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 |
|---|---|---|---|---|
| Ghs flow volume loop CPT 94375 | $203.00 | $406.00 | $46.87 – $324.80 | 7 |
| Ghs gastric intub aspiration lavage CPT 43753 | $297.00 | $594.00 | $39.54 – $475.20 | 6 |
| Ghs hcv amplificaiton CPT 87521 | $437.00 | $874.00 | $34.01 – $699.20 | 17 |
| Ghs histoplasma antigen CPT 87385 | $149.50 | $299.00 | $12.84 – $239.20 | 17 |
| Ghs HIV antibody CPT 86703 | $85.50 | $171.00 | $13.28 – $136.80 | 17 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $290.50 | $581.00 | $133.63 – $464.80 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,198.00 | $2,396.00 | $551.08 – $1,916.80 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $764.50 | $1,529.00 | $319.20 – $1,223.20 | 6 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $382.50 | $765.00 | $175.95 – $612.00 | 6 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $337.00 | $674.00 | $155.02 – $539.20 | 6 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $252.95 – $252.95 | 1 |
| Ghs inf midline insertion CPT 36140 | $289.00 | $578.00 | $132.94 – $462.40 | 6 |
| Ghs inhibitor screen CPT 85335 | $106.50 | $213.00 | $12.47 – $170.40 | 17 |
| Ghs init tx 1st degree burn CPT 16000 | $132.50 | $265.00 | $60.95 – $212.00 | 6 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $3,907.00 | $7,814.00 | $337.62 – $6,251.20 | 6 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $226.93 – $226.93 | 1 |
| Ghs inj tendon origin/insertion CPT 20551 | $247.50 | $495.00 | $73.00 – $396.00 | 6 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $400.50 | $801.00 | $116.34 – $640.80 | 6 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,201.00 | $2,402.00 | $249.50 – $1,921.60 | 6 |
| Ghs insertion of needle - bone CPT 36680 | $442.50 | $885.00 | $109.18 – $708.00 | 6 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $584.00 | $1,168.00 | $268.64 – $934.40 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $903.50 | $1,807.00 | $415.61 – $1,445.60 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $933.50 | $1,867.00 | $429.41 – $1,493.60 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $481.50 | $963.00 | $17.20 – $770.40 | 6 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $165.00 | $330.00 | $75.90 – $264.00 | 6 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $95.00 | $190.00 | $31.65 – $152.00 | 6 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $345.00 | $690.00 | $158.70 – $552.00 | 6 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $345.00 | $690.00 | $158.70 – $552.00 | 6 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $345.00 | $690.00 | $158.70 – $552.00 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $309.50 | $619.00 | $142.37 – $495.20 | 6 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $136.50 | $273.00 | $62.79 – $218.40 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $334.50 | $669.00 | $153.87 – $535.20 | 6 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $293.00 | $586.00 | $134.78 – $468.80 | 6 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $356.50 | $713.00 | $163.99 – $570.40 | 6 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $488.00 | $976.00 | $224.48 – $780.80 | 6 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $316.50 | $633.00 | $145.59 – $506.40 | 6 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $527.00 | $1,054.00 | $242.42 – $843.20 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $524.50 | $1,049.00 | $241.27 – $839.20 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $331.50 | $663.00 | $152.49 – $530.40 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $541.50 | $1,083.00 | $249.09 – $866.40 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $378.00 | $756.00 | $173.88 – $604.80 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $561.00 | $1,122.00 | $258.06 – $897.60 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $445.50 | $891.00 | $204.93 – $712.80 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $595.50 | $1,191.00 | $273.93 – $952.80 | 6 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $513.00 | $1,026.00 | $235.98 – $820.80 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $639.50 | $1,279.00 | $294.17 – $1,023.20 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $117.00 | $234.00 | $8.33 – $187.20 | 17 |
| Ghs mbp CPT 83873 | $108.00 | $216.00 | $16.67 – $172.80 | 17 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $161.50 | $323.00 | $41.88 – $258.40 | 6 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $152.00 | $304.00 | $69.92 – $243.20 | 6 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $191.50 | $383.00 | $88.09 – $306.40 | 6 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $22.00 | $44.00 | $10.12 – $35.20 | 6 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $132.00 | $264.00 | $60.72 – $211.20 | 6 |
| Ghs myocardial strain img spckl track CPT 93356 | $303.50 | $607.00 | $19.74 – $485.60 | 7 |
| Ghs nailbed repair/nail removal CPT 11760 | $194.00 | $388.00 | $89.24 – $310.40 | 6 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $793.50 | $1,587.00 | $47.40 – $1,269.60 | 6 |
| Ghs nerve blk intercostal, single level CPT 64420 | $797.50 | $1,595.00 | $111.03 – $1,276.00 | 6 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $121.80 – $121.80 | 1 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $132.97 – $132.97 | 1 |
| Ghs nerve block celiac plexus CPT 64530 | $1,399.50 | $2,799.00 | $180.52 – $2,239.20 | 6 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $146.94 – $146.94 | 1 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $162.39 – $162.39 | 1 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,086.50 | $2,173.00 | $136.96 – $1,738.40 | 6 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $105.25 – $105.25 | 1 |
| Ghs ng placement w fluoro guidance CPT 43752 | $257.00 | $514.00 | $74.82 – $411.20 | 6 |
| Ghs o2 saturation CPT 82810 | $66.00 | $132.00 | $9.47 – $105.60 | 17 |
| Ghs o2 uptake rest & indirect CPT 94690 | $406.00 | $812.00 | $79.98 – $649.60 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $29.50 | $59.00 | $13.57 – $47.20 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | $780.50 | $1,561.00 | $62.66 – $1,248.80 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,153.50 | $4,307.00 | $335.43 – $3,445.60 | 6 |
| Ghs ot prosthetic training/15 min CPT 97761 | $43.50 | $87.00 | $20.01 – $181.00 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $43.00 | $86.00 | $19.78 – $181.00 | 13 |
| Ghs pacing - transcutaneous CPT 92953 | $437.50 | $875.00 | $1.53 – $700.00 | 6 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $507.50 | $1,015.00 | $114.43 – $812.00 | 6 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $442.50 | $885.00 | $98.60 – $708.00 | 6 |
| Ghs peritonsillar abscess i andd CPT 42700 | $260.50 | $521.00 | $119.83 – $416.80 | 6 |
| Ghs phenylketonurid CPT 84030 | $93.50 | $187.00 | $5.33 – $149.60 | 17 |
| Ghs picc line insert < 5 CPT 36568 | $815.50 | $1,631.00 | $171.76 – $665.60 | 6 |
| Ghs plngl fx pm cl CPT 26725 | $421.50 | $843.00 | $193.89 – $674.40 | 6 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $662.50 | $1,325.00 | $304.75 – $4,951.57 | 11 |
| Ghs ppd (tb intradermal) CPT 86580 | $53.13 | $106.25 | $5.13 – $50.40 | 11 |
| Ghs protoporphyrins fract CPT 84202 | $164.50 | $329.00 | $13.90 – $263.20 | 17 |
| Ghs pr without cont pulse ox CPT 94625 | $157.50 | $315.00 | $72.45 – $252.00 | 7 |
| Ghs quinidine CPT 80194 | $62.50 | $125.00 | $14.15 – $125.00 | 17 |
| Ghs refill of implantable pump CPT 95990 | $431.00 | $862.00 | $168.78 – $689.60 | 6 |
| Ghs removal intranasal foreign body CPT 30300 | $170.50 | $341.00 | $78.43 – $272.80 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $377.50 | $755.00 | $173.65 – $604.00 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,504.00 | $3,008.00 | $691.84 – $2,406.40 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $2,421.50 | $4,843.00 | $940.55 – $3,874.40 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $50.00 | $100.00 | $13.47 – $100.00 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $53.50 | $107.00 | $7.25 – $85.60 | 17 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $255.00 | $510.00 | $117.30 – $408.00 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $349.00 | $698.00 | $160.54 – $558.40 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $271.50 | $543.00 | $124.89 – $434.40 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $362.50 | $725.00 | $166.75 – $580.00 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $295.50 | $591.00 | $93.38 – $324.80 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $240.50 | $481.00 | $110.63 – $384.80 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $323.50 | $647.00 | $148.81 – $517.60 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $286.00 | $572.00 | $131.56 – $457.60 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $409.00 | $818.00 | $188.14 – $654.40 | 6 |
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.