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 |
|---|---|---|---|---|
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $22.87 | $45.73 | $10.52 – $45.73 | 11 |
| Dilate biliary duct/ampulla CPT 47542 | $2,909.00 | $5,818.00 | $251.43 – $4,654.40 | 6 |
| Dilate esophagus CPT 43453 | not published | not published | $162.73 – $162.73 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $150.00 – $150.00 | 1 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $3,769.50 | $7,539.00 | $491.72 – $6,031.20 | 8 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $3,769.50 | $7,539.00 | $310.09 – $6,031.20 | 8 |
| Dilate ic vasospasm init CPT 61640 | $3,769.50 | $7,539.00 | $491.72 – $6,031.20 | 8 |
| Dilate tear duct opening CPT 68801 | not published | not published | $152.65 – $152.65 | 1 |
| Dilate urethra stricture CPT 53600 | not published | not published | $119.13 – $119.13 | 1 |
| Dilate urethra stricture CPT 53601 | $144.50 | $289.00 | $66.47 – $231.20 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $119.74 – $119.74 | 1 |
| Dilate urethra stricture CPT 53621 | $212.00 | $424.00 | $97.52 – $339.20 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | $126.50 | $253.00 | $58.19 – $202.40 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $319.81 – $319.81 | 1 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $90.34 – $90.34 | 1 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $363.01 – $363.01 | 1 |
| Dilation of salivary duct CPT 42660 | not published | not published | $159.01 – $159.01 | 1 |
| Dilation of urethra CPT 53661 | $132.50 | $265.00 | $60.95 – $212.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $71.17 – $71.17 | 1 |
| Dilation of vagina CPT 57400 | not published | not published | $243.05 – $243.05 | 1 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $111.99 – $111.99 | 1 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $445.50 | $891.00 | $163.51 – $712.80 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $486.00 | $972.00 | $41.30 – $143.64 | 10 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $279.83 – $279.83 | 1 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $465.02 – $465.02 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $6.68 | $13.35 | $3.08 – $13.89 | 13 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $1.38 | $2.75 | $0.07 – $0.29 | 11 |
| Disability dlco CPT 94727 | $213.50 | $427.00 | $62.01 – $341.60 | 7 |
| Disaccharidases CPT 82657 | $790.50 | $1,581.00 | $19.32 – $84.00 | 17 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $894.47 – $894.47 | 1 |
| Disarticulation shoulder CPT 23920 | not published | not published | $998.78 – $2,091.73 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,401.86 – $1,429.34 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $200.91 – $352.97 | 4 |
| Discography cerv/thor spine CPT 72285 | $396.50 | $793.00 | $145.24 – $634.40 | 11 |
| Dise eval slp do brth flx dx CPT 42975 | $3,035.50 | $6,071.00 | $1,396.33 – $4,856.80 | 6 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,084.32 – $1,105.58 | 3 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $2,002.22 – $2,002.22 | 1 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $1,338.78 – $1,365.03 | 3 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $1,483.48 – $1,483.48 | 1 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $229.90 – $635.99 | 4 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $390.00 | $780.00 | $179.40 – $624.00 | 8 |
| Dna antibody native/double stranded CPT 86225 | $51.00 | $102.00 | $13.31 – $102.00 | 17 |
| Dna gardnerella CPT 87510 | $46.50 | $93.00 | $19.43 – $93.00 | 17 |
| Dna trichomonas CPT 87660 | $146.00 | $292.00 | $19.43 – $233.60 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $0.18 | $0.35 | $0.01 – $0.03 | 11 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $31.93 | $63.86 | $1.19 – $6.68 | 11 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $0.32 | $0.63 | $0.02 – $0.05 | 11 |
| Doppler echo complete CPT 93320 | $250.50 | $501.00 | $62.64 – $400.80 | 11 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,837.00 | $5,674.00 | $238.12 – $4,539.20 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $563.50 | $1,127.00 | $204.92 – $892.80 | 11 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $283.50 | $567.00 | $130.41 – $453.60 | 11 |
| Dornhoffer fixed part w/window HCPCS L8614 | $13,725.07 | $27,450.13 | $5,880.83 – $20,455.04 | 10 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $566.82 | $1,133.64 | $260.74 – $906.92 | 6 |
| Double transfer toe-hand CPT 26554 | not published | not published | $3,503.42 – $7,030.40 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $97.01 | $194.02 | $0.14 – $0.58 | 11 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $22.96 | $45.91 | $10.56 – $47.75 | 13 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $719.50 | $1,439.00 | $227.28 – $1,151.20 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $274.39 – $274.39 | 1 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $306.77 – $306.77 | 1 |
| Drainage external ear simple 69000 CPT 69000 | $279.50 | $559.00 | $128.57 – $447.20 | 6 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $389.21 – $389.21 | 1 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $911.46 – $911.46 | 1 |
| Drainage mouth roof lesion CPT 42000 | $293.50 | $587.00 | $135.01 – $469.60 | 6 |
| Drainage of abdomen CPT 48000 | not published | not published | $816.78 – $832.79 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $1,268.50 | $2,537.00 | $305.99 – $2,029.60 | 6 |
| Drainage of bladder abscess CPT 51080 | $2,185.00 | $4,370.00 | $780.36 – $3,496.00 | 6 |
| Drainage of bone lesion CPT 26992 | not published | not published | $880.40 – $1,889.03 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $628.34 – $1,206.11 | 4 |
| Drainage of eye CPT 65800 | $1,145.50 | $2,291.00 | $169.51 – $1,832.80 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $885.68 – $885.68 | 1 |
| Drainage of eye CPT 65815 | not published | not published | $908.99 – $908.99 | 1 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $702.89 – $702.89 | 1 |
| Drainage of kidney lesion CPT 50390 | $562.50 | $1,125.00 | $176.80 – $900.00 | 6 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $222.26 – $222.26 | 1 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $442.97 – $442.97 | 1 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $425.15 – $425.15 | 1 |
| Drainage of mouth lesion CPT 41008 | $2,780.50 | $5,561.00 | $491.99 – $4,448.80 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $545.54 – $545.54 | 1 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $573.30 – $573.30 | 1 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $657.36 – $657.36 | 1 |
| Drainage of mouth lesion CPT 41017 | $864.00 | $1,728.00 | $397.44 – $1,382.40 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $762.22 – $762.22 | 1 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $230.58 – $230.58 | 1 |
| Drainage of nose lesion sept 30020 CPT 30020 | $415.50 | $831.00 | $191.13 – $664.80 | 6 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $989.73 – $989.73 | 1 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $1,278.12 – $1,278.12 | 1 |
| Drainage of prostate abscess CPT 52700 | $2,693.00 | $5,386.00 | $841.97 – $4,308.80 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $860.37 – $860.37 | 1 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $1,133.58 – $1,133.58 | 1 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $305.32 – $305.32 | 1 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $1,060.71 – $1,060.71 | 1 |
| Drainage of salivary gland CPT 42305 | not published | not published | $825.15 – $825.15 | 1 |
| Drainage of salivary gland CPT 42320 | not published | not published | $341.33 – $341.33 | 1 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,268.97 – $1,293.85 | 3 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,407.17 – $1,434.76 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $1,509.54 – $1,509.54 | 1 |
| Drainage of urethra abscess CPT 53040 | $2,737.50 | $5,475.00 | $747.52 – $4,380.00 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $311.60 – $311.60 | 1 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $801.95 – $801.95 | 1 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,230.39 – $1,230.39 | 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.