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 |
|---|---|---|---|---|
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $33.00 | $66.00 | $15.18 – $66.00 | 17 |
| Mayo myoglobin CPT 83874 | $99.00 | $198.00 | $12.52 – $158.40 | 17 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $55.50 | $111.00 | $25.53 – $88.80 | 7 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $29.00 | $58.00 | $13.34 – $58.00 | 17 |
| Mayo oxalate 24 hour urine CPT 83945 | $8.50 | $17.00 | $3.91 – $32.08 | 17 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $162.00 | $324.00 | $11.17 – $259.20 | 17 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $95.50 | $191.00 | $14.57 – $152.80 | 17 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $73.50 | $147.00 | $11.68 – $112.27 | 17 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $317.00 | $634.00 | $34.01 – $507.20 | 17 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $30.00 | $60.00 | $13.80 – $60.00 | 17 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $52.50 | $105.00 | $13.33 – $105.00 | 17 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $94.00 | $188.00 | $8.18 – $150.40 | 17 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $61.00 | $122.00 | $16.08 – $122.00 | 17 |
| Mayo proinsulin CPT 84206 | $43.00 | $86.00 | $19.78 – $86.00 | 17 |
| Mayo psaft prostate specific antigen free CPT 84154 | $167.50 | $335.00 | $17.82 – $268.00 | 17 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $96.50 | $193.00 | $17.23 – $154.40 | 17 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $86.00 | $172.00 | $12.94 – $137.60 | 17 |
| Mayo receptor assay transferrin soluble CPT 84238 | $30.00 | $60.00 | $13.80 – $81.19 | 17 |
| Mayo renin CPT 84244 | $131.00 | $262.00 | $21.31 – $209.60 | 17 |
| Mayo repu protein electrophoresis urine CPT 84166 | $133.50 | $267.00 | $17.28 – $213.60 | 17 |
| Mayo selenium CPT 84255 | $111.50 | $223.00 | $24.73 – $195.11 | 17 |
| Mayo serotonin CPT 84260 | $130.00 | $260.00 | $30.02 – $215.72 | 17 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $42.00 | $84.00 | $18.75 – $67.20 | 17 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $109.00 | $218.00 | $13.30 – $174.40 | 17 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $93.00 | $186.00 | $42.78 – $148.80 | 7 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $41.00 | $82.00 | $4.14 – $65.60 | 17 |
| Mayo tgrp testosterone free CPT 84402 | $94.50 | $189.00 | $24.68 – $189.00 | 17 |
| Mayo tgrp testosterone total CPT 84403 | $146.00 | $292.00 | $25.01 – $240.50 | 17 |
| Mayo thyroglobulin CPT 84432 | $162.00 | $324.00 | $15.57 – $259.20 | 17 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $20.00 | $40.00 | $9.20 – $40.00 | 17 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $16.50 | $33.00 | $7.59 – $33.00 | 17 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $50.00 | $100.00 | $13.26 – $80.00 | 17 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $144.50 | $289.00 | $13.12 – $231.20 | 17 |
| Mayo vasoactive intestinal peptide CPT 84586 | $238.00 | $476.00 | $34.23 – $380.80 | 17 |
| Mayo vitamin b3 (niacin) CPT 84591 | $144.50 | $289.00 | $14.03 – $61.00 | 17 |
| Mayo vitamin k CPT 84597 | $70.50 | $141.00 | $13.29 – $127.75 | 17 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $77.50 | $155.00 | $12.84 – $124.00 | 17 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $684.60 – $1,519.25 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $957.60 – $957.60 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,024.49 – $1,024.49 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,084.69 – $1,084.69 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,738.38 – $1,738.38 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $218.95 – $218.95 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $54.00 | $108.00 | $21.02 – $86.40 | 6 |
| Measure ureter pressure CPT 50686 | not published | not published | $167.08 – $167.08 | 1 |
| Medial canthopexy CPT 21280 | not published | not published | $1,125.58 – $1,125.58 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $716.92 – $716.92 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $551.10 – $551.10 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $32.93 | $65.85 | $0.58 – $38.52 | 7 |
| Melphalan oral 2 mg HCPCS J8600 | $5.39 | $10.78 | $2.48 – $9.70 | 9 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $3,089.88 – $3,089.88 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $3.26 | $6.51 | $0.44 – $1.89 | 11 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $1,844.42 | $3,688.83 | $31.03 – $2,444.28 | 13 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $14.30 | $28.59 | $0.05 – $0.20 | 11 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.80 | $1.60 | $0.18 – $0.60 | 6 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $466.64 – $466.64 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $3.16 | $6.31 | $1.46 – $5.05 | 11 |
| Metabolic Blood Panel (Basic) CPT 80048 | $189.00 | $378.00 | $8.20 – $302.40 | 17 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $235.00 | $470.00 | $10.23 – $376.00 | 17 |
| Metatarsal joint implant HCPCS L8641 | $1,126.13 | $2,252.25 | $115.00 – $400.00 | 10 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $67.50 | $135.00 | $1.42 – $5.49 | 11 |
| Methadone injection HCPCS J1230 | $10.75 | $21.49 | $4.95 – $21.49 | 11 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $0.46 | $0.92 | $0.22 – $0.92 | 11 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.08 | $2.16 | $0.24 – $1.73 | 11 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $2.30 | $4.59 | $0.55 – $2.37 | 11 |
| Methotrexate therapeutic drug level CPT 80204 | $136.00 | $272.00 | $23.23 – $85.63 | 13 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $96.06 | $192.12 | $1.23 – $5.55 | 8 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $10.22 | $20.44 | $4.71 – $20.44 | 11 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $129.52 | $259.03 | $2.57 – $207.22 | 6 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $0.62 | $1.23 | $0.20 – $0.67 | 11 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $8.81 | $17.61 | $1.41 – $4.90 | 6 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $0.32 | $0.64 | $0.01 – $0.01 | 11 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $0.02 | $0.03 | $0.01 – $0.03 | 6 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $35.67 | $71.34 | $0.43 – $12.85 | 11 |
| Microdissection manual CPT 88381 | $66.00 | $132.00 | $30.36 – $132.00 | 11 |
| Microsatellite instability CPT 81301 | $565.00 | $1,130.00 | $259.90 – $1,130.00 | 17 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $371.85 – $371.85 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $1.59 | $3.17 | $0.01 – $0.01 | 11 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $0.11 | $0.22 | $0.04 – $0.14 | 6 |
| Middle cerebral artery echo CPT 76821 | $162.50 | $325.00 | $74.75 – $325.00 | 11 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $0.27 | $0.53 | $0.04 – $0.16 | 11 |
| Minocycline hydrochloride HCPCS J2265 | $98.95 | $197.90 | $2.47 – $158.32 | 8 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $162.18 | $324.36 | $74.61 – $259.49 | 6 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $587.37 | $1,174.73 | $51.18 – $231.39 | 13 |
| Mitomycin instillation HCPCS J9281 | $580.68 | $1,161.35 | $267.12 – $929.08 | 13 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $4.09 | $8.17 | $1.88 – $8.49 | 13 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,211.51 – $2,254.88 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,973.14 – $1,973.14 | 1 |
| Mnl appl strs jt radiography CPT 77071 | $136.50 | $273.00 | $62.79 – $273.00 | 11 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $155.23 – $155.23 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $274.16 – $274.16 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $260.97 – $260.97 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $369.41 – $369.41 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $848.36 – $848.36 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $457.88 – $457.88 | 1 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $119.69 – $216.13 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,190.79 – $1,214.14 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $464.14 – $1,045.72 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $400.00 | $800.00 | $184.00 – $640.00 | 7 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $5,062.50 | $10,125.00 | $2,064.83 – $7,182.00 | 10 |
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.