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
Gw stiffened micro access kit HCPCS C1894 $12,151.20 $14,640.00 $0.02 – $0.08 16
Gynecomastia (males) 19300 CPT 19300 $1,344.60 $1,620.00 $347.01 – $1,555.20 16
Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 $131.13 $157.98 $4.32 – $19.33 16
Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 $1.94 $2.34 $0.44 – $1.94 16
Hand X-ray CPT 73130 $283.03 $341.00 $19.07 – $85.44 16
Haptoglobin quantitative CPT 83010 $104.58 $126.00 $12.58 – $120.96 16
Hcg qualitative CPT 84703 $151.89 $183.00 $5.57 – $24.96 16
Hcg quantitative CPT 84702 $154.38 $186.00 $10.93 – $48.96 16
Hc i-131 sodium iodide cap dx per mci HCPCS A9528 $64.74 $78.00 $16.71 – $74.88 16
Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 $667.32 $804.00 $172.22 – $771.84 16
Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 $188.41 $227.00 $48.63 – $217.92 16
Hc nm kidney imaging with flow CPT 78701 $824.19 $993.00 $212.71 – $953.28 16
Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 $1,266.58 $1,526.00 $326.87 – $1,464.96 16
Hc pet myocardial imaging metabolic eval single study CPT 78459 $4,520.18 $5,446.00 $1,166.54 – $5,228.16 16
Head CT scan (with and without contrast) CPT 70470 $2,499.13 $3,011.00 $644.96 – $2,890.56 16
Head CT scan (with contrast) CPT 70460 $1,965.44 $2,368.00 $507.23 – $2,273.28 16
Head CT scan (without contrast) CPT 70450 $1,908.17 $2,299.00 $492.45 – $2,207.04 16
Heart infarct image CPT 78466 $705.50 $850.00 $182.07 – $816.00 16
Heart infarct image (ef) CPT 78468 $935.41 $1,127.00 $241.41 – $1,081.92 16
Helicobacter pylori antibody igm CPT 86677 $128.65 $155.00 $10.29 – $46.08 16
Hematocrit CPT 85014 $47.31 $57.00 $1.50 – $6.72 16
Hemin 350 mg intravenous powder for solution HCPCS J1640 $9,080.61 $10,940.49 $2,343.46 – $10,502.88 16
Hemoglobin CPT 85018 $35.69 $43.00 $1.50 – $6.72 16
Hemoglobin f (fetal) chemical CPT 83030 $34.86 $42.00 $9.00 – $40.32 16
Hemoglobin methemoglobin quantitative CPT 83050 $90.47 $109.00 $8.20 – $67.20 16
Hemoglobin plasma CPT 83051 $49.80 $60.00 $7.31 – $57.60 16
Hemolysin acid CPT 85475 $90.47 $109.00 $8.87 – $104.64 16
Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 $672.30 $810.00 $173.51 – $777.60 16
Heparin assay CPT 85520 $193.39 $233.00 $13.09 – $223.68 16
Heparin bolus from bag HCPCS J1644 $3.91 $4.71 $0.01 – $0.01 16
Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 $37.81 $45.55 $0.03 – $0.11 16
Hepatitis a antibody igm CPT 86709 $124.50 $150.00 $11.26 – $144.00 16
Hepatitis b core antibody igm CPT 86705 $141.93 $171.00 $11.77 – $164.16 16
Hepatitis b core antibody total CPT 86704 $112.05 $135.00 $12.05 – $129.60 16
Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 $137.68 $165.87 $28.57 – $128.04 16
Hepatitis b surface antibody CPT 86706 $119.52 $144.00 $7.50 – $33.60 16
Hepatitis c antibody CPT 86803 $118.69 $143.00 $10.07 – $45.12 16
Hepatobiliary system imaging CPT 78226 $2,026.86 $2,442.00 $523.08 – $2,344.32 16
Hepb vacc 3 dose immunsup im CPT 90740 $90.77 $109.36 $23.43 – $104.99 16
Hernia Repair (Inguinal) CPT 49505 $1,173.62 $1,414.00 $302.88 – $1,357.44 16
Herpes simplex type 1 antibody igg CPT 86695 $110.39 $133.00 $13.19 – $127.68 16
Herpes simplex type 2 antibody igg CPT 86696 $107.07 $129.00 $19.35 – $123.84 16
Heterophile antibodies screening CPT 86308 $73.87 $89.00 $3.65 – $16.32 16
Hhv-6 dna quant CPT 87533 $249.00 $300.00 $41.76 – $288.00 16
Hip X-ray CPT 73502 $197.54 $238.00 $32.99 – $147.84 16
Histamine CPT 83088 $77.19 $93.00 $19.93 – $89.28 16
Hiv-1 ag ia CPT 87390 $204.18 $246.00 $24.06 – $236.16 16
HIV prep, inj, cabotegravir HCPCS J0739 $1,070.43 $1,289.67 $276.25 – $1,238.09 16
Hizentra injection HCPCS J1559 $18.36 $22.12 $4.74 – $21.24 16
Hla typing a b or c CPT 86813 $329.51 $397.00 $58.00 – $381.12 16
Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 $0.20 $0.24 $0.06 – $0.24 16
Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 $0.33 $0.40 $0.09 – $0.39 16
Ho flex frejka w/cov pre cst HCPCS L1600 $88.72 $106.89 $18.52 – $83.01 16
Homocysteine CPT 83090 $62.25 $75.00 $12.00 – $53.76 16
Homogenization tissue CPT 87176 $68.89 $83.00 $5.88 – $79.68 16
Ho post-op hip abduction HCPCS L1686 $1,280.74 $1,543.05 $38.81 – $173.90 16
Hpv types 16 & 18 only CPT 87625 $60.59 $73.00 $15.64 – $90.02 16
Hyaluronidase 150 unit/ml injection solution HCPCS J3470 $26.05 $31.39 $6.73 – $30.14 16
Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 $42.41 $51.09 $10.62 – $47.56 16
Hydralazine 20 mg/ml injection solution HCPCS J0360 $9.10 $10.96 $2.35 – $10.53 16
Hydration IV infusion each additional hour CPT 96361 $97.94 $118.00 $25.28 – $113.28 16
Hydration IV infusion initial 31minutes - 1 hour CPT 96360 $320.38 $386.00 $55.70 – $249.60 16
Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 $126.21 $152.05 $0.01 – $0.01 16
Hydroxocobalamin im 10mcg HCPCS J3425 $0.62 $0.74 $0.16 – $0.72 16
Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 $16.59 $19.99 $3.66 – $16.38 16
Hyoscyamine sulfate inj HCPCS J1980 $36.46 $43.92 $9.41 – $42.17 16
Hyqvia 100mg immuneglobulin HCPCS J1575 $12.22 $14.72 $3.16 – $14.14 16
Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 $151.90 $183.01 $39.21 – $175.69 16
I-123 sod iodide diag per 100 uci HCPCS A9516 $164.34 $198.00 $42.42 – $190.08 16
Ia infect ag ab qual/semiquant sgl step CPT 86318 $34.86 $42.00 $9.00 – $40.32 16
Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 $60.73 $73.17 $15.68 – $70.25 16
Ibuprofen injection HCPCS J1741 $558.71 $673.15 $144.19 – $646.23 16
Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 $22.66 $27.30 $5.85 – $26.21 16
Icatibant injection HCPCS J1744 $276.51 $333.15 $71.37 – $319.83 16
Icd cobalt xt dr MRI is1 df1 HCPCS C1721 $66,831.60 $80,520.00 $12.77 – $57.22 16
Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 $53,161.50 $64,050.00 $1,999.13 – $8,959.68 16
Icd crtp serena MRI HCPCS C2621 $18,156.25 $21,875.00 $15.00 – $67.20 16
Icd reliance df4 ib 64cm HCPCS C1895 $16,707.90 $20,130.00 $867.51 – $3,888.00 16
Idarubicin hcl injection HCPCS J9211 $5.50 $6.63 $1.43 – $6.37 16
Idursulfase injection HCPCS J1743 $867.58 $1,045.28 $223.90 – $1,003.47 16
I & d vag hematoma non-ob 57023 CPT 57023 $2,315.70 $2,790.00 $597.62 – $2,678.40 16
Ifosfamide 1 gram intravenous solution HCPCS J9208 $79.43 $95.69 $0.32 – $1.43 16
Ihc/icc per specimen each additional single antibody stain CPT 88341 $58.93 $71.00 $15.21 – $68.16 16
Ihc/icc per specimen each multiplex antibody stain CPT 88344 $121.18 $146.00 $31.28 – $140.16 16
Ihc/icc per specimen initial single antibody stain CPT 88342 $164.34 $198.00 $42.42 – $190.08 16
Imetelstat 188 mg intravenous solution HCPCS J0870 $8,449.84 $10,180.52 $545.17 – $2,443.33 16
Immobilizer shldr cntor adlt HCPCS L3670 $138.92 $167.37 $4.68 – $20.95 16
Immobilizer shldr dlx str 24-36in med HCPCS L1830 $38.39 $46.25 $9.91 – $44.40 16
Immobilizer shldr sling med HCPCS L3660 $90.12 $108.57 $16.62 – $74.45 16
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 $7.77 $9.36 $2.01 – $8.99 16
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 $1,092.57 $1,316.34 $281.97 – $1,263.69 16
Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 $6.23 $7.50 $0.79 – $3.52 16
Immunoassay tumor antigen quantitative ca 125 CPT 86304 $138.61 $167.00 $14.36 – $64.32 16
Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 $135.29 $163.00 $14.36 – $64.32 16
Immunodiff gel qual ea antigen/ab CPT 86331 $18.26 $22.00 $4.72 – $26.60 16
Immunofixation electrophoresis serum CPT 86334 $204.18 $246.00 $52.70 – $236.16 16
Immunoglobulin assay CPT 86023 $78.02 $94.00 $12.46 – $90.24 16
Implant cartilage 10mm synthetic HCPCS L8699 $6,106.73 $7,357.50 $494.00 – $2,214.00 16
Implant cochlear osia osi300 HCPCS L8690 $2,599.08 $3,131.42 $614.63 – $2,754.62 16
Implant open hernia repair w/mesh 49568 CPT 49568 $587.64 $708.00 $151.66 – $679.68 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.