CHI Health St. Elizabeth
555 South 70th Street, Lincoln, NE · Chihealth · · NPI 1336155738
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $109.00 | $218.00 | $28.38 – $218.00 | 17 |
| 17-ketosteroids CPT 83586 | $78.00 | $156.00 | $12.40 – $124.80 | 17 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,572.00 | $3,144.00 | $723.12 – $2,515.20 | 7 |
| 2nd order venous cath CPT 36012 | $1,031.00 | $2,062.00 | $315.69 – $1,649.60 | 6 |
| 3-d radiotherapy plan CPT 77295 | $5,529.50 | $11,059.00 | $483.84 – $8,847.20 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $244.00 | $488.00 | $29.21 – $1,804.00 | 11 |
| 5' nucleotidase - sendout CPT 83915 | $21.00 | $42.00 | $9.66 – $42.00 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $50.50 | $101.00 | $15.37 – $101.00 | 11 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,437.96 – $2,485.77 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $730.35 | $1,460.69 | $44.56 – $1,168.56 | 13 |
| Abd aorta w/runoff s&i CPT 75630 | $1,529.00 | $3,058.00 | $121.49 – $2,446.40 | 11 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $594.10 – $605.75 | 3 |
| Abd/low ext cath 1st CPT 36245 | $1,079.50 | $2,159.00 | $425.38 – $1,727.20 | 6 |
| Abd/low ext cath 2nd CPT 36246 | $935.50 | $1,871.00 | $430.33 – $1,496.80 | 6 |
| Abd/low ext cath 3rd CPT 36247 | $1,396.50 | $2,793.00 | $539.01 – $2,234.40 | 6 |
| Abd/low ext cath addl CPT 36248 | $391.00 | $782.00 | $88.98 – $625.60 | 6 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,666.50 | $3,333.00 | $384.43 – $2,666.40 | 11 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,501.50 | $3,003.00 | $339.02 – $2,402.40 | 11 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,141.00 | $2,282.00 | $159.12 – $1,825.60 | 11 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,304.50 | $4,609.00 | $462.19 – $3,687.20 | 11 |
| Abdominal MRI (with contrast) CPT 74182 | $2,051.00 | $4,102.00 | $434.45 – $3,281.60 | 11 |
| Abdominal MRI (without contrast) CPT 74181 | $1,797.50 | $3,595.00 | $250.74 – $2,876.00 | 11 |
| Abdominal paracentesis w/image guidance CPT 49083 | $726.50 | $1,453.00 | $199.71 – $1,162.40 | 6 |
| Abdominal Ultrasound (complete) CPT 76700 | $262.00 | $524.00 | $120.52 – $516.87 | 11 |
| Abdominal Ultrasound (limited) CPT 76705 | $194.00 | $388.00 | $89.24 – $388.00 | 11 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,174.11 – $2,174.11 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $726.50 | $1,453.00 | $136.52 – $1,162.40 | 6 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,190.79 – $1,214.14 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,714.00 – $1,747.61 | 3 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,436.08 – $1,464.24 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $523.91 – $1,163.86 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,629.63 – $1,661.59 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $5,178.50 | $10,357.00 | $640.73 – $8,285.60 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $676.81 – $676.81 | 1 |
| Ablate heart dysrhythm focus CPT 93650 | $5,101.00 | $10,202.00 | $1,032.59 – $8,161.60 | 6 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,295.73 – $1,321.13 | 3 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,588.23 – $1,619.37 | 3 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,532.87 – $1,562.92 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $385.12 – $385.12 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | $598.00 | $1,196.00 | $275.08 – $956.80 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $815.87 – $815.87 | 1 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $817.13 – $817.13 | 1 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $463.00 | $926.00 | $57.50 – $200.00 | 6 |
| Ablation cryo abd perit om CPT 49999 | $1,514.00 | $3,028.00 | $696.44 – $2,422.40 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $4,661.50 | $9,323.00 | $838.13 – $7,458.40 | 6 |
| Ablation cryo thigh/knee CPT 27599 | $236.00 | $472.00 | $108.56 – $377.60 | 6 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,851.99 – $1,851.99 | 1 |
| Abortion CPT 59850 | not published | not published | $344.29 – $708.16 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $422.39 – $422.39 | 1 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $31.94 – $31.94 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $256.91 – $256.91 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,726.00 | $5,452.00 | $363.49 – $4,361.60 | 6 |
| Abscess imaging ltd area CPT 78805 | $1,064.00 | $2,128.00 | $489.44 – $1,702.40 | 7 |
| Abscess imaging whole body CPT 78806 | $1,254.00 | $2,508.00 | $576.84 – $2,006.40 | 7 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $215.36 – $215.36 | 1 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $532.43 – $532.43 | 1 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.07 | $0.14 | $0.03 – $0.09 | 11 |
| Acetaminophen level CPT 80143 | $252.00 | $504.00 | $16.78 – $403.20 | 13 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $18.29 | $36.57 | $8.42 – $36.57 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $106.50 | $213.00 | $48.99 – $170.40 | 7 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $3.16 | $6.31 | $0.58 – $2.67 | 11 |
| Acne surgery 10040 CPT 10040 | $140.50 | $281.00 | $64.63 – $224.80 | 6 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $261.00 | $522.00 | $120.06 – $417.60 | 6 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $25.50 | $51.00 | $11.73 – $40.80 | 12 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,168.44 – $1,168.44 | 1 |
| Actigraphy testing CPT 95803 | $27.50 | $55.00 | $12.65 – $44.00 | 7 |
| Acute hepatitis panel CPT 80074 | $366.50 | $733.00 | $46.16 – $586.40 | 17 |
| Acyclovir 400 mg tablet HCPCS J8499 | $0.13 | $0.26 | $0.06 – $0.21 | 6 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $3.72 | $7.43 | $0.04 – $0.22 | 11 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,417.43 | $4,834.86 | $113.85 – $396.00 | 10 |
| Adding walker to prev cast CPT 29440 | not published | not published | $54.12 – $54.12 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2.54 | $5.07 | $0.41 – $1.42 | 11 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $391.58 – $1,684.24 | 4 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $847.88 – $847.88 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,445.51 – $1,445.51 | 1 |
| Adjustment gastric band HCPCS S2083 | $106.50 | $213.00 | $48.99 – $170.40 | 6 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $45.72 | $91.43 | $0.05 – $0.18 | 7 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $796.00 | $1,592.00 | $47.80 – $205.60 | 11 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $328.50 | $657.00 | $108.25 – $525.60 | 11 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $565.00 | $1,130.00 | $138.23 – $480.80 | 11 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $336.50 | $673.00 | $66.24 – $230.40 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $123.00 | $246.00 | $25.76 – $89.60 | 11 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $240.50 | $481.00 | $54.74 – $190.40 | 11 |
| Administration immunization 1 vaccine CPT 90471 | $80.00 | $160.00 | $4.37 – $17.10 | 7 |
| Administration immunization each additional vaccine CPT 90472 | $63.50 | $127.00 | $27.82 – $101.60 | 6 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $52.50 | $105.00 | $24.15 – $84.00 | 6 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $73.00 | $146.00 | $33.58 – $116.80 | 6 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $3,113.40 | $6,226.79 | $38.66 – $3,113.40 | 13 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,165.07 – $1,187.92 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $143.00 | $286.00 | $19.43 – $228.80 | 17 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $303.00 | $606.00 | $111.78 – $606.00 | 17 |
| After cataract laser surgery CPT 66821 | not published | not published | $594.76 – $594.76 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $3,446.48 | $6,892.95 | $213.59 – $787.64 | 13 |
| Air injection into abdomen 49400 CPT 49400 | $934.50 | $1,869.00 | $168.34 – $1,495.20 | 6 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $63.00 | $126.00 | $28.98 – $100.80 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $30.50 | $61.00 | $6.60 – $48.80 | 17 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $0.43 | $0.86 | $0.08 – $0.33 | 11 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $0.14 | $0.28 | $0.04 – $0.15 | 13 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $59.50 | $119.00 | $5.60 – $95.20 | 17 |
| Albumin serum plasma or whole blood CPT 82040 | $37.00 | $74.00 | $4.79 – $59.20 | 17 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.