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
Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 $1,175.38 $1,416.12 $296.66 – $1,329.57 16
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 $9.10 $10.96 $0.09 – $0.39 16
Ophthalmic mitomycin HCPCS J7315 $44.58 $53.70 $11.51 – $51.56 16
Orchiectomy partial CPT 54522 $1,358.71 $1,637.00 $350.65 – $1,571.52 16
Organic acids total quant ea spec CPT 83918 $213.31 $257.00 $23.60 – $246.72 16
Oritavancin 400 mg intravenous solution HCPCS J2407 $828.32 $997.98 $213.77 – $958.07 16
Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 $5.62 $6.77 $1.46 – $6.50 16
Oscillation chest wall mechanical per session CPT 94669 $268.09 $323.00 $69.19 – $310.08 16
Osmolality blood CPT 83930 $132.80 $160.00 $6.61 – $153.60 16
Osmolality urine CPT 83935 $119.52 $144.00 $6.82 – $138.24 16
Ot evaluation high complexity patient/family CPT 97167 $205.84 $248.00 $53.13 – $238.08 16
Ot evaluation low complexity patient/family CPT 97165 $136.12 $164.00 $35.13 – $157.44 16
Ot evaluation moderate complexity patient/family CPT 97166 $171.81 $207.00 $44.34 – $198.72 16
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 $71.38 $86.00 $18.43 – $82.56 16
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $83.83 $101.00 $18.85 – $84.48 16
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $86.32 $104.00 $19.28 – $86.40 16
Ot re-evaluation patient/family CPT 97168 $136.12 $164.00 $35.13 – $157.44 16
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $85.49 $103.00 $18.43 – $82.56 16
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $130.31 $157.00 $31.06 – $139.20 16
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $130.31 $157.00 $31.06 – $139.20 16
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $129.48 $156.00 $14.78 – $66.24 16
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $89.64 $108.00 $19.28 – $86.40 16
Ot training self care/home management direct contact each 15 minutes CPT 97535 $84.66 $102.00 $21.85 – $97.92 16
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 $83.50 $100.60 $1.66 – $7.44 16
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $17.76 $21.39 $1.77 – $7.91 16
Oxytocin 10 unit/ml injection solution HCPCS J2590 $2.74 $3.30 $0.71 – $3.17 16
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $2.55 $3.08 $0.66 – $2.96 16
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $1,199.45 $1,445.12 $309.55 – $1,387.32 16
Palivizumab 50 mg/0.5 ml inj CPT 90378 $5,405.89 $6,513.12 $704.59 – $3,157.82 16
Palonosetron hcl HCPCS J2469 $3.45 $4.15 $0.87 – $3.87 16
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $41.49 $49.98 $0.29 – $1.27 16
Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 $290.18 $349.62 $74.89 – $335.64 16
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 $3.86 $4.64 $1.00 – $4.46 16
Papaverin hcl injection HCPCS J2440 $15.72 $18.93 $4.06 – $18.18 16
Parathormone (pth) intact CPT 83970 $244.02 $294.00 $29.35 – $131.52 16
Parathyroid planar imaging CPT 78070 $1,318.87 $1,589.00 $340.37 – $1,525.44 16
Parathyroid planar img w/tomo spect CPT 78071 $1,346.26 $1,622.00 $347.44 – $1,557.12 16
Parial mast w/lymph removal 19302 CPT 19302 $2,030.18 $2,446.00 $523.94 – $2,348.16 16
Paricalcitol HCPCS J2501 $7.93 $9.56 $0.78 – $3.49 16
Paring/cutting benign hyperkeratotic lesion single CPT 11055 $185.92 $224.00 $43.70 – $195.84 16
Partial removal finger bone CPT 26236 $2,049.27 $2,469.00 $528.86 – $2,370.24 16
Partial removal of thyroid CPT 60220 $1,609.37 $1,939.00 $415.34 – $1,861.44 16
Partial removal of thyroid CPT 60225 $2,138.91 $2,577.00 $552.00 – $2,473.92 16
Partial removal of toe CPT 28160 $2,049.27 $2,469.00 $528.86 – $2,370.24 16
Partial thyroid excision CPT 60210 $1,605.22 $1,934.00 $414.27 – $1,856.64 16
Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 $2,292.46 $2,762.00 $591.63 – $2,651.52 16
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 $7,235.64 $8,717.63 $190.23 – $852.54 16
Part removal of metatarsal CPT 28113 $1,362.86 $1,642.00 $351.72 – $1,576.32 16
Passy muir valve metal trach HCPCS L8501 $61.09 $73.60 $15.77 – $70.66 16
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 $6,187.35 $7,454.64 $1,596.79 – $7,156.46 16
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 $4,396.33 $5,296.79 $1,087.01 – $4,871.74 16
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 $2,134.14 $2,571.25 $550.77 – $2,468.40 16
Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 $2,020.97 $2,434.90 $521.56 – $2,337.51 16
Pegloticase 8 mg/ml intravenous solution HCPCS J2507 $18,759.66 $22,602.00 $4,841.35 – $21,697.92 16
Pelvic CT scan (with and without contrast) CPT 72194 $3,040.29 $3,663.00 $784.62 – $3,516.48 16
Pelvic CT scan (with contrast) CPT 72193 $2,642.72 $3,184.00 $682.02 – $3,056.64 16
Pelvic CT scan (without contrast) CPT 72192 $1,985.36 $2,392.00 $512.37 – $2,296.32 16
Pelvic MRI (with and without contrast) CPT 72197 $2,947.33 $3,551.00 $760.63 – $3,408.96 16
Pelvic MRI (with contrast) CPT 72196 $2,771.37 $3,339.00 $715.22 – $3,205.44 16
Pelvic MRI (without contrast) CPT 72195 $2,363.01 $2,847.00 $609.83 – $2,733.12 16
Pelvic Ultrasound (complete) CPT 76856 $761.94 $918.00 $196.64 – $881.28 16
Pelvic Ultrasound (limited) CPT 76857 $472.27 $569.00 $121.88 – $546.24 16
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $1,223.78 $1,474.43 $315.83 – $1,415.46 16
Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 $3,069.12 $3,697.73 $158.42 – $709.97 16
Pemivibart infusion HCPCS M0224 $544.48 $656.00 $140.52 – $629.76 16
Peng benzathine/procaine inj HCPCS J0558 $92.27 $111.17 $23.82 – $106.73 16
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $147.03 $177.14 $32.87 – $147.28 16
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $41.75 $50.30 $1.27 – $5.69 16
Penile rear tip xtnd 0.5cm HCPCS C2622 $8,293.20 $9,991.80 $728.28 – $3,264.00 16
Pentobarbital sodium inj HCPCS J2515 $27.30 $32.88 $7.05 – $31.57 16
Pentostatin 10 mg intravenous solution HCPCS J9268 $1,930.08 $2,325.39 $498.10 – $2,232.38 16
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 $33.20 $40.00 $8.57 – $38.40 16
Pericardiocentesis wwo imaging CPT 33016 $636.61 $767.00 $164.30 – $736.32 16
Peripheral vascular rehab CPT 93668 $175.96 $212.00 $45.42 – $203.52 16
Perq dev breast 1st mr guide CPT 19287 $1,561.23 $1,881.00 $402.92 – $1,805.76 16
Perq dev breast 1st strtctc CPT 19283 $3,306.72 $3,984.00 $158.94 – $712.32 16
Pertussis ag if CPT 87265 $86.32 $104.00 $11.98 – $99.84 16
Pertuzumab 30 mg/ml desensitization HCPCS J9306 $402.95 $485.48 $103.99 – $466.07 16
Pet CT skull-mid thgh initial CPT 78815 $7,909.90 $9,530.00 $1,428.93 – $6,404.16 16
Pet CT whole body initial CPT 78816 $7,356.29 $8,863.00 $1,898.46 – $8,508.48 16
Pet fdg brain metoblic eval sb CPT 78608 $4,520.18 $5,446.00 $1,166.54 – $5,228.16 16
Pet image w/ct lmtd CPT 78814 $5,379.23 $6,481.00 $1,388.24 – $6,221.76 16
Pfc sigma fem post aug sz3 8mm HCPCS C1776 $41,010.30 $49,410.00 $13.50 – $60.48 16
Ph body fluid CPT 83986 $35.69 $43.00 $3.58 – $41.28 16
Phencyclidine (pcp) CPT 83992 $105.41 $127.00 $27.21 – $121.92 16
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 $41.76 $50.31 $4.22 – $18.89 16
Phenobarbital therapeutic drug level CPT 80184 $43.99 $53.00 $8.14 – $36.48 16
Phentolaine mesylate inj HCPCS J2760 $353.35 $425.72 $91.19 – $408.70 16
Phenylephrine 10 mg/ml injection solution HCPCS J2371 $3.53 $4.25 $0.05 – $0.19 16
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 $1.32 $1.59 $0.35 – $1.53 16
Phenytoin total therapeutic drug level CPT 80185 $46.48 $56.00 $9.86 – $44.16 16
Phlebotomy therapeutic CPT 99195 $307.93 $371.00 $46.27 – $207.36 16
Phosphorus CPT 84100 $54.78 $66.00 $3.43 – $15.36 16
Phosphorus 24 hour urine CPT 84105 $63.08 $76.00 $5.78 – $72.96 16
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $36.34 $43.78 $0.15 – $0.67 16
Piflu f-18, dia 1 millicurie HCPCS A9595 $1,229.23 $1,481.00 $317.24 – $1,421.76 16
Pin caspar distraction 12mm HCPCS C1821 $14,581.44 $17,568.00 $1,696.47 – $7,603.20 16
Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 $1,373.65 $1,655.00 $98.11 – $439.68 16
Pinworm exam CPT 87172 $64.74 $78.00 $4.27 – $74.88 16
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $90.35 $108.85 $0.03 – $0.13 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.