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 |
|---|---|---|---|---|
| Remove in/ex hem groups 2+ CPT 46260 | $1,106.39 | $1,333.00 | $285.53 – $1,279.68 | 16 |
| Remove in/ex hem grp & fiss 46257 CPT 46257 | $970.27 | $1,169.00 | $250.40 – $1,122.24 | 16 |
| Remove in/ex hem grps & fiss CPT 46261 | $1,215.95 | $1,465.00 | $313.81 – $1,406.40 | 16 |
| Remove in/ex hem grps w/fist CPT 46262 | $1,327.17 | $1,599.00 | $342.51 – $1,535.04 | 16 |
| Remove in/ex hem grp w/fistu CPT 46258 | $1,086.47 | $1,309.00 | $280.39 – $1,256.64 | 16 |
| Remove int/ext hem 1 group CPT 46255 | $1,220.10 | $1,470.00 | $314.88 – $1,411.20 | 16 |
| Remove pilonidal cyst compl CPT 11772 | $1,793.63 | $2,161.00 | $462.89 – $2,074.56 | 16 |
| Remove pilonidal cyst exten CPT 11771 | $1,454.99 | $1,753.00 | $375.50 – $1,682.88 | 16 |
| Remove sacrum pressure sore close 15936 CPT 15936 | $2,045.95 | $2,465.00 | $528.01 – $2,366.40 | 16 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $1,376.14 | $1,658.00 | $355.15 – $1,591.68 | 16 |
| Remove thyroid lesion 60200 CPT 60200 | $1,520.56 | $1,832.00 | $392.42 – $1,758.72 | 16 |
| Remove wrist tendon lesion CPT 25111 | $3,689.35 | $4,445.00 | $192.78 – $864.00 | 16 |
| Remvl peritoneal fb frm cavity CPT 49402 | $1,908.17 | $2,299.00 | $492.45 – $2,207.04 | 16 |
| Renal function panel CPT 80069 | $121.18 | $146.00 | $6.43 – $28.80 | 16 |
| Repair achilles tendon CPT 27650 | $5,448.95 | $6,565.00 | $391.99 – $1,756.80 | 16 |
| Repair anal fistula CPT 46288 | $1,286.50 | $1,550.00 | $332.01 – $1,488.00 | 16 |
| Repair blood vessel direct hand finger CPT 35207 | $5,317.81 | $6,407.00 | $443.18 – $1,986.24 | 16 |
| Repair blood vessel dir lower extr CPT 35226 | $1,844.26 | $2,222.00 | $469.32 – $2,103.36 | 16 |
| Repair blood vessel dir upper extr CPT 35206 | $1,724.74 | $2,078.00 | $119.31 – $534.72 | 16 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $1,001.81 | $1,207.00 | $122.74 – $550.08 | 16 |
| Repair epigastric hernia reduce 49570 CPT 49570 | $945.37 | $1,139.00 | $243.98 – $1,093.44 | 16 |
| Repair epigastric hern incar 49572 CPT 49572 | $1,166.15 | $1,405.00 | $300.96 – $1,348.80 | 16 |
| Repair extns tendon finger without grft ea CPT 26418 | $2,128.12 | $2,564.00 | $379.57 – $1,701.12 | 16 |
| Repair eyelid defect CPT 67921 | $1,899.87 | $2,289.00 | $290.25 – $1,300.80 | 16 |
| Repair eyelid defect CPT 67923 | $2,143.89 | $2,583.00 | $370.14 – $1,658.88 | 16 |
| Repair eyelid wound CPT 67930 | $1,881.61 | $2,267.00 | $224.27 – $1,005.12 | 16 |
| Repair eyelid wound CPT 67935 | $1,398.55 | $1,685.00 | $57.62 – $258.24 | 16 |
| Repair finger/hand tendon CPT 26350 | $3,383.91 | $4,077.00 | $453.04 – $2,030.40 | 16 |
| Repair finger/hand tendon CPT 26356 | $3,132.42 | $3,774.00 | $471.24 – $2,112.00 | 16 |
| Repair/graft finger tendon CPT 26428 | $1,007.62 | $1,214.00 | $260.04 – $1,165.44 | 16 |
| Repair/graft hand tendon CPT 26412 | $3,132.42 | $3,774.00 | $434.83 – $1,948.80 | 16 |
| Repair ing hernia sliding CPT 49525 | $1,287.33 | $1,551.00 | $332.23 – $1,488.96 | 16 |
| Repair lac palate<2 cm CPT 42180 | $623.33 | $751.00 | $154.87 – $694.08 | 16 |
| Repair lip full thkns =<one-half vert height CPT 40652 | $1,199.35 | $1,445.00 | $265.18 – $1,188.48 | 16 |
| Repair lip full thkns >one-half vert height/cmplx CPT 40654 | $1,357.05 | $1,635.00 | $275.68 – $1,235.52 | 16 |
| Repair muscles of hand CPT 26591 | $3,399.68 | $4,096.00 | $296.46 – $1,328.64 | 16 |
| Repair nerve add-on 64832 CPT 64832 | $3,725.04 | $4,488.00 | $193.21 – $865.92 | 16 |
| Repair of anal stricture CPT 46700 | $1,515.58 | $1,826.00 | $391.13 – $1,752.96 | 16 |
| Repair of bowel lesion CPT 44605 | $2,905.83 | $3,501.00 | $749.92 – $3,360.96 | 16 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $3,227.87 | $3,889.00 | $408.70 – $1,831.68 | 16 |
| Repair of hand or foot nerve CPT 64834 | $2,642.72 | $3,184.00 | $435.47 – $1,951.68 | 16 |
| Repair of hydrocele 55060 CPT 55060 | $878.14 | $1,058.00 | $226.63 – $1,015.68 | 16 |
| Repair of ruptured spleen 38115 CPT 38115 | $2,867.65 | $3,455.00 | $740.07 – $3,316.80 | 16 |
| Repair of ulnar motor nerve 64836 CPT 64836 | $3,247.79 | $3,913.00 | $477.24 – $2,138.88 | 16 |
| Repair recur fem hernia reduce 49555 CPT 49555 | $1,355.39 | $1,633.00 | $349.79 – $1,567.68 | 16 |
| Repair recur ventrl hern incar 49566 CPT 49566 | $2,092.43 | $2,521.00 | $540.00 – $2,420.16 | 16 |
| Repair recur ventrl hern reduce 49565 CPT 49565 | $1,719.76 | $2,072.00 | $443.83 – $1,989.12 | 16 |
| Repair rotator cuff chronic CPT 23412 | $1,934.73 | $2,331.00 | $499.31 – $2,237.76 | 16 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $1,406.85 | $1,695.00 | $197.71 – $886.08 | 16 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $1,114.69 | $1,343.00 | $265.18 – $1,188.48 | 16 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $2,537.31 | $3,057.00 | $289.60 – $1,297.92 | 16 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $3,824.64 | $4,608.00 | $375.71 – $1,683.84 | 16 |
| Repair throat wound CPT 42900 | $933.75 | $1,125.00 | $197.50 – $885.12 | 16 |
| Repair umbil hern incar > 5 yr 49587 CPT 49587 | $1,076.51 | $1,297.00 | $277.82 – $1,245.12 | 16 |
| Repair umbil hern reduc > 5 yr 49585 CPT 49585 | $1,007.62 | $1,214.00 | $260.04 – $1,165.44 | 16 |
| Repair vagina/perineum CPT 57210 | $1,996.15 | $2,405.00 | $235.84 – $1,056.96 | 16 |
| Repair ventral hern init incar 49561 CPT 49561 | $2,073.34 | $2,498.00 | $535.08 – $2,398.08 | 16 |
| Repair ventral hern init reduc 49560 CPT 49560 | $1,651.70 | $1,990.00 | $426.26 – $1,910.40 | 16 |
| Repeat thyroid surgery CPT 60260 | $2,473.40 | $2,980.00 | $638.32 – $2,860.80 | 16 |
| Replace tunneled cv cath CPT 36578 | $1,040.82 | $1,254.00 | $268.61 – $1,203.84 | 16 |
| Repr of anal fistula w/glue CPT 46706 | $402.55 | $485.00 | $103.89 – $465.60 | 16 |
| Rerepair ing hernia blocked CPT 49521 | $1,602.73 | $1,931.00 | $413.63 – $1,853.76 | 16 |
| Rerepair ing hernia reduce CPT 49520 | $1,419.30 | $1,710.00 | $366.29 – $1,641.60 | 16 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $92.14 | $111.01 | $23.78 – $106.57 | 16 |
| Resuscitation cardiopulmonary CPT 92950 | $1,185.24 | $1,428.00 | $200.92 – $900.48 | 16 |
| Resuscitation delivery/birthing room CPT 99465 | $877.31 | $1,057.00 | $226.41 – $1,014.72 | 16 |
| Reticulocyte automated CPT 85045 | $10.79 | $13.00 | $2.58 – $11.52 | 16 |
| Revise windpipe scar CPT 31830 | $1,157.85 | $1,395.00 | $298.81 – $1,339.20 | 16 |
| Revision of knee joint CPT 27446 | $1,448.35 | $1,745.00 | $373.78 – $1,675.20 | 16 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $574.36 | $692.00 | $86.76 – $388.80 | 16 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $1,700.40 | $2,048.67 | $438.83 – $1,966.73 | 16 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,403.68 | $2,896.00 | $620.33 – $2,780.16 | 16 |
| Rheumatoid factor qualitative CPT 86430 | $63.08 | $76.00 | $3.86 – $17.28 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $60.59 | $73.00 | $3.86 – $17.28 | 16 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $29.44 | $35.47 | $7.60 – $34.06 | 16 |
| Rho d immune globulin inj HCPCS J2790 | $67.78 | $81.66 | $17.50 – $78.40 | 16 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $659.85 | $795.00 | $11.66 – $52.23 | 16 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $17,928.06 | $21,600.07 | $214.41 – $960.94 | 16 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $960.18 | $1,156.84 | $61.96 – $277.66 | 16 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $77.99 | $93.96 | $20.13 – $90.21 | 16 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $37.41 | $45.07 | $9.66 – $43.27 | 16 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $44.51 | $53.62 | $11.49 – $51.48 | 16 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $44.39 | $53.48 | $11.46 – $51.35 | 16 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,384.44 | $1,668.00 | $327.09 – $1,465.92 | 16 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $827.51 | $997.00 | $213.56 – $957.12 | 16 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $518.75 | $625.00 | $131.95 – $591.36 | 16 |
| Rmvl subq card rhythm mntr CPT 33286 | $842.45 | $1,015.00 | $217.42 – $974.40 | 16 |
| Romiplostim injection HCPCS J2796 | $989.68 | $1,192.38 | $255.41 – $1,144.69 | 16 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $932.49 | $1,123.47 | $240.65 – $1,078.54 | 16 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $0.87 | $1.04 | $0.05 – $0.23 | 16 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $2,510.75 | $3,025.00 | $647.96 – $2,904.00 | 16 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,321.36 | $1,592.00 | $341.01 – $1,528.32 | 16 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,321.36 | $1,592.00 | $341.01 – $1,528.32 | 16 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $9,164.86 | $11,042.00 | $2,365.20 – $10,600.32 | 16 |
| Rpr fem hernia init blocked CPT 49553 | $1,419.30 | $1,710.00 | $366.29 – $1,641.60 | 16 |
| Rpr rem hernia init reduce CPT 49550 | $1,293.97 | $1,559.00 | $333.94 – $1,496.64 | 16 |
| Rsv assay w/optic CPT 87807 | $142.76 | $172.00 | $13.10 – $165.12 | 16 |
| Rubella antibody igg CPT 86762 | $73.04 | $88.00 | $14.39 – $84.48 | 16 |
| Rubeola antibody igg CPT 86765 | $101.26 | $122.00 | $12.88 – $117.12 | 16 |
| Russell viper venom diluted CPT 85613 | $81.34 | $98.00 | $6.22 – $27.84 | 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.