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Critical Access HospitalVoluntary Non-Profit - Church

Chi Health St. Mary S

CHI Health · Nebraska City, NE

1301 Grundman Boulevard, Nebraska City, NE 68410(402) 873-3321

30

In-network payers

112

Disclosed rate categories

18

Beds

4

Care quality

About this hospital

Chi Health St. Mary S is an 18-bed voluntary non-profit - church hospital in Nebraska City, NE, affiliated with CHI Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 112 disclosed rate categories.

CCN (Medicare provider number)

281342

NPI

1528016995

Type

Critical Access Hospital

Ownership

Voluntary Non-Profit - Church

Beds

18

Care Quality

4

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

Prices for common services

The 24 services Chi Health St. Mary S most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$9,437 - $11,352

from 4 insurers · median $10,857

UnitedHealthcare$9,437
Insurer A*est.$10,761
Insurer B*est.$10,953
Insurer C*est.$11,352

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$548 - $5,903

from 4 insurers · median $4,296

Aetna$548
Insurer A*$2,690
Insurer B*est.$5,903
Insurer C*$5,903
Medicare $356Nearby hospitals $2,71858% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$300 - $4,604

from 4 insurers · median $3,396

Aetna$300
Insurer A*$2,189
Insurer B*est.$4,604
Insurer C*$4,604
Medicare $244Nearby hospitals $2,18256% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$660 - $4,643

from 4 insurers · median $4,561

Blue Cross$4,479
Insurer A*$660
Insurer B*est.$4,643
Insurer C*$4,643
Medicare $356Nearby hospitals $3,78321% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$227 - $1,391

from 2 insurers · median $809

Aetna$227
Insurer A*$1,391
Medicare $107Nearby hospitals $1,04022% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, with contrast

CPT 71260

$351 - $2,942

from 4 insurers · median $2,213

Aetna$351
Insurer A*$1,483
Insurer B*est.$2,942
Insurer C*$2,942
Medicare $179Nearby hospitals $1,47350% above nearby hospitals

Typical for a hospital with this service line

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$9,437 - $11,352

from 4 insurers · median $10,857

UnitedHealthcare$9,437
Insurer A*est.$10,761
Insurer B*est.$10,953
Insurer C*est.$11,352

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Nuclear imaging

PET/CT tumor imaging from skull base to thigh

CPT 78815

$3,061 - $7,776

from 4 insurers · median $7,623

Aetna$3,061
Insurer A*$7,469
Insurer B*est.$7,776
Insurer C*$7,776
Medicare $1,461Nearby hospitals $5,00452% above nearby hospitals

Hospital reports pet scan services to CMS

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$400 - $1,645

from 4 insurers · median $1,491

UnitedHealthcare$1,465
Insurer A*$400
Insurer B*est.$1,516
Insurer C*$1,645
Medicare $558Nearby hospitals $1,94623% below nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$234 - $476

from 4 insurers · median $368

Blue Cross$234
Insurer A*$260
Insurer B*est.$476
Insurer C*$476
Medicare $92Nearby hospitals $23457% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$413 - $3,343

from 4 insurers · median $3,279

Blue Cross$3,216
Insurer A*$413
Insurer B*est.$3,343
Insurer C*$3,343
Medicare $244Nearby hospitals $3,0308% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$726 - $5,303

from 4 insurers · median $5,210

Blue Cross$5,117
Insurer A*$726
Insurer B*est.$5,303
Insurer C*$5,303
Medicare $356Nearby hospitals $3,89734% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$403 - $3,605

from 4 insurers · median $2,768

Blue Cross$1,932
Insurer A*$403
Insurer B*est.$3,605
Insurer C*$3,605
Medicare $244Nearby hospitals $1,91644% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$518 - $1,826

from 4 insurers · median $1,784

Aetna$518
Insurer A*$1,743
Insurer B*est.$1,826
Insurer C*$1,826
Medicare $927Nearby hospitals $1,6439% above nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$875 - $2,568

from 4 insurers · median $2,358

Aetna$875
Insurer A*$2,312
Insurer B*est.$2,404
Insurer C*$2,568
Medicare $1,323Nearby hospitals $2,340In line with nearby hospitals

Hospital reports nuclear medicine services to CMS

X-ray and bone density

Chest X-ray, two views

CPT 71046

$57 - $185

from 4 insurers · median $180

UnitedHealthcare$185
Insurer A*$57
Insurer B*$175
Insurer C*est.$185
Medicare $89Nearby hospitals $13236% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$701 - $1,258

from 4 insurers · median $1,235

Aetna$701
Insurer A*$1,213
Insurer B*est.$1,258
Insurer C*$1,258
Medicare $1,223Nearby hospitals $1,96437% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$625 - $1,209

from 4 insurers · median $1,187

Aetna$625
Insurer A*$1,166
Insurer B*est.$1,209
Insurer C*$1,209
Medicare $1,223Nearby hospitals $1,78333% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$179 - $544

from 4 insurers · median $535

Blue Cross$525
Insurer A*$179
Insurer B*est.$544
Insurer C*$544
Medicare $107Nearby hospitals $59510% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$219 - $881

from 4 insurers · median $866

Blue Cross$850
Insurer A*$219
Insurer B*est.$881
Insurer C*$881
Medicare $107Nearby hospitals $62638% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$243 - $748

from 4 insurers · median $735

Blue Cross$722
Insurer A*$243
Insurer B*est.$748
Insurer C*$748
Medicare $107Nearby hospitals $52939% above nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$217 - $770

from 4 insurers · median $749

UnitedHealthcare$770
Insurer A*$217
Insurer B*$728
Insurer C*est.$770
Medicare $107Nearby hospitals $98024% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of veins in both arms or both legs

CPT 93970

$384 - $1,435

from 4 insurers · median $1,393

UnitedHealthcare$1,435
Insurer A*$384
Insurer B*$1,351
Insurer C*est.$1,435
Medicare $244Nearby hospitals $1,2967% above nearby hospitals

Typical for a hospital with this service line

Lung function and sleep

Attended overnight sleep study

CPT 95810

$1,253 - $4,121

from 4 insurers · median $4,049

Cignaest.$4,121
Insurer A*$1,253
Insurer B*$3,976
Insurer C*$4,121
Medicare $877Nearby hospitals $3,13429% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Chi Health St. Mary S

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
615%
85
Insurer B*23
589%
00
Insurer C*23
589%
174
Insurer D*24
166%
021

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Chi Health St. Mary S.

Location

1301 Grundman Boulevard, Nebraska City, NE 68410

(402) 873-3321

Get directions

Frequently asked questions

About Chi Health St. Mary S's rates and hospital price transparency.

How much does an MRI cost at Chi Health St. Mary S?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Chi Health St. Mary S range from $660 to $4,643 across 4 insurers. Blue Cross Blue Shield's rate is $4,479. The median at nearby comparable hospitals is $3,783. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Chi Health St. Mary S?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Chi Health St. Mary S range from $548 to $5,903 across 4 insurers. Aetna's rate is $548. The median at nearby comparable hospitals is $2,718. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Chi Health St. Mary S?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Chi Health St. Mary S range from $701 to $1,258 across 4 insurers. Aetna's rate is $701. The median at nearby comparable hospitals is $1,964. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Chi Health St. Mary S?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Chi Health St. Mary S range from $9,437 to $11,352 across 4 insurers. UnitedHealthcare's rate is $9,437. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Chi Health St. Mary S?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Chi Health St. Mary S range from $234 to $476 across 4 insurers. Blue Cross Blue Shield's rate is $234. The median at nearby comparable hospitals is $234. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Chi Health St. Mary S have?

Chi Health St. Mary S has 18 beds. Facility type: Critical Access Hospital.

Where is Chi Health St. Mary S and what is its phone number?

Chi Health St. Mary S is located at 1301 Grundman Boulevard, Nebraska City, NE 68410. Its main phone number is (402) 873-3321.

What is Chi Health St. Mary S's CCN (Medicare provider number)?

Chi Health St. Mary S's CMS Certification Number (CCN), also called its Medicare provider number, is 281342.

What is Chi Health St. Mary S's NPI number?

The National Provider Identifier (NPI) on file for Chi Health St. Mary S is 1528016995.

What health system is Chi Health St. Mary S part of?

Chi Health St. Mary S is affiliated with CHI Health.

For hospital finance and compliance teams

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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