Visits & medical services prices at CHI Health St. Francis
Grand Island, NE · every code in this section with a posted price and a Medicare benchmark.
231 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actigraphy Testing Recording Analysis I&R (95803) | $142.19 | $241 | 2.3× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $43.07 | $73 | 1.0× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$164.61–$194.11 | $279–$329 | varies |
| Analyze neurostim complex (95972) | $185.26 | $314 | 1.9× |
| Analyze neurostim no prog (95970) | $109.15 | $185 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$47.79–$67.85 | $81–$115 | varies |
| Application on-body injector (96377) | $274.35 | $465 | 5.6× |
| Behavral qualit analys voice (92524) | $287.92 | $488 | 2.6× |
| Biofeedback training any modality (90901) | $118 | $200 | 2.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $550.47 | $933 | 1.4× |
| Canalith repositioning proc (95992) | $116.82 | $198 | 2.9× |
| Car seat/bed test 60 min (94780) | $215.35 | $365 | 5.6× |
| Cardiac Stress Tst,Tracing Only (93017) range across 2 matching MRF lines |
$968.78–$1,138.11 | $1,642–$1,929 | varies |
| Cardiopulmonary exercise testing (94621) | $1,049.02 | $1,778 | 2.7× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$721.57–$798.86 | $1,223–$1,354 | varies |
| Cardioversion (92960) | $1,700.97 | $2,883 | 2.5× |
| Cardioversion elective internal (92961) | $496.78 | $842 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $15,943.57 | $27,023 | 4.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $13,513.95 | $22,905 | 4.0× |
| Cbt 1st hour (94644) | $273.76 | $464 | 2.0× |
| Chemo Admin Peritoneal Cavity (96446) | $659.03 | $1,117 | 1.9× |
| Chemo Anti-Neopl Sq/Im (96401) | $161.66 | $274 | 2.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $260.78 | $442 | 3.5× |
| Chemo IV infusion addl hr (96415) | $251.34 | $426 | 3.4× |
| Chemo IV push addl drug (96411) | $496.78 | $842 | 6.6× |
| Chemother Prolong Infuse W/Pump (96416) | $1,119.23 | $1,897 | 3.3× |
| Chemotherapy Into Cns (96450) | $804.17 | $1,363 | 2.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $562.27 | $953 | 7.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,131.03 | $1,917 | 3.3× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $430.70 | $730 | 1.3× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $687.94 | $1,166 | 2.0× |
| Chest Wall Manipulation (94668) | $95.58 | $162 | 0.7× |
| Color/duplex Doppler, complete (93975) | $910.96 | $1,544 | 3.7× |
| Color/duplex Doppler, limited (93976) | $541.03 | $917 | 5.0× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $56.05 | $95 | 1.7× |
| Continuous Pulse Ox (94762) | $331.58 | $562 | 2.5× |
| Coronary Art/Grft Angio S&I (93455) | $8,847.64 | $14,996 | 2.6× |
| Coronary Artery Angio S&I (93454) | $10,226.47 | $17,333 | 3.0× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $707.41 | $1,199 | 3.1× |
| Cpt initial (94667) | $210.04 | $356 | 1.5× |
| Critical care first hour (99291) | $1,804.22 | $3,058 | 2.1× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$235.41–$338.66 | $399–$574 | varies |
| Dialysis One Evaluation (90945) | $2,265.60 | $3,840 | 5.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $513.89 | $871 | 2.1× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $397.07 | $673 | 3.7× |
| Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) | $846.65 | $1,435 | 7.8× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,028.96 | $1,744 | 4.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $906.83 | $1,537 | 8.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,236.05 | $2,095 | 5.0× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,188.26 | $2,014 | 10.9× |
| Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) | $240.72 | $408 | 1.0× |
| Duplex Scan Hemodialysis Access (93990) | $446.04 | $756 | 4.1× |
| Duplex up extrem art bilat (93930) | $959.93 | $1,627 | 3.9× |
| Duplex up extrem art unilat/ltd (93931) | $476.13 | $807 | 4.4× |
| Echo Congenital Complete (93303) | $1,469.10 | $2,490 | 2.6× |
| Echo Heart Xthoracic,Limited (93308) | $854.91 | $1,449 | 3.5× |
| Echo transesophageal (93312) | $1,805.40 | $3,060 | 3.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 2 matching MRF lines |
$1,453.76–$1,563.50 | $2,464–$2,650 | varies |
| Eeg 41-60 Minutes (95812) | $1,102.71 | $1,869 | 4.9× |
| EEG awake and asleep (95819) | $900.34 | $1,526 | 4.0× |
| EEG awake drowsy (95816) | $837.80 | $1,420 | 3.7× |
| EEG cerebral death evaluation (95824) | $994.15 | $1,685 | 2.6× |
| EEG extended monitoring 61-119 minutes (95813) | $1,234.87 | $2,093 | 5.5× |
| Eeg Sleep Only (95822) | $834.85 | $1,415 | 3.7× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $932.79 | $1,581 | 4.2× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,025.47 | $3,433 | 5.2× |
| Elec Alys Implt Cplx Cn Npgt Prgrmg (95977) | $87.07 | $147.56 | 0.9× |
| Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) | $34.22 | $58 | 0.9× |
| Electrical Stimulation Ea 15 Min (97032) | $54.28 | $92 | 3.7× |
| Electrocardiogram Tracing (93005) | $277.89 | $471 | 4.5× |
| Electroconvulsive Therapy (90870) | $1,040.76 | $1,764 | 1.2× |
| Emergency Dept Visit Level 2 (99282) | $320.96 | $544 | 2.0× |
| Emergency Dept Visit Level 3 (99283) | $568.76 | $964 | 2.0× |
| Emergency Dept Visit Level 4 (99284) | $990.61 | $1,679 | 2.3× |
| Emg 3 Extremities (95863) | $1,164.07 | $1,973 | 8.7× |
| Emg 4 Extremities (95864) | $733.96 | $1,244 | 5.5× |
| Endomyocardial Biopsy (93505) | $1,375.88 | $2,332 | 0.4× |
| Er level 1 (99281) | $204.14 | $346 | 2.3× |
| Er level v (99285) | $1,457.30 | $2,470 | 2.4× |
| Evaluate pt use of inhaler (94664) | $153.40 | $260 | 0.7× |
| Evaluate Speech Production (92522) | $174.64 | $296 | 1.6× |
| Evaluate Swallowing Function (92610) | $214.76 | $364 | 2.5× |
| Evaluation of speech fluency (92521) | $119.18 | $202 | 0.9× |
| Evoked Auditory Test,Limited (92587) | $145.73 | $247 | 0.6× |
| Exercise test for bronchospasm (94617) | $358.13 | $607 | 2.6× |
| External ECG rec>48hr<7d recording (93242) | $675.55 | $1,145 | 17.4× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $1,168.79 | $1,981 | 8.5× |
| External ECG rec>7d<15d recording (93246) | $675.55 | $1,145 | 17.4× |
| External ECG rec>7d<15d scanning alys w/report (93247) | $1,168.79 | $1,981 | 8.5× |
| External Ecg Scanning Analysis Report (93226) | $482.03 | $817 | 7.9× |
| Extracranial Bilat Study (93880) | $1,133.39 | $1,921 | 4.6× |
| Extracranial Uni/Ltd Study (93882) | $639.56 | $1,084 | 5.9× |
| Gi tract capsule endoscopy (91110) | $1,831.36 | $3,104 | 1.9× |
| Gi tract imaging intraluminal colon i&r (91113) | $1,670.29 | $2,831 | 1.7× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$66.67–$70.21 | $113–$119 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $17,006.16 | $28,824 | 5.1× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,007.13 | $1,707 | 1.4× |
| Holter monitor recording (93225) | $482.03 | $817 | 3.5× |
| Icd Device Interrogate (93289) | $66.67 | $113 | 1.7× |
| Icd device progr eval dual (93283) | $187.03 | $317 | 4.8× |
| Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) | $64.31 | $109 | 1.7× |
| Immunization administration (90471) range across 4 matching MRF lines |
$11.21–$93.81 | $19–$159 | varies |
| Insert/Place Heart Catheter (93503) range across 2 matching MRF lines |
$1,644.33–$1,749.35 | $2,787–$2,965 | varies |
| Iontophoresis 15 min (97033) | $65.49 | $111 | 3.4× |
| Irrig Drug Delivery Device (96523) | $149.27 | $253 | 2.4× |
| IV infusion hydration each additional hour (96361) | $125.67 | $213 | 2.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $460.79 | $781 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $257.24 | $436 | 3.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $113.87 | $193 | 2.3× |
| IV push initial (96374) | $454.30 | $770 | 2.1× |
| L Hrt Art/Grft Angio (93459) | $14,576.54 | $24,706 | 4.3× |
| Liver Elastography W/O Imag W/I&R (91200) | $266.68 | $452 | 2.0× |
| Lung Function Test (Mbc/Mvv) (94200) | $212.99 | $361 | 3.5× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $932.20 | $1,580 | 4.2× |
| Mechanical chest wall oscillation per session (94669) | $135.70 | $230 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $41.89 | $71 | 1.3× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $51.92 | $88 | 1.4× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $30.09 | $51 | 1.8× |
| Methacholine challenge (94070) | $1,210.68 | $2,052 | 3.1× |
| Motion Fluoroscopy/Swallow (92611) | $302.08 | $512 | 3.3× |
| Motor &/sens nrv cndj preconf eltrd array limb (95905) | $119.18 | $202 | 0.3× |
| Multiple Sleep Latency Test (95805) | $2,974.19 | $5,041 | 3.3× |
| Muscle Test 2 Limbs (95861) | $1,013.03 | $1,717 | 7.3× |
| Muscle Test One Limb (95860) | $629.53 | $1,067 | 4.6× |
| Nasopharyngoscopy (92511) | $171.69 | $291 | 0.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $376.42 | $638 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $376.42 | $638 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$218.89–$316.83 | $371–$537 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$247.21–$364.62 | $419–$618 | varies |
| Nerve Conduction Studies 1-2 Studies (95907) | $361.67 | $613 | 1.6× |
| Nerve Conduction Studies 11-12 Studies (95912) | $361.67 | $613 | 0.9× |
| Nerve conduction studies 13 or more studies (95913) | $361.67 | $613 | 0.9× |
| Nerve Conduction Studies 3-4 Studies (95908) | $361.67 | $613 | 1.6× |
| Nerve conduction studies 5-6 studies (95909) | $361.67 | $613 | 1.6× |
| Nerve conduction studies 7-8 studies (95910) | $361.67 | $613 | 0.9× |
| Nerve Conduction Studies 9-10 Studies (95911) | $361.67 | $613 | 0.9× |
| Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) | $251.34 | $426 | 1.9× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$59.59–$62.54 | $101–$106 | varies |
| Newborn resuscitation (99465) | $720.98 | $1,222 | 1.1× |
| Nitric oxide expired gas determination (95012) | $89.09 | $151 | 2.3× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $597.08 | $1,012 | 1.5× |
| Oral Function Therapy (92526) | $214.76 | $364 | 2.6× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $54.28 | $92 | 1.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $59 | $100 | 1.3× |
| Ot Contrast Bath Ea 15 Min (97034) | $37.76 | $64 | 2.7× |
| Ot eval high complexity (97167) | $122.13 | $207 | 1.2× |
| Ot Eval Low Complex (97165) | $218.30 | $370 | 2.2× |
| Ot Eval Moderate Complexity (97166) | $122.13 | $207 | 1.2× |
| Ot manual therapy 15 min (97140) | $67.26 | $114 | 2.4× |
| Ot paraffin bath (97018) | $43.66 | $74 | 7.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $63.72 | $108 | 1.6× |
| Ot Re-Eval Est Plan Care (97168) | $76.11 | $129 | 1.1× |
| Ot rom hand (95852) | $90.86 | $154 | 4.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $312.70 | $530 | 2.3× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $297.36 | $504 | 2.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $149.27 | $253 | 0.7× |
| Peripheral arterial disease rehab per session (93668) range across 2 matching MRF lines |
$117.41–$244.85 | $199–$415 | varies |
| Perq transcath closure pda (93582) | $20,707.82 | $35,098 | 1.1× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $8,565.03 | $14,517 | 1.4× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $9,012.25 | $15,275 | 0.8× |
| Phlebotomy therapeutic (99195) | $231.87 | $393 | 1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $158.71 | $269 | 2.6× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $158.71 | $269 | 2.6× |
| Plethysmography (94726) | $640.15 | $1,085 | 1.7× |
| Pm device eval in person (93288) | $63.72 | $108 | 1.6× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,587.20 | $6,080 | 4.0× |
| Prq Card Angio/Athrect 1 Art (92924) | $18,957.29 | $32,131 | 1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $13,574.72 | $23,008 | 1.1× |
| Prq Card Stent/Ath/Angio (92933) | $17,869.33 | $30,287 | 0.9× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $9,696.06 | $16,434 | 0.8× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $24,160.50 | $40,950 | 1.3× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $10,781.66 | $18,274 | 0.9× |
| Psychiatric diagnostic evaluation (90791) | $218.30 | $370 | 1.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $137.47 | $233 | 3.6× |
| Pt Eval High Complex (97163) | $107.97 | $183 | 1.1× |
| Pt eval low complex 20 min (97161) | $193.52 | $328 | 2.0× |
| Pt Eval Mod Complex (97162) | $107.97 | $183 | 1.1× |
| Pt gait training 15 min (97116) | $69.62 | $118 | 2.4× |
| Pt mechanical traction (97012) | $117.41 | $199 | 8.2× |
| Pt Re-Eval Est Plan Care (97164) | $75.52 | $128 | 1.1× |
| Pulm function test by gas (94727) | $284.97 | $483 | 1.3× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$22.42–$187.03 | $38–$317 | varies |
| Pulmonary Stress Testing (94618) | $434.24 | $736 | 3.1× |
| R Hrt Art/Grft Angio (93457) | $10,477.22 | $17,758 | 3.1× |
| R hrt coronary artery angio (93456) | $19,739.63 | $33,457 | 5.9× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $10,781.66 | $18,274 | 3.2× |
| Refill/Maint Portable Pump (96521) | $450.76 | $764 | 2.0× |
| Refill/Maint Pump/Resvr Syst (96522) | $276.71 | $469 | 1.3× |
| Respiratory flow volume loop (94375) | $223.61 | $379 | 1.0× |
| Right Heart Cath (93451) | $7,028.08 | $11,912 | 2.1× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $70.21 | $119 | 2.7× |
| Self Care Mngment Training (97535) | $85.55 | $145 | 2.6× |
| Sensory Integration Ea 15 Min (97533) | $48.97 | $83 | 0.8× |
| Short-latency somatosens ep std upr limbs (95925) | $490.29 | $831 | 2.2× |
| Sleep study unattended (95806) | $361.08 | $612 | 1.6× |
| Somatosensory Testing (95938) | $1,060.23 | $1,797 | 1.2× |
| Speech sound lang comprehen (92523) | $260.78 | $442 | 1.2× |
| Spin/Brain Pump Refil & Main (95991) | $284.97 | $483 | 0.9× |
| Spirometry (94010) | $259.60 | $440 | 1.2× |
| Ssep lower limbs (95926) | $1,120.41 | $1,899 | 5.0× |
| Standardized Cognitive Performance Testing (96125) | $160.48 | $272 | 1.6× |
| Stress Tte Only (93350) | $1,610.11 | $2,729 | 2.8× |
| Subcutaneous Infusion Each Additional Hour (96370) | $82.01 | $139 | 1.7× |
| Subq Infusion Additional Pump Infusion Site (96371) | $83.78 | $142 | 1.1× |
| Surfactant Admin Thru Tube (94610) | $113.87 | $193 | 0.5× |
| Temp transcutaneous pacing (92953) | $516.25 | $875 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $83.19 | $141 | 3.7× |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$73.16–$83.19 | $124–$141 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $70.80 | $120 | 1.9× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $51.92 | $88 | 1.7× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$145.14–$208.86 | $246–$354 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $598.26 | $1,014 | 2.7× |
| Therapeutic Activities (97530) | $86.14 | $146 | 2.5× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $2,480.36 | $4,204 | 6.4× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $27.73 | $47 | 0.7× |
| Transcath Closure of Asd (93580) | $22,142.11 | $37,529 | 1.2× |
| Tte w/doppler, complete (93306) | $1,722.21 | $2,919 | 3.0× |
| Tte W/O Doppler Complete (93307) | $1,957.62 | $3,318 | 7.9× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $244.26 | $414 | 3.2× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $41.30 | $70 | 1.7× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$158.71–$177 | $269–$300 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 6 matching MRF lines |
$172.28–$10,078.97 | $292–$17,083 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $348.10 | $590 | 2.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $879.10 | $1,490 | 3.9× |
| Valvuloplasty aortic valve (92986) | $3,249.72 | $5,508 | 0.5× |
| Vent Mgmt Inpat Init Day (94002) | $1,184.72 | $2,008 | 1.8× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $884.41 | $1,499 | 1.4× |
| Visual Evoked Potential Test (95930) | $929.84 | $1,576 | 4.1× |
| Vital capacity, total (94150) | $61.36 | $104 | 0.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $46.61 | $79 | 1.5× |
| Whirlpool Therapy (97022) | $53.10 | $90 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.