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 somatosensory testing upper & lower limbs CPT 95938 | $898.50 | $1,797.00 | $413.31 – $1,437.60 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $35.50 | $71.00 | $12.84 – $181.00 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $192.05 – $192.05 | 1 |
| Ghs strapping shoulder - 29240 CPT 29240 | $274.50 | $549.00 | $34.80 – $405.60 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | $191.50 | $383.00 | $88.09 – $306.40 | 9 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $398.00 | $796.00 | $183.08 – $636.80 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $305.50 | $611.00 | $140.53 – $488.80 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $891.00 | $1,782.00 | $409.86 – $1,425.60 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $173.50 | $347.00 | $79.81 – $277.60 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $444.07 – $444.07 | 1 |
| Ghs urine, porphyrins quant CPT 84120 | $39.50 | $79.00 | $14.25 – $79.00 | 17 |
| Ghs vaginal delivery only CPT 59409 | $1,781.00 | $3,562.00 | $489.67 – $1,703.20 | 6 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $421.00 | $842.00 | $193.66 – $673.60 | 7 |
| Ghs windowing of cast CPT 29730 | not published | not published | $83.29 – $83.29 | 1 |
| Gi inhouse confirmation CPT 87045 | $128.00 | $256.00 | $9.15 – $204.80 | 17 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $575.36 – $575.36 | 1 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,636.00 | $3,272.00 | $752.56 – $2,617.60 | 6 |
| Gi trc img intral colon i&r CPT 91113 | $1,415.50 | $2,831.00 | $651.13 – $2,264.80 | 6 |
| Glassia injection HCPCS J0257 | $0.31 | $0.62 | $0.15 – $0.65 | 13 |
| Glaucoma surgery CPT 66150 | not published | not published | $1,673.81 – $1,673.81 | 1 |
| Glaucoma surgery CPT 66155 | not published | not published | $1,672.48 – $1,672.48 | 1 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,879.46 – $1,879.46 | 1 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,084.61 – $2,084.61 | 1 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $128.05 | $256.09 | $21.59 – $97.61 | 13 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $98.32 | $196.64 | $25.96 – $90.28 | 6 |
| Glucose 1 hr post dose CPT 82950 | $64.00 | $128.00 | $4.60 – $102.40 | 17 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $78.00 | $156.00 | $5.87 – $124.80 | 17 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $42.00 | $84.00 | $2.99 – $67.20 | 17 |
| Glucose blood quantitative CPT 82947 | $39.00 | $78.00 | $0.69 – $6.66 | 17 |
| Glucose body fluid CPT 82945 | $61.00 | $122.00 | $3.80 – $97.60 | 17 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $282.50 | $565.00 | $12.47 – $452.00 | 17 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $80.00 | $160.00 | $3.79 – $128.00 | 17 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $241.04 | $482.07 | $11.58 – $385.66 | 13 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $129.00 | $258.00 | $18.00 – $206.40 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $143.00 | $286.00 | $17.94 – $228.80 | 17 |
| Goniotomy CPT 65820 | not published | not published | $1,568.72 – $1,568.72 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,460.01 | $2,920.02 | $228.35 – $992.82 | 11 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $67.45 | $134.90 | $18.86 – $65.60 | 11 |
| Graft axiofill 1000mg HCPCS J3590 | $975.00 | $1,950.00 | $1.47 – $5.11 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $8,100.00 | $16,200.00 | $18.86 – $65.60 | 10 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,733.51 – $1,733.51 | 1 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $21,723.93 | $43,447.86 | $31.70 – $325.01 | 11 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,200.63 | $6,401.25 | $158.42 – $551.00 | 10 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,644.38 | $35,288.75 | $51.69 – $179.76 | 10 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $3,250.00 | $6,500.00 | $13.80 – $329.31 | 11 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,944.00 | $3,888.00 | $43.70 – $152.00 | 11 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $887.95 – $905.36 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,500.00 | $7,000.00 | $60.14 – $209.16 | 11 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $1,513.13 | $3,026.25 | $47.16 – $2,421.00 | 11 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $23,301.63 | $46,603.26 | $905.63 – $3,150.00 | 10 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,428.60 | $8,857.20 | $99.16 – $410.40 | 11 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $15,501.50 | $31,003.00 | $8.27 – $28.74 | 10 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,820.85 | $3,641.70 | $12.05 – $41.88 | 10 |
| Granisetron hcl injection HCPCS J1626 | $7.59 | $15.18 | $0.30 – $1.50 | 11 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,000.43 – $6,084.83 | 4 |
| Great toe with reduction 28495 CPT 28495 | $304.50 | $609.00 | $140.07 – $487.20 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $942.44 – $942.44 | 1 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $959.30 – $959.30 | 1 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $272.96 – $272.96 | 1 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $898.07 – $898.07 | 1 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,134.98 – $1,157.24 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $961.48 – $2,324.22 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,178.16 – $1,201.26 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,295.60 – $1,321.01 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $969.11 – $988.11 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,285.54 – $1,285.54 | 1 |
| G-tube reposition CPT 43761 | $371.50 | $743.00 | $170.89 – $594.40 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,115.50 | $2,231.00 | $152.80 – $1,784.80 | 11 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,127.00 | $4,254.00 | $252.97 – $3,403.20 | 6 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $4,655.52 | $9,311.04 | $0.33 – $1.12 | 10 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,143.13 | $4,286.25 | $3.34 – $11.60 | 10 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,274.63 | $2,549.25 | $19.32 – $67.20 | 10 |
| Guid loc target vol rad tx CPT 77387 | $521.00 | $1,042.00 | $192.53 – $833.60 | 7 |
| Gum graft CPT 41870 | not published | not published | $568.39 – $568.39 | 1 |
| Gw stiffened micro access kit HCPCS C1894 | $7,320.00 | $14,640.00 | $0.02 – $0.07 | 10 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $802.18 – $802.18 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $145.55 – $145.55 | 1 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $471.62 – $471.62 | 1 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $645.39 – $645.39 | 1 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $78.99 | $157.98 | $4.63 – $16.11 | 11 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $1.17 | $2.34 | $0.47 – $2.02 | 11 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,588.61 – $1,588.61 | 1 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,302.88 – $1,302.88 | 1 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,427.94 – $1,427.94 | 1 |
| Hand X-ray CPT 73130 | $249.00 | $498.00 | $54.43 – $398.40 | 11 |
| Haptoglobin quantitative CPT 83010 | $104.50 | $209.00 | $12.19 – $167.20 | 17 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $161.36 – $161.36 | 1 |
| Harvest auto stem cells CPT 38206 | not published | not published | $158.19 – $158.19 | 1 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $230.81 – $230.81 | 1 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $785.88 – $785.88 | 1 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $599.66 – $599.66 | 1 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $89.42 – $89.42 | 1 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $555.30 – $555.30 | 1 |
| Hbot, full body chamber, 30m HCPCS G0277 | $210.00 | $420.00 | $96.60 – $336.00 | 6 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $357.00 | $714.00 | $164.22 – $714.00 | 11 |
| Hcg qualitative CPT 84703 | $140.00 | $280.00 | $7.28 – $224.00 | 17 |
| Hcg quantitative CPT 84702 | $101.50 | $203.00 | $14.59 – $162.40 | 17 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $50.00 | $100.00 | $23.00 – $80.00 | 6 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $252.67 – $252.67 | 1 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $671.75 – $671.75 | 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.