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 |
|---|---|---|---|---|
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $95.55 – $95.55 | 1 |
| Drain blood from under nail 11740 CPT 11740 | $69.00 | $138.00 | $31.74 – $110.40 | 6 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $382.98 – $382.98 | 1 |
| Drain cath image guided visceral pq CPT 49405 | $2,125.50 | $4,251.00 | $363.49 – $3,400.80 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $461.50 | $923.00 | $163.02 – $738.40 | 6 |
| Drain chest lesion CPT 21502 | not published | not published | $930.49 – $930.49 | 1 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $109.96 | $219.92 | $38.84 – $135.08 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $274.50 | $549.00 | $126.27 – $439.20 | 6 |
| Drain lower leg bursa CPT 27604 | not published | not published | $614.21 – $614.21 | 1 |
| Drain lower leg lesion 27603 CPT 27603 | $1,823.50 | $3,647.00 | $735.13 – $2,917.60 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $634.47 – $634.47 | 1 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $877.60 – $894.81 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $808.73 – $808.73 | 1 |
| Drain ovary abscess open CPT 58820 | not published | not published | $642.37 – $642.37 | 1 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $729.00 – $743.30 | 3 |
| Drain penis lesion CPT 54015 | not published | not published | $577.84 – $577.84 | 1 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,273.46 – $1,273.46 | 1 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $418.78 – $418.78 | 1 |
| Drain shoulder lesion CPT 23030 | not published | not published | $477.71 – $477.71 | 1 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $954.30 – $954.30 | 1 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $302.04 – $302.04 | 1 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $688.67 – $1,398.60 | 4 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $315.50 | $631.00 | $145.13 – $504.80 | 6 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $179.50 | $359.00 | $80.04 – $278.40 | 6 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $396.50 | $793.00 | $182.39 – $634.40 | 6 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $424.00 | $848.00 | $82.87 – $678.40 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $726.84 – $1,620.42 | 4 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $505.50 | $1,011.00 | $232.53 – $808.80 | 8 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $164.28 – $164.28 | 1 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $164.28 – $164.28 | 1 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $498.48 – $1,424.33 | 4 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,056.38 – $1,056.38 | 1 |
| Drng of eyelid abscess 67700 CPT 67700 | $303.50 | $607.00 | $139.61 – $485.60 | 6 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,041.50 | $2,083.00 | $350.51 – $1,666.40 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $160.10 – $160.10 | 1 |
| Drng of mouth lesion 40801 CPT 40801 | $191.00 | $382.00 | $87.86 – $305.60 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $1,951.00 | $3,902.00 | $596.93 – $3,121.60 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $933.03 – $933.03 | 1 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $796.05 – $796.05 | 1 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $803.21 – $803.21 | 1 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $444.07 – $444.07 | 1 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,408.00 | $2,816.00 | $318.51 – $2,252.80 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $644.57 – $657.21 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $591.89 – $1,825.97 | 4 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $528.44 – $1,343.83 | 4 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,837.50 | $3,675.00 | $845.25 – $2,940.00 | 8 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $297.97 – $297.97 | 1 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $258.66 – $258.66 | 1 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $1.59 | $3.18 | $0.74 – $3.18 | 11 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $2.11 | $4.21 | $0.97 – $3.37 | 7 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,094.13 | $2,188.25 | $134.69 – $468.48 | 10 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $15.32 | $30.63 | $5.58 – $19.40 | 7 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $2,323.69 | $4,647.38 | $10.60 – $1,533.64 | 11 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $1,833.83 | $3,667.66 | $7.99 – $140.32 | 11 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $50.31 | $100.62 | $23.15 – $80.50 | 6 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $4.12 | $8.24 | $1.90 – $7.42 | 7 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,612.97 | $15,225.93 | $15.23 – $52.96 | 11 |
| Drug admin & hemodynmic meas CPT 93463 | $501.00 | $1,002.00 | $185.01 – $801.60 | 6 |
| Drug assay caffeine CPT 80155 | $18.50 | $37.00 | $8.51 – $82.14 | 17 |
| Drug assay voriconazole CPT 80285 | $105.00 | $210.00 | $24.40 – $168.00 | 13 |
| Drug of abuse screen urine CPT 80305 | $90.00 | $180.00 | $12.21 – $144.00 | 13 |
| Drug test prsmv instrmnt CPT 80306 | $41.00 | $82.00 | $16.61 – $65.60 | 13 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $460.50 | $921.00 | $25.53 – $137.95 | 13 |
| Drvvt confirm - quest CPT 85597 | $124.00 | $248.00 | $17.42 – $198.40 | 17 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $484.66 – $484.66 | 1 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,566.50 | $3,133.00 | $279.49 – $2,506.40 | 6 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $384.03 – $384.03 | 1 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $324.70 – $324.70 | 1 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $377.85 – $377.85 | 1 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $513.35 – $513.35 | 1 |
| Ductogram sgl duct CPT 77053 | $442.50 | $885.00 | $69.57 – $708.00 | 11 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,261.87 – $1,286.62 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $217.50 | $435.00 | $100.05 – $348.00 | 10 |
| Duplex scan unilateral study 93986 CPT 93986 | $105.00 | $210.00 | $48.30 – $168.00 | 10 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $402.50 | $805.00 | $185.15 – $644.00 | 11 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $592.00 | $1,184.00 | $257.27 – $947.20 | 11 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $517.00 | $1,034.00 | $237.82 – $827.20 | 11 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,593.00 | $3,186.00 | $732.78 – $2,548.80 | 10 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $210.53 | $421.05 | $79.94 – $336.84 | 13 |
| Dxa bone density axl vrt fx CPT 77085 | $349.00 | $698.00 | $73.56 – $558.40 | 11 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,051.00 | $2,102.00 | $249.33 – $1,681.60 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,529.00 | $3,058.00 | $252.06 – $2,446.40 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,770.50 | $3,541.00 | $247.30 – $1,794.40 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $96.45 – $96.45 | 1 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $145.26 – $145.26 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $70.25 – $70.25 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $112.96 – $112.96 | 1 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $293.69 – $293.69 | 1 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $294.38 – $294.38 | 1 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $219.07 – $219.07 | 1 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $120.86 – $120.86 | 1 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,085.20 – $1,085.20 | 1 |
| Ear irrigation 69209 CPT 69209 | $117.50 | $235.00 | $27.14 – $94.40 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $221.50 | $443.00 | $11.55 – $82.40 | 11 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $81.00 | $162.00 | $11.00 – $129.60 | 11 |
| Ecg external < 48 hours recording CPT 93225 | $347.50 | $695.00 | $34.25 – $556.00 | 11 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $500.00 | $1,000.00 | $67.05 – $800.00 | 11 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $100.00 | $200.00 | $22.28 – $160.00 | 11 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $122.50 | $245.00 | $22.28 – $196.00 | 11 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,486.00 | $2,972.00 | $242.76 – $2,377.60 | 11 |
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.