How many shoppable procedure prices are published for CHI Health St. Francis?

CHI Health St. Francis in Grand Island, NE currently has 106 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do CHI Health St. Francis's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, CHI Health St. Francis's median negotiated commercial rate is 2.1× the regionally adjusted fair BaseRate benchmark.

What is CHI Health St. Francis's CMS Care Compare overall star rating?

CMS Care Compare assigns CHI Health St. Francis an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 113 Beds · urban Updated: 2026-02-28

CHI Health St. Francis

2620 West Faidley Ave, Grand Island, NE 68803 · 106 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

2.08×vs. Fair Market Price

Typical commercial prices here are +108% above the fair benchmark (2.08×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness95

Price Logic68

Peer Alignment69

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.08× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +82% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

CHI Health St. Francis prices routine shoppable procedures at 2.9× Medicare (median 1.74× Fair BaseRate) while upper-quartile commercial rates jump +82% to 3.17× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#46 of 60 in NE · 75th State Percentile#3,124 of 3,385 in U.S. · 92nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 63% patient recommendation (67/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
Commercial insurance median sits at 1.74× Fair BaseRate (2.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.17×) jump +82% above the median procedure ratio (Q50 1.74×)
Consolidated metro market (HHI 5,553) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.69× Divergence

2.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+82% Upper Tail

Q25 0.97× · Q50 1.74× · Q75 3.17×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.9× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.3× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.1× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.9× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 67/100Fair

Procedure Prices at CHI Health St. Francis

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 106 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$53,332	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$31,575	$19,087	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$31,267	$17,936	1.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$30,419	$19,432	1.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$13,441	$8,223	unverified
Total hip replacement CPT Code: `27130`	—	$12,955	$13,413	1.0×
Total knee replacement CPT Code: `27447`	—	$12,955	$13,523	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,874	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,855	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,553	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,267	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,267	$3,446	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,157	$3,157	$1,021	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,296	$2,540	0.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,143	$2,680	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,143	$2,975	0.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,257	$1,833	$511	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,722	$1,722	$583	3.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,559	$1,536	$448	3.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,236	$1,236	$272	4.5×
MRI, knee or other leg joint CPT Code: `73721`	$2,576	$1,167	$369	3.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,187	$1,256	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,312	$1,087	$343	3.2×
Blood transfusion CPT Code: `36430`	$966	$1,092	$498	2.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,413	$1,029	$338	3.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,705	$901	$303	3.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$918	$981	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,924	$891	$258	3.5×
CT scan, chest (no contrast) CPT Code: `71250`	$1,172	$836	$167	5.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,640	$836	$168	5.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,582	$836	$169	4.9×
Upper endoscopy with biopsy CPT Code: `43239`	$484	$775	$987	0.8×
CT scan, head (with contrast) CPT Code: `70460`	$1,611	$733	$242	3.0×
CT scan, sinuses CPT Code: `70486`	$1,371	$678	$166	4.1×
CT scan, pelvis CPT Code: `72192`	$1,453	$638	$163	3.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$792	$580	$134	4.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,564	$587	$160	3.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$604	$593	$132	unverified
Ultrasound, pelvis CPT Code: `76856`	$786	$533	$130	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$571	$437	$126	3.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$359	$438	$123	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$318	$388	$110	3.5×
Rabies immune globulin HCPCS Code: `90375`	$287	$346	$322	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$243	$297	$87	3.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$251	$296	$148	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$198	$269	$123	2.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$278	$278	$64	unverified
X-ray, lower back CPT Code: `72110`	$559	$227	$112	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$218	$233	$185	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$244	$186	$86	2.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$179	$205	$201	1.0×
X-ray, ankle CPT Code: `73610`	$347	$166	$93	1.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$370	$160	$93	1.7×
X-ray, hand CPT Code: `73130`	$359	$160	$93	1.7×
X-ray, foot CPT Code: `73630`	$350	$152	$92	1.7×
X-ray, shoulder CPT Code: `73030`	$347	$144	$92	1.6×
X-ray, hip CPT Code: `73502`	$134	$144	$93	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$81	$114	$35	3.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$86	$121	$40	3.0×
X-ray, chest (two views) CPT Code: `71046`	$317	$125	$93	1.3×
X-ray, pelvis CPT Code: `72170`	$294	$136	$110	1.2×
Hepatitis B immune globulin HCPCS Code: `90371`	$86	$125	$151	0.8×
Physical therapy (gait training) CPT Code: `97116`	$70	$98	$33	3.0×
Physical therapy (manual therapy) CPT Code: `97140`	$67	$95	$34	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$86	$120	$38	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$61	$88	$38	2.3×
Prosthetic fitting and training CPT Code: `97761`	$64	$81	$45	1.8×
Orthotic fitting and training CPT Code: `97760`	$59	$83	$51	1.6×
X-ray, chest (single view) CPT Code: `71045`	$202	$89	$92	1.0×
Typhoid vaccine HCPCS Code: `90675`	$194	$299	$347	0.9×
Culture, blood CPT Code: `87040`	$221	$221	$11	20.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$138	$138	$11	12.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$103	$144	$203	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$109	$109	$9	12.1×
Blood test, liver function panel CPT Code: `80076`	$106	$106	$9	11.8×
Blood test, vitamin B12 CPT Code: `82607`	$123	$123	$16	unverified
Blood test, lipase CPT Code: `83690`	$83	$83	$7	11.9×
Culture, bacterial CPT Code: `87070`	$105	$105	$9	11.7×
Blood test, amylase CPT Code: `82150`	$80	$80	$7	11.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$102	$102	$14	7.3×
Hepatitis C antibody test CPT Code: `86803`	$104	$104	$15	6.9×
Pneumococcal vaccine HCPCS Code: `90732`	$133	$124	$140	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$76	$76	$8	9.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$93	$93	$18	5.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$92	$92	$19	4.8×
Blood test, vitamin D CPT Code: `82306`	$96	$96	$31	3.1×
Blood test, magnesium CPT Code: `83735`	$65	$65	$7	9.3×
Blood antibody screen CPT Code: `86850`	$75	$77	$46	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$102	$86	$111	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$65	$65	$6	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$36	$36	$3	12.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$33	$4	8.3×
Blood test, calcium CPT Code: `82310`	$38	$38	$5	7.6×
Blood test, potassium CPT Code: `84132`	$34	$34	$5	6.8×
Blood test, sodium CPT Code: `84295`	$34	$34	$5	6.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$58	$58	$10	5.8×
Speech therapy (group session) CPT Code: `92508`	$41	$58	$27	2.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$50	$61	$56	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$30	$37	$39	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$18	$19	$25	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$23	$21	$37	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$44	$44	$5	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$35	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$30	$30	$3	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$44	$5	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$44	$13	$14	0.9×

Showing top 25 high-impact procedures of 106 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 55.0%

Audit a Bill or Quote at CHI Health St. Francis (Zero PHI Required)

CMS CCN: 280023

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $53,332

1. Amount on Your Bill or Quote ($) Pre-filled with CHI Health St. Francis’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $70,398 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $70,398

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.0% of gross = $70,398).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask CHI Health St. Francis's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$97,222 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($127,997) is $97,222 above the denoised Fair BaseRate ($30,775) and 5.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 470376601

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (55.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait125 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at CHI Health St. Francis. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (412 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI Health St. Francis.

Price Index: 0.95× regional baseline

Quality: 61/100 CMS composite

Median Household Income$67,549U.S. Census ACS

Local Uninsured Share12.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 280023 EIN 470376601

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 280023) ↗ Verify IRS Form 990 (EIN 470376601) ↗ CMS HCRIS Cost Reports ↗

Published MRF File470376601-1982675955_saint-francis-medical-center_standardcharges.json

Publication / Vintage2026-02-28 · 100.19 MB

Validated Rate Rows2,717 (CMS v3.0.0)

File Integrity Digesta5820c1ec5ea6d26c1b1…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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