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
Intrinsic factor antibody CPT 86340 $73.04 $88.00 $15.08 – $84.48 16
Intubation endotracheal emergency procedure CPT 31500 $548.63 $661.00 $39.63 – $177.60 16
Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 $3.37 $4.05 $0.09 – $0.41 16
Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 $485.55 $585.00 $0.04 – $0.18 16
Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 $736.81 $887.72 $190.15 – $852.22 16
Ip/obs cnsltj new/est low 45 CPT 99253 $207.50 $250.00 $53.55 – $240.00 16
Ip/obs cnsltj new/est mod 60 CPT 99254 $301.29 $363.00 $77.76 – $348.48 16
Ip/obs consltj new/est hi 80 CPT 99255 $362.71 $437.00 $93.61 – $419.52 16
Ip/obs consltj new/est sf 35 CPT 99252 $134.46 $162.00 $34.71 – $155.52 16
Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 $8.21 $9.88 $0.47 – $2.11 16
Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 $224.02 $269.90 $57.82 – $259.11 16
Iron CPT 83540 $79.68 $96.00 $4.93 – $22.08 16
Iron binding capacity CPT 83550 $63.91 $77.00 $6.43 – $28.80 16
Iron dextran 50 mg/ml injection solution HCPCS J1750 $14.15 $17.05 $3.66 – $16.37 16
Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 $9.58 $11.54 $1.40 – $6.24 16
Irrigation implantable venous access device for drug delivery systems CPT 96523 $129.48 $156.00 $32.35 – $144.96 16
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 $126.16 $152.00 $32.56 – $145.92 16
IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 $200.86 $242.00 $35.35 – $158.40 16
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 $118.69 $143.00 $30.64 – $137.28 16
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 $318.72 $384.00 $55.70 – $249.60 16
Ivp w/wo kub w/wo tomography CPT 74400 $798.46 $962.00 $206.07 – $923.52 16
Ixabepilone 15 mg intravenous solution HCPCS J9207 $4,821.46 $5,808.98 $1,244.29 – $5,576.63 16
Jejunstmy tube plcmt CPT 44372 $550.29 $663.00 $142.02 – $636.48 16
Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 $56.44 $68.00 $8.17 – $65.28 16
Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 $3.92 $4.72 $0.21 – $0.91 16
Kidney img w/bldflw sgl without rx CPT 78707 $1,296.46 $1,562.00 $334.59 – $1,499.52 16
Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 $760.28 $916.00 $196.21 – $879.36 16
Kit case 4.2mm spinejack HCPCS C1062 $7,000.33 $8,434.13 $38.86 – $174.13 16
Kit cath f 8f w/glv + wipe ster HCPCS A4353 $20.96 $25.25 $5.41 – $24.24 16
Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 $8,777.25 $10,575.00 $2,265.17 – $10,152.00 16
Kit lead specify 5-6-5 HCPCS C1778 $56,427.14 $67,984.50 $24.94 – $111.75 16
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 $902.23 $1,087.02 $232.84 – $1,043.54 16
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 $1,932.87 $2,328.75 $489.99 – $2,196.00 16
Kit sound processor cochlear osia 2 HCPCS L8691 $5,916.24 $7,128.00 $1,526.82 – $6,842.88 16
Knee MRI (with and without contrast) CPT 73723 $3,910.96 $4,712.00 $1,009.32 – $4,523.52 16
Knee MRI (with contrast) CPT 73722 $3,338.26 $4,022.00 $861.52 – $3,861.12 16
Knee MRI (without contrast) CPT 73721 $2,490.83 $3,001.00 $642.82 – $2,880.96 16
Knee X-ray CPT 73564 $401.72 $484.00 $24.85 – $111.36 16
Lab draw < 3 yrs fem/jugular 36400 CPT 36400 $63.91 $77.00 $16.50 – $73.92 16
Lab draw <3 yrs scalp vein 36405 CPT 36405 $56.44 $68.00 $14.57 – $65.28 16
Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 $5.40 $6.50 $0.05 – $0.23 16
Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 $3.77 $4.54 $0.98 – $4.36 16
Lactate dehydrogenase (ldh) CPT 83615 $61.42 $74.00 $4.50 – $20.16 16
Lactated ringers intravenous solution HCPCS J7120 $0.01 $0.01 $0.01 – $0.01 16
Lactic acid CPT 83605 $120.35 $145.00 $6.22 – $27.84 16
Lactoferrin fecal qualitative CPT 83630 $86.32 $104.00 $19.70 – $99.84 16
Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 $15,189.00 $18,300.00 $1,661.98 – $7,448.64 16
Laparo cholecystectomy/explr CPT 47564 $2,494.98 $3,006.00 $643.89 – $2,885.76 16
Laparo cholecystectomy/graph CPT 47563 $1,607.71 $1,937.00 $414.91 – $1,859.52 16
Laparo cholecystoenterostomy CPT 47570 $1,733.04 $2,088.00 $447.25 – $2,004.48 16
Laparo drng lymphocele 49323 CPT 49323 $1,427.60 $1,720.00 $368.43 – $1,651.20 16
Laparo partial colectomy 44204 CPT 44204 $3,443.67 $4,149.00 $888.72 – $3,983.04 16
Laparoscopy aspiration CPT 49322 $843.28 $1,016.00 $217.63 – $975.36 16
Laparoscopy biopsy CPT 49321 $776.05 $935.00 $200.28 – $897.60 16
Laparoscopy splenectomy CPT 38120 $2,356.37 $2,839.00 $608.12 – $2,725.44 16
Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 $2,605.37 $3,139.00 $672.38 – $3,013.44 16
Laparo-vag hyst incl t/o CPT 58552 $2,253.45 $2,715.00 $581.56 – $2,606.40 16
Lap colectomy part w/ileum 44205 CPT 44205 $2,998.79 $3,613.00 $773.91 – $3,468.48 16
Lap enterectomy 44202 CPT 44202 $3,094.24 $3,728.00 $798.54 – $3,578.88 16
Lap enterolysis CPT 44180 $2,053.42 $2,474.00 $529.94 – $2,375.04 16
Lap inc hernia repair 49654 CPT 49654 $1,886.59 $2,273.00 $486.88 – $2,182.08 16
Lap inc hernia repair recurr 49656 CPT 49656 $2,047.61 $2,467.00 $528.44 – $2,368.32 16
Lap ing hernia repair init CPT 49650 $972.76 $1,172.00 $251.05 – $1,125.12 16
Lap ing hernia repair recur CPT 49651 $1,269.07 $1,529.00 $327.52 – $1,467.84 16
Lap insert tunnel ip cath CPT 49324 $865.69 $1,043.00 $223.42 – $1,001.28 16
Lap part colectomy w/stoma 44206 CPT 44206 $3,904.32 $4,704.00 $1,007.60 – $4,515.84 16
Lap resect s/intestine addl 44203 CPT 44203 $531.20 $640.00 $137.09 – $614.40 16
Lap w/omentopexy add-on 49326 CPT 49326 $415.00 $500.00 $107.10 – $480.00 16
Largsc w/rmvl foreign bdy(s) CPT 31577 $661.51 $797.00 $166.22 – $744.96 16
Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 $880.63 $1,061.00 $150.37 – $673.92 16
Laryngoscopy w/fb removal CPT 31530 $1,210.14 $1,458.00 $117.17 – $525.12 16
Lateral canthopexy CPT 21282 $2,217.76 $2,672.00 $236.48 – $1,059.84 16
Lavage cannulation maxillary sinus CPT 31000 $430.77 $519.00 $111.17 – $498.24 16
Lead acuity x4 spiral l 86cm HCPCS C1900 $5,602.50 $6,750.00 $122.10 – $547.20 16
Lead capillary CPT 83655 $55.61 $67.00 $8.36 – $37.44 16
Lead ingevity 45cm pfret MRI HCPCS C1898 $4,860.48 $5,856.00 $32.91 – $147.46 16
Lead tachy durata sj4 58cm HCPCS C1777 $11,239.86 $13,542.00 $867.51 – $3,888.00 16
Leg Vein Ultrasound (DVT study, both legs) CPT 93970 $2,404.51 $2,897.00 $19.93 – $89.28 16
Lens, intraocular (new tech) HCPCS C1780 $983.55 $1,185.00 $32.13 – $144.00 16
Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 $410.85 $495.00 $7.29 – $32.64 16
Lens iol ant bicnvx 24.0 multi HCPCS V2632 $2,064.63 $2,487.50 $13.93 – $62.40 16
Lens iol ant chamb 10.5 HCPCS V2630 $724.87 $873.33 $18.21 – $81.60 16
Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 $65.43 $78.83 $0.17 – $0.75 16
Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 $806.52 $971.70 $19.41 – $86.97 16
Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 $4,101.80 $4,941.92 $352.86 – $1,581.41 16
Leuprolide depot cipla 7.5mg HCPCS J1954 $1,035.52 $1,247.61 $267.24 – $1,197.71 16
Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 $8.72 $10.51 $0.03 – $0.12 16
Levetiracetam therapeutic drug level CPT 80177 $170.15 $205.00 $13.25 – $196.80 16
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 $0.10 $0.12 $0.02 – $0.08 16
Liberta rc ipg HCPCS C1820 $56,837.24 $68,478.60 $650.64 – $2,916.00 16
Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 $1.11 $1.34 $0.06 – $0.25 16
Lifileucel til/dose 7.5b-72b snij HCPCS J9999 $3,525.46 $4,247.54 $909.83 – $4,077.64 16
Ligation/biopsy of temporal artery 37609 CPT 37609 $724.59 $873.00 $187.00 – $838.08 16
Liletta, 52 mg HCPCS J7297 $494.94 $596.31 $127.73 – $572.46 16
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 $0.09 $0.10 $0.03 – $0.10 16
Lipase CPT 83690 $86.32 $104.00 $5.15 – $23.04 16
Lipoprotein direct measurement hdl CPT 83718 $120.35 $145.00 $5.79 – $25.92 16
Lipoprotein direct measurement ldl CPT 83721 $57.27 $69.00 $6.65 – $29.76 16
Lip surgery procedure CPT 40799 $117.86 $142.00 $30.42 – $136.32 16
Lithium therapeutic drug level CPT 80178 $117.86 $142.00 $5.15 – $23.04 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.