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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,226.50 | $4,453.00 | $1,024.19 – $3,562.40 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $1,339.34 – $1,339.34 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $1,220.23 – $1,220.23 | 1 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $946.74 – $946.74 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $963.29 – $982.18 | 3 |
| Troponin quantitative CPT 84484 | $178.50 | $357.00 | $12.09 – $285.60 | 17 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $726.96 – $726.96 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,630.50 | $3,261.00 | $750.03 – $2,608.80 | 7 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,344.00 | $2,688.00 | $618.24 – $2,150.40 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $700.54 – $700.54 | 1 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $314.85 | $629.70 | $7.45 – $67.32 | 10 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $127.85 | $255.69 | $21.20 – $73.73 | 10 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $135.45 – $135.45 | 1 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $2,154.94 – $2,154.94 | 1 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $878.31 – $2,005.98 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $242.00 | $484.00 | $111.32 – $387.20 | 6 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $1,098.89 – $1,098.89 | 1 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $627.86 – $627.86 | 1 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $206.20 – $206.20 | 1 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $134.36 – $134.36 | 1 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $776.75 – $1,703.33 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $734.06 – $1,616.01 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $348.00 | $696.00 | $160.08 – $556.80 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $2,348.50 | $4,697.00 | $961.91 – $3,757.60 | 6 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $2,003.00 | $4,006.00 | $921.38 – $3,204.80 | 6 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $846.66 – $846.66 | 1 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $1,209.47 – $1,209.47 | 1 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $1,130.93 – $1,130.93 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $380.08 – $842.18 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $374.75 – $374.75 | 1 |
| Tympanic membrane repair CPT 69610 | not published | not published | $544.38 – $544.38 | 1 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,042.73 – $1,042.73 | 1 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $252.76 – $252.76 | 1 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,655.01 – $2,655.01 | 1 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $2,405.89 – $2,405.89 | 1 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $872.71 | $1,745.42 | $401.45 – $1,396.34 | 6 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $328.00 | $656.00 | $150.88 – $524.80 | 7 |
| Ultrasound breast complete CPT 76641 | $743.50 | $1,487.00 | $128.84 – $1,189.60 | 11 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $743.50 | $1,487.00 | $99.83 – $1,189.60 | 11 |
| Ultrasound chest CPT 76604 | $275.50 | $551.00 | $56.95 – $440.80 | 11 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $90.00 | $180.00 | $39.94 – $144.00 | 11 |
| Ultrasound encephalogram CPT 76506 | $396.50 | $793.00 | $155.32 – $634.40 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $877.00 | $1,754.00 | $130.41 – $567.00 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $194.50 | $389.00 | $89.47 – $311.20 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $527.50 | $1,055.00 | $46.24 – $577.41 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $538.00 | $1,076.00 | $53.17 – $828.00 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $331.00 | $662.00 | $85.47 – $529.60 | 7 |
| Ultrasound hips infant dynamic CPT 76885 | $299.50 | $599.00 | $137.77 – $568.22 | 11 |
| Ultrasound infant hips ltd without stress CPT 76886 | $312.00 | $624.00 | $133.27 – $499.20 | 11 |
| Ultrasound joint complete left CPT 76881 | $443.50 | $887.00 | $20.39 – $709.60 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $366.50 | $733.00 | $58.21 – $586.40 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $202.50 | $405.00 | $77.76 – $324.00 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $518.50 | $1,037.00 | $39.73 – $829.60 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $322.50 | $645.00 | $148.35 – $522.21 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $297.50 | $595.00 | $99.59 – $433.00 | 11 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $158.00 | $316.00 | $72.68 – $316.00 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $451.00 | $902.00 | $108.02 – $721.60 | 11 |
| Ultrasound prostate/transrectal CPT 76872 | $370.00 | $740.00 | $170.20 – $592.00 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $378.50 | $757.00 | $61.38 – $605.60 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $508.50 | $1,017.00 | $132.64 – $813.60 | 11 |
| Ultrasound spinal canal and contents CPT 76800 | $343.50 | $687.00 | $158.01 – $549.60 | 11 |
| Ultrasound transabd ea addl gest CPT 76812 | $364.00 | $728.00 | $167.44 – $713.42 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $467.50 | $935.00 | $163.74 – $748.00 | 11 |
| Umbilical artery cath newborn 36660 CPT 36660 | $214.00 | $428.00 | $50.14 – $174.40 | 8 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $919.70 – $919.70 | 1 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $906.65 – $906.65 | 1 |
| Unlisted fluoroscopic px CPT 76496 | $764.00 | $1,528.00 | $83.94 – $1,222.40 | 7 |
| Unlisted procedure microbiology CPT 87999 | $13.50 | $27.00 | $6.21 – $21.60 | 7 |
| Unlisted procedure rectum CPT 45999 | $746.00 | $1,492.00 | $343.16 – $1,193.60 | 6 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $785.43 – $1,706.54 | 4 |
| Unlisted px biliary tract CPT 47999 | $1,323.50 | $2,647.00 | $608.81 – $2,117.60 | 6 |
| Unlisted px foot/toes CPT 28899 | $1,547.00 | $3,094.00 | $711.62 – $2,475.20 | 6 |
| Unlisted px hands/fingers CPT 26989 | $1,430.50 | $2,861.00 | $658.03 – $2,288.80 | 6 |
| Unlisted px leg/ankle CPT 27899 | $2,379.00 | $4,758.00 | $1,094.34 – $3,806.40 | 6 |
| Unlisted ultrasound procedure CPT 76999 | $312.50 | $625.00 | $135.01 – $469.60 | 7 |
| Unlisted urinalysis px CPT 81099 | $26.50 | $53.00 | $12.19 – $42.40 | 7 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $675.00 | $1,350.00 | $117.99 – $410.40 | 6 |
| Upgrade pm system CPT 33214 | not published | not published | $862.64 – $862.64 | 1 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,071.00 | $4,142.00 | $419.31 – $3,313.60 | 11 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,864.00 | $3,728.00 | $372.02 – $2,982.40 | 11 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,843.00 | $3,686.00 | $238.14 – $2,948.80 | 11 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,058.50 | $2,117.00 | $229.87 – $1,693.60 | 6 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,575.50 | $3,151.00 | $259.52 – $2,520.80 | 6 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $265.55 – $327.26 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $259.52 – $259.52 | 1 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,210.31 – $1,210.31 | 1 |
| Urea nitrogen CPT 84520 | $27.50 | $55.00 | $3.83 – $36.76 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $42.50 | $85.00 | $5.39 – $68.00 | 17 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $328.34 – $328.34 | 1 |
| Ureteral reflux study CPT 78740 | $1,403.50 | $2,807.00 | $347.00 – $2,245.60 | 11 |
| Ureter endoscopy CPT 50970 | not published | not published | $691.95 – $691.95 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $658.41 – $658.41 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $882.38 – $882.38 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $668.26 – $668.26 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $661.79 – $661.79 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $592.85 – $592.85 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $870.07 – $870.07 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $664.88 – $664.88 | 1 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,080.05 – $2,082.11 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,078.48 – $1,099.62 | 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.