CHI Health St. Mary's prices. From its own published file.

CHI Health St. Mary's in Nebraska City, NE publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

3,862prices published

Feb 2026file last updated

$5,104cash price for ct abdomen and pelvis with contrast (list $6,149)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$168	$428	$43.27–$628
Emergency visit, high (level 4) `99284`	$284	$682	$73.26–$981
Emergency visit, highest (level 5) `99285`	$412	$1,086	$106–$1,608
Comprehensive metabolic panel `80053`	$29.05	$103	$7.50–$163
Basic metabolic panel `80048`	$24.07	$93.50	$6.22–$152
Complete blood count (CBC) `85025`	$12.45	$77.50	$3.22–$134
Blood draw (venipuncture) `36415`	$5.81	$45.50	$1.50–$107
Urinalysis `81001`	$8.30	$22.00	$2.15–$116
Troponin (heart test) `84484`	$27.39	$148	$7.07–$252
EKG tracing `93005`	$15.77	$320	$4.07–$346
Chest X-ray, 2 views `71046`	$57.27	$193	$14.78–$303
CT head without contrast `70450`	$1,908	$2,299	$492–$2,207
CT abdomen and pelvis with contrast `74177`	$5,104	$6,149	$1,317–$5,903
MRI lower back without contrast `72148`	$3,117	$3,755	$804–$3,605
Ultrasound, abdomen `76700`	$887	$1,069	$229–$1,026
IV push, single drug `96374`	$126	$235	$32.56–$304
IV fluids, first hour `96360`	$216	$323	$55.70–$371
Ketorolac injection, 15 mg `J1885`	$0.78	$2.15	$0.20–$4.54
Ondansetron injection `J2405`	$0.34	$5.68	$0.09–$10.53
Colonoscopy, diagnostic `45378`	$623	$750	$161–$720
Upper GI endoscopy with biopsy `43239`	$913	$1,902	$236–$2,596

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: CHI Health St. Mary's price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.