CHI Health St. Mary's
1301 GRUNDMAN BLVD, Nebraska City, NE · Chihealth · · NPI 1528016995
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 |
|---|---|---|---|---|
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $131.14 | $158.00 | $21.07 – $151.68 | 16 |
| Galactose transferase test CPT 82776 | $58.93 | $71.00 | $11.74 – $68.16 | 16 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,477.40 | $1,780.00 | $381.28 – $1,708.80 | 16 |
| Gamma globulin 1 cc inj HCPCS J1460 | $36.56 | $44.05 | $9.44 – $42.29 | 16 |
| Gammaglobulin iga CPT 82784 | $200.86 | $242.00 | $6.86 – $30.72 | 16 |
| Gammaglobulin ige CPT 82785 | $131.14 | $158.00 | $16.46 – $151.68 | 16 |
| Gamma glutamyltransferase CPT 82977 | $40.67 | $49.00 | $5.36 – $24.00 | 16 |
| Gamunex-c/gammaked HCPCS J1561 | $6.47 | $7.79 | $1.03 – $4.58 | 16 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $37.96 | $45.73 | $0.91 – $4.06 | 16 |
| Gastroduodenostomy CPT 43810 | $2,265.07 | $2,729.00 | $584.56 – $2,619.84 | 16 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $2,995.47 | $3,609.00 | $773.05 – $3,464.64 | 16 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $2,919.94 | $3,518.00 | $753.56 – $3,377.28 | 16 |
| Gastro/jejuno tube, std HCPCS B4087 | $330.00 | $397.59 | $7.53 – $33.75 | 16 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $86.11 | $103.74 | $0.18 – $0.80 | 16 |
| General health panel CPT 80050 | $320.38 | $386.00 | $21.64 – $96.96 | 16 |
| Generator barostim neo2 2014 HCPCS C1767 | $73,529.95 | $88,590.30 | $153.91 – $689.78 | 16 |
| Generator emblem MRI sicd subq HCPCS C1722 | $62,274.90 | $75,030.00 | $2,061.68 – $9,240.00 | 16 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $1.30 | $1.56 | $0.01 – $0.03 | 16 |
| Gentamicin peak therapeutic drug level CPT 80170 | $185.92 | $224.00 | $16.38 – $215.04 | 16 |
| Ghs abscess perianal iandd CPT 46050 | $623.33 | $751.00 | $144.16 – $646.08 | 16 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,033.35 | $1,245.00 | $156.37 – $700.80 | 16 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $17.43 | $21.00 | $4.50 – $21.78 | 16 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $68.06 | $82.00 | $17.11 – $78.72 | 16 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $173.47 | $209.00 | $44.77 – $200.64 | 16 |
| Ghs antibodies (torch) igm CPT 86694 | $40.67 | $49.00 | $10.07 – $45.12 | 16 |
| Ghs bladder cath - complex-foley CPT 51703 | $391.76 | $472.00 | $91.04 – $408.00 | 16 |
| Ghs bleeding time (ivy) CPT 85002 | $131.14 | $158.00 | $4.82 – $151.68 | 16 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,208.48 | $1,456.00 | $311.88 – $1,397.76 | 16 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,986.19 | $2,393.00 | $117.39 – $526.08 | 16 |
| Ghs change cysto/gastrost CPT 43762 | $547.80 | $660.00 | $86.97 – $389.76 | 16 |
| Ghs chemo >8 hrs CPT 96416 | $557.76 | $672.00 | $143.95 – $645.12 | 16 |
| Ghs chemo IV push, ea addtl CPT 96411 | $330.34 | $398.00 | $85.26 – $382.08 | 16 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $136.12 | $164.00 | $35.09 – $157.44 | 16 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $662.34 | $798.00 | $56.98 – $255.36 | 16 |
| Ghs closed reduction ankle dislocation CPT 27840 | $878.97 | $1,059.00 | $94.04 – $421.44 | 16 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,089.79 | $1,313.00 | $117.60 – $527.04 | 16 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $1,033.35 | $1,245.00 | $121.88 – $546.24 | 16 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,231.72 | $1,484.00 | $170.94 – $766.08 | 16 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,817.70 | $2,190.00 | $410.84 – $1,841.28 | 16 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $775.22 | $934.00 | $172.44 – $772.80 | 16 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $1,185.24 | $1,428.00 | $73.90 – $331.20 | 16 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $783.52 | $944.00 | $56.98 – $255.36 | 16 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $450.69 | $543.00 | $23.57 – $105.60 | 16 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $317.06 | $382.00 | $17.57 – $78.72 | 16 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $329.51 | $397.00 | $35.78 – $160.32 | 16 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $450.69 | $543.00 | $40.92 – $183.36 | 16 |
| Ghs cricothyroidotomy CPT 31605 | $1,533.01 | $1,847.00 | $191.93 – $860.16 | 16 |
| Ghs cutdown placement age 1 and over CPT 36425 | $612.54 | $738.00 | $24.00 – $107.52 | 16 |
| Ghs cutdown placement under 1 yr CPT 36420 | $612.54 | $738.00 | $26.99 – $120.96 | 16 |
| Ghs dislocation elbow closed treatment CPT 24600 | $864.03 | $1,041.00 | $74.12 – $332.16 | 16 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $678.94 | $818.00 | $61.69 – $276.48 | 16 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $140.27 | $169.00 | $34.28 – $153.60 | 16 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $873.16 | $1,052.00 | $225.34 – $1,009.92 | 16 |
| Ghs excision ingrown nail CPT 11765 | $390.93 | $471.00 | $92.11 – $412.80 | 16 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $647.40 | $780.00 | $105.18 – $471.36 | 16 |
| Ghs fb removal foot - deep - left CPT 28192 | $1,077.34 | $1,298.00 | $135.38 – $606.72 | 16 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,833.47 | $2,209.00 | $280.61 – $1,257.60 | 16 |
| Ghs fb removal - incisional CPT 10121 | $1,076.51 | $1,297.00 | $159.16 – $713.28 | 16 |
| Ghs fb removal - non-incisional CPT 20520 | $507.96 | $612.00 | $126.60 – $567.36 | 16 |
| Ghs fish cytogen CPT 88271 | $172.64 | $208.00 | $21.42 – $199.68 | 16 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $339.47 | $409.00 | $51.19 – $392.64 | 16 |
| Ghs gastric intub aspiration lavage CPT 43753 | $112.88 | $136.00 | $12.64 – $56.64 | 16 |
| Ghs hcv amplificaiton CPT 87521 | $119.52 | $144.00 | $30.85 – $138.24 | 16 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $265.60 | $320.00 | $15.49 – $307.20 | 16 |
| Ghs histoplasma antigen CPT 87385 | $277.22 | $334.00 | $13.25 – $320.64 | 16 |
| Ghs HIV antibody CPT 86703 | $85.49 | $103.00 | $4.93 – $30.44 | 16 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $305.44 | $368.00 | $78.83 – $353.28 | 16 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,551.42 | $3,074.00 | $126.60 – $567.36 | 16 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,982.87 | $2,389.00 | $332.66 – $1,490.88 | 16 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $815.06 | $982.00 | $210.35 – $942.72 | 16 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $600.92 | $724.00 | $155.09 – $695.04 | 16 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $523.73 | $631.00 | $74.12 – $332.16 | 16 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $493.85 | $595.00 | $56.98 – $255.36 | 16 |
| Ghs inf midline insertion CPT 36140 | $452.35 | $545.00 | $116.74 – $523.20 | 16 |
| Ghs inhibitor screen CPT 85335 | $69.72 | $84.00 | $12.87 – $80.64 | 16 |
| Ghs init tx 1st degree burn CPT 16000 | $209.16 | $252.00 | $45.42 – $203.52 | 16 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,043.31 | $1,257.00 | $269.25 – $1,206.72 | 16 |
| Ghs inj tendon origin/insertion CPT 20551 | $160.19 | $193.00 | $41.35 – $185.28 | 16 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $1,581.15 | $1,905.00 | $408.06 – $1,828.80 | 16 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $3,222.06 | $3,882.00 | $831.53 – $3,726.72 | 16 |
| Ghs insertion of needle - bone CPT 36680 | $278.88 | $336.00 | $34.28 – $153.60 | 16 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,035.84 | $1,248.00 | $232.84 – $1,043.52 | 16 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,259.94 | $1,518.00 | $257.69 – $1,154.88 | 16 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,588.62 | $1,914.00 | $287.46 – $1,288.32 | 16 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $138.61 | $167.00 | $12.21 – $54.72 | 16 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $164.34 | $198.00 | $42.42 – $190.08 | 16 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $307.10 | $370.00 | $79.26 – $355.20 | 16 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $307.10 | $370.00 | $79.26 – $355.20 | 16 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $315.40 | $380.00 | $81.40 – $364.80 | 16 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $429.94 | $518.00 | $110.96 – $497.28 | 16 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $661.51 | $797.00 | $120.39 – $539.52 | 16 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $619.18 | $746.00 | $114.60 – $513.60 | 16 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $622.50 | $750.00 | $125.53 – $562.56 | 16 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $666.49 | $803.00 | $120.17 – $538.56 | 16 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $741.19 | $893.00 | $150.37 – $673.92 | 16 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $728.74 | $878.00 | $168.15 – $753.60 | 16 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $854.90 | $1,030.00 | $174.79 – $783.36 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,168.64 | $1,408.00 | $202.00 – $905.28 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $891.42 | $1,074.00 | $224.70 – $1,007.04 | 16 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $899.72 | $1,084.00 | $224.70 – $1,007.04 | 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.