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
St cognitve performance testing healthcare professional each hour CPT 96125 $150.23 $181.00 $38.78 – $173.76 16
Stent axios caut enh 15x10mm electrocaut HCPCS C1874 $25,590.15 $30,831.50 $6.32 – $28.31 16
Stent bili dbl pgtl 10fx5cm HCPCS C2617 $4,904.06 $5,908.50 $8.49 – $38.04 16
Stent bili rx wallflx 10x80 uncvr HCPCS C1876 $25,610.55 $30,856.08 $3.17 – $14.20 16
Stent bronch dumon sil 10x40mm HCPCS C1875 $817.55 $985.00 $210.99 – $945.60 16
Sternal debridement CPT 21627 $1,225.91 $1,477.00 $316.38 – $1,417.92 16
St evaluate speech sound production CPT 92522 $269.75 $325.00 $69.62 – $312.00 16
St evaluate speech sound production comprehensive/expressive CPT 92523 $274.73 $331.00 $70.91 – $317.76 16
St evaluation motion fluoroscopic swallow function cine/video CPT 92611 $406.70 $490.00 $73.90 – $331.20 16
St evaluation swallow function CPT 92610 $285.52 $344.00 $73.69 – $330.24 16
Strapping of ankle and/or ft 29540 CPT 29540 $289.67 $349.00 $16.71 – $74.88 16
Strapping of chest CPT 29200 $302.95 $365.00 $20.35 – $91.20 16
Strapping of elbow or wrist 29260 CPT 29260 $69.72 $84.00 $18.00 – $80.64 16
Strapping of hand or finger CPT 29280 $68.89 $83.00 $17.78 – $79.68 16
Strapping of hip CPT 29520 $113.71 $137.00 $21.42 – $96.00 16
Strapping of knee CPT 29530 $113.71 $137.00 $18.43 – $82.56 16
Strapping of toes 29550 CPT 29550 $113.71 $137.00 $11.57 – $51.84 16
Stress test pulmonary CPT 94618 $339.47 $409.00 $36.85 – $165.12 16
St treatment speech individual CPT 92507 $168.49 $203.00 $43.49 – $194.88 16
St treatment swallow dysfunction/oral CPT 92526 $185.09 $223.00 $47.77 – $214.08 16
Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 $14.65 $17.65 $0.16 – $0.71 16
Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 $5,816.11 $7,007.36 $59.19 – $265.28 16
Sulfonylurea screen qn-sendout CPT 80377 $224.93 $271.00 $58.05 – $260.16 16
Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 $252.67 $304.42 $14.52 – $65.07 16
Support clav 29.6-40.5in med HCPCS L3650 $16.89 $20.34 $4.13 – $18.49 16
Surg dx exam anorectal CPT 45990 $239.04 $288.00 $61.69 – $276.48 16
Surgical pathology level 1 gross examination only CPT 88300 $33.20 $40.00 $8.57 – $38.40 16
Surgical pathology level 2 gross & microscopic examination CPT 88302 $52.29 $63.00 $13.50 – $60.48 16
Surgical pathology level 3 gross & microscopic examination CPT 88304 $53.95 $65.00 $13.93 – $62.40 16
Surgical pathology level 4 gross & microscopic examination CPT 88305 $69.72 $84.00 $18.00 – $80.64 16
Surgical pathology level 5 gross & microscopic examination CPT 88307 $148.57 $179.00 $38.35 – $171.84 16
Surgical pathology level 6 gross & microscopic examination CPT 88309 $205.84 $248.00 $53.13 – $238.08 16
Surg tx anal fistula 2nd stage 46285 CPT 46285 $1,315.55 $1,585.00 $339.51 – $1,521.60 16
Susceptibility agar dilution per agent CPT 87181 $67.23 $81.00 $4.75 – $77.76 16
Susceptibility enzyme detection per enzyme CPT 87185 $70.55 $85.00 $3.22 – $14.40 16
Susceptibility mic per plate CPT 87186 $126.16 $152.00 $6.22 – $27.84 16
Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 $2,356.37 $2,839.00 $608.12 – $2,725.44 16
Synvisc or synvisc-one HCPCS J7325 $56.94 $68.60 $14.70 – $65.86 16
Syphilis test non-treponemal antibody quantitative rpr CPT 86593 $11.62 $14.00 $3.00 – $13.44 16
System cardiomems hosp electronics HCPCS C2624 $34,511.40 $41,580.00 $8,906.44 – $39,916.80 16
System pacing micra av HCPCS C1786 $34,175.25 $41,175.00 $1,132.59 – $5,076.00 16
System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 $15,948.45 $19,215.00 $1.32 – $5.88 16
System sealant biosentry tract HCPCS C2613 $869.09 $1,047.09 $224.29 – $1,005.21 16
T3 (triiodothyronine) free CPT 84481 $179.28 $216.00 $6.43 – $37.61 16
T3 (triiodothyronine) total CPT 84480 $141.10 $170.00 $6.43 – $31.48 16
T4 (thyroxine) free CPT 84439 $102.09 $123.00 $6.43 – $28.80 16
T4 (thyroxine) total CPT 84436 $72.21 $87.00 $5.15 – $23.04 16
Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 $0.88 $1.06 $0.22 – $0.97 16
Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 $193.60 $233.25 $49.97 – $223.92 16
Tacrolimus therapeutic drug level CPT 80197 $133.63 $161.00 $9.64 – $43.20 16
Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 $1,057.12 $1,273.63 $272.82 – $1,222.69 16
Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 $8,594.51 $10,354.82 $110.90 – $497.04 16
Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 $422.34 $508.84 $108.49 – $486.20 16
Tb test cell mediated immunity antigen response gamma interferon CPT 86480 $180.94 $218.00 $46.70 – $209.28 16
Tc-99m diag per dose HCPCS A4641 $164.34 $198.00 $42.42 – $190.08 16
Tc-99m labeled rbc HCPCS A9560 $230.74 $278.00 $59.55 – $266.88 16
Tc-99m maa HCPCS A9540 $121.18 $146.00 $31.28 – $140.16 16
Tc-99m mebrofenin HCPCS A9537 $64.74 $78.00 $16.71 – $74.88 16
Tc-99m medronate HCPCS A9503 $172.64 $208.00 $44.56 – $199.68 16
Tc-99m sestamibi p study dose HCPCS A9500 $277.22 $334.00 $28.49 – $127.68 16
Tc-99m sulfur colloid HCPCS A9541 $107.90 $130.00 $27.85 – $124.80 16
T cells absolute cd4/cd8 including ratio CPT 86360 $112.05 $135.00 $28.92 – $129.60 16
T cells absolute cd 4 count CPT 86361 $84.66 $102.00 $21.85 – $97.92 16
T cells total count CPT 86359 $117.86 $142.00 $30.42 – $136.32 16
Telehealth original site facility fee HCPCS Q3014 $49.80 $60.00 $12.86 – $57.60 16
Telethx isodose plan cplx CPT 77307 $2,983.85 $3,595.00 $770.05 – $3,451.20 16
Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 $1,518.48 $1,829.49 $391.88 – $1,756.32 16
Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 $6,645.70 $8,006.86 $1,715.07 – $7,686.59 16
Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 $884.78 $1,066.00 $228.34 – $1,023.36 16
Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 $1.90 $2.29 $0.50 – $2.20 16
Testosterone undecanoate 1mg HCPCS J3145 $573.39 $690.83 $147.98 – $663.20 16
Test stress cardiovascular tracing only CPT 93017 $1,216.78 $1,466.00 $314.02 – $1,407.36 16
Tetanus immune globulin inj HCPCS J1670 $373.07 $449.48 $96.28 – $431.51 16
Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 $1,808.15 $2,178.49 $466.64 – $2,091.36 16
Theophylline therapeutic drug level CPT 80198 $37.35 $45.00 $4.29 – $31.39 16
Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 $48.14 $58.00 $12.43 – $55.68 16
Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 $41.50 $50.00 $10.71 – $48.00 16
Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 $3.24 $3.91 $0.84 – $3.76 16
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 $761.94 $918.00 $169.44 – $759.36 16
Thrombin time CPT 85670 $57.27 $69.00 $3.86 – $17.28 16
Thromboplastin time partial (ptt) substitution fractions each CPT 85732 $29.88 $36.00 $6.47 – $34.56 16
Thyroglobulin antibody CPT 86800 $68.06 $82.00 $15.91 – $78.72 16
Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 $3,080.13 $3,711.00 $794.90 – $3,562.56 16
Thyroid met imaging CPT 78015 $689.73 $831.00 $178.01 – $797.76 16
Thyroid mets imag whole body CPT 78018 $1,727.23 $2,081.00 $445.76 – $1,997.76 16
Thyroid (TSH) Test CPT 84443 $113.71 $137.00 $12.00 – $53.76 16
Thyroid Ultrasound CPT 76536 $563.57 $679.00 $145.45 – $651.84 16
Thyroid uptake measurement CPT 78012 $474.76 $572.00 $122.53 – $549.12 16
Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 $1,641.11 $1,977.24 $399.23 – $1,789.23 16
Tigecycline injection HCPCS J3243 $79.71 $96.04 $20.58 – $92.20 16
Tirofiban 12.5 mg/50 ml HCPCS J3246 $2.97 $3.58 $0.19 – $0.83 16
Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 $5,272.16 $6,352.00 $1,360.60 – $6,097.92 16
Tissue amnio epifix inj 100mg HCPCS Q4145 $5,582.90 $6,726.38 $1,440.80 – $6,457.33 16
Tissue exam koh skin/hair/nails CPT 87220 $84.66 $102.00 $4.27 – $97.92 16
Tissue transglutaminase iga CPT 86364 $157.70 $190.00 $40.70 – $182.40 16
Tixagev and cilgav inj HCPCS M0220 $195.05 $235.00 $50.34 – $225.60 16
Tl-201 thallium diag per mci HCPCS A9505 $258.96 $312.00 $66.84 – $299.52 16
Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 $58.46 $70.43 $0.29 – $1.28 16
Tobramycin non-comp unit HCPCS J7682 $2.82 $3.40 $0.73 – $3.27 16
Tobramycin peak therapeutic drug level CPT 80200 $15.77 $19.00 $4.07 – $35.81 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.