Nebraska / CHI Health St Francis
CMS certification 280023 · Grand Island, NE · 1 entry in CMS's price-transparency list
CHI Health St Francis: charges and Medicare payments
CHI Health St Francis reported 577 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 3.91 times what it was paid — mid-range in Nebraska, number 10 of 22 hospitals with at least 100 stays (state median 3.9×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 223 stays at an average charge of $53,362, 41% below the national average. It also billed 602 outpatient services, charging 5.08 times what Medicare paid.
- 1Medicare inpatient stays 577
- 2Charge ÷ paid, inpatient 3.91×
- 3Rank in NE (highest ratio = 1) 10 of 22
- 4CMS price-transparency actions 1
Inpatient stays
For the 19 DRGs that can be compared with the national average, CHI Health St Francis charged more than the national average in 1 (5%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 223 | $53,362 | -41% | $14,746 |
| 291 Heart Failure and Shock with MCC | 54 | $44,907 | -20% | $10,162 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $38,460 | -22% | $8,236 |
| 177 Respiratory Infections and Inflammations with MCC | 30 | $50,009 | -29% | $12,145 |
| 683 Renal Failure with CC | 22 | $35,386 | -13% | $7,187 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 22 | $121,218 | -47% | $34,808 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $22,696 | -39% | $6,606 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $41,659 | -45% | $10,817 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $32,145 | -20% | $6,811 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $43,430 | -28% | $10,804 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $56,785 | +2% | $8,170 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $59,708 | -42% | $16,664 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $42,209 | -27% | $9,657 |
| 682 Renal Failure with MCC | 13 | $51,226 | -22% | $11,218 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 12 | $50,320 | -50% | $13,885 |
| 388 Gastrointestinal Obstruction with MCC | 12 | $38,243 | -44% | $11,499 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $59,493 | -41% | $15,174 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $51,674 | -30% | $12,302 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $34,934 | -8% | $6,485 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and Drainage | 98 | $8,226 | $1,478 |
| Comprehensive Observation Services | 93 | $18,250 | $2,493 |
| Level 1 Endovascular Procedures | 71 | $23,277 | $2,994 |
| Level 4 Musculoskeletal Procedures | 53 | $25,688 | $6,629 |
| Level 5 Musculoskeletal Procedures | 34 | $43,780 | $12,178 |
| Level 3 Pacemaker and Similar Procedures | 30 | $26,510 | $9,887 |
| Level 3 Vascular Procedures | 29 | $13,002 | $2,953 |
| Level 3 Endovascular Procedures | 27 | $28,893 | $10,185 |
| Level 2 Vascular Procedures | 22 | $5,653 | $1,484 |
| Level 2 Endovascular Procedures | 22 | $18,794 | $5,296 |
| Level 4 Urology and Related Services | 22 | $21,790 | $3,230 |
| Level 1 Nerve Procedures | 21 | $8,368 | $1,789 |
| Level 3 Urology and Related Services | 19 | $7,183 | $1,887 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 18 | $14,664 | $2,633 |
| Level 1 Laparoscopy and Related Services | 15 | $31,895 | $5,347 |
| Level 5 Neurostimulator and Related Procedures | 15 | $65,960 | $28,688 |
| Level 5 Urology and Related Services | 13 | $22,224 | $4,794 |
Against the Nebraska average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), CHI Health St Francis charged $53,362 on average, 7% less than the Nebraska average of $57,675, and was paid $14,746 against a state average of $15,815. For Heart Failure and Shock with MCC (DRG 291), CHI Health St Francis charged $44,907 on average, 22% more than the Nebraska average of $36,928, and was paid $10,162 against a state average of $10,527. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), CHI Health St Francis charged $38,460 on average, 18% more than the Nebraska average of $32,494, and was paid $8,236 against a state average of $8,647. For Respiratory Infections and Inflammations with MCC (DRG 177), CHI Health St Francis charged $50,009 on average, 5% less than the Nebraska average of $52,614, and was paid $12,145 against a state average of $13,593. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,226 was 7% below the state average of $8,843. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,250 was 12% above the state average of $16,361. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,277 was 13% below the state average of $26,619. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $25,688 was 14% below the state average of $29,725.
Price-transparency record
CMS's enforcement list records these actions for a hospital named CHI Health St Francis in Grand Island, NE, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-06 (CMS case 4970)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.