 16
Albumin (microalbumin) 24 hour urine quantitative CPT 82043 $24.90 $30.00 $4.07 – $18.24 16
Albumin serum plasma or whole blood CPT 82040 $23.24 $28.00 $3.65 – $16.32 16
Alcohol (ethanol) any specimen except urine/breath CPT 82077 $103.75 $125.00 $17.27 – $120.00 16
Alginate drsg >16 <=48 sq in HCPCS A6197 $32.54 $39.20 $8.40 – $37.64 16
Alginate drsg wound filler HCPCS A6199 $34.16 $41.15 $8.82 – $39.51 16
Alkaline phosphatase CPT 84075 $53.12 $64.00 $3.86 – $17.28 16
Allergen egg white ige CPT 86003 $50.63 $61.00 $5.22 – $58.56 16
Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 $4,295.25 $5,175.00 $121.55 – $544.76 16
Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 $7,171.20 $8,640.00 $0.01 – $0.04 16
Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 $11,447.77 $13,792.49 $176.98 – $793.16 16
Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 $9,234.92 $11,126.40 $214.20 – $960.00 16
Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 $7,843.50 $9,450.00 $170.29 – $763.20 16
Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 $0.55 $0.66 $0.11 – $0.48 16
Alpha-fetoprotein amniotic CPT 82106 $9.13 $11.00 $2.36 – $24.42 16
Alpha-fetoprotein tumor marker CPT 82105 $67.23 $81.00 $12.00 – $53.76 16
Alprostadil for injection HCPCS J0270 $99.88 $120.33 $25.78 – $115.52 16
Alteplase 100 mg infusion from pyxis vial HCPCS J2997 $7,048.66 $8,492.35 $38.28 – $171.55 16
Alt/sgpt CPT 84460 $47.31 $57.00 $3.86 – $17.28 16
Amantadine (symmetrel)-sendout CPT 80375 $208.33 $251.00 $53.77 – $240.96 16
Ambl bp mntr w/sw a/r CPT 93788 $206.67 $249.00 $53.34 – $239.04 16
Amifostine HCPCS J0207 $829.87 $999.84 $214.17 – $959.85 16
Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 $1.36 $1.64 $0.35 – $1.53 16
Aminolevulinic acid delta CPT 82135 $34.86 $42.00 $9.00 – $40.32 16
Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 $1.07 $1.29 $0.05 – $0.22 16
Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 $0.27 $0.32 $0.05 – $0.22 16
Amiodarone 50 mg/ml intravenous solution HCPCS J0282 $2.33 $2.80 $0.26 – $1.13 16
Amitriptyline (elavil) -sendout CPT 80335 $112.88 $136.00 $9.43 – $42.24 16
Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 $451.37 $543.82 $116.49 – $522.07 16
Ammonia CPT 82140 $23.24 $28.00 $6.00 – $32.35 16
Amniocentesisdiagnostic 59000 CPT 59000 $191.73 $231.00 $49.49 – $221.76 16
Amniocentesis therapeutic CPT 59001 $1,889.08 $2,276.00 $487.52 – $2,184.96 16
Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 $1,602.73 $1,931.00 $359.86 – $1,612.80 16
Amphetamine confirm urine -sendout CPT 80324 $99.60 $120.00 $25.71 – $115.20 16
Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 $28.81 $34.71 $7.44 – $33.33 16
Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 $241.26 $290.67 $62.27 – $279.05 16
Ampicillin 1 gram solution for injection HCPCS J0290 $16.05 $19.33 $0.01 – $0.01 16
Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 $12.11 $14.59 $0.60 – $2.66 16
Amputation toe metatarsophalangeal joint CPT 28820 $664.00 $800.00 $171.36 – $768.00 16
Amylase CPT 82150 $58.10 $70.00 $4.93 – $22.08 16
Ana ds-dna CPT 86226 $107.07 $129.00 $12.11 – $123.84 16
Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 $280.54 $338.00 $5.79 – $25.92 16
Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 $131.97 $159.00 $34.06 – $152.64 16
Analysis gene f2 20210g>a variant CPT 81240 $81.34 $98.00 $21.00 – $145.83 16
Analysis gene f5 leiden variant CPT 81241 $46.48 $56.00 $12.00 – $124.32 16
Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 $52.29 $63.00 $13.50 – $60.48 16
Anaplsma phgcytophlm amp prb CPT 87468 $80.51 $97.00 $20.78 – $93.12 16
An cholangiogram percutaneous compl CPT 47531 $328.68 $396.00 $84.83 – $380.16 16
An fluoro guide for cvp CPT 77001 $913.83 $1,101.00 $235.84 – $1,056.96 16
Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 $18.99 $22.88 $1.53 – $6.85 16

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.