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.

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ProcedureCash priceGross charge× Medicare
Actigraphy testing recording analysis i&r (95803) $142.19 $241 2.3×
Airway inhalation treatment (94640) $179.36 $304 0.8×
Analyze Neurostim Complex (95972) $185.26 $314 1.9×
Analyze neurostim no prog (95970) $109.15 $185 0.8×
Appl on-body injector for timed subq injection (96377) $274.35 $465 5.6×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $137.47 $233 3.6×
Behavioral and qualitative analysis of voice and resonance (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 (95992) $116.82 $198 2.9×
Capsule endoscopy (91110) $1,831.36 $3,104 1.9×
Car seat/bed test 60 min (94780) $215.35 $365 5.6×
Cardiac Stress Tst,Tracing Only (93017) $1,053.44 $1,785.50 4.7×
Cardiopulmonary exercise testing (94621) $1,049.02 $1,778 2.7×
Cardiopulmonary resuscitation (92950) $760.22 $1,288.50 3.4×
Cardioversion (92960) $1,700.97 $2,883 2.5×
Cardioversion internal (92961) $496.78 $842 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $8,847.64 $14,996 2.6×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $19,739.63 $33,457 5.9×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $22,142.11 $37,529 1.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $14,576.54 $24,706 4.3×
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 Hormon Antineopl Sq/Im (96402) $260.78 $442 3.5×
Chemo inj subarach/intravent (96542) $687.94 $1,166 2.0×
Chemo IV push addl drug (96411) $496.78 $842 6.6×
Chemo Iv Push Sngl Drug (96409) $430.70 $730 1.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,119.23 $1,897 3.3×
Chemother, IV infusion, 1 hr (96413) $1,131.03 $1,917 3.3×
Chemother, IV infusion, ea add hr (96415) $251.34 $426 3.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $161.66 $274 2.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $804.17 $1,363 2.3×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $562.27 $953 7.5×
Color/duplex Doppler, complete (93975) $910.96 $1,544 3.7×
Color/duplex Doppler, limited (93976) $541.03 $917 5.0×
Coronary artery angio s&i (93454) $10,226.47 $17,333 3.0×
Cpap initiation and management (94660) $707.41 $1,199 3.1×
Cpt initial (94667) $210.04 $356 1.5×
Critical care (99291) $1,804.22 $3,058 2.1×
Debridement Open Wound 20 Sq Cm< (97597) $304.74 $516.50 1.5×
Demo &/or eval,pt use,aerosol device (94664) $153.40 $260 0.7×
Dialysis other/than hemodialysis 1 phys/qhp eval (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $959.93 $1,627 3.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $476.13 $807 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,188.26 $2,014 10.9×
Duplex hemodialysis access (93990) $446.04 $756 4.1×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $240.72 $408 1.0×
Duplex scan extracranial art compl bi study (93880) $1,133.39 $1,921 4.6×
Echo Heart Xthoracic,Limited (93308) $854.91 $1,449 3.5×
Echo transesophageal (93312) $1,805.40 $3,060 3.2×
Echo Transthoracic - Congenital Tte Complete (93303) $1,469.10 $2,490 2.6×
EEG awake 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 coma or sleep only (95822) $834.85 $1,415 3.7×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,234.87 $2,093 5.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $932.79 $1,581 4.2×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,025.47 $3,433 5.2×
EKG (93005) $277.89 $471 4.5×
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×
Electroconvulsive Therapy (90870) $1,040.76 $1,764 1.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $1,102.71 $1,869 4.9×
EMG four extremities (95864) $733.96 $1,244 5.5×
EMG one extremity (95860) $629.53 $1,067 4.6×
EMG three extremities (95863) $1,164.07 $1,973 8.7×
EMG two extremities (95861) $1,013.03 $1,717 7.3×
Endomyocardial biopsy (93505) $1,375.88 $2,332 0.4×
Er level 1 (99281) $204.14 $346 2.3×
Er level ii (99282) $320.96 $544 2.0×
Er level iii (99283) $568.76 $964 2.0×
Er level IV (99284) $990.61 $1,679 2.3×
Er level v (99285) $1,457.30 $2,470 2.4×
Evaluation of speech fluency (92521) $119.18 $202 0.9×
Evaluation of speech sound production (92522) $174.64 $296 1.6×
Evaluation of swallowing function (92610) $214.76 $364 2.5×
Evoked auditory test,limited (92587) $145.73 $247 0.6×
Exercise tst brncspsm (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×
Flow volume loop (94375) $223.61 $379 1.0×
Group Therapeutic Procedures (97150) $68.44 $116 3.8×
Hemodialysis (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×
Imaging of colon using capsule endoscope, with interpretation and report (91113) $1,670.29 $2,831 1.7×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $64.31 $109 1.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $43.07 $73 1.0×
Immunization Admin (90471) $50.74 $86 0.7×
Ins swan ganz bedside (93503) $1,696.84 $2,876 1.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $257.24 $436 3.4×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $598.26 $1,014 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $113.87 $193 2.3×
IV push initial (96374) $454.30 $770 2.1×
Liver elastography w/o imag w/i&r (91200) $266.68 $452 2.0×
Manual therapy 15 min (97140) $67.26 $114 2.4×
Massage 15 min (97124) $51.92 $88 1.7×
Maximum voluntary ventilation (94200) $212.99 $361 3.5×
Mechanical chest wall oscillation (94669) $135.70 $230 0.6×
Mechanical traction (97012) $117.41 $199 8.2×
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×
Methacholine challenge (94070) $1,210.68 $2,052 3.1×
Mnt Group Ea 30 Min (97804) $30.09 $51 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (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×
Nasopharyngoscopy (92511) $171.69 $291 0.8×
Neg press wnd tx </=50 sq cm (97607) $376.42 $638 0.9×
Neg press wound tx >50 cm (97608) $376.42 $638 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $267.86 $454 1.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $355.18 $602 0.8×
Nerve conduction studies 13/> studies (95913) $361.67 $613 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $361.67 $613 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $361.67 $613 0.9×
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; 5-6 studies (95909) $361.67 $613 1.6×
Nerve conduction studies; 7-8 studies (95910) $361.67 $613 0.9×
Neuromuscular junction test (95937) $251.34 $426 1.9×
Newborn resuscitation (99465) $720.98 $1,222 1.1×
Nitric oxide expired gas determination (95012) $89.09 $151 2.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $348.10 $590 2.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $879.10 $1,490 3.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $331.58 $562 2.5×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $597.08 $1,012 1.5×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $59 $100 1.3×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $56.05 $95 1.7×
Ot Contrast Bath Ea 15 Min (97034) $37.76 $64 2.7×
Ot eval high complex 60 min (97167) $122.13 $207 1.2×
Ot eval low complex 30 min (97165) $218.30 $370 2.2×
Ot eval mod complex 45 min (97166) $122.13 $207 1.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $54.28 $92 1.1×
Ot Prosthetic Training, Each 15 Min (97761) $63.72 $108 1.6×
Ot Range Motion Measure,Each Extrem (95851) $70.21 $119 2.7×
Ot re-eval est plan care (97168) $76.11 $129 1.1×
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×
Paraffin bath (97018) $43.66 $74 7.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $149.27 $253 0.7×
Peripheral arterial disease rehab per session (93668) $181.13 $307 3.0×
Perq transcath closure pda (93582) $20,707.82 $35,098 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $158.71 $269 2.6×
Phy/qhp op pulm rhb w/o 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×
Programming of dual lead implantable defibrillator system (93283) $187.03 $317 4.8×
Prq balloon valvuloplasty aortic valve (92986) $3,249.72 $5,508 0.5×
Prq card revasc chronic 1vsl (92943) $9,012.25 $15,275 0.8×
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 coronary angio/atherect one art/brnch (92924) $18,957.29 $32,131 1.6×
Prq trluml coronary angioplasty one art/branch (92920) $8,565.03 $14,517 1.4×
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 Aquatic Therapy/Exercises (97113) $70.80 $120 1.9×
Pt Electric Current Therapy (97033) $65.49 $111 3.4×
Pt Electrical Stimulation (97032) $54.28 $92 3.7×
Pt eval high complex 45 min (97163) $107.97 $183 1.1×
Pt eval low complex 20 min (97161) $193.52 $328 2.0×
Pt Gait Training Therapy (97116) $69.62 $118 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $62.54 $106 1.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $107.97 $183 1.1×
Pt re-evaluation (97164) $75.52 $128 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $85.55 $145 2.6×
Pt Ultrasound Therapy (97035) $57.82 $98 4.0×
Pt Whirlpool Therapy (97022) $53.10 $90 3.4×
Pulm function test by gas (94727) $284.97 $483 1.3×
Pulmonary stress testing (94618) $434.24 $736 3.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $10,781.66 $18,274 3.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $15,943.57 $27,023 4.7×
R hrt art/grft angio (93457) $10,477.22 $17,758 3.1×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $17,006.16 $28,824 5.1×
Refill/Maint Pump/Resvr Syst (96522) $276.71 $469 1.3×
Refill/maint, portable pump (96521) $450.76 $764 2.0×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $284.97 $483 0.9×
Right heart cath (93451) $7,028.08 $11,912 2.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $90.86 $154 4.2×
Rt Chest Wall Manipulation,Subsequent (94668) $95.58 $162 0.7×
Sc Ther Infusion Reset Pump (96371) $83.78 $142 1.1×
Sensory Integration Ea 15 Min (97533) $48.97 $83 0.8×
Short-latency somatosens ep std lwr limbs (95926) $1,120.41 $1,899 5.0×
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 group therapy (92508) $41.30 $70 1.7×
Speech sound lang comprehen (92523) $260.78 $442 1.2×
Spirometry (94010) $259.60 $440 1.2×
Standardized Cognitive Performance Testing (96125) $160.48 $272 1.6×
Stress echo (93350) $1,610.11 $2,729 2.8×
Stress Tte Complete (93351) $1,508.63 $2,557 2.7×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $82.01 $139 1.7×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $83.19 $141 4.0×
Ther/Proph/Diag Inj Sc/Im (96372) $208.86 $354 2.8×
Therapeutic Activities (97530) $86.14 $146 2.5×
Therapeutic phlebotomy (99195) $231.87 $393 1.7×
Tilt Table Eval (93660) $2,480.36 $4,204 6.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $27.73 $47 0.7×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,722.21 $2,919 3.0×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,957.62 $3,318 7.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $244.26 $414 3.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $214.76 $364 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375) $177 $300 3.6×
Unlisted Cardiovascular Service/Procedure (93799) $450.46 $763.50 3.4×
Unlisted pulmonary service/procedure (94799) $104.72 $177.50 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $1,236.05 $2,095 5.0×
Vasc Duplex Scan Extracranial,Limited (93882) $639.56 $1,084 5.9×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $932.20 $1,580 4.2×
Ventilation assist & mgmt inpatient 1st 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×