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 |
|---|---|---|---|---|
| Uppr gi scope w/submuc inj CPT 43236 | $974.42 | $1,174.00 | $251.48 – $1,127.04 | 16 |
| Urea nitrogen CPT 84520 | $57.27 | $69.00 | $2.58 – $11.52 | 16 |
| Urea nitrogen 24 hour urine CPT 84540 | $68.06 | $82.00 | $5.56 – $78.72 | 16 |
| Urethrocystography void s&i CPT 74455 | $590.13 | $711.00 | $152.30 – $682.56 | 16 |
| Uric acid blood CPT 84550 | $51.46 | $62.00 | $3.43 – $15.36 | 16 |
| Uric acid urine CPT 84560 | $64.74 | $78.00 | $5.08 – $74.88 | 16 |
| Urinalysis microscopic only CPT 81015 | $22.41 | $27.00 | $3.05 – $25.92 | 16 |
| Urinalysis (with microscopy) CPT 81001 | $100.43 | $121.00 | $2.15 – $9.60 | 16 |
| Urinalysis (without microscopy) CPT 81003 | $42.33 | $51.00 | $1.50 – $6.72 | 16 |
| Urine Culture Test CPT 87086 | $102.09 | $123.00 | $5.79 – $25.92 | 16 |
| Urine pregnancy test CPT 81025 | $39.84 | $48.00 | $4.93 – $22.08 | 16 |
| Urography, antegrade CPT 74425 | $535.35 | $645.00 | $138.16 – $619.20 | 16 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $64.60 | $77.83 | $16.68 – $74.72 | 16 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $23,348.88 | $28,131.18 | $5,181.68 – $23,223.19 | 16 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $308.76 | $372.00 | $74.21 – $332.59 | 16 |
| Vaccine dtap < 7 years im CPT 90700 | $46.99 | $56.61 | $9.49 – $42.50 | 16 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $109.05 | $131.39 | $28.15 – $126.14 | 16 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $79.95 | $96.32 | $20.64 – $92.47 | 16 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $46.64 | $56.19 | $12.04 – $53.95 | 16 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $10.57 | $12.73 | $2.73 – $12.23 | 16 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $56.51 | $68.09 | $12.15 – $54.42 | 16 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $46.41 | $55.91 | $11.98 – $53.68 | 16 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $37.85 | $45.60 | $7.29 – $32.65 | 16 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $35.18 | $42.38 | $7.90 – $35.41 | 16 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $106.60 | $128.43 | $27.51 – $123.30 | 16 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $24.99 | $30.10 | $6.45 – $28.90 | 16 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $85.41 | $102.90 | $22.05 – $98.79 | 16 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $26.63 | $32.08 | $6.88 – $30.80 | 16 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $20.34 | $24.50 | $5.25 – $23.52 | 16 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $42.69 | $51.43 | $11.02 – $49.38 | 16 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $277.20 | $333.97 | $71.54 – $320.62 | 16 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $92.13 | $111.00 | $23.78 – $106.56 | 16 |
| Vaccine mmr live subcutaneous CPT 90707 | $216.24 | $260.53 | $18.36 – $82.25 | 16 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $187.55 | $225.96 | $48.41 – $216.93 | 16 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $321.17 | $386.94 | $82.89 – $371.47 | 16 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $388.11 | $467.60 | $100.16 – $448.90 | 16 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $68.09 | $82.03 | $17.58 – $78.75 | 16 |
| Vaccine rabies im CPT 90675 | $272.49 | $328.29 | $70.32 – $315.16 | 16 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $873.06 | $1,051.87 | $201.59 – $903.46 | 16 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $436.53 | $525.94 | $112.66 – $504.91 | 16 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $33.70 | $40.60 | $8.70 – $38.98 | 16 |
| Vaccine tdap >=7 years im CPT 90715 | $78.85 | $94.99 | $15.79 – $70.75 | 16 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $64.64 | $77.88 | $9.33 – $41.78 | 16 |
| Vaccine varicella live subcutaneous CPT 90716 | $144.33 | $173.89 | $37.25 – $166.94 | 16 |
| Valproic acid total therapeutic drug level CPT 80164 | $131.97 | $159.00 | $10.07 – $45.12 | 16 |
| Valrubicin injection HCPCS J9357 | $277.36 | $334.16 | $71.58 – $320.80 | 16 |
| Vancomycin hcl injection HCPCS J3370 | $1.55 | $1.86 | $0.40 – $1.79 | 16 |
| Vancomycin peak therapeutic drug level CPT 80202 | $23.24 | $28.00 | $6.00 – $30.06 | 16 |
| Varicella zoster antibody igg CPT 86787 | $122.01 | $147.00 | $12.88 – $141.12 | 16 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $69.27 | $83.45 | $17.88 – $80.12 | 16 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $7,768.73 | $9,359.91 | $2,004.90 – $8,985.52 | 16 |
| Veeg cont 2-12 hrs CPT 95713 | $678.94 | $818.00 | $175.22 – $785.28 | 16 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $353.58 | $426.00 | $91.25 – $408.96 | 16 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,385.27 | $1,669.00 | $7.72 – $34.56 | 16 |
| Ventilator each subsequent day CPT 94003 | $854.90 | $1,030.00 | $220.63 – $988.80 | 16 |
| Ventilator initial day CPT 94002 | $1,700.67 | $2,049.00 | $211.85 – $949.44 | 16 |
| Version cephalic external CPT 59412 | $2,208.63 | $2,661.00 | $569.99 – $2,554.56 | 16 |
| Very long chain fatty acids CPT 82726 | $61.42 | $74.00 | $15.86 – $71.04 | 16 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $4.05 | $4.87 | $1.05 – $4.68 | 16 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $11.43 | $13.77 | $2.95 – $13.21 | 16 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $5.24 | $6.31 | $1.36 – $6.06 | 16 |
| Virus isolation addl studies ea CPT 87253 | $63.08 | $76.00 | $16.28 – $72.96 | 16 |
| Vitamin b-12 CPT 82607 | $51.46 | $62.00 | $10.93 – $48.96 | 16 |
| Vitamin D Test CPT 82306 | $81.34 | $98.00 | $4.72 – $48.84 | 16 |
| Volume measurement urine timed CPT 81050 | $18.26 | $22.00 | $3.64 – $21.12 | 16 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $45.78 | $55.15 | $11.82 – $52.95 | 16 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $198,122.66 | $238,702.00 | $51,129.97 – $229,153.92 | 16 |
| Warde 1003990 aldosterone CPT 82088 | $48.14 | $58.00 | $12.43 – $90.47 | 16 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $23.24 | $28.00 | $6.00 – $61.72 | 16 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $67.23 | $81.00 | $6.43 – $28.80 | 16 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $7.47 | $9.00 | $1.93 – $19.98 | 16 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $206.67 | $249.00 | $15.50 – $239.04 | 16 |
| Warde 1015200 kappa light chain free CPT 83521 | $187.58 | $226.00 | $48.41 – $216.96 | 16 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $78.85 | $95.00 | $6.00 – $26.88 | 16 |
| Warde 3008005 oligoclonal bands CPT 83916 | $176.79 | $213.00 | $27.39 – $204.48 | 16 |
| Warde 3016000 west nile virus antibody CPT 86788 | $112.88 | $136.00 | $16.85 – $130.56 | 16 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $112.88 | $136.00 | $14.39 – $130.56 | 16 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $43.99 | $53.00 | $11.36 – $50.88 | 16 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $94.62 | $114.00 | $6.22 – $27.84 | 16 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $202.52 | $244.00 | $17.98 – $234.24 | 16 |
| Warde 3400852 arsenic CPT 82175 | $32.37 | $39.00 | $8.36 – $42.11 | 16 |
| Warde 3708165 mercury urine CPT 83825 | $19.09 | $23.00 | $4.93 – $36.10 | 16 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $175.96 | $212.00 | $45.42 – $203.52 | 16 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $147.74 | $178.00 | $38.13 – $170.88 | 16 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $174.30 | $210.00 | $8.10 – $65.28 | 16 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $107.90 | $130.00 | $7.50 – $77.70 | 16 |
| Warde aldolase CPT 82085 | $17.43 | $21.00 | $4.50 – $21.56 | 16 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $80.51 | $97.00 | $4.07 – $37.45 | 16 |
| Warde analysis gene hfe common variants CPT 81256 | $48.14 | $58.00 | $12.43 – $128.76 | 16 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $198.37 | $239.00 | $51.20 – $229.44 | 16 |
| Warde anti-mullerian hormone CPT 82166 | $182.60 | $220.00 | $47.13 – $211.20 | 16 |
| Warde apolipoprotein b CPT 82172 | $43.16 | $52.00 | $7.50 – $46.82 | 16 |
| Warde bile acids CPT 82239 | $27.39 | $33.00 | $7.07 – $38.01 | 16 |
| Warde calcitonin CPT 82308 | $45.65 | $55.00 | $11.79 – $59.47 | 16 |
| Warde calculus (stone) infrared CPT 82365 | $97.94 | $118.00 | $12.90 – $113.28 | 16 |
| Warde clozapine therapeutic drug level CPT 80159 | $55.61 | $67.00 | $14.36 – $64.32 | 16 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $73.04 | $88.00 | $18.85 – $84.48 | 16 |
| Warde collagen cross links c-telopeptide CPT 82523 | $51.46 | $62.00 | $7.29 – $41.47 | 16 |
| Warde complement total hemolytic CPT 86162 | $164.34 | $198.00 | $20.32 – $190.08 | 16 |
| Warde copper CPT 82525 | $14.11 | $17.00 | $3.65 – $27.55 | 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.