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 |
|---|---|---|---|---|
| #cf-97variants CPT 81220 | $466.50 | $933.00 | $214.59 – $1,235.65 | 13 |
| Change cystostomy tube; complex 51710 CPT 51710 | $601.50 | $1,203.00 | $151.24 – $962.40 | 6 |
| Change cystostomy tube simple CPT 51705 | $180.50 | $361.00 | $83.03 – $288.80 | 6 |
| Change gastric port open CPT 43888 | not published | not published | $856.30 – $856.30 | 1 |
| Change g-tube to g-j perc CPT 49446 | $931.00 | $1,862.00 | $272.18 – $1,489.60 | 6 |
| Change nephroureteral cath CPT 50387 | $1,925.00 | $3,850.00 | $155.00 – $3,080.00 | 6 |
| Change of ureter tube/stent CPT 50688 | $987.00 | $1,974.00 | $147.02 – $1,579.20 | 6 |
| Change of windpipe airway 31502 CPT 31502 | $131.00 | $262.00 | $60.26 – $209.60 | 6 |
| Change stent via transureth CPT 50385 | not published | not published | $401.56 – $401.56 | 1 |
| Change ureter stent percut CPT 50382 | $2,957.00 | $5,914.00 | $467.92 – $4,731.20 | 6 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $177.51 – $177.51 | 1 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $414.20 – $414.20 | 1 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $680.21 – $680.21 | 1 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $401.54 – $401.54 | 1 |
| Chemo adm cns w/lmbr punct CPT 96450 | $694.50 | $1,389.00 | $131.18 – $1,111.20 | 11 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $203.76 – $203.76 | 1 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $128.63 – $128.63 | 1 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $147.25 – $147.25 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $212.96 – $212.96 | 1 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $195.59 – $195.59 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $471.45 – $471.45 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $222.41 – $222.41 | 1 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $404.71 – $404.71 | 1 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $94.75 – $94.75 | 1 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $75.87 – $75.87 | 1 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $217.31 – $217.31 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $195.53 – $195.53 | 1 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $205.30 – $205.30 | 1 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $209.69 – $209.69 | 1 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $240.66 – $240.66 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | $144.50 | $289.00 | $66.47 – $231.20 | 11 |
| Chemo ia infusion up to 1 hr CPT 96422 | $306.50 | $613.00 | $140.99 – $490.40 | 11 |
| Chemo ia push tecnique CPT 96420 | $235.00 | $470.00 | $108.10 – $376.00 | 11 |
| Chemo intralesional up to 7 96405 CPT 96405 | $138.50 | $277.00 | $49.91 – $221.60 | 11 |
| Chemotherapy injection 96542 CPT 96542 | $934.00 | $1,868.00 | $71.87 – $1,494.40 | 11 |
| Chemotx admn pertl cav impl CPT 96446 | $372.00 | $744.00 | $36.79 – $595.20 | 11 |
| Chest 2 vws w oblique CPT 71048 | $233.50 | $467.00 | $58.84 – $373.60 | 7 |
| Chest apical lordotic proj CPT 71047 | $711.50 | $1,423.00 | $55.06 – $322.40 | 7 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,358.50 | $2,717.00 | $269.66 – $2,173.60 | 11 |
| Chest CT scan (with contrast) CPT 71260 | $1,191.50 | $2,383.00 | $219.85 – $1,906.40 | 11 |
| Chest CT scan (without contrast) CPT 71250 | $810.50 | $1,621.00 | $161.64 – $1,804.00 | 11 |
| Chest X-ray CPT 71046 | $226.50 | $453.00 | $43.72 – $362.40 | 7 |
| Chest X-ray (single view) CPT 71045 | $226.50 | $453.00 | $32.36 – $362.40 | 7 |
| Chg pr pul rehab for copd patients CPT 94626 | $157.50 | $315.00 | $72.45 – $252.00 | 7 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $166.00 | $332.00 | $76.36 – $265.60 | 7 |
| Chlamydia culture CPT 87110 | $81.50 | $163.00 | $18.99 – $163.00 | 17 |
| Chlamydia type CPT 87140 | $26.50 | $53.00 | $5.40 – $51.96 | 17 |
| Chlnggrphy intraop addl s&i CPT 74301 | $220.50 | $441.00 | $32.78 – $352.80 | 7 |
| Chloramphenicol sodium injec HCPCS J0720 | $18.16 | $36.32 | $8.36 – $32.68 | 7 |
| Chloride CPT 82435 | $59.00 | $118.00 | $4.46 – $84.00 | 17 |
| Chloride 24 hour urine CPT 82436 | $29.50 | $59.00 | $5.57 – $47.20 | 17 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.49 | $0.98 | $0.22 – $0.75 | 6 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $45.64 | $91.28 | $21.00 – $91.28 | 11 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $12.56 | $25.11 | $5.78 – $25.11 | 11 |
| Cholangiogram percutaneous compl CPT 47532 | $428.50 | $857.00 | $197.11 – $685.60 | 6 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $480.00 | $960.00 | $43.72 – $768.00 | 7 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $983.57 – $1,002.85 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $722.39 – $736.56 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $802.51 – $818.24 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,643.50 | $3,287.00 | $624.67 – $2,629.60 | 6 |
| Cholesterol CPT 82465 | $27.00 | $54.00 | $4.21 – $43.20 | 17 |
| Cholesterol body fluid CPT 84999 | $140.50 | $281.00 | $64.63 – $224.80 | 7 |
| Cholesterol (Lipid) Test CPT 80061 | $148.50 | $297.00 | $1.38 – $13.32 | 17 |
| Cholinesterase CPT 82480 | $41.00 | $82.00 | $7.63 – $73.39 | 17 |
| Chorion biopsy CPT 59015 | not published | not published | $232.95 – $232.95 | 1 |
| Chromatography CPT 83021 | $95.00 | $190.00 | $17.50 – $168.27 | 17 |
| Chromosome analysis 15-20 cell count CPT 88262 | $856.50 | $1,713.00 | $121.60 – $1,370.40 | 17 |
| Chromosome analysis 5 CPT 88261 | $633.50 | $1,267.00 | $225.29 – $1,267.00 | 17 |
| Chromosome count additional CPT 88285 | $96.50 | $193.00 | $24.22 – $177.04 | 17 |
| Chromosome karyotype study CPT 88280 | $856.50 | $1,713.00 | $32.00 – $1,370.40 | 17 |
| Chylomicron screen, bf - sendout CPT 82664 | $87.50 | $175.00 | $40.25 – $175.00 | 17 |
| Cidofovir injection HCPCS J0740 | $71.75 | $143.50 | $33.01 – $149.24 | 13 |
| Cilastatin sodium injection HCPCS J0743 | $14.94 | $29.87 | $1.31 – $5.69 | 11 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $746.45 – $746.45 | 1 |
| Cine/video x-rays CPT 76120 | $2,899.50 | $5,799.00 | $186.86 – $4,639.20 | 11 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $0.02 | $0.03 | $0.01 – $0.02 | 11 |
| Circum 28 days or older CPT 54161 | not published | not published | $375.38 – $375.38 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $276.30 – $276.30 | 1 |
| Circumcision (newborn) CPT 54150 | $164.50 | $329.00 | $75.67 – $263.20 | 6 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $228.65 | $457.30 | $0.14 – $0.60 | 11 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $7.20 | $14.40 | $3.32 – $14.98 | 13 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,492.97 – $1,522.25 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $16,031.25 | $32,062.50 | $316.25 – $1,100.00 | 10 |
| Clamp neck artery CPT 61703 | not published | not published | $1,098.63 – $1,120.17 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,113.53 – $1,113.53 | 1 |
| Claviculectomy total CPT 23125 | not published | not published | $1,334.61 – $1,334.61 | 1 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $260.48 – $260.48 | 1 |
| Clearance of airways CPT 31720 | $38.00 | $76.00 | $17.48 – $60.80 | 6 |
| Clearance of airways CPT 31725 | not published | not published | $107.66 – $150.15 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $483.27 – $483.27 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $0.76 | $1.51 | $0.02 – $0.06 | 6 |
| Clip ligating vesolock lg HCPCS C1760 | $1,040.00 | $2,080.00 | $15.14 – $52.64 | 10 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,185.28 – $2,185.28 | 1 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,028.61 – $2,068.38 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $5.52 | $11.03 | $0.37 – $1.58 | 11 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $683.98 – $1,447.38 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,471.15 – $1,499.99 | 3 |
| Close chest after drainage CPT 32810 | not published | not published | $832.87 – $1,619.25 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $336.50 | $673.00 | $154.79 – $538.40 | 6 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $761.04 – $761.04 | 1 |
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.