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 |
|---|---|---|---|---|
| Explore/treat wrist joint CPT 25101 | not published | not published | $775.72 – $775.72 | 1 |
| Explore wound abdomen 20102 CPT 20102 | not published | not published | $467.99 – $467.99 | 1 |
| Explore woundchest 20101 CPT 20101 | not published | not published | $380.69 – $380.69 | 1 |
| Explore wound neck 20100 CPT 20100 | not published | not published | $1,100.46 – $1,100.46 | 1 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $382.63 – $739.16 | 4 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $378.17 – $733.22 | 4 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $2,759.57 – $2,759.57 | 1 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $2,907.77 – $2,907.77 | 1 |
| Expose art endoprosth iliac 34820 CPT 34820 | $472.00 | $944.00 | $217.12 – $755.20 | 8 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $225.02 – $280.91 | 4 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $803.23 – $803.23 | 1 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | not published | not published | $494.34 – $494.34 | 1 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $635.88 – $635.88 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $100.00 | $200.00 | $46.00 – $160.00 | 11 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $122.50 | $245.00 | $56.35 – $196.00 | 11 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $1,902.68 – $1,902.68 | 1 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,298.67 – $1,324.14 | 3 |
| Extensive hand surgery CPT 26250 | not published | not published | $1,986.31 – $1,986.31 | 1 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,055.23 – $1,075.92 | 3 |
| Extensive jaw surgery CPT 21045 | not published | not published | $1,015.42 – $2,263.99 | 4 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $2,381.17 – $2,381.17 | 1 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $3,167.66 – $3,167.66 | 1 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,329.92 – $1,355.99 | 3 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,548.59 – $1,578.96 | 3 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,808.20 – $1,843.66 | 3 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,325.20 – $1,351.19 | 3 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,443.81 – $1,472.12 | 3 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,725.30 – $1,759.13 | 3 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,050.48 – $1,071.08 | 3 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,463.72 – $1,492.42 | 3 |
| Extensive removal of liver CPT 47122 | not published | not published | $1,946.00 – $1,984.15 | 3 |
| Extensive sternum surgery CPT 21632 | not published | not published | $2,194.90 – $2,194.90 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $1,906.82 – $1,906.82 | 1 |
| Extensive surgery of throat CPT 42844 | not published | not published | $2,595.87 – $2,595.87 | 1 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,515.02 – $1,544.72 | 3 |
| Extensive testis surgery CPT 54535 | not published | not published | $1,411.03 – $1,411.03 | 1 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $1,476.89 – $3,085.05 | 4 |
| Extensive vulva surgery CPT 56632 | not published | not published | $1,265.84 – $2,704.36 | 4 |
| External cannula declotting CPT 36860 | not published | not published | $195.53 – $195.53 | 1 |
| External chromosome analysis 20-25 cells CPT 88264 | $420.00 | $840.00 | $140.13 – $840.00 | 17 |
| External recharg sys intern HCPCS L8689 | $2,745.00 | $5,490.00 | $1,262.70 – $4,392.00 | 10 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $655.00 | $1,310.00 | $139.29 – $1,176.76 | 17 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $46.50 | $93.00 | $17.37 – $68.80 | 17 |
| Extraction of lens CPT 66930 | not published | not published | $1,631.62 – $1,631.62 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $1,494.23 – $1,494.23 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,425.61 – $1,425.61 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $52.08 – $52.08 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $295.37 – $295.37 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $355.13 – $355.13 | 1 |
| F-18 fdg pet diag HCPCS A9552 | $392.00 | $784.00 | $180.32 – $627.20 | 6 |
| F-18 sodium fluoride HCPCS A9580 | $151.00 | $302.00 | $69.46 – $241.60 | 6 |
| Fabrication & fitting HCPCS V2628 | $109.80 | $219.60 | $50.51 – $175.68 | 6 |
| Face bone graft CPT 21210 | not published | not published | $1,451.71 – $1,451.71 | 1 |
| Facial bones <3 CPT 70140 | $83.50 | $167.00 | $38.41 – $133.60 | 11 |
| Facility svs dental rehab HCPCS G0330 | $1,643.50 | $3,287.00 | $756.01 – $2,629.60 | 6 |
| Factor ix CPT 85250 | $164.00 | $328.00 | $18.45 – $262.40 | 17 |
| Factor ix complex HCPCS J7194 | $0.57 | $1.14 | $0.27 – $3.77 | 15 |
| Factor ix recombinant nos HCPCS J7195 | $0.51 | $1.02 | $0.23 – $4.15 | 15 |
| Factor viii CPT 85240 | $86.00 | $172.00 | $17.35 – $137.60 | 17 |
| Factor viii HCPCS J7190 | $0.46 | $0.92 | $0.22 – $2.51 | 16 |
| Factor viii recombinant nos HCPCS J7192 | $0.90 | $1.79 | $0.27 – $3.40 | 16 |
| Fallopian tube recnl CPT 58345 | $708.50 | $1,417.00 | $325.91 – $1,133.60 | 6 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $1,462.24 | $2,924.48 | $27.10 – $2,339.59 | 13 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $690.52 – $1,735.84 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $28.00 | $56.00 | $4.95 – $44.80 | 17 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $30.00 | $60.00 | $13.80 – $48.00 | 6 |
| #fecal-sodium CPT 84302 | $20.00 | $40.00 | $4.71 – $32.00 | 17 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $211.50 | $423.00 | $16.78 – $338.40 | 13 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $253.05 – $409.10 | 4 |
| Fem/popl revasc w/stent CPT 37226 | $10,758.50 | $21,517.00 | $911.74 – $17,213.60 | 6 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $1.02 | $2.03 | $0.01 – $0.01 | 11 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $44.90 | $89.79 | $1.15 – $43.60 | 13 |
| Ferritin CPT 82728 | $117.50 | $235.00 | $13.21 – $188.00 | 17 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $5.38 | $10.76 | $0.33 – $8.61 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $535.50 | $1,071.00 | $120.98 – $420.82 | 11 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $136.50 | $273.00 | $62.79 – $218.40 | 6 |
| Fetal cord puncture prenatal CPT 59012 | $336.50 | $673.00 | $154.79 – $538.40 | 6 |
| Fetal fibronectin CPT 82731 | $488.00 | $976.00 | $62.41 – $780.80 | 17 |
| Fetal fluid drainage w/us CPT 59074 | $644.00 | $1,288.00 | $296.24 – $1,030.40 | 6 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $238.00 | $476.00 | $7.49 – $380.80 | 17 |
| Fetal hemoglobin rosette CPT 85461 | $105.50 | $211.00 | $8.46 – $168.80 | 17 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $73.98 – $73.98 | 1 |
| Fetal monitor w/report CPT 59050 | $86.50 | $173.00 | $39.79 – $138.40 | 8 |
| Fetal non stress test CPT 59025 | $157.50 | $315.00 | $38.05 – $252.00 | 6 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $197.93 – $197.93 | 1 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $919.70 – $919.70 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $190.50 | $381.00 | $9.86 – $304.80 | 17 |
| Fibrin degradation products CPT 85362 | $76.00 | $152.00 | $6.68 – $121.60 | 17 |
| Fibrin degrade semiquant CPT 85378 | $52.00 | $104.00 | $9.09 – $83.20 | 17 |
| Fibrinogen activity CPT 85384 | $124.50 | $249.00 | $9.41 – $199.20 | 17 |
| Fibrinolytic antiplasmin CPT 85410 | $105.00 | $210.00 | $7.47 – $168.00 | 17 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $146.00 | $292.00 | $6.32 – $233.60 | 17 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,564.85 – $4,563.91 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $78.54 | $157.07 | $0.29 – $62.83 | 13 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $58.52 | $117.04 | $0.97 – $93.64 | 13 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $191.12 | $382.23 | $0.24 – $305.79 | 13 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,294.42 – $1,294.42 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $4,048.88 | $8,097.75 | $32.32 – $112.40 | 10 |
| Filter vena cava fem denali HCPCS C1880 | $2,735.85 | $5,471.70 | $26.68 – $92.80 | 10 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $687.82 – $1,541.06 | 4 |
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.