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 |
|---|---|---|---|---|
| Monovisc inj per dose HCPCS J7327 | $101.51 | $203.02 | $46.70 – $203.02 | 11 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $3.10 | $6.20 | $0.19 – $0.79 | 11 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $2.09 | $4.18 | $0.37 – $1.28 | 6 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $7.56 | $15.11 | $0.48 – $2.06 | 11 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $420.00 | $840.00 | $165.26 – $840.00 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $88.50 | $177.00 | $40.71 – $177.00 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $152.50 | $305.00 | $33.13 – $305.00 | 11 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $540.46 – $540.46 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $420.00 | $840.00 | $82.11 – $357.00 | 11 |
| M/phmtrc alysishquant/semiq CPT 88369 | $450.00 | $900.00 | $43.82 – $720.00 | 11 |
| MRA abdomen post contrast CPT 74185 | $1,777.50 | $3,555.00 | $495.83 – $2,359.00 | 11 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $954.50 | $1,909.00 | $244.03 – $2,359.00 | 11 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,861.50 | $3,723.00 | $492.66 – $2,359.00 | 11 |
| MRA pelvis CPT 72198 | $1,202.50 | $2,405.00 | $243.34 – $2,359.00 | 11 |
| MRA spinal canal CPT 72159 | $1,700.00 | $3,400.00 | $510.95 – $2,428.80 | 11 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,157.00 | $2,314.00 | $428.72 – $2,359.00 | 11 |
| MRI breast without cont bi CPT 77047 | $221.00 | $442.00 | $101.66 – $2,359.00 | 7 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $589.00 | $1,178.00 | $270.94 – $2,359.00 | 11 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,370.00 | $2,740.00 | $477.96 – $2,359.00 | 11 |
| MRI chest without contrast CPT 71550 | $1,951.00 | $3,902.00 | $527.14 – $3,121.60 | 11 |
| MRI chest without & w/contrast CPT 71552 | $2,322.50 | $4,645.00 | $715.89 – $3,716.00 | 11 |
| MRI chest w IV cont CPT 71551 | $2,136.50 | $4,273.00 | $572.54 – $3,418.40 | 11 |
| MRI guid ndl plc s&i CPT 77021 | $1,061.00 | $2,122.00 | $488.06 – $2,359.00 | 11 |
| MRI loex nonjt w IV cont CPT 73719 | $1,521.00 | $3,042.00 | $367.61 – $2,433.60 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,423.00 | $2,846.00 | $314.43 – $2,359.00 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,635.50 | $3,271.00 | $464.71 – $2,616.80 | 11 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,272.50 | $4,545.00 | $320.10 – $3,636.00 | 11 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,497.00 | $4,994.00 | $467.86 – $3,995.20 | 11 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,347.50 | $4,695.00 | $377.71 – $3,756.00 | 11 |
| MRI tmj CPT 70336 | $1,386.50 | $2,773.00 | $382.54 – $2,359.00 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,369.50 | $2,739.00 | $469.14 – $2,359.00 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,643.50 | $3,287.00 | $605.96 – $2,629.60 | 11 |
| MRI upper extremity w/dye CPT 73219 | $1,479.00 | $2,958.00 | $500.03 – $2,366.40 | 11 |
| MRI w/cont, breast, bi HCPCS C8906 | $964.50 | $1,929.00 | $443.67 – $2,359.00 | 7 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,009.50 | $4,019.00 | $924.37 – $3,215.20 | 7 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,728.00 | $3,456.00 | $794.88 – $2,764.80 | 7 |
| Mr safety determination physician/other qhp CPT 76016 | $61.50 | $123.00 | $28.29 – $98.40 | 7 |
| Mr safety implant elec prepj CPT 76018 | $64.50 | $129.00 | $29.67 – $103.20 | 7 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $17.00 | $34.00 | $7.82 – $27.20 | 7 |
| Mr safety implt pos&/immoblj CPT 76019 | $41.50 | $83.00 | $19.09 – $66.40 | 7 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $17.00 | $34.00 | $7.82 – $27.20 | 7 |
| Mr sfty med physics xm cstmz CPT 76017 | $169.00 | $338.00 | $77.74 – $270.40 | 7 |
| Mr spectroscopy CPT 76390 | $663.50 | $1,327.00 | $305.21 – $2,359.00 | 11 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,367.73 – $5,064.02 | 4 |
| Mthfr gene analy common variants CPT 81291 | $129.50 | $259.00 | $53.60 – $259.00 | 17 |
| Multiple sleep latency test CPT 95805 | $1,763.00 | $3,526.00 | $706.21 – $2,820.80 | 11 |
| Mumps antibody igg CPT 86735 | $17.50 | $35.00 | $8.05 – $35.00 | 17 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $2,349.02 – $2,349.02 | 1 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,759.48 – $2,759.48 | 1 |
| Muscle transfers CPT 23397 | not published | not published | $2,121.65 – $2,121.65 | 1 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,393.03 – $2,393.03 | 1 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $1,926.86 – $1,926.86 | 1 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $1,409.65 – $1,409.65 | 1 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $2.16 | $4.31 | $0.14 – $0.48 | 11 |
| Mycophenolic acid HCPCS J7518 | $2.67 | $5.33 | $0.38 – $4.27 | 11 |
| Mycoplasma antibody igm CPT 86738 | $60.50 | $121.00 | $12.83 – $96.80 | 17 |
| Myelogphy 2/> spine regions CPT 72270 | $4,892.00 | $9,784.00 | $166.68 – $7,827.20 | 11 |
| Myelography l-s spine CPT 72265 | $1,062.50 | $2,125.00 | $131.36 – $1,700.00 | 11 |
| Myelography neck spine CPT 72240 | $832.00 | $1,664.00 | $130.10 – $1,331.20 | 11 |
| Myelography thoracic spine CPT 72255 | $3,193.00 | $6,386.00 | $122.54 – $5,108.80 | 11 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,299.50 | $2,599.00 | $231.15 – $2,079.20 | 6 |
| Myelography via inj w/s&i cervical CPT 62302 | $720.50 | $1,441.00 | $225.12 – $1,152.80 | 6 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,299.50 | $2,599.00 | $222.37 – $2,079.20 | 6 |
| Myelography via inj w/s&i thoracic CPT 62303 | $680.00 | $1,360.00 | $225.54 – $1,088.00 | 6 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $954.00 | $1,908.00 | $1.84 – $17.76 | 17 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,059.60 – $2,099.99 | 3 |
| Myocrd img pet 1 std w/ct CPT 78429 | $1,252.50 | $2,505.00 | $576.15 – $2,004.00 | 7 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $983.30 – $2,161.85 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $811.99 – $1,728.83 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $1,072.60 – $1,072.60 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $940.84 – $940.84 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $2.53 | $5.05 | $1.15 – $4.96 | 11 |
| Naltrexone, depot form HCPCS J2315 | $772.99 | $1,545.98 | $4.15 – $1,236.79 | 13 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $669.00 | $1,338.00 | $121.23 – $1,070.40 | 6 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $377.22 – $377.22 | 1 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,128.90 – $1,151.03 | 3 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,194.34 – $1,217.76 | 3 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $300.87 – $300.87 | 1 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $438.23 – $438.23 | 1 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $299.02 – $299.02 | 1 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $455.81 – $455.81 | 1 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $605.05 – $605.05 | 1 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $707.43 – $707.43 | 1 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $254.96 – $254.96 | 1 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $300.87 – $300.87 | 1 |
| Nasal sinus therapy CPT 30210 | not published | not published | $196.85 – $196.85 | 1 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $136.00 | $272.00 | $62.56 – $217.60 | 6 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $284.60 | $569.19 | $24.52 – $455.36 | 13 |
| Natriuretic peptide CPT 83880 | $196.00 | $392.00 | $38.05 – $316.22 | 17 |
| Natural killer cells total count CPT 86357 | $76.00 | $152.00 | $34.96 – $152.00 | 17 |
| Navigational bronchoscopy 31627 CPT 31627 | $2,554.00 | $5,108.00 | $180.37 – $4,086.40 | 6 |
| N block inj common digit CPT 64632 | not published | not published | $129.55 – $129.55 | 1 |
| N block inj hypogas plxs CPT 64517 | $77.50 | $155.00 | $35.65 – $124.00 | 6 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $27.32 – $27.32 | 1 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $788.00 | $1,576.00 | $120.02 – $1,260.80 | 7 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $29.15 – $29.15 | 1 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $43.51 – $43.51 | 1 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $2,454.10 – $2,454.10 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,736.50 | $3,473.00 | $270.29 – $2,778.40 | 11 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,645.00 | $3,290.00 | $218.59 – $2,632.00 | 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.