Chi Health St. Francis

2620 West Faidley Ave, Grand Island, NE 68803 · (308) 384-4600

Acute Care HospitalsVoluntary non-profit - ChurchCMS rating 4/5Grand Island, NE metro Part of Commonspirit Health · 14 hospitals Website ↗

Price file

Prices published

File dated 2026-02-28

2,181 price rows for 60 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $109

$109

cash

$8 to $173

36 negotiated rates

$184

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,559

$3,559

cash

$291 to $5,670

36 negotiated rates

$6,032

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,564

$1,564

cash

$87 to $2,492

36 negotiated rates

$2,651

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,794

$1,794

cash

$145 to $2,859

36 negotiated rates

$3,041

list

Cataract surgery with lens implant

CPT 66984

—

cash

$1,036 to $25,184

21 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,895 to $2,517

3 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$5,451 to $19,008

21 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $99

$99

cash

$34 to $168

36 negotiated rates

$168

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$345 to $7,273

21 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$375 to $7,273

21 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$475 to $7,273

21 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $76

$76

cash

$8 to $120

36 negotiated rates

$128

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $138

$138

cash

$10 to $220

36 negotiated rates

$234

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $211

$211

cash

$82 to $465

42 negotiated rates

$357

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $481

$481

cash

$188 to $767

18 negotiated rates

$816

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$1,205 to $25,184

21 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $98

$98

cash

$34 to $166

36 negotiated rates

$166

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$12,279 to $43,205

21 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,004 to $17,880

21 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$5,550 to $27,467

21 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$958 to $22,021

21 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$1,022 to $22,021

21 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$447 to $7,273

21 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $10,782

$10,782

cash

$1,236 to $30,108

36 negotiated rates

$18,274

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $4

cash

$1 to $144

72 negotiated rates

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $106

$106

cash

$8 to $168

36 negotiated rates

$179

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,257

$3,257

cash

$291 to $5,189

36 negotiated rates

$5,520

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,576

$2,576

cash

$197 to $4,104

36 negotiated rates

$4,366

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $2,413

$2,413

cash

$197 to $3,845

36 negotiated rates

$4,090

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $2,413

$2,413

cash

$197 to $3,845

36 negotiated rates

$4,090

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$8,194 to $54,247

25 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,421

$1,421

cash

$213 to $6,796

36 negotiated rates

$2,408

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $318

$318

cash

$124 to $507

18 negotiated rates

$539

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $550

$550

cash

$214 to $876

18 negotiated rates

$932

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $681

$681

cash

$265 to $1,085

18 negotiated rates

$1,154

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $92

$92

cash

$18 to $156

36 negotiated rates

$156

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $65

$65

cash

$6 to $104

36 negotiated rates

$111

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $81

$81

cash

$25 to $137

56 negotiated rates

$137

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $850

$850

cash

$87 to $1,354

36 negotiated rates

$1,440

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,257

$1,257

cash

$245 to $7,273

36 negotiated rates

$2,130

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$2,253 to $25,184

21 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $44

$44

cash

$4 to $70

36 negotiated rates

$74

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$770 to $19,277

21 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $191

$191

cash

$75 to $438

63 negotiated rates

$324

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$314 to $19,277

10 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,157

$3,157

cash

$829 to $5,029

36 negotiated rates

$5,350

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$19,687 to $20,073

3 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $881

$881

cash

$150 to $6,796

36 negotiated rates

$1,493

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $881

$881

cash

$189 to $6,796

36 negotiated rates

$1,493

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $93

$93

cash

$16 to $158

36 negotiated rates

$158

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$556 to $19,277

21 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $643

$643

cash

$87 to $1,025

36 negotiated rates

$1,090

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $792

$792

cash

$87 to $1,262

36 negotiated rates

$1,343

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$230 to $6,796

21 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $484

$484

cash

$189 to $7,273

36 negotiated rates

$820

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $22

$22

cash

$3 to $80

72 negotiated rates

$38

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,895 to $2,517

3 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,738 to $22,542

21 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,895 to $2,517

3 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $559

$559

cash

$75 to $891

36 negotiated rates

$948

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470376601-1982675955_saint-francis-medical-center_standardcharges.json
CHI Health St. Francis · parsed · json v3.0.0 · file dated 2026-02-28 · 100.2 MB · 2181 price rows read · read Nov 2026