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 |
|---|---|---|---|---|
| Anidulafungin injection HCPCS J0348 | $32.96 | $39.70 | $8.51 – $38.12 | 16 |
| Ankle X-ray CPT 73610 | $234.89 | $283.00 | $16.28 – $72.96 | 16 |
| Anodyne therapy charges pt CPT 97026 | $159.36 | $192.00 | $12.86 – $57.60 | 16 |
| Anogenital exam child w imag CPT 99170 | $382.63 | $461.00 | $73.05 – $327.36 | 16 |
| Anora (draw only) CPT 99001 | $35.69 | $43.00 | $9.22 – $41.28 | 16 |
| Anoscopy remove fb 46608 CPT 46608 | $732.06 | $882.00 | $181.22 – $812.16 | 16 |
| Antibody elution rbc reference CPT 86860 | $127.82 | $154.00 | $14.78 – $66.24 | 16 |
| Antibody htlv/hiv confirm test CPT 86689 | $187.58 | $226.00 | $19.35 – $216.96 | 16 |
| Antibody htlv-i CPT 86687 | $97.94 | $118.00 | $9.09 – $113.28 | 16 |
| Antibody htlv-ii CPT 86688 | $97.94 | $118.00 | $14.00 – $113.28 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $335.32 | $404.00 | $18.37 – $387.84 | 16 |
| Antibody id rbc panel CPT 86870 | $161.02 | $194.00 | $26.57 – $119.04 | 16 |
| Antibody influenza virus CPT 86710 | $120.35 | $145.00 | $13.55 – $139.20 | 16 |
| Antibody screen rbc CPT 86850 | $97.94 | $118.00 | $9.77 – $66.24 | 16 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $0.92 | $1.10 | $0.24 – $1.06 | 16 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $110.39 | $133.00 | $28.49 – $127.68 | 16 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $147.74 | $178.00 | $38.13 – $170.88 | 16 |
| Antinuclear antibodies CPT 86038 | $102.09 | $123.00 | $8.36 – $37.44 | 16 |
| Antinuclear antibodies titer CPT 86039 | $52.29 | $63.00 | $11.16 – $60.48 | 16 |
| Antipsychotics nos 1-3 CPT 80342 | $209.16 | $252.00 | $53.98 – $241.92 | 16 |
| Antistreptolysin o titer CPT 86060 | $145.25 | $175.00 | $7.30 – $168.00 | 16 |
| Antithrombin iii activity CPT 85300 | $161.85 | $195.00 | $11.85 – $187.20 | 16 |
| Antithrombin iii injection HCPCS J7197 | $2.90 | $3.49 | $0.75 – $3.36 | 16 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $772.16 | $930.31 | $199.28 – $893.10 | 16 |
| Antithymocyte globuln rabbit HCPCS J7511 | $929.17 | $1,119.47 | $239.80 – $1,074.70 | 16 |
| Apheresis plasma CPT 36514 | $3,480.19 | $4,193.00 | $898.15 – $4,025.28 | 16 |
| Apheresis platelets CPT 36513 | $566.06 | $682.00 | $146.09 – $654.72 | 16 |
| Appendectomy CPT 44950 | $1,435.90 | $1,730.00 | $370.57 – $1,660.80 | 16 |
| Appendectomy add-on 44955 CPT 44955 | $185.09 | $223.00 | $47.77 – $214.08 | 16 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $1,961.29 | $2,363.00 | $506.16 – $2,268.48 | 16 |
| Appendix Removal (Laparoscopic) CPT 44970 | $1,350.41 | $1,627.00 | $348.51 – $1,561.92 | 16 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $802.61 | $967.00 | $207.14 – $928.32 | 16 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $223.27 | $269.00 | $57.62 – $258.24 | 16 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $75.53 | $91.00 | $19.50 – $87.36 | 16 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $731.23 | $881.00 | $188.72 – $845.76 | 16 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $192.56 | $232.00 | $49.70 – $222.72 | 16 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $57.27 | $69.00 | $14.78 – $66.24 | 16 |
| Application finger splntstatic 29130 CPT 29130 | $195.88 | $236.00 | $24.21 – $108.48 | 16 |
| Application long leg splint 29505 CPT 29505 | $480.57 | $579.00 | $51.20 – $229.44 | 16 |
| Application lower leg splint 29515 CPT 29515 | $289.67 | $349.00 | $41.77 – $187.20 | 16 |
| Application multi layer compression below knee (both sides) CPT 29581 | $616.69 | $743.00 | $34.28 – $153.60 | 16 |
| Application of forearm cast 29075 CPT 29075 | $196.71 | $237.00 | $48.63 – $217.92 | 16 |
| Application of long arm cast 29065 CPT 29065 | $218.29 | $263.00 | $53.34 – $239.04 | 16 |
| Application of long leg cast 29345 CPT 29345 | $365.20 | $440.00 | $79.04 – $354.24 | 16 |
| Application of paste boot 29580 CPT 29580 | $227.42 | $274.00 | $38.35 – $171.84 | 16 |
| Application short leg cast 29405 CPT 29405 | $311.25 | $375.00 | $46.91 – $210.24 | 16 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $374.33 | $451.00 | $96.61 – $432.96 | 16 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $360.22 | $434.00 | $92.97 – $416.64 | 16 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $70.55 | $85.00 | $18.00 – $80.64 | 16 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $75.53 | $91.00 | $19.50 – $87.36 | 16 |
| Appl multlay comprs arm/hand CPT 29584 | $136.95 | $165.00 | $35.35 – $158.40 | 16 |
| Apply finger cast 29086 CPT 29086 | $173.47 | $209.00 | $44.77 – $200.64 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $305.44 | $368.00 | $45.63 – $204.48 | 16 |
| Apply hand/wrist cast 29085 CPT 29085 | $230.74 | $278.00 | $55.70 – $249.60 | 16 |
| Apply of finger splint 29131 CPT 29131 | $181.77 | $219.00 | $31.06 – $139.20 | 16 |
| Apply short leg castambul type 29425 CPT 29425 | $172.64 | $208.00 | $44.56 – $199.68 | 16 |
| Apply srs headframe add-on CPT 61800 | $207.50 | $250.00 | $53.55 – $240.00 | 16 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $3,426.34 | $4,128.12 | $884.25 – $3,963.00 | 16 |
| Aquaporin-4 antibody elisa CPT 86051 | $156.04 | $188.00 | $40.27 – $180.48 | 16 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $91.30 | $110.00 | $20.57 – $92.16 | 16 |
| Aquatic exercise - group charge CPT 97150 | $58.93 | $71.00 | $15.21 – $68.16 | 16 |
| Argatroban dialysis, auromed HCPCS J0899 | $2.97 | $3.57 | $0.77 – $3.43 | 16 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | $100.08 | $120.58 | $25.83 – $115.76 | 16 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $755.43 | $910.15 | $166.24 – $745.04 | 16 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $11.56 | $13.92 | $0.99 – $4.41 | 16 |
| Arterial blood draw/perc 36620 CPT 36620 | $276.39 | $333.00 | $21.00 – $94.08 | 16 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $420.81 | $507.00 | $32.78 – $146.88 | 16 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $351.92 | $424.00 | $59.77 – $267.84 | 16 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $786.84 | $948.00 | $31.71 – $142.08 | 16 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $718.78 | $866.00 | $25.49 – $114.24 | 16 |
| Arthroplasty finger joint 26535 CPT 26535 | $4,297.74 | $5,178.00 | $259.83 – $1,164.48 | 16 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $864.86 | $1,042.00 | $223.20 – $1,000.32 | 16 |
| Artiss fibrin sealant HCPCS C9250 | $2,521.13 | $3,037.50 | $650.64 – $2,916.00 | 16 |
| Ascenda two piece catheter HCPCS C1772 | $57,718.20 | $69,540.00 | $4,198.32 – $18,816.00 | 16 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $2,225.23 | $2,681.00 | $147.16 – $659.52 | 16 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $263.94 | $318.00 | $38.35 – $171.84 | 16 |
| Aspirate pleura without imaging 32554 CPT 32554 | $656.53 | $791.00 | $146.30 – $655.68 | 16 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,122.99 | $1,353.00 | $289.82 – $1,298.88 | 16 |
| Assay blood catecholamines CPT 82383 | $40.67 | $49.00 | $10.50 – $64.56 | 16 |
| Assay of estrogen CPT 84233 | $170.98 | $206.00 | $44.13 – $197.76 | 16 |
| Assay of galactose CPT 82760 | $19.09 | $23.00 | $4.93 – $24.86 | 16 |
| Assay of neonatal thyroxine CPT 84437 | $24.90 | $30.00 | $6.43 – $28.80 | 16 |
| Assay of progesterone CPT 84234 | $139.44 | $168.00 | $35.99 – $161.28 | 16 |
| Assay of salicylate CPT 80179 | $103.75 | $125.00 | $18.64 – $120.00 | 16 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $53.12 | $64.00 | $3.00 – $13.44 | 16 |
| Ast/sgot CPT 84450 | $58.10 | $70.00 | $3.86 – $17.28 | 16 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $466.96 | $562.60 | $94.67 – $424.26 | 16 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $5.68 | $6.85 | $0.67 – $2.97 | 16 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $175.13 | $211.00 | $44.99 – $201.60 | 16 |
| Auditor evoke potent limit CPT 92586 | $322.87 | $389.00 | $83.33 – $373.44 | 16 |
| Automated diff wbc count CPT 85004 | $83.83 | $101.00 | $6.47 – $96.96 | 16 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $167.12 | $201.35 | $43.13 – $193.30 | 16 |
| Avul nail plate addl CPT 11732 | $78.85 | $95.00 | $20.35 – $91.20 | 16 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $290.50 | $350.00 | $70.05 – $313.92 | 16 |
| Azacitidine injection HCPCS J9025 | $485.75 | $585.24 | $125.36 – $561.84 | 16 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.52 | $0.62 | $0.14 – $0.60 | 16 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $7.13 | $8.59 | $1.46 – $6.52 | 16 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $45.13 | $54.38 | $5.83 – $26.11 | 16 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $60.96 | $73.44 | $1.81 – $8.09 | 16 |
| Baclofen eval charges CPT 97750 | $104.58 | $126.00 | $26.99 – $120.96 | 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.