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 |
|---|---|---|---|---|
| CT hrt w/3d image CPT 75572 | $141.00 | $282.00 | $64.86 – $1,804.00 | 11 |
| CT limited or localized follow-up study CPT 76380 | $491.50 | $983.00 | $168.57 – $1,804.00 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,271.00 | $2,542.00 | $219.85 – $2,033.60 | 11 |
| CT lower extremity without contrast (both sides) CPT 73700 | $985.50 | $1,971.00 | $162.27 – $1,804.00 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,428.50 | $2,857.00 | $270.92 – $2,285.60 | 11 |
| CT neck soft tissue w/contrast CPT 70491 | $1,435.00 | $2,870.00 | $234.36 – $2,296.00 | 11 |
| CT neck soft tissue without contrast CPT 70490 | $1,105.00 | $2,210.00 | $176.76 – $1,804.00 | 11 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,765.00 | $3,530.00 | $285.43 – $2,824.00 | 11 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,659.50 | $3,319.00 | $296.14 – $2,655.20 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,520.00 | $3,040.00 | $249.48 – $2,432.00 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,394.50 | $2,789.00 | $193.37 – $2,231.20 | 11 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $199.50 | $399.00 | $91.77 – $319.20 | 6 |
| CT scan for localization CPT 77011 | $245.50 | $491.00 | $112.93 – $1,804.00 | 11 |
| CT scan for therapy guide CPT 77014 | $644.00 | $1,288.00 | $47.38 – $1,804.00 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,408.50 | $6,817.00 | $482.37 – $5,453.60 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,383.50 | $4,767.00 | $427.31 – $3,813.60 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,811.50 | $3,623.00 | $200.30 – $2,898.40 | 11 |
| CT thoracic spine w/contrast CPT 72129 | $1,593.50 | $3,187.00 | $220.48 – $2,549.60 | 11 |
| CT thoracic spine without contrast CPT 72128 | $1,386.00 | $2,772.00 | $162.90 – $2,217.60 | 11 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $203.00 | $406.00 | $93.38 – $1,804.00 | 7 |
| CT t-spine w /wo contrast CPT 72130 | $1,607.50 | $3,215.00 | $272.18 – $2,572.00 | 11 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,272.50 | $2,545.00 | $286.06 – $2,036.00 | 11 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,212.00 | $2,424.00 | $224.05 – $1,939.20 | 11 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,527.00 | $3,054.00 | $374.98 – $2,443.20 | 11 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,357.86 – $1,357.86 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,165.82 – $1,165.82 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $41.50 | $83.00 | $7.83 – $75.31 | 17 |
| Culture afb any source CPT 87116 | $165.50 | $331.00 | $10.47 – $264.80 | 17 |
| Culture anaerobic additional method definitive id each CPT 87076 | $135.00 | $270.00 | $7.83 – $216.00 | 17 |
| Culture anaerobic except blood CPT 87075 | $214.00 | $428.00 | $9.18 – $342.40 | 17 |
| Culture bact stool aero addl path ea CPT 87046 | $85.50 | $171.00 | $9.15 – $136.80 | 17 |
| Culture body fluid CPT 87070 | $120.50 | $241.00 | $8.35 – $98.40 | 17 |
| Culture fungi definitive id mold CPT 87107 | $79.00 | $158.00 | $10.00 – $126.40 | 17 |
| Culture fungi definitive id yeast CPT 87106 | $59.00 | $118.00 | $10.00 – $96.19 | 17 |
| Culture fungi other (except blood) CPT 87102 | $254.00 | $508.00 | $8.15 – $406.40 | 17 |
| Culture fungi skin/hair/nail CPT 87101 | $50.50 | $101.00 | $7.47 – $80.80 | 17 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $112.00 | $224.00 | $13.95 – $179.20 | 17 |
| Culture mycoplasma any source CPT 87109 | $108.00 | $216.00 | $14.91 – $172.80 | 17 |
| Culture screening strep group a CPT 87081 | $95.50 | $191.00 | $6.43 – $152.80 | 17 |
| Culture typing immunologic CPT 87147 | $120.00 | $240.00 | $5.02 – $192.00 | 17 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $89.50 | $179.00 | $34.01 – $179.00 | 17 |
| Culture urine each isolate CPT 87088 | $55.50 | $111.00 | $7.84 – $88.80 | 17 |
| Curette/treat cornea CPT 65435 | not published | not published | $132.83 – $132.83 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $705.10 – $705.10 | 1 |
| Cutter lead HCPCS C1773 | $4,300.50 | $8,601.00 | $13.36 – $46.44 | 10 |
| Cv line/pic reposition CPT 36597 | $891.00 | $1,782.00 | $111.55 – $1,425.60 | 6 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $3.20 | $6.40 | $1.13 – $5.12 | 11 |
| Cyclic citrullinated peptide antibody CPT 86200 | $64.00 | $128.00 | $12.55 – $120.63 | 17 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $174.47 | $348.93 | $11.56 – $40.20 | 6 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $3.43 | $6.85 | $0.35 – $1.52 | 11 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $6.39 | $12.77 | $2.94 – $12.77 | 11 |
| Cyclosporine 2 hour CPT 80158 | $40.00 | $80.00 | $17.49 – $80.00 | 17 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.06 | $4.11 | $0.63 – $2.16 | 11 |
| Cyclosporine oral 100 mg HCPCS J7502 | $7.21 | $14.42 | $0.90 – $3.88 | 11 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $13,295.10 | $26,590.20 | $292.10 – $1,016.00 | 10 |
| Cystatin c CPT 82610 | $49.50 | $99.00 | $7.56 – $79.20 | 17 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $901.36 – $901.36 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $412.50 | $825.00 | $49.39 – $660.00 | 11 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $494.15 – $494.15 | 1 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $891.78 – $1,685.44 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,399.65 – $1,399.65 | 1 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $311.03 – $311.03 | 1 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $447.41 – $447.41 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $327.01 – $327.01 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $378.27 – $378.27 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $459.92 – $459.92 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $539.41 – $539.41 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $732.31 – $732.31 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $393.44 – $393.44 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $303.22 – $303.22 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $494.38 – $494.38 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $603.83 – $603.83 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $377.08 – $377.08 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $366.45 – $366.45 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $455.70 – $455.70 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $523.49 – $523.49 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $542.28 – $542.28 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $519.69 – $519.69 | 1 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $283.77 – $283.77 | 1 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $512.82 – $512.82 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $460.32 – $460.32 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $492.30 – $492.30 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $872.50 | $1,745.00 | $150.80 – $1,396.00 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $315.63 – $315.63 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $309.98 – $309.98 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $629.10 – $629.10 | 1 |
| Cystoscopy inject material CPT 52327 | not published | not published | $483.90 – $483.90 | 1 |
| Cystoscopy removal of clots CPT 52001 | $1,515.50 | $3,031.00 | $536.89 – $2,424.80 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $340.28 – $340.28 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $464.73 – $464.73 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $597.89 – $597.89 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $250.36 – $250.36 | 1 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $557.34 – $557.34 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $897.14 – $897.14 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,476.03 – $1,476.03 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $565.97 – $565.97 | 1 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $690.25 – $690.25 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $778.68 – $778.68 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $872.21 – $872.21 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $776.14 – $776.14 | 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.