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 |
|---|---|---|---|---|
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,882.59 | $3,473.00 | $743.92 – $3,334.08 | 16 |
| Brain MRI (with and without contrast) CPT 70553 | $4,013.88 | $4,836.00 | $1,035.88 – $4,642.56 | 16 |
| Brain MRI (with contrast) CPT 70552 | $3,211.27 | $3,869.00 | $828.74 – $3,714.24 | 16 |
| Brain MRI (without contrast) CPT 70551 | $3,211.27 | $3,869.00 | $662.95 – $2,971.20 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,703.31 | $3,257.00 | $315.09 – $1,412.16 | 16 |
| Breast punct aspir cyst, bil CPT 19000 | $268.09 | $323.00 | $69.19 – $310.08 | 16 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $9,745.86 | $11,742.00 | $2,515.14 – $11,272.32 | 16 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $1,225.08 | $1,476.00 | $316.16 – $1,416.96 | 16 |
| Bronchial challenge CPT 94070 | $957.82 | $1,154.00 | $247.19 – $1,107.84 | 16 |
| Bronchoscopy dilate/fx repr CPT 31630 | $2,420.28 | $2,916.00 | $624.61 – $2,799.36 | 16 |
| Bundled special stain group 1 microorganisms CPT 88312 | $66.40 | $80.00 | $17.14 – $76.80 | 16 |
| Bundled special stain group 2 CPT 88313 | $56.44 | $68.00 | $14.57 – $65.28 | 16 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $2.10 | $2.53 | $0.06 – $0.24 | 16 |
| Buprenorphine hydrochloride HCPCS J0592 | $10.00 | $12.04 | $2.58 – $11.56 | 16 |
| Buprenorphine oral 1mg HCPCS J0571 | $14.09 | $16.97 | $1.48 – $6.62 | 16 |
| Bur rotalink 2.15mm HCPCS C1724 | $10,313.34 | $12,425.70 | $428.22 – $1,919.17 | 16 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $7.19 | $8.66 | $1.52 – $6.80 | 16 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,878.29 | $2,263.00 | $484.74 – $2,172.48 | 16 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,790.31 | $2,157.00 | $311.45 – $1,395.84 | 16 |
| Bx breast add lesion mr imag CPT 19086 | $1,463.29 | $1,763.00 | $377.64 – $1,692.48 | 16 |
| Bx breast add lesion strtctc CPT 19082 | $943.71 | $1,137.00 | $160.44 – $719.04 | 16 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,568.70 | $1,890.00 | $241.19 – $1,080.96 | 16 |
| Bx breast perq without image 19100 CPT 19100 | $356.07 | $429.00 | $91.90 – $411.84 | 16 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $285.52 | $344.00 | $73.69 – $330.24 | 16 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $1,216.78 | $1,466.00 | $314.02 – $1,407.36 | 16 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $771.07 | $929.00 | $199.00 – $891.84 | 16 |
| Bx liver with other CPT 47001 | $228.25 | $275.00 | $58.91 – $264.00 | 16 |
| Bx of breast open 19101 CPT 19101 | $763.60 | $920.00 | $197.07 – $883.20 | 16 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $24.07 | $29.00 | $6.22 – $27.84 | 16 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $350.26 | $422.00 | $90.40 – $405.12 | 16 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,017.58 | $1,226.00 | $262.61 – $1,176.96 | 16 |
| C-1 esterase, berinert HCPCS J0597 | $2,886.84 | $3,478.12 | $745.02 – $3,339.00 | 16 |
| C1 esterase inhibitor func - sendout CPT 86161 | $90.47 | $109.00 | $12.00 – $104.64 | 16 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $9,391.90 | $11,315.54 | $2,423.79 – $10,862.92 | 16 |
| Cable cath 22-pin diag HCPCS C1730 | $5,322.38 | $6,412.50 | $22.78 – $102.07 | 16 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $889.40 | $1,071.56 | $229.53 – $1,028.70 | 16 |
| Cadd pump refill CPT 96521 | $514.60 | $620.00 | $132.81 – $595.20 | 16 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $7.88 | $9.49 | $2.04 – $9.12 | 16 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $313.14 | $377.28 | $80.82 – $362.19 | 16 |
| Calcium 24 hour urine CPT 82340 | $22.41 | $27.00 | $5.79 – $25.92 | 16 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.61 | $0.74 | $0.04 – $0.16 | 16 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.07 | $0.09 | $0.02 – $0.09 | 16 |
| Calcium ionized CPT 82330 | $32.37 | $39.00 | $3.43 – $30.37 | 16 |
| Calcium total CPT 82310 | $19.09 | $23.00 | $3.65 – $16.32 | 16 |
| Calprotectin fecal CPT 83993 | $401.72 | $484.00 | $19.63 – $464.64 | 16 |
| Canakinumab injection HCPCS J0638 | $14,212.69 | $17,123.72 | $3,667.91 – $16,438.78 | 16 |
| Candida dna CPT 87480 | $53.95 | $65.00 | $9.00 – $44.51 | 16 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $12,910.65 | $15,555.00 | $6.32 – $28.31 | 16 |
| Cap nerve 2x15mm HCPCS C1763 | $27,383.99 | $32,992.75 | $65.04 – $291.46 | 16 |
| Capsaicin 8% patch HCPCS J7336 | $712.52 | $858.45 | $183.88 – $824.12 | 16 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $1,135.44 | $1,368.00 | $293.03 – $1,313.28 | 16 |
| Cap trach decann 15mm HCPCS C1750 | $4,616.46 | $5,562.00 | $18.67 – $83.64 | 16 |
| Carbamazepine free CPT 80157 | $146.08 | $176.00 | $13.25 – $168.96 | 16 |
| Carbamazepine total therapeutic drug level CPT 80156 | $150.23 | $181.00 | $14.57 – $173.76 | 16 |
| Carbon dioxide CPT 82374 | $18.26 | $22.00 | $4.72 – $21.12 | 16 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $1.38 | $1.67 | $0.36 – $1.61 | 16 |
| Carboxyhemoglobin quantitative CPT 82375 | $170.98 | $206.00 | $11.79 – $52.80 | 16 |
| Carcinoembryonic ag (cea) CPT 82378 | $52.29 | $63.00 | $12.64 – $56.64 | 16 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,300.76 | $2,772.00 | $593.77 – $2,661.12 | 16 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $299.63 | $361.00 | $77.33 – $346.56 | 16 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $299.63 | $361.00 | $77.33 – $346.56 | 16 |
| Cardiolipin antibody iga CPT 86147 | $73.04 | $88.00 | $18.85 – $84.48 | 16 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,550.44 | $1,868.00 | $94.90 – $425.28 | 16 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $48.97 | $59.00 | $12.64 – $56.64 | 16 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $48.97 | $59.00 | $12.64 – $56.64 | 16 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $2,718.13 | $3,274.85 | $111.67 – $500.45 | 16 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $1,174.81 | $1,415.43 | $303.19 – $1,358.82 | 16 |
| Carotene CPT 82380 | $18.26 | $22.00 | $4.72 – $21.12 | 16 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,557.91 | $1,877.00 | $22.92 – $102.72 | 16 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,019.24 | $1,228.00 | $263.04 – $1,178.88 | 16 |
| Car seat/bed test 60 minutes CPT 94780 | $360.22 | $434.00 | $92.97 – $416.64 | 16 |
| Car seat/bed test additional 30 minutes CPT 94781 | $180.11 | $217.00 | $46.49 – $208.32 | 16 |
| Casiri and imdev repeat HCPCS M0240 | $684.75 | $825.00 | $176.72 – $792.00 | 16 |
| Caspofungin acetate HCPCS J0637 | $45.54 | $54.86 | $11.76 – $52.67 | 16 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $490.41 | $590.85 | $41.75 – $187.09 | 16 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,661.19 | $3,206.25 | $626.54 – $2,808.00 | 16 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $2,156.97 | $2,598.75 | $266.68 – $1,195.20 | 16 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $6,386.85 | $7,695.00 | $1,233.80 – $5,529.60 | 16 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $5,471.78 | $6,592.50 | $1,412.12 – $6,328.80 | 16 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $9,885.06 | $11,909.70 | $9.00 – $40.32 | 16 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,594.50 | $9,150.00 | $508.74 – $2,280.03 | 16 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $33,415.80 | $40,260.00 | $0.02 – $0.05 | 16 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $6,941.38 | $8,363.10 | $84.20 – $377.37 | 16 |
| Cath bi-dir df smarttouch HCPCS C1732 | $6,536.25 | $7,875.00 | $3.58 – $16.04 | 16 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $4,468.61 | $5,383.86 | $104.43 – $468.00 | 16 |
| Cath council tip 16fr 5cc HCPCS A4344 | $26.56 | $32.00 | $3.11 – $13.92 | 16 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $2,433.28 | $2,931.66 | $8.38 – $37.52 | 16 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $4,845.30 | $5,837.70 | $58.00 – $259.92 | 16 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,111.28 | $2,543.70 | $128.52 – $576.00 | 16 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $150.23 | $181.00 | $9.09 – $173.76 | 16 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,834.27 | $3,414.78 | $104.70 – $469.24 | 16 |
| Cath hawkone s directional HCPCS C1714 | $7,746.39 | $9,333.00 | $407.00 – $1,824.05 | 16 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $2,054.25 | $2,475.00 | $530.15 – $2,376.00 | 16 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,734.02 | $3,294.00 | $67.48 – $302.40 | 16 |
| Cath impl vasc access portal HCPCS A4300 | $173.11 | $208.56 | $6.44 – $28.86 | 16 |
| Cath indw foley 3 way HCPCS A4346 | $59.37 | $71.52 | $8.66 – $38.78 | 16 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $23.25 | $28.01 | $0.54 – $2.40 | 16 |
| Cath insertion tray w/bag HCPCS A4354 | $66.31 | $79.89 | $17.12 – $76.70 | 16 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $2,122.44 | $2,557.15 | $0.89 – $3.95 | 16 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $29,581.20 | $35,640.00 | $192.78 – $864.00 | 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.