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 |
|---|---|---|---|---|
| Warde cryoglobulin CPT 82595 | $36.52 | $44.00 | $6.47 – $42.24 | 16 |
| Warde erythropoietin CPT 82668 | $37.35 | $45.00 | $9.64 – $43.20 | 16 |
| Warde estrogen fractionated CPT 82671 | $57.27 | $69.00 | $14.78 – $71.71 | 16 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $168.49 | $203.00 | $43.49 – $194.88 | 16 |
| Warde folic acid rbc CPT 82747 | $44.82 | $54.00 | $11.57 – $51.84 | 16 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $29.88 | $36.00 | $7.72 – $34.56 | 16 |
| Warde gastrin CPT 82941 | $130.31 | $157.00 | $17.63 – $150.72 | 16 |
| Warde growth hormone (hgh) CPT 83003 | $72.21 | $87.00 | $16.67 – $83.52 | 16 |
| Warde helminth antibody strongyloides igg CPT 86682 | $63.08 | $76.00 | $13.01 – $72.96 | 16 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $80.51 | $97.00 | $20.78 – $93.12 | 16 |
| Warde hepatitis a antibody CPT 86708 | $156.87 | $189.00 | $12.39 – $181.44 | 16 |
| Warde hepatitis be antibody CPT 86707 | $155.21 | $187.00 | $7.93 – $35.52 | 16 |
| Warde immunofixation electrophoresis urine CPT 86335 | $134.46 | $162.00 | $34.71 – $155.52 | 16 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $168.49 | $203.00 | $7.93 – $35.52 | 16 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $668.15 | $805.00 | $172.44 – $772.80 | 16 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $541.16 | $652.00 | $23.57 – $625.92 | 16 |
| Warde lipoprotein (a) CPT 83695 | $96.28 | $116.00 | $14.32 – $111.36 | 16 |
| Warde mitochondrial antibody each CPT 86381 | $153.55 | $185.00 | $39.63 – $177.60 | 16 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $214.97 | $259.00 | $13.25 – $248.64 | 16 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $258.96 | $312.00 | $66.84 – $299.52 | 16 |
| Warde protein c antigen CPT 85302 | $147.74 | $178.00 | $12.01 – $170.88 | 16 |
| Warde sex hormone binding globulin CPT 84270 | $121.18 | $146.00 | $21.73 – $140.16 | 16 |
| Warde somatomedin CPT 84305 | $192.56 | $232.00 | $21.26 – $222.72 | 16 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $65.57 | $79.00 | $15.76 – $75.84 | 16 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $226.59 | $273.00 | $50.86 – $262.08 | 16 |
| Warde topiramate therapeutic drug level CPT 80201 | $53.95 | $65.00 | $11.92 – $62.40 | 16 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $207.50 | $250.00 | $26.07 – $240.00 | 16 |
| Warde viscosity CPT 85810 | $109.56 | $132.00 | $11.67 – $126.72 | 16 |
| Warde vitamin a CPT 84590 | $115.37 | $139.00 | $7.93 – $35.52 | 16 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $194.22 | $234.00 | $11.79 – $52.80 | 16 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $162.68 | $196.00 | $28.10 – $188.16 | 16 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $9.96 | $12.00 | $2.58 – $21.96 | 16 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $56.44 | $68.00 | $14.57 – $85.47 | 16 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $107.90 | $130.00 | $14.18 – $124.80 | 16 |
| Warde zinc CPT 84630 | $99.60 | $120.00 | $3.65 – $25.29 | 16 |
| Wbc automated CPT 85048 | $50.63 | $61.00 | $1.72 – $7.68 | 16 |
| Wedge biopsy of liver 47100 CPT 47100 | $1,905.68 | $2,296.00 | $491.81 – $2,204.16 | 16 |
| Wedging of cast CPT 29740 | $222.44 | $268.00 | $35.56 – $159.36 | 16 |
| Wilate injection HCPCS J7183 | $0.83 | $0.99 | $0.22 – $0.96 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $843.28 | $1,016.00 | $84.83 – $380.16 | 16 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $845.77 | $1,019.00 | $90.83 – $407.04 | 16 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $120.35 | $145.00 | $31.06 – $139.20 | 16 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $472.27 | $569.00 | $30.85 – $138.24 | 16 |
| Wrist X-ray CPT 73110 | $245.68 | $296.00 | $22.07 – $98.88 | 16 |
| Xe133 xenon 10mci HCPCS A9558 | $180.94 | $218.00 | $46.70 – $209.28 | 16 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,133.10 | $2,570.00 | $550.50 – $2,467.20 | 16 |
| X-ray abdomen 1 view CPT 74018 | $172.64 | $208.00 | $15.43 – $69.12 | 16 |
| X-ray abdomen 2 views CPT 74019 | $253.15 | $305.00 | $14.78 – $66.24 | 16 |
| X-ray abdomen >=3 views CPT 74021 | $330.34 | $398.00 | $85.26 – $382.08 | 16 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $445.71 | $537.00 | $115.03 – $515.52 | 16 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $175.96 | $212.00 | $16.28 – $72.96 | 16 |
| X-ray ankle 2 views (both sides) CPT 73600 | $161.85 | $195.00 | $15.86 – $71.04 | 16 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $716.29 | $863.00 | $184.86 – $828.48 | 16 |
| X-ray bone age studies CPT 77072 | $195.05 | $235.00 | $50.34 – $225.60 | 16 |
| X-ray bone length studies CPT 77073 | $216.63 | $261.00 | $55.91 – $250.56 | 16 |
| X-ray bone survey complete CPT 77075 | $639.93 | $771.00 | $165.15 – $740.16 | 16 |
| X-ray bone survey infant CPT 77076 | $590.13 | $711.00 | $152.30 – $682.56 | 16 |
| X-ray cervical spine 2-3 views CPT 72040 | $187.58 | $226.00 | $21.85 – $97.92 | 16 |
| X-ray cervical spine 4-5 views CPT 72050 | $583.49 | $703.00 | $28.28 – $126.72 | 16 |
| X-ray cervical spine >= 6 views CPT 72052 | $139.44 | $168.00 | $35.99 – $161.28 | 16 |
| X-ray clavicle complete (both sides) CPT 73000 | $244.02 | $294.00 | $17.36 – $77.76 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $1,004.30 | $1,210.00 | $259.19 – $1,161.60 | 16 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,274.88 | $1,536.00 | $329.02 – $1,474.56 | 16 |
| X-ray elbow 2 views (both sides) CPT 73070 | $224.10 | $270.00 | $16.93 – $75.84 | 16 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $250.66 | $302.00 | $19.50 – $87.36 | 16 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $776.05 | $935.00 | $200.28 – $897.60 | 16 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $149.40 | $180.00 | $38.56 – $172.80 | 16 |
| X-ray exam entire spi 6/> vw CPT 72084 | $149.40 | $180.00 | $38.56 – $172.80 | 16 |
| X-ray exam of arm infant CPT 73092 | $192.56 | $232.00 | $49.70 – $222.72 | 16 |
| X-ray exam of eye sockets CPT 70200 | $351.92 | $424.00 | $90.83 – $407.04 | 16 |
| X-ray exam of femur 1 CPT 73551 | $291.33 | $351.00 | $75.19 – $336.96 | 16 |
| X-ray exam of sinuses CPT 70210 | $177.62 | $214.00 | $45.84 – $205.44 | 16 |
| X-ray exam si joints CPT 72200 | $49.80 | $60.00 | $12.86 – $57.60 | 16 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $192.56 | $232.00 | $49.70 – $222.72 | 16 |
| X-ray facial bones complete > 3 views CPT 70150 | $394.25 | $475.00 | $101.75 – $456.00 | 16 |
| X-ray femur >=2 views (both sides) CPT 73552 | $291.33 | $351.00 | $75.19 – $336.96 | 16 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $146.91 | $177.00 | $16.50 – $73.92 | 16 |
| X-ray foot 2 views (both sides) CPT 73620 | $117.86 | $142.00 | $16.71 – $74.88 | 16 |
| X-ray forearm 2 views (both sides) CPT 73090 | $240.70 | $290.00 | $15.86 – $71.04 | 16 |
| X-ray hand 2 views (both sides) CPT 73120 | $144.42 | $174.00 | $16.71 – $74.88 | 16 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $83.83 | $101.00 | $12.21 – $54.72 | 16 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $319.55 | $385.00 | $82.47 – $369.60 | 16 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $380.97 | $459.00 | $98.32 – $440.64 | 16 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $380.97 | $459.00 | $98.32 – $440.64 | 16 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $380.97 | $459.00 | $98.32 – $440.64 | 16 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $197.54 | $238.00 | $50.98 – $228.48 | 16 |
| X-ray humerus >= 2 views left CPT 73060 | $276.39 | $333.00 | $17.14 – $76.80 | 16 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $209.16 | $252.00 | $19.50 – $87.36 | 16 |
| X-ray knee 3 views (both sides) CPT 73562 | $327.02 | $394.00 | $22.92 – $102.72 | 16 |
| X-ray knee ap standing bilateral CPT 73565 | $111.22 | $134.00 | $28.71 – $128.64 | 16 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $57.27 | $69.00 | $12.64 – $56.64 | 16 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $611.71 | $737.00 | $157.87 – $707.52 | 16 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $440.73 | $531.00 | $30.64 – $137.28 | 16 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $638.27 | $769.00 | $21.42 – $96.00 | 16 |
| X-ray mandible complete > 4 views CPT 70110 | $192.56 | $232.00 | $49.70 – $222.72 | 16 |
| X-ray mandible ltd <4 views CPT 70100 | $221.61 | $267.00 | $57.20 – $256.32 | 16 |
| X-ray nasal bones complete > 3 views CPT 70160 | $263.11 | $317.00 | $67.91 – $304.32 | 16 |
| X-ray neck soft tissue CPT 70360 | $257.30 | $310.00 | $66.41 – $297.60 | 16 |
| X-ray nose to rectum for foreign body child CPT 76010 | $194.22 | $234.00 | $50.13 – $224.64 | 16 |
| X-ray optic foramina CPT 70190 | $195.88 | $236.00 | $50.56 – $226.56 | 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.