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 |
|---|---|---|---|---|
| Sympathectomy cervical CPT 64802 | not published | not published | $1,516.33 – $1,516.33 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,441.78 – $1,441.78 | 1 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $650.10 – $1,449.57 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,482.18 – $1,482.18 | 1 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $830.50 – $846.79 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $34.30 | $68.60 | $8.99 – $54.88 | 11 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $25.50 | $51.00 | $4.26 – $41.01 | 17 |
| System cardiomems hosp electronics HCPCS C2624 | $20,790.00 | $41,580.00 | $9,563.40 – $33,264.00 | 10 |
| System pacing micra av HCPCS C1786 | $20,587.50 | $41,175.00 | $1,216.13 – $4,230.00 | 10 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $9,607.50 | $19,215.00 | $1.41 – $4.90 | 10 |
| System sealant biosentry tract HCPCS C2613 | $523.55 | $1,047.09 | $217.35 – $756.00 | 10 |
| T3 (triiodothyronine) free CPT 84481 | $272.50 | $545.00 | $16.41 – $436.00 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $99.50 | $199.00 | $13.74 – $159.20 | 17 |
| T4 (thyroxine) free CPT 84439 | $73.50 | $147.00 | $8.74 – $117.60 | 17 |
| T4 (thyroxine) total CPT 84436 | $32.50 | $65.00 | $6.66 – $64.01 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.53 | $1.06 | $0.24 – $0.81 | 11 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $116.63 | $233.25 | $53.65 – $242.58 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $92.50 | $185.00 | $13.30 – $148.00 | 17 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $636.82 | $1,273.63 | $292.94 – $1,018.91 | 6 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,909.02 – $1,946.45 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,755.79 – $1,790.21 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $897.53 – $915.13 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $5,177.41 | $10,354.82 | $119.09 – $414.20 | 6 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $147.71 – $147.71 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $121.30 – $121.30 | 1 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,330.35 – $1,330.35 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $242.80 – $242.80 | 1 |
| Tavr perq femoral CPT 33361 | $9,233.50 | $18,467.00 | $1,188.07 – $14,773.60 | 8 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $254.42 | $508.84 | $0.41 – $405.16 | 13 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $218.00 | $436.00 | $60.06 – $436.00 | 17 |
| Tc-99m bicisate HCPCS A9557 | $1,202.50 | $2,405.00 | $553.15 – $1,924.00 | 6 |
| Tc-99m disofenin HCPCS A9510 | $73.50 | $147.00 | $33.81 – $117.60 | 6 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,590.50 | $3,181.00 | $731.63 – $2,544.80 | 6 |
| Tc-99m exametazime diag HCPCS A9521 | $1,090.50 | $2,181.00 | $501.63 – $1,744.80 | 6 |
| Tc-99m labeled rbc HCPCS A9560 | $229.50 | $459.00 | $63.94 – $222.40 | 6 |
| Tc-99m maa HCPCS A9540 | $32.00 | $64.00 | $14.72 – $51.20 | 6 |
| Tc-99m mebrofenin HCPCS A9537 | $59.00 | $118.00 | $27.14 – $94.40 | 6 |
| Tc-99m medronate HCPCS A9503 | $40.50 | $81.00 | $18.63 – $64.80 | 6 |
| Tc-99m mertiatide HCPCS A9562 | $377.50 | $755.00 | $173.65 – $604.00 | 6 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $5.00 | $10.00 | $2.30 – $8.00 | 6 |
| Tc-99m oxidronate HCPCS A9561 | $72.00 | $144.00 | $33.12 – $115.20 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $38.00 | $76.00 | $17.48 – $60.80 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $338.50 | $677.00 | $44.82 – $541.60 | 6 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $40.50 | $81.00 | $3.74 – $64.80 | 6 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $43.50 | $87.00 | $20.01 – $69.60 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $230.50 | $461.00 | $76.82 – $267.20 | 6 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $220.50 | $441.00 | $101.43 – $352.80 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $130.00 | $260.00 | $59.80 – $208.00 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $620.50 | $1,241.00 | $285.43 – $992.80 | 6 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $783.36 – $783.36 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $149.77 – $149.77 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $144.50 | $289.00 | $45.52 – $289.00 | 17 |
| T cells absolute cd 4 count CPT 86361 | $39.50 | $79.00 | $18.17 – $79.00 | 17 |
| T cells total count CPT 86359 | $111.00 | $222.00 | $36.56 – $222.00 | 17 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $367.57 – $837.33 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,026.63 – $1,804.99 | 4 |
| Telethx isodose plan cplx CPT 77307 | $1,702.00 | $3,404.00 | $256.22 – $2,723.20 | 11 |
| Telethx isodose plan simple CPT 77306 | $1,021.50 | $2,043.00 | $141.67 – $1,634.40 | 11 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $914.75 | $1,829.49 | $30.02 – $1,463.60 | 13 |
| Tendon lengthening CPT 26476 | not published | not published | $1,221.11 – $1,221.11 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,099.71 – $1,099.71 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $1,196.56 – $1,196.56 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,748.12 – $1,748.12 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,003.43 | $8,006.86 | $152.45 – $6,405.49 | 13 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,133.66 – $1,133.66 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,149.37 – $1,149.37 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,163.78 – $1,163.78 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,463.03 – $1,463.03 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $982.74 – $982.74 | 1 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $576.26 – $1,352.82 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $568.22 – $568.22 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,199.00 | $2,398.00 | $468.11 – $1,918.40 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $1.15 | $2.29 | $0.53 – $2.29 | 11 |
| Testicular imaging w/vasc flow CPT 78761 | $704.00 | $1,408.00 | $307.92 – $1,132.94 | 11 |
| Testosterone undecanoate 1mg HCPCS J3145 | $345.42 | $690.83 | $1.93 – $552.67 | 11 |
| Test stress cardiovascular tracing only CPT 93017 | $901.00 | $1,802.00 | $67.17 – $1,139.20 | 11 |
| Test urine for porphyrins CPT 84119 | $50.50 | $101.00 | $10.98 – $80.80 | 17 |
| Tetanus immune globulin inj HCPCS J1670 | $224.74 | $449.48 | $103.39 – $467.46 | 13 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,089.25 | $2,178.49 | $501.06 – $1,742.80 | 6 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $53.63 – $53.63 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $65.00 | $130.00 | $13.70 – $118.85 | 17 |
| Therapeutic procd strg endur HCPCS G0237 | $66.00 | $132.00 | $19.90 – $105.60 | 7 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $41.50 | $83.00 | $15.49 – $75.15 | 13 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $45.50 | $91.00 | $14.72 – $72.80 | 13 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $225.83 – $225.83 | 1 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $940.50 | $1,881.00 | $295.30 – $1,504.80 | 11 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $1.96 | $3.91 | $0.90 – $3.90 | 11 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,362.45 – $1,389.17 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,487.90 – $1,517.08 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $539.50 | $1,079.00 | $205.46 – $863.20 | 6 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,203.70 – $2,246.91 | 3 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.98 – $1,087.07 | 4 |
| Thoracic duct procedure CPT 38381 | not published | not published | $833.36 – $1,450.18 | 4 |
| Thoracic duct procedure CPT 38382 | not published | not published | $615.18 – $1,238.77 | 4 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $240.44 – $377.56 | 4 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,885.37 – $2,941.94 | 3 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,043.34 – $1,063.80 | 3 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,433.84 – $1,461.96 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $548.92 – $548.92 | 1 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,359.78 – $1,386.44 | 3 |
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.