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 |
|---|---|---|---|---|
| Inj cntr knee arthro incl ct/mri CPT 27369 | not published | not published | $75.64 – $75.64 | 1 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $580.46 | $1,160.91 | $267.01 – $1,207.35 | 13 |
| Inj disk cerv-thor ea lev CPT 62291 | $783.00 | $1,566.00 | $272.58 – $1,252.80 | 6 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $17.40 | $34.79 | $8.01 – $27.84 | 6 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $121.93 – $121.93 | 1 |
| Inj dx for sinogram CPT 20501 | $255.50 | $511.00 | $68.86 – $408.80 | 6 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $569.50 | $1,139.00 | $157.27 – $911.20 | 6 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $505.00 | $1,010.00 | $127.85 – $808.00 | 6 |
| Injection, burosumab-twza 1m HCPCS J0584 | $6,359.20 | $12,718.40 | $437.97 – $6,783.12 | 13 |
| Injection, cangrelor HCPCS C9460 | $456.94 | $913.87 | $210.20 – $731.10 | 6 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $3,962.50 | $7,925.00 | $1,822.75 – $6,340.00 | 6 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $105.40 – $105.40 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $76.91 | $153.81 | $35.38 – $144.38 | 13 |
| Injection, doxercalciferol HCPCS J1270 | $1.60 | $3.19 | $0.33 – $2.56 | 11 |
| Injection during cath supravalvular aortography CPT 93567 | $640.00 | $1,280.00 | $66.61 – $1,024.00 | 10 |
| Injection, edaravone, 1 mg HCPCS J1301 | $2.89 | $5.77 | $1.33 – $6.00 | 13 |
| Injection epidural blood patch or clot CPT 62273 | $522.00 | $1,044.00 | $215.50 – $835.20 | 6 |
| Injection eye drug CPT 67028 | not published | not published | $174.47 – $174.47 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $125.00 | $250.00 | $57.50 – $200.00 | 6 |
| Injection for bladder x-ray CPT 51600 | $328.00 | $656.00 | $81.94 – $524.80 | 6 |
| Injection for hip x-ray CPT 27095 | $1,279.50 | $2,559.00 | $152.50 – $2,047.20 | 6 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $358.50 | $717.00 | $94.19 – $573.60 | 6 |
| Injection for spleen x-ray CPT 38200 | $929.00 | $1,858.00 | $245.83 – $1,486.40 | 6 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $98.09 – $98.09 | 1 |
| Injection for ureter x-ray CPT 50684 | $748.50 | $1,497.00 | $96.39 – $1,197.60 | 6 |
| Injection for ureter x-ray CPT 50690 | $877.50 | $1,755.00 | $132.09 – $1,404.00 | 6 |
| Injection, fulvestrant HCPCS J9395 | $88.68 | $177.35 | $8.52 – $141.88 | 13 |
| Injection, glucarpidase HCPCS C9293 | $20,587.00 | $41,174.00 | $9,470.02 – $32,939.20 | 6 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $1,127.14 | $2,254.28 | $518.49 – $1,803.43 | 6 |
| Injection into brain canal CPT 61026 | $427.50 | $855.00 | $196.65 – $684.00 | 6 |
| Injection into brain canal CPT 61055 | not published | not published | $217.29 – $217.29 | 1 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $348.31 – $348.31 | 1 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,689.79 – $1,689.79 | 1 |
| Injection into vocal cord CPT 31513 | not published | not published | $246.73 – $246.73 | 1 |
| Injection intraop add-on CPT 48400 | not published | not published | $100.23 – $189.74 | 4 |
| Injection, isavuconazonium HCPCS J1833 | $180.12 | $360.24 | $1.02 – $288.20 | 8 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $84.48 – $84.48 | 1 |
| Injection jugular CPT 36299 | $230.00 | $460.00 | $105.80 – $368.00 | 6 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $43.30 | $86.60 | $5.59 – $69.28 | 13 |
| Injection of sinus tract CPT 20500 | $535.50 | $1,071.00 | $170.60 – $792.80 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | $646.00 | $1,292.00 | $6.28 – $516.80 | 13 |
| Injection, peramivir HCPCS J2547 | $7.92 | $15.84 | $3.35 – $12.68 | 6 |
| Injection px peyronie ds CPT 54200 | not published | not published | $166.91 – $166.91 | 1 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $475.00 | $950.00 | $60.25 – $760.00 | 6 |
| Injection, renflexis HCPCS Q5104 | $175.32 | $350.63 | $30.47 – $280.51 | 13 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $565.00 | $1,130.00 | $259.90 – $904.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $880.50 | $1,761.00 | $120.92 – $1,408.80 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $529.00 | $1,058.00 | $79.30 – $846.40 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $588.50 | $1,177.00 | $212.60 – $941.60 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $507.50 | $1,015.00 | $112.54 – $812.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,353.50 | $2,707.00 | $200.80 – $2,165.60 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,353.50 | $2,707.00 | $96.71 – $2,165.60 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,353.50 | $2,707.00 | $172.60 – $2,165.60 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $883.00 | $1,766.00 | $204.90 – $1,412.80 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,044.00 | $2,088.00 | $189.34 – $1,670.40 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $73.21 – $73.21 | 1 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $208.00 | $416.00 | $69.76 – $332.80 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $79.30 – $79.30 | 1 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $145.50 | $291.00 | $29.15 – $218.40 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $125.50 | $251.00 | $18.38 – $195.20 | 6 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $227.50 | $455.00 | $69.55 – $261.60 | 6 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $104.50 | $209.00 | $27.30 – $160.00 | 6 |
| Injection treatment of eye CPT 66020 | not published | not published | $250.43 – $250.43 | 1 |
| Injection treatment of eye CPT 66030 | not published | not published | $212.54 – $212.54 | 1 |
| Injection treatment of nerve CPT 64605 | not published | not published | $748.29 – $748.29 | 1 |
| Injection treatment of nerve CPT 64610 | not published | not published | $859.70 – $859.70 | 1 |
| Injection treatment of nerve CPT 64681 | not published | not published | $417.94 – $417.94 | 1 |
| Injection treatment of nose CPT 30200 | not published | not published | $113.32 – $113.32 | 1 |
| Inject sacroiliac joint CPT 27096 | $751.50 | $1,503.00 | $158.30 – $994.40 | 6 |
| Inject/treat eye socket CPT 67500 | not published | not published | $122.96 – $122.96 | 1 |
| Inject/treat eye socket CPT 67505 | not published | not published | $137.26 – $137.26 | 1 |
| Inject/treat eye socket CPT 67515 | not published | not published | $89.40 – $89.40 | 1 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $1,408.31 | $2,816.61 | $647.83 – $2,253.29 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $187.64 – $187.64 | 1 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $979.50 | $1,959.00 | $150.49 – $1,567.20 | 6 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $81.75 | $163.50 | $7.50 – $130.80 | 6 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $150.74 | $301.47 | $21.04 – $241.18 | 13 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $5.02 | $10.04 | $2.31 – $8.04 | 6 |
| Inj for ext venography CPT 36005 | $511.50 | $1,023.00 | $86.33 – $818.40 | 6 |
| Inj for mammo ductogram CPT 19030 | $192.00 | $384.00 | $88.32 – $307.20 | 6 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $5.81 | $11.62 | $2.68 – $9.30 | 6 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $510.95 | $1,021.90 | $235.04 – $817.52 | 6 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $0.93 | $1.85 | $0.43 – $1.48 | 6 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | $831.65 | $1,663.30 | $5.73 – $1,330.64 | 13 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $7,028.31 | $14,056.61 | $136.50 – $554.92 | 12 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,919.00 | $3,838.00 | $83.18 – $3,070.40 | 10 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,701.00 | $3,402.00 | $94.19 – $2,721.60 | 10 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $260.00 | $520.00 | $97.90 – $416.00 | 10 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,069.00 | $2,138.00 | $47.61 – $1,710.40 | 10 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,253.00 | $2,506.00 | $46.98 – $2,004.80 | 10 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $144.53 | $289.05 | $2.46 – $231.24 | 13 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $1,877.00 | $3,754.00 | $271.38 – $3,003.20 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $140.50 | $281.00 | $56.55 – $224.80 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $186.00 | $372.00 | $85.56 – $297.60 | 6 |
| Inj ivig privigen 500 mg HCPCS J1459 | $3.64 | $7.28 | $1.68 – $7.58 | 13 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $63.71 | $127.41 | $29.31 – $101.93 | 6 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $3.56 | $7.12 | $1.64 – $7.12 | 11 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $6.53 | $13.06 | $3.01 – $10.45 | 6 |
| Inj, levothyroxine, hikma HCPCS J0652 | $25.84 | $51.67 | $11.89 – $41.34 | 6 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $0.47 | $0.94 | $0.04 – $0.12 | 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.