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 |
|---|---|---|---|---|
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,978.75 – $1,978.75 | 1 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,165.25 – $2,356.79 | 4 |
| Shoulder X-ray CPT 73030 | $310.50 | $621.00 | $48.76 – $496.80 | 11 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,416.59 – $1,444.36 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,458.45 – $1,487.04 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,454.73 – $1,483.26 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,871.00 | $5,742.00 | $1,047.94 – $3,645.00 | 10 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $570.50 | $1,141.00 | $111.83 – $912.80 | 11 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,438.56 – $1,466.76 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,619.58 – $1,651.33 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Sialography s&i CPT 70390 | $388.50 | $777.00 | $178.71 – $621.60 | 11 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $315.32 – $315.32 | 1 |
| Sickling rbc CPT 85660 | $42.00 | $84.00 | $5.33 – $67.20 | 17 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $135.74 – $135.74 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $213.74 – $213.74 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $220.73 – $220.73 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $125.52 – $125.52 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $300.17 – $300.17 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $197.30 – $197.30 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $288.52 – $288.52 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $371.05 – $371.05 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $225.23 – $225.23 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $232.97 – $232.97 | 1 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $317.94 – $317.94 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $175.29 – $175.29 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $272.00 | $544.00 | $36.14 – $435.20 | 11 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $146.48 – $146.48 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $288.58 – $288.58 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $180.50 | $361.00 | $28.00 – $121.71 | 11 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,975.28 – $6,043.99 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,423.00 | $2,846.00 | $244.44 – $2,276.80 | 11 |
| Sinus CT scan (with contrast) CPT 70487 | $1,401.00 | $2,802.00 | $194.63 – $2,241.60 | 11 |
| Sinus CT scan (without contrast) CPT 70486 | $1,094.50 | $2,189.00 | $172.35 – $1,804.00 | 11 |
| Sinus/juglr venogram s&i CPT 75860 | $398.00 | $796.00 | $137.26 – $636.80 | 11 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $652.87 – $652.87 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,132.30 – $1,132.30 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $983.96 – $983.96 | 1 |
| Sirolimus, oral HCPCS J7520 | $14.83 | $29.66 | $0.98 – $3.40 | 11 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,984.02 – $1,984.02 | 1 |
| Skin Biopsy CPT 11102 | $144.50 | $289.00 | $66.47 – $231.20 | 6 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,259.54 – $1,259.54 | 1 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $198.07 – $198.07 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,378.99 – $1,378.99 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,355.30 – $1,355.30 | 1 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $2,155.00 | $4,310.00 | $201.87 – $3,448.00 | 6 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,286.05 – $2,330.88 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,066.47 – $3,126.59 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | $455.12 | $910.24 | $209.36 – $946.65 | 8 |
| Sleep Study (Polysomnography) CPT 95810 | $2,276.50 | $4,553.00 | $955.27 – $3,642.40 | 11 |
| Sleep study unattended CPT 95806 | $214.00 | $428.00 | $96.26 – $673.24 | 11 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,608.00 – $1,639.53 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $8.61 | $17.22 | $3.97 – $13.78 | 6 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,718.88 | $9,437.75 | $141.45 – $492.00 | 10 |
| Slitting of prepuce CPT 54000 | not published | not published | $212.31 – $212.31 | 1 |
| Slitting of prepuce CPT 54001 | $2,086.00 | $4,172.00 | $268.13 – $3,337.60 | 6 |
| Slp pure tone screening CPT 92551 | $111.00 | $222.00 | $14.40 – $177.60 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | $5,278.50 | $10,557.00 | $2,428.11 – $8,445.60 | 6 |
| Small bowel endoscopy CPT 44360 | not published | not published | $269.56 – $269.56 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $382.60 – $382.60 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $449.06 – $449.06 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $459.56 – $459.56 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $531.47 – $531.47 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $718.66 – $718.66 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $139.08 – $139.08 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $285.26 – $285.26 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $358.74 – $358.74 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $341.12 – $341.12 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $297.00 – $297.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $558.64 – $558.64 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $108.15 – $108.15 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $159.18 – $159.18 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $499.82 – $499.82 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | $0.01 | $0.01 – $0.01 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $70.50 | $141.00 | $5.22 – $112.80 | 17 |
| Smear gram stain CPT 87205 | $59.00 | $118.00 | $4.14 – $94.40 | 17 |
| Smear nasal eosinophil CPT 89190 | $31.00 | $62.00 | $5.61 – $49.60 | 17 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $110.00 | $220.00 | $5.80 – $176.00 | 17 |
| Smear wet mount CPT 87210 | $80.00 | $160.00 | $5.45 – $128.00 | 17 |
| Sock fracture or equal each HCPCS L3995 | $21.45 | $42.89 | $9.87 – $34.32 | 8 |
| Sodium 24 hour urine CPT 84300 | $54.50 | $109.00 | $4.91 – $87.20 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $0.01 | $0.01 | $0.01 – $0.01 | 11 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $0.01 | $0.02 | $0.01 – $0.02 | 11 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $0.01 | $0.02 | $0.01 – $0.02 | 6 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $2.91 | $5.82 | $1.34 – $4.66 | 11 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $45.21 | $90.42 | $20.80 – $90.42 | 11 |
| Sodium serum/plasma/whole blood CPT 84295 | $58.00 | $116.00 | $4.66 – $92.80 | 17 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $0.99 | $1.98 | $0.46 – $1.59 | 6 |
| Somatropin injection HCPCS J2941 | $139.93 | $279.85 | $52.94 – $223.88 | 7 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $296.23 – $296.23 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $322.10 – $322.10 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $215.12 – $215.12 | 1 |
| Special physics consult CPT 77370 | $1,021.50 | $2,043.00 | $257.70 – $1,634.40 | 11 |
| Special radiation dosimetry CPT 77331 | $444.50 | $889.00 | $36.14 – $711.20 | 11 |
| Special radiation treatment CPT 77470 | $2,045.50 | $4,091.00 | $67.26 – $3,272.80 | 11 |
| Special teletx port plan CPT 77321 | $1,240.00 | $2,480.00 | $84.06 – $1,984.00 | 11 |
| Specific gravity body fluid CPT 84315 | $24.00 | $48.00 | $3.18 – $38.40 | 17 |
| Specimen fat stain CPT 89125 | $19.00 | $38.00 | $5.50 – $38.00 | 17 |
| Speech evaluation complex CPT 70371 | $196.00 | $392.00 | $90.16 – $313.60 | 11 |
| Sperm washing 58323 CPT 58323 | not published | not published | $22.32 – $79.35 | 5 |
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.