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 |
|---|---|---|---|---|
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,537.11 – $2,586.85 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,847.71 – $3,923.15 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,943.58 – $1,981.69 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,059.53 – $3,119.52 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $129.78 – $129.78 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,284.82 – $1,284.82 | 1 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $301.56 – $301.56 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $199.37 – $199.37 | 1 |
| Intrapul surf admin endo tube CPT 94610 | $163.00 | $326.00 | $74.98 – $260.80 | 7 |
| Intrauterine transfusion ftl CPT 36460 | $596.00 | $1,192.00 | $274.16 – $953.60 | 6 |
| Intraventricular pacing CPT 93612 | $3,295.50 | $6,591.00 | $109.70 – $5,272.80 | 6 |
| Intrinsic factor antibody CPT 86340 | $109.50 | $219.00 | $14.62 – $175.20 | 17 |
| Intro cath dialysis circuit CPT 36901 | $1,133.00 | $2,266.00 | $306.64 – $1,812.80 | 6 |
| Intro cath dialysis circuit w/pta CPT 36902 | $5,666.00 | $11,332.00 | $437.98 – $9,065.60 | 6 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $6,459.00 | $12,918.00 | $572.54 – $10,334.40 | 6 |
| Intro catheter aorta CPT 36200 | $953.50 | $1,907.00 | $246.73 – $1,525.60 | 6 |
| Intro cath svc/ivc CPT 36010 | $681.00 | $1,362.00 | $195.47 – $1,089.60 | 6 |
| Intro long gi tube CPT 44500 | $1,031.50 | $2,063.00 | $35.85 – $1,650.40 | 6 |
| Intro long gi tube w/mult fluo CPT 74340 | $293.50 | $587.00 | $135.01 – $469.60 | 7 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $268.63 – $268.63 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,897.00 | $3,794.00 | $158.84 – $3,035.20 | 6 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,897.00 | $3,794.00 | $126.74 – $3,035.20 | 6 |
| Intubation endotracheal emergency procedure CPT 31500 | $525.50 | $1,051.00 | $113.62 – $395.20 | 6 |
| Ionm in operatng room 15 min CPT 95940 | $54.00 | $108.00 | $24.84 – $86.40 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | $774.00 | $1,548.00 | $356.04 – $1,238.40 | 6 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $2.03 | $4.05 | $0.10 – $0.36 | 7 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $292.50 | $585.00 | $0.05 – $0.15 | 7 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $443.86 | $887.72 | $172.61 – $710.18 | 13 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $4.94 | $9.88 | $0.51 – $2.19 | 11 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $134.95 | $269.90 | $61.88 – $215.92 | 13 |
| Iron CPT 83540 | $71.00 | $142.00 | $6.27 – $108.80 | 17 |
| Iron binding capacity CPT 83550 | $91.00 | $182.00 | $8.47 – $145.60 | 17 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $8.53 | $17.05 | $3.93 – $17.73 | 13 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $5.77 | $11.54 | $0.23 – $5.20 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $126.50 | $253.00 | $23.23 – $80.80 | 10 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $362.38 – $362.38 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $48.03 – $48.03 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,585.94 – $1,585.94 | 1 |
| Ivc venogram s&i CPT 75825 | $1,850.00 | $3,700.00 | $116.24 – $2,960.00 | 11 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $77.00 | $154.00 | $35.42 – $123.20 | 6 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $69.50 | $139.00 | $17.25 – $60.00 | 6 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $74.50 | $149.00 | $21.16 – $73.60 | 6 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $256.50 | $513.00 | $75.67 – $263.20 | 6 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $194.80 – $194.80 | 1 |
| Ivp w/nephrotomography CPT 74415 | $842.00 | $1,684.00 | $241.92 – $1,347.20 | 11 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $561.50 | $1,123.00 | $211.03 – $898.40 | 11 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $2,904.49 | $5,808.98 | $127.12 – $4,647.19 | 13 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,001.32 – $1,001.32 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,138.64 – $1,138.64 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $446.10 – $446.10 | 1 |
| J-tube placement CPT 44015 | not published | not published | $166.85 – $252.19 | 4 |
| Keratomileusis CPT 65760 | not published | not published | $2,127.43 – $2,127.43 | 1 |
| Keratophakia CPT 65765 | not published | not published | $1,233.96 – $3,084.77 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $2,678.00 – $2,678.00 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $111.00 | $222.00 | $7.92 – $177.60 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $2.36 | $4.72 | $0.22 – $0.97 | 13 |
| Kidney endoscopy CPT 50551 | not published | not published | $549.30 – $549.30 | 1 |
| Kidney endoscopy CPT 50553 | not published | not published | $587.24 – $587.24 | 1 |
| Kidney endoscopy CPT 50570 | not published | not published | $917.07 – $917.07 | 1 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,330.29 – $1,330.29 | 1 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $637.62 – $637.62 | 1 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,053.65 – $1,053.65 | 1 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $645.92 – $645.92 | 1 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $736.97 – $736.97 | 1 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,050.76 – $1,050.76 | 1 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,132.01 – $1,132.01 | 1 |
| Kidney function study CPT 78725 | $434.50 | $869.00 | $149.65 – $695.20 | 11 |
| Kidney imaging morphology CPT 78700 | $602.00 | $1,204.00 | $259.37 – $968.98 | 11 |
| Kidney imag w/bld flow multi CPT 78709 | $1,320.00 | $2,640.00 | $515.15 – $2,112.00 | 11 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $982.00 | $1,964.00 | $323.04 – $1,571.20 | 11 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $247.50 | $495.00 | $113.85 – $478.88 | 11 |
| Kit case 4.2mm spinejack HCPCS C1062 | $4,217.07 | $8,434.13 | $41.72 – $145.11 | 6 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $12.63 | $25.25 | $5.81 – $20.20 | 6 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $5,287.50 | $10,575.00 | $2,432.25 – $8,460.00 | 10 |
| Kit lead specify 5-6-5 HCPCS C1778 | $33,992.25 | $67,984.50 | $26.78 – $93.12 | 10 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $543.51 | $1,087.02 | $250.02 – $869.62 | 10 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,164.38 | $2,328.75 | $25.64 – $1,830.00 | 11 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $3,564.00 | $7,128.00 | $1,639.44 – $5,702.40 | 6 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $1,168.52 – $1,168.52 | 1 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $972.51 – $972.51 | 1 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $776.92 – $776.92 | 1 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,021.52 – $1,021.52 | 1 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,175.08 – $1,175.08 | 1 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,734.98 – $1,734.98 | 1 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,019.13 – $1,019.13 | 1 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,014.03 – $1,014.03 | 1 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $937.31 – $937.31 | 1 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $1,227.66 – $1,227.66 | 1 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,243.68 – $1,243.68 | 1 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $1,059.30 – $1,059.30 | 1 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,294.25 – $1,294.25 | 1 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,577.29 – $1,577.29 | 1 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,166.51 – $1,166.51 | 1 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,198.39 – $1,198.39 | 1 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,414.71 – $1,414.71 | 1 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,819.94 – $1,819.94 | 1 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $2,283.20 – $2,283.20 | 1 |
| Knee MRI (with and without contrast) CPT 73723 | $2,074.00 | $4,148.00 | $558.66 – $3,318.40 | 11 |
| Knee MRI (with contrast) CPT 73722 | $1,947.00 | $3,894.00 | $465.34 – $3,115.20 | 11 |
| Knee MRI (without contrast) CPT 73721 | $1,583.00 | $3,166.00 | $272.81 – $2,532.80 | 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.