TrueHospitalCost

CHI Health St. Mary's

1301 GRUNDMAN BLVD, Nebraska City, NE 68410

This hospital publishes its prices in a machine-readable file, as federal law requires. Below are the consumer procedures we track from that file. Prices come from the file dated September 30, 2026. See the hospital's own source file.

Procedures and cash prices (38)

ProcedureCash priceList price
CT abdomen and pelvis with contrast CPT 74177$5,219.30$6,365
CT abdomen and pelvis without contrast CPT 74176$4,071.30$4,965
CT chest with contrast CPT 71260$2,601.04$3,172
CT chest without contrast CPT 71250$2,204.16$2,688
CT head with contrast CPT 70460$2,009.82$2,451
CT head without contrast CPT 70450$1,951.60$2,380
Colonoscopy CPT 45378$615$750
Colonoscopy with biopsy CPT 45380$1,032.38$1,259
Complete blood count (CBC) CPT 85025$123.82$151
Comprehensive metabolic panel CPT 80053$153.34$187
ER visit level 3 CPT 99283$555.14$677
ER visit level 4 CPT 99284$867.56$1,058
ER visit level 5 CPT 99285$1,421.88$1,734
Echocardiogram complete CPT 93306$2,109.04$2,572
Electrocardiogram (ECG) CPT 93005$272.24$332
Hemoglobin A1c (diabetes) CPT 83036$102.50$125
Lipid panel (cholesterol) CPT 80061$6.56$8
MRA head without contrast CPT 70544$2,847.86$3,473
MRI brain with and without contrast CPT 70553$4,104.92$5,006
MRI brain with contrast CPT 70552$3,284.10$4,005
MRI brain without contrast CPT 70551$3,284.10$4,005
MRI cervical spine without contrast CPT 72141$3,425.14$4,177
MRI knee without contrast CPT 73721$2,547.74$3,107
MRI lumbar spine without contrast CPT 72148$3,187.34$3,887
MRI thoracic spine with and without contrast CPT 72157$4,236.12$5,166
Office visit established patient level 3 CPT 99213$70.52$86
Office visit established patient level 4 CPT 99214$366.54$447
Physical therapy evaluation CPT 97161$141.04$172
TSH (thyroid) CPT 84443$45.92$56
Therapeutic exercises (per session) CPT 97110$90.20$110
Ultrasound abdomen complete CPT 76700$263.22$321
Ultrasound pelvis complete CPT 76856$779.82$951
Upper endoscopy (EGD) with biopsy CPT 43239$2,217.28$2,704
Urinalysis CPT 81001$8.20$10
X-ray chest 1 view CPT 71045$245.18$299
X-ray chest 2 views CPT 71046$268.96$328
X-ray knee 3 views CPT 73562$334.56$408
X-ray lumbar spine 2-3 views CPT 72100$266.50$325

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