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 |
|---|---|---|---|---|
| Prtl excision bone scapula CPT 23182 | not published | not published | $1,267.79 – $1,267.79 | 1 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $830.50 | $1,661.00 | $203.32 – $707.20 | 6 |
| PSA (Prostate) Test CPT 84153 | $107.00 | $214.00 | $17.82 – $171.36 | 17 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $45.00 | $90.00 | $16.31 – $181.00 | 13 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $54.00 | $108.00 | $8.28 – $181.00 | 13 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $69.50 | $139.00 | $10.53 – $181.00 | 13 |
| Pt application of modality traction mechanical CPT 97012 | $99.50 | $199.00 | $12.97 – $181.00 | 13 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $1,529.20 – $1,529.20 | 1 |
| Pt evaluation high complexity patient/family CPT 97163 | $105.00 | $210.00 | $48.30 – $181.00 | 13 |
| Pt evaluation low complexity patient/family CPT 97161 | $81.00 | $162.00 | $37.26 – $181.00 | 13 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $88.00 | $176.00 | $40.48 – $181.00 | 13 |
| Pt prgrm for implt neurostim HCPCS L8681 | $20,125.00 | $40,250.00 | $207.00 – $720.00 | 10 |
| Pt re-evaluation patient/family CPT 97164 | $71.00 | $142.00 | $32.66 – $181.00 | 13 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $99.00 | $198.00 | $39.62 – $181.00 | 9 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $56.50 | $113.00 | $12.29 – $181.00 | 9 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $40.00 | $80.00 | $18.40 – $181.00 | 13 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $31.00 | $62.00 | $14.26 – $181.00 | 13 |
| Pt wheelchair management each 15 minutes CPT 97542 | $40.00 | $80.00 | $18.40 – $181.00 | 13 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,609.55 – $1,641.11 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $970.72 – $1,786.70 | 4 |
| Pulmonary vent imaging CPT 78579 | $734.00 | $1,468.00 | $282.49 – $1,174.40 | 11 |
| Pulse ox continuous overnight monitoring CPT 94762 | $446.00 | $892.00 | $42.63 – $713.60 | 7 |
| Pulse ox multiple CPT 94761 | $169.50 | $339.00 | $5.83 – $256.80 | 7 |
| Pulse ox single CPT 94760 | $67.00 | $134.00 | $3.57 – $107.20 | 7 |
| Punc of shunt for asp or inj CPT 61070 | $381.00 | $762.00 | $104.27 – $590.40 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $127.50 | $255.00 | $28.73 – $204.00 | 6 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $223.50 | $447.00 | $102.81 – $357.60 | 6 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $89.46 – $89.46 | 1 |
| Puncture spinal lumbar diagnostic CPT 62270 | $519.00 | $1,038.00 | $115.40 – $830.40 | 6 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $92.65 – $92.65 | 1 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $156.07 – $156.07 | 1 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $148.91 – $148.91 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $952.77 – $1,855.88 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $917.44 – $1,793.55 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,011.15 – $1,030.97 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $612.49 – $1,686.49 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $5.55 | $11.09 | $2.56 – $11.09 | 11 |
| Pyruvate CPT 84210 | $156.00 | $312.00 | $13.83 – $249.60 | 17 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,212.50 | $2,425.00 | $446.84 – $1,940.00 | 11 |
| Quant diff pulm perf w/imaging CPT 78597 | $641.00 | $1,282.00 | $283.75 – $1,078.45 | 11 |
| Quest t3 uptake CPT 84479 | $42.00 | $84.00 | $6.27 – $67.20 | 17 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $202.16 | $404.31 | $93.00 – $420.48 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $242.85 | $485.69 | $111.71 – $388.56 | 9 |
| Radial keratotomy CPT 65771 | not published | not published | $1,169.64 – $1,169.64 | 1 |
| Radiation handling CPT 77790 | $269.50 | $539.00 | $13.46 – $431.20 | 11 |
| Radiation physics consult CPT 77336 | $791.50 | $1,583.00 | $160.53 – $1,266.40 | 11 |
| Radiation therapy dose plan CPT 77300 | $495.50 | $991.00 | $63.27 – $792.80 | 11 |
| Radiation treatment aid(s) CPT 77332 | $407.50 | $815.00 | $29.21 – $652.00 | 11 |
| Radiation treatment aid(s) CPT 77333 | $465.50 | $931.00 | $49.35 – $744.80 | 11 |
| Radiation treatment aid(s) CPT 77334 | $969.50 | $1,939.00 | $123.80 – $1,551.20 | 11 |
| Radiation treatment delivery CPT 77401 | $245.50 | $491.00 | $77.80 – $392.80 | 11 |
| Radiation treatment delivery CPT 77402 | $376.00 | $752.00 | $172.96 – $601.60 | 7 |
| Radiation treatment delivery CPT 77412 | $1,026.00 | $2,052.00 | $433.61 – $1,641.60 | 7 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,615.77 – $1,647.45 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $841.17 – $2,786.03 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,004.01 – $3,572.50 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $842.08 – $3,262.25 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $2,214.24 – $2,214.24 | 1 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,118.19 – $2,446.10 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,923.64 – $1,923.64 | 1 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,639.43 – $2,639.43 | 1 |
| Radiesse injection HCPCS Q2026 | $1,345.05 | $2,690.10 | $618.73 – $2,152.08 | 10 |
| Radiology port images(s) CPT 77417 | $274.50 | $549.00 | $25.64 – $439.20 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | $6,316.50 | $12,633.00 | $2,688.44 – $10,106.40 | 11 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $157.00 | $314.00 | $72.22 – $251.20 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,349.00 | $2,698.00 | $461.77 – $2,158.40 | 11 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,759.50 | $3,519.00 | $809.37 – $3,358.10 | 11 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,466.00 | $2,932.00 | $478.86 – $1,873.13 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $762.50 | $1,525.00 | $350.75 – $1,220.00 | 11 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $2,857.55 – $2,857.55 | 1 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,069.95 – $2,069.95 | 1 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,436.06 – $2,436.06 | 1 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,893.55 – $1,893.55 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,342.13 – $1,342.13 | 1 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,429.57 – $2,429.57 | 1 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,402.15 – $1,402.15 | 1 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,959.68 – $1,959.68 | 1 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $2,491.23 – $2,491.23 | 1 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $1,771.60 – $1,771.60 | 1 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $73.13 | $146.26 | $33.64 – $146.26 | 13 |
| Range of motion measurements CPT 95852 | $77.00 | $154.00 | $9.26 – $181.00 | 9 |
| Rapid Strep Test CPT 87880 | $118.00 | $236.00 | $15.29 – $188.80 | 17 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $2,235.08 | $4,470.16 | $247.14 – $859.62 | 11 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $1,088.68 | $2,177.36 | $220.52 – $1,741.89 | 13 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $89.42 – $89.42 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $4,092.50 – $4,092.50 | 1 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,571.64 – $3,148.78 | 4 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,404.25 – $2,821.06 | 4 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,173.39 – $2,944.64 | 4 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,216.97 – $3,074.57 | 4 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,037.29 – $4,063.63 | 4 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,823.69 – $3,665.03 | 4 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,741.86 – $3,404.94 | 4 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,713.68 – $5,275.35 | 4 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,552.10 – $4,865.36 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,404.88 – $1,404.88 | 1 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,706.94 – $1,706.94 | 1 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $2,030.89 – $2,030.89 | 1 |
| Realignment of knee CPT 27457 | not published | not published | $928.50 – $1,762.28 | 4 |
| Realignment of knee CPT 27455 | not published | not published | $889.16 – $1,793.99 | 4 |
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.