Chi Health St. Marys — procedure prices

Published prices for 365 procedures at Chi Health St. Marys (Nebraska City, NE), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $54 $88 $69 $51
Abdominal fluid drain (paracentesis) $1,265 $2,073 $1,575 $284
Abdominal ultrasound $663 $1,088 $419 $100
Abscess incision and drainage $716 $1,174 $435 $174
Achilles tendon repair — — $7,102 $624
ACL knee reconstruction — — $7,102 $889
Adenoid removal (adenoidectomy) — — $3,224 $204
Albumin blood test $18 $29 $14 $5
Aldosterone test $85 $139 $88 $41
Alkaline phosphatase test $20 $33 $16 $5
Alpha-fetoprotein (AFP) test $75 $123 $60 $17
ALT liver enzyme test $30 $49 $24 $5
Ammonia blood test $99 $163 $80 $15
Amniocentesis $581 $952 $824 $120
Amylase test $65 $107 $52 $6
Anal fistula repair — — $2,726 $541
Ankle fracture repair — — $7,102 $608
Ankle replacement — — $15,530 $885
Anoscopy — — $128 $129
Antinuclear antibody (ANA) test $81 $132 $65 $12
Aortic aneurysm repair (AAA) — — $12,036 $1,345
Aortic valve replacement — — $12,036 $1,603
Appendix removal (appendectomy) — — $8,530 $592
Arterial blood gas (ABG) $153 $251 $123 $26
AST liver enzyme test $26 $42 $21 $5
Barium swallow study $565 $926 $436 $107
Bartholin cyst removal $167 $273 $209 $182
Basic metabolic panel $111 $182 $85 $8
Benign skin lesion removal $1,076 $1,764 $864 $171
Bilirubin blood test $26 $43 $21 $5
Bladder function test (urodynamics) — — $664 $345
Bladder scope (cystoscopy) — — $664 $216
Bladder tumor removal (TURBT) — — $3,429 $236
Blood clotting test (PT/INR) $51 $84 $39 $4
Blood crossmatch $124 $204 $159 —
Blood glucose test $32 $53 $27 $5
Blood transfusion $979 $1,605 $916 $47
Blood type and screen $85 $140 $53 $10
Blood type test $41 $67 $38 $3
BNP (heart failure) test $196 $322 $158 $39
Bone density scan (DEXA) $514 $842 $208 $39
Bone marrow biopsy $745 $1,221 $1,576 $172
Bone scan (nuclear) $1,639 $2,687 $1,317 $259
Botox for migraine — — $293 $157
Brain shunt (VP shunt) — — $12,036 $1,023
Breast biopsy $2,977 $4,881 $2,686 $478
Breast MRI $2,384 $3,909 $588 $216
Breast reconstruction — — $13,842 $1,227
Breast reduction — — $6,483 $980
Breast ultrasound $492 $806 $382 $92
Breathing tube insertion (intubation) $615 $1,009 $667 $133
Bronchoscopy $479 $785 $2,461 $303
Bunion surgery (bunionectomy) — — $9,640 $883
Burn treatment $242 $397 $310 $129
C-reactive protein (CRP) $96 $157 $52 $5
CA 19-9 tumor marker test $64 $105 $51 $21
CA-125 ovarian marker test $79 $129 $63 $21
Calcium blood test $27 $44 $22 $5
Cardiac catheterization $16,327 $26,766 $13,620 $1,049
Cardiac rehabilitation $320 $525 $125 $26
Cardiac stress test $1,164 $1,909 $935 $39
Cardioversion $1,812 $2,970 $1,415 $155
Carotid artery surgery — — $12,036 $1,026
Carotid artery ultrasound $748 $1,227 $398 $156
Carpal tunnel release — — $1,941 $483
Cataract surgery — — $2,267 $547
CEA tumor marker test $113 $185 $91 $19
Celiac disease test $59 $97 $74 $12
Central line placement $2,045 $3,353 $2,980 $238
Cervical cerclage — — $3,161 $137
Cervical LEEP procedure — — $3,161 $325
Cesarean section (C-section) — — $11,213 $7,552
Chalazion (eyelid cyst) removal — — $297 $131
Chemotherapy infusion $628 $1,030 $244 $81
Chest fluid drain (thoracentesis) $1,034 $1,695 $1,253 $311
Chest tube insertion $920 $1,509 $1,471 $143
Chest X-ray $303 $497 $106 $37
Chickenpox (varicella) vaccine $106 $174 $136 —
Circumcision — — $2,036 $167
CK-MB heart enzyme test $124 $203 $99 $12
Clotting time test (PTT) $63 $104 $51 $6
Colon resection (colectomy) — — $12,036 $1,238
Colonoscopy — — $1,172 $480
Colostomy — — $12,036 $1,122
Colposcopy — — $302 $161
Complete blood count (CBC) $73 $120 $48 $7
Complex wound repair — — $609 $390
Comprehensive metabolic panel $149 $244 $106 $11
Contraceptive implant (Nexplanon) — — $393 $115
Copper blood test $49 $81 $40 $12
Corneal transplant — — $3,999 $1,066
Coronary angioplasty / stent (PCI) — — $16,066 $426
Coronary artery bypass (CABG) — — $53,542 $36,593
Coronary CT angiography $240 $394 $338 $326
Cortisol test $93 $152 $74 $16
COVID-19 PCR test $93 $153 $82 $51
CPAP titration study $734 $1,203 $254 $69
Craniotomy (brain surgery) — — $12,036 $2,161
Creatine kinase (CK) test $62 $101 $49 $7
CT angiography of the chest $2,472 $4,052 $1,394 $281
CT angiography of the head $1,993 $3,268 $1,387 $274
CT colonography (virtual colonoscopy) $2,804 $4,596 $2,252 $835
CT scan of the abdomen $2,222 $3,642 $772 $230
CT scan of the abdomen and pelvis $3,606 $5,911 $1,254 $300
CT scan of the arm $1,797 $2,946 $922 $199
CT scan of the chest $2,241 $3,674 $922 $167
CT scan of the head $1,633 $2,677 $568 $148
CT scan of the leg $1,860 $3,049 $922 $166
CT scan of the lower back (lumbar spine) $1,940 $3,180 $922 $169
CT scan of the neck $1,944 $3,187 $922 $183
CT scan of the neck (cervical spine) $2,028 $3,325 $922 $168
CT scan of the pelvis $1,649 $2,704 $374 $226
CT scan of the sinuses $1,778 $2,915 $746 $152
D-dimer test $187 $307 $72 $10
Defibrillator (ICD) implant $21,053 $34,513 $26,920 $798
DHEA-sulfate test $36 $59 $45 $22
Diagnostic mammogram $245 $401 $247 $140
Dialysis fistula creation — — $3,129 $601
Dilation and curettage (D&C) — — $3,161 $298
Droopy eyelid repair (ptosis) — — $2,319 $745
Drug screen (urine) $110 $180 $65 $17
Ear tubes (myringotomy) — — $1,402 $174
Eardrum repair (tympanoplasty) — — $5,881 $799
Echocardiogram $2,024 $3,318 $949 $138
Elbow replacement — — $17,363 $1,301
Electrocardiogram (EKG) $298 $488 $249 $8
Electroencephalogram (EEG) $889 $1,458 $688 $448
Electrolyte panel $56 $92 $45 $7
Emergency department visit $588 $964 $499 $69
Endometrial biopsy $227 $372 $283 $98
Epidural steroid injection $1,703 $2,792 $1,940 $275
ERCP (bile duct endoscopy) — — $3,637 $311
Esophageal dilation — — $1,868 $522
Esophageal variceal banding — — $1,886 $126
Estradiol (estrogen) test $101 $165 $81 $28
Eyelid surgery (blepharoplasty) — — $1,818 $552
Facet joint injection (spine) $1,808 $2,964 $1,871 $99
Fallopian tube X-ray (HSG) $672 $1,102 $584 $164
Family therapy session $155 $254 $160 $110
Fecal occult blood (stool) test $38 $63 $31 $10
Feeding tube (PEG) placement — — $1,886 $178
Femoral hernia repair — — $3,508 $584
Ferritin (iron) test $72 $118 $58 $14
Fibrinogen test $100 $164 $80 $10
Fibroid removal (myomectomy) — — $12,036 $914
Flexible sigmoidoscopy $733 $1,201 $906 $323
Flu test $67 $110 $54 $17
Flu vaccine $20 $32 $16 —
Folate (folic acid) test $102 $167 $82 $15
Foreign body removal (skin) $825 $1,352 $1,028 $157
Free T4 thyroid test $73 $120 $59 $9
FSH hormone test $87 $143 $70 $19
Gallbladder removal (laparoscopic) — — $5,800 $658
Gallbladder scan (HIDA) $1,534 $2,516 $1,309 $334
Ganglion cyst removal — — $1,591 $321
GGT liver test $26 $43 $21 $7
Glaucoma surgery — — $2,267 $984
Glucose tolerance test $38 $63 $20 $8
Group therapy session $96 $157 $91 $30
Hammertoe repair — — $3,226 $548
HDL cholesterol test $65 $107 $52 $8
Hematocrit test $26 $42 $21 $2
Hemoglobin A1c (diabetes test) $57 $93 $46 $10
Hemorrhoid removal — — $2,596 $338
Hepatitis A vaccine $38 $62 $52 —
Hepatitis B test $94 $154 $75 $10
Hepatitis B vaccine $24 $40 $20 —
Hepatitis C test $99 $163 $80 $14
Hip arthroscopy — — $7,102 $931
Hip fracture repair — — $12,594 $1,120
Hip replacement — — $12,791 $1,162
HIV test $64 $105 $56 $19
Holter heart monitor $493 $809 $396 $26
Hydrocele repair — — $3,508 $315
Hysterectomy — — $10,350 $933
Hysteroscopy — — $3,161 $1,270
Ileostomy — — $12,036 $968
Incisional hernia repair — — $6,944 —
Inguinal hernia repair — — $3,508 $538
Iron blood test $41 $67 $33 $6
IUD insertion $184 $301 $235 —
IUD removal $231 $379 $296 $112
IV infusion therapy $365 $599 $172 $44
IVC filter placement $9,270 $15,196 $9,640 $1,885
Joint aspiration (small/intermediate) $279 $457 $317 $57
Kidney biopsy $1,825 $2,991 $2,273 $492
Kidney removal (nephrectomy) — — $12,036 $1,164
Kidney scan (nuclear) $1,486 $2,436 $799 $172
Kidney stone shock-wave (lithotripsy) — — $3,429 $760
Kidney ultrasound $664 $1,088 $223 $84
Knee arthroscopy — — $3,226 $524
Knee joint injection $476 $781 $422 $69
Knee replacement — — $27,343 $18,054
Lactate test $82 $134 $66 $12
Laminectomy (spine) — — $7,102 $1,157
Laryngoscopy $343 $562 $1,381 $189
LDH test $43 $70 $34 $6
LDL cholesterol test $32 $52 $25 $11
Leg artery angiogram $3,560 $5,836 $2,980 $149
Leg artery angioplasty $14,724 $24,138 $11,992 —
Leg vein ultrasound (Doppler) $1,241 $2,035 $1,017 $150
LH hormone test $58 $95 $47 $19
Lipase test $80 $131 $64 $7
Lipid (cholesterol) panel $51 $84 $13 $13
Liver biopsy $1,865 $3,058 $2,324 $288
Liver function panel $132 $216 $82 $8
Lower back (lumbar) spinal fusion — — $24,870 $1,511
Lumbar discectomy — — $7,102 $898
Lumpectomy (breast) — — $6,254 $750
Lung function test (PFT) $411 $674 $295 $37
Lung scan (V/Q) $1,462 $2,396 $1,174 $291
Magnesium blood test $58 $95 $47 $7
Mastectomy — — $6,483 $1,021
Mastoidectomy — — $5,825 $840
Meniscus repair (knee) — — $3,226 $714
MMR vaccine $106 $173 $86 —
Mohs skin cancer surgery — — $1,501 $535
MRA of the brain $2,613 $4,283 $2,037 $226
MRA of the neck $2,128 $3,488 $1,709 $245
MRI of the abdomen $2,819 $4,621 $2,003 $300
MRI of the ankle $2,071 $3,395 $1,664 $261
MRI of the brain $2,727 $4,471 $1,198 $269
MRI of the chest $2,950 $4,836 $2,159 $371
MRI of the knee $2,190 $3,590 $1,287 $315
MRI of the lower back (lumbar spine) $2,345 $3,845 $1,135 $270
MRI of the mid-back (thoracic spine) $2,076 $3,403 $1,146 $271
MRI of the neck (cervical spine) $2,545 $4,172 $1,146 $274
MRI of the pelvis $2,594 $4,253 $1,913 $268
MRI of the shoulder $2,190 $3,590 $1,287 $313
MRI of the wrist $1,990 $3,262 $1,598 $330
Nebulizer breathing treatment $176 $289 $193 $9
Neck (cervical) spinal fusion — — $12,791 $1,410
Nerve conduction study $534 $875 $310 $118
Nuclear cardiac stress test $3,825 $6,271 $2,750 $428
Occupational therapy evaluation $226 $370 $182 $101
Office visit (established patient) $242 $398 $279 $115
Office visit (new patient) $392 $642 $417 $177
Orthopedic hardware removal — — $2,845 $632
Ovarian cyst removal — — $4,907 $698
Ovary removal (oophorectomy) — — $12,036 $822
Pacemaker insertion — — $27,177 $15,506
Pap smear (cervical screening) $38 $63 $45 $20
Parathyroid hormone (PTH) test $135 $221 $108 $41
Parathyroid removal — — $5,881 $891
Pelvic ultrasound $606 $994 $219 $78
PET scan $5,801 $9,510 $2,007 —
Phosphorus blood test $92 $150 $48 $5
Physical therapy evaluation $200 $328 $182 $98
Pilonidal cyst removal — — $2,845 $541
Platelet count $17 $28 $14 $4
Pneumonia vaccine $138 $226 $111 —
Pregnancy blood test (hCG) $106 $173 $75 $8
Pregnancy ultrasound $777 $1,273 $524 $126
Procalcitonin test $164 $269 $132 $27
Prolactin test $81 $132 $65 $19
Prostate biopsy $1,299 $2,130 $1,939 —
Prostate removal (prostatectomy) — — $10,350 $1,063
Prostate surgery (TURP) — — $5,054 $526
Prostate test (PSA) $79 $130 $64 $18
Psychiatric evaluation $185 $304 $168 $188
Psychotherapy session $166 $272 $160 $140
Pterygium removal (eye) — — $2,319 $540
Pulmonary rehabilitation $188 $309 $241 $87
Radiofrequency nerve ablation $1,118 $1,833 $1,849 $462
Retinal detachment repair — — $3,999 $966
Rheumatoid factor test $42 $69 $34 $6
Rotator cuff repair — — $7,102 $792
Sacroiliac joint injection $897 $1,471 $1,257 $176
Scoliosis spine X-ray $434 $712 $163 $58
Screening mammogram $242 $396 $259 $126
Scrotal ultrasound $719 $1,179 $248 $99
Sedimentation rate (ESR) test $41 $67 $27 $3
Semen analysis $232 $380 $121 $12
Septoplasty (deviated septum) — — $3,224 $613
Sex hormone binding globulin test $176 $289 $142 $22
Shingles vaccine $112 $183 $143 —
Shoulder arthroscopy — — $7,102 $962
Shoulder replacement — — $16,341 $1,300
Simple wound stitches $333 $546 $406 $127
Sinus surgery (endoscopic) — — $6,554 $224
Skin biopsy $384 $630 $580 $121
Skin cancer lesion removal — — $699 $240
Skin graft — — $3,466 $898
Skin lesion freezing (cryotherapy) — — $1,501 $36
Skin tag removal $218 $357 $271 $92
Sleep study (polysomnography) $3,282 $5,381 $2,800 $691
Small bowel resection — — $12,036 $1,136
Soft tissue ultrasound $572 $937 $104 $64
Speech therapy $253 $414 $182 $76
Spinal cord stimulator — — $5,832 $2,388
Spinal tap (lumbar puncture) $833 $1,365 $1,037 $165
Spine fracture repair (kyphoplasty) $8,686 $14,239 $10,583 $5,803
Spleen removal (splenectomy) — — $10,350 $1,036
Stomach removal (gastrectomy) — — $12,036 $1,595
Strabismus (eye muscle) surgery — — $3,713 $475
Strep throat test $35 $57 $36 $17
Stress echocardiogram $1,617 $2,650 $1,429 $209
Swallow study $222 $364 $211 $85
T3 thyroid test $23 $37 $28 $14
Tdap (tetanus) vaccine $58 $95 $69 —
Testicle removal (orchiectomy) — — $3,429 $306
Testosterone test $74 $122 $60 $26
Thyroid removal (thyroidectomy) — — $5,840 $1,004
Thyroid test (TSH) $98 $160 $78 $17
Thyroid ultrasound $612 $1,004 $492 $109
Thyroid uptake scan $669 $1,098 $424 $145
Tonsillectomy — — $5,601 $252
Total IgE allergy test $70 $115 $56 $16
Total protein test $9 $15 $8 $4
Tracheostomy $2,807 $4,601 $3,497 $273
Transesophageal echocardiogram (TEE) $1,924 $3,154 $1,545 $239
Transvaginal ultrasound $651 $1,068 $523 $118
Trigger finger release — — $1,591 $630
Trigger point injection $297 $487 $334 $56
Triglycerides test $48 $79 $39 $6
Troponin (heart) test $167 $273 $99 $12
Tubal ligation — — $5,800 $333
Turbinate reduction — — $3,224 $294
Turning a breech baby (version) $1,833 $3,005 $2,702 $94
Ulnar nerve surgery (elbow) — — $1,941 $575
Umbilical hernia repair — — $6,944 —
Upper GI endoscopy (EGD) — — $932 $371
Upper GI series (barium) $679 $1,113 $525 $128
Ureteral stent placement $3,242 $5,315 $3,637 $373
Ureteroscopy (stone removal) $6,002 $9,839 $7,478 $365
Uric acid (gout) test $15 $24 $12 $5
Urinalysis $40 $65 $23 $3
Urine microalbumin test $43 $70 $28 $5
Urine pregnancy test $74 $122 $60 $9
Vaccine administration $65 $107 $67 $19
Vaginal delivery — — $8,443 $5,487
Varicocele repair — — $3,429 $327
Varicose vein ablation $5,468 $8,965 $5,484 $1,018
Vasectomy — — $2,036 $347
Vitamin B12 test $95 $155 $76 $15
Vitamin D test $47 $77 $53 $30
Vitrectomy (eye) — — $3,999 $814
Vocal cord injection — — $3,637 $211
Wart removal $158 $259 $198 $121
Weight-loss (bariatric) surgery — — $22,197 $11,645
Whipple procedure (pancreas) — — $12,036 $2,871
Wound debridement $816 $1,338 $1,017 $186
Wrist fracture repair — — $7,102 $735
X-ray of the abdomen $333 $546 $119 $36
X-ray of the ankle $330 $541 $148 $37
X-ray of the collarbone $290 $476 $126 $33
X-ray of the elbow $353 $578 $148 $33
X-ray of the facial bones $262 $430 $141 $39
X-ray of the foot $337 $552 $136 $34
X-ray of the forearm $265 $434 $114 $29
X-ray of the hand $346 $567 $143 $38
X-ray of the hip $154 $253 $106 $49
X-ray of the knee $387 $635 $162 $42
X-ray of the lower back (lumbar spine) $483 $791 $181 $47
X-ray of the lower leg $302 $495 $116 $31
X-ray of the mid-back (thoracic spine) $347 $569 $150 $36
X-ray of the neck (cervical spine) $421 $690 $166 $47
X-ray of the pelvis $299 $490 $139 $36
X-ray of the ribs $366 $600 $150 $42
X-ray of the shoulder $330 $541 $126 $36
X-ray of the skull $377 $618 $175 $40
X-ray of the upper arm $285 $467 $116 $32
X-ray of the wrist $311 $510 $174 $43
YAG laser capsulotomy (eye) — — $570 $335
Zinc blood test $18 $29 $22 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.