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 |
|---|---|---|---|---|
| Protein s total CPT 85305 | $388.44 | $468.00 | $11.61 – $449.28 | 16 |
| Protein total 24 hour urine CPT 84156 | $83.83 | $101.00 | $2.36 – $10.56 | 16 |
| Protein total body fluid CPT 84157 | $58.93 | $71.00 | $4.00 – $68.16 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $54.78 | $66.00 | $2.36 – $10.56 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $1.54 | $1.85 | $0.39 – $1.75 | 16 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $49.80 | $60.00 | $3.94 – $57.60 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | $1,318.04 | $1,588.00 | $340.15 – $1,524.48 | 16 |
| Pr removal drug delivery implant CPT 11982 | $271.41 | $327.00 | $70.05 – $313.92 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $185.92 | $224.00 | $40.27 – $180.48 | 16 |
| Pr removal intrauterine device CPT 58301 | $288.01 | $347.00 | $66.62 – $298.56 | 16 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $966.12 | $1,164.00 | $183.36 – $821.76 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $370.18 | $446.00 | $66.62 – $298.56 | 16 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $391.76 | $472.00 | $69.41 – $311.04 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $352.75 | $425.00 | $55.70 – $249.60 | 16 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $374.33 | $451.00 | $67.05 – $300.48 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $893.08 | $1,076.00 | $91.04 – $408.00 | 16 |
| PSA (Prostate) Test CPT 84153 | $118.69 | $143.00 | $13.07 – $58.56 | 16 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $52.29 | $63.00 | $13.07 – $58.56 | 16 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $27.39 | $33.00 | $7.07 – $31.68 | 16 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $84.66 | $102.00 | $13.50 – $60.48 | 16 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $58.93 | $71.00 | $14.78 – $66.24 | 16 |
| Pt application of modality traction mechanical CPT 97012 | $80.51 | $97.00 | $15.64 – $70.08 | 16 |
| Pt evaluation high complexity patient/family CPT 97163 | $205.84 | $248.00 | $53.13 – $238.08 | 16 |
| Pt evaluation low complexity patient/family CPT 97161 | $136.12 | $164.00 | $35.13 – $157.44 | 16 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $171.81 | $207.00 | $44.34 – $198.72 | 16 |
| Pt prgrm for implt neurostim HCPCS L8681 | $33,407.50 | $40,250.00 | $192.78 – $864.00 | 16 |
| Pt re-evaluation patient/family CPT 97164 | $136.12 | $164.00 | $35.13 – $157.44 | 16 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $180.94 | $218.00 | $46.70 – $209.28 | 16 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $84.66 | $102.00 | $21.64 – $96.96 | 16 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $54.78 | $66.00 | $14.14 – $63.36 | 16 |
| Pt wheelchair management each 15 minutes CPT 97542 | $59.76 | $72.00 | $15.43 – $69.12 | 16 |
| Pulmonary vent imaging CPT 78579 | $993.51 | $1,197.00 | $256.40 – $1,149.12 | 16 |
| Pulse ox continuous overnight monitoring CPT 94762 | $434.92 | $524.00 | $112.25 – $503.04 | 16 |
| Pulse ox multiple CPT 94761 | $313.74 | $378.00 | $80.97 – $362.88 | 16 |
| Pulse ox single CPT 94760 | $112.88 | $136.00 | $29.14 – $130.56 | 16 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $78.85 | $95.00 | $17.14 – $76.80 | 16 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $302.12 | $364.00 | $76.05 – $340.80 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $410.02 | $494.00 | $56.98 – $255.36 | 16 |
| Pyloroplasty 43800 CPT 43800 | $2,075.83 | $2,501.00 | $535.72 – $2,400.96 | 16 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $9.21 | $11.09 | $2.38 – $10.65 | 16 |
| Pyruvate CPT 84210 | $151.06 | $182.00 | $14.48 – $174.72 | 16 |
| Quant diff pulm perf w/imaging CPT 78597 | $2,199.50 | $2,650.00 | $567.63 – $2,544.00 | 16 |
| Quest t3 uptake CPT 84479 | $104.58 | $126.00 | $6.47 – $120.96 | 16 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $335.58 | $404.31 | $86.61 – $388.14 | 16 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $403.13 | $485.69 | $104.04 – $466.27 | 16 |
| Radiesse injection HCPCS Q2026 | $2,232.79 | $2,690.10 | $576.22 – $2,582.50 | 16 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,519.88 | $3,036.00 | $416.84 – $1,868.16 | 16 |
| Radphm lcl tumor plr sgl day CPT 78800 | $795.97 | $959.00 | $205.42 – $920.64 | 16 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $121.40 | $146.26 | $31.33 – $140.41 | 16 |
| Range of motion measurements CPT 95852 | $136.95 | $165.00 | $35.35 – $158.40 | 16 |
| Rapid Strep Test CPT 87880 | $88.81 | $107.00 | $8.14 – $36.70 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $3,710.24 | $4,470.16 | $230.17 – $1,031.54 | 16 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,807.21 | $2,177.36 | $466.40 – $2,090.27 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | $275.56 | $332.00 | $71.12 – $318.72 | 16 |
| Reconstruct extra finger CPT 26587 | $2,369.65 | $2,855.00 | $428.19 – $1,919.04 | 16 |
| Reconstruction of nail bed CPT 11762 | $681.43 | $821.00 | $88.26 – $395.52 | 16 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $440.73 | $531.00 | $113.75 – $509.76 | 16 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $468.95 | $565.00 | $121.03 – $542.40 | 16 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $839.13 | $1,011.00 | $151.23 – $677.76 | 16 |
| Refill/maint pump/resvr syst CPT 96522 | $92.96 | $112.00 | $24.00 – $107.52 | 16 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $39.14 | $47.15 | $10.10 – $45.27 | 16 |
| Rem/biv cast full arm/leg CPT 29705 | $144.42 | $174.00 | $37.28 – $167.04 | 16 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $526.93 | $634.85 | $135.99 – $609.46 | 16 |
| Removal anal seton other marker 46030 CPT 46030 | $609.22 | $734.00 | $157.23 – $704.64 | 16 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,552.93 | $1,871.00 | $99.61 – $446.40 | 16 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,001.28 | $3,616.00 | $133.67 – $599.04 | 16 |
| Removal cerumen impacted (both sides) CPT 69210 | $253.15 | $305.00 | $28.28 – $126.72 | 16 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $182.60 | $220.00 | $18.00 – $80.64 | 16 |
| Removal duct glbldr calculi CPT 47544 | $2,047.61 | $2,467.00 | $528.44 – $2,368.32 | 16 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $440.73 | $531.00 | $82.26 – $368.64 | 16 |
| Removal foreign body foot subcutaneous right CPT 28190 | $570.21 | $687.00 | $136.66 – $612.48 | 16 |
| Removal foreign body gum 41805 CPT 41805 | $1,400.21 | $1,687.00 | $191.50 – $858.24 | 16 |
| Removal foreign body jawbone CPT 41806 | $1,400.21 | $1,687.00 | $252.55 – $1,131.84 | 16 |
| Removal foreign body mouth CPT 40805 | $671.47 | $809.00 | $164.30 – $736.32 | 16 |
| Removal of anal fissure CPT 46200 | $1,114.69 | $1,343.00 | $287.68 – $1,289.28 | 16 |
| Removal of anal tags CPT 46230 | $733.72 | $884.00 | $162.15 – $726.72 | 16 |
| Removal of breast lesion CPT 19120 | $1,180.26 | $1,422.00 | $304.60 – $1,365.12 | 16 |
| Removal of foreign body CPT 27372 | $2,237.68 | $2,696.00 | $355.15 – $1,591.68 | 16 |
| Removal of gallbladder 47600 CPT 47600 | $2,389.57 | $2,879.00 | $616.69 – $2,763.84 | 16 |
| Removal of gallbladder 47610 CPT 47610 | $2,797.93 | $3,371.00 | $722.07 – $3,236.16 | 16 |
| Removal of gallbladder 47620 CPT 47620 | $3,061.87 | $3,689.00 | $790.19 – $3,541.44 | 16 |
| Removal of hydrocele CPT 55040 | $782.69 | $943.00 | $202.00 – $905.28 | 16 |
| Removal of hydroceles CPT 55041 | $1,183.58 | $1,426.00 | $305.45 – $1,368.96 | 16 |
| Removal of implant deep CPT 20680 | $2,851.05 | $3,435.00 | $735.78 – $3,297.60 | 16 |
| Removal of infusion pump CPT 36262 | $5,052.21 | $6,087.00 | $1,303.84 – $5,843.52 | 16 |
| Removal of palm tendon each CPT 26170 | $943.71 | $1,137.00 | $243.55 – $1,091.52 | 16 |
| Removal of skin tags each add'l 10 CPT 11201 | $42.33 | $51.00 | $10.93 – $48.96 | 16 |
| Removal of spleen partial CPT 38101 | $2,586.28 | $3,116.00 | $667.45 – $2,991.36 | 16 |
| Removal of spleen total 38102 CPT 38102 | $580.17 | $699.00 | $149.73 – $671.04 | 16 |
| Removal of testis CPT 54520 | $755.30 | $910.00 | $194.93 – $873.60 | 16 |
| Removal of testis CPT 54530 | $1,173.62 | $1,414.00 | $302.88 – $1,357.44 | 16 |
| Removal of thyroid CPT 60240 | $2,079.15 | $2,505.00 | $536.58 – $2,404.80 | 16 |
| Removal of thyroid CPT 60252 | $2,990.49 | $3,603.00 | $771.77 – $3,458.88 | 16 |
| Removal of thyroid CPT 60271 | $2,394.55 | $2,885.00 | $617.97 – $2,769.60 | 16 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $375.99 | $453.00 | $54.20 – $242.88 | 16 |
| Remove anal fist complex CPT 46280 | $1,108.88 | $1,336.00 | $286.18 – $1,282.56 | 16 |
| Remove anal fist inter CPT 46275 | $1,321.36 | $1,592.00 | $341.01 – $1,528.32 | 16 |
| Remove anal fist subq CPT 46270 | $1,249.98 | $1,506.00 | $322.59 – $1,445.76 | 16 |
| Remove ext hem groups 2+ CPT 46250 | $1,123.82 | $1,354.00 | $290.03 – $1,299.84 | 16 |
| Remove foreign body from eye CPT 65235 | $1,845.92 | $2,224.00 | $476.39 – $2,135.04 | 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.