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 |
|---|---|---|---|---|
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $568.00 | $1,136.00 | $93.72 – $908.80 | 7 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,408.24 – $1,408.24 | 1 |
| Urethrocystography void s&i CPT 74455 | $579.00 | $1,158.00 | $167.31 – $926.40 | 11 |
| Uric acid blood CPT 84550 | $60.50 | $121.00 | $4.38 – $96.80 | 17 |
| Uric acid urine CPT 84560 | $25.00 | $50.00 | $4.93 – $44.23 | 17 |
| Urinalysis microscopic only CPT 81015 | $47.50 | $95.00 | $2.96 – $76.00 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $24.00 | $48.00 | $2.10 – $38.40 | 17 |
| Urinalysis (with microscopy) CPT 81001 | $70.50 | $141.00 | $3.07 – $107.20 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $36.50 | $73.00 | $2.18 – $54.40 | 17 |
| Urinary reflex study CPT 51792 | not published | not published | $413.64 – $413.64 | 1 |
| Urine Culture Test CPT 87086 | $77.50 | $155.00 | $7.82 – $124.00 | 17 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $10.29 – $10.29 | 1 |
| Urine pregnancy test CPT 81025 | $73.00 | $146.00 | $8.06 – $116.80 | 17 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,271.84 – $1,296.78 | 3 |
| Urography, antegrade CPT 74425 | $476.50 | $953.00 | $212.08 – $762.40 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $38.92 | $77.83 | $13.12 – $62.27 | 13 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $14,065.59 | $28,131.18 | $161.15 – $19,352.66 | 13 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $186.00 | $372.00 | $79.69 – $277.16 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $28.31 | $56.61 | $10.19 – $35.42 | 7 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $65.70 | $131.39 | $30.22 – $105.12 | 8 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $48.16 | $96.32 | $22.16 – $77.06 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $28.10 | $56.19 | $12.93 – $44.96 | 7 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $6.37 | $12.73 | $2.93 – $11.46 | 7 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $34.05 | $68.09 | $13.04 – $51.02 | 7 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $27.96 | $55.91 | $12.86 – $44.73 | 7 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $22.80 | $45.60 | $7.49 – $35.37 | 12 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $21.19 | $42.38 | $8.12 – $29.51 | 12 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $64.22 | $128.43 | $28.26 – $102.75 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $15.05 | $30.10 | $6.63 – $24.08 | 12 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $51.45 | $102.90 | $22.64 – $82.32 | 12 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $16.04 | $32.08 | $7.06 – $25.67 | 12 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $12.25 | $24.50 | $5.39 – $25.48 | 12 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $25.72 | $51.43 | $11.32 – $41.15 | 12 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $166.99 | $333.97 | $76.82 – $267.18 | 8 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $55.50 | $111.00 | $25.53 – $115.44 | 8 |
| Vaccine mmr live subcutaneous CPT 90707 | $130.27 | $260.53 | $19.71 – $77.11 | 7 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $112.98 | $225.96 | $49.72 – $180.77 | 12 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $193.47 | $386.94 | $85.13 – $309.56 | 12 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $233.80 | $467.60 | $107.55 – $374.08 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $41.02 | $82.03 | $18.87 – $65.63 | 7 |
| Vaccine rabies im CPT 90675 | $164.15 | $328.29 | $75.51 – $341.43 | 9 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $525.94 | $1,051.87 | $216.46 – $752.88 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $262.97 | $525.94 | $120.97 – $420.76 | 6 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $20.30 | $40.60 | $9.34 – $42.22 | 8 |
| Vaccine tdap >=7 years im CPT 90715 | $47.50 | $94.99 | $16.95 – $58.96 | 7 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $38.94 | $77.88 | $10.01 – $34.82 | 7 |
| Vaccine varicella live subcutaneous CPT 90716 | $86.95 | $173.89 | $40.00 – $180.85 | 9 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $91.80 | $183.60 | $21.66 – $75.32 | 6 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,866.92 – $1,866.92 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $2,327.58 – $2,327.58 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,742.31 – $1,742.31 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,452.42 – $2,452.42 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $2,278.02 – $2,278.02 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,679.18 – $1,679.18 | 1 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,600.18 – $1,600.18 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,576.79 – $1,576.79 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,254.41 – $3,254.41 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,397.01 – $3,254.41 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $788.62 – $1,698.08 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $110.52 – $200.45 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $879.28 – $896.52 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $864.46 – $881.41 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $144.50 | $289.00 | $13.12 – $231.20 | 17 |
| Valrubicin injection HCPCS J9357 | $167.08 | $334.16 | $76.86 – $347.53 | 13 |
| Valvuloplasty aortic CPT 92986 | $2,598.00 | $5,196.00 | $1,195.08 – $4,156.80 | 6 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,760.69 – $1,795.22 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,086.44 – $2,127.35 | 3 |
| Valvuloplasty mitral CPT 92987 | $4,752.00 | $9,504.00 | $2,185.92 – $7,603.20 | 6 |
| Valvuloplasty pulmonary CPT 92990 | $4,871.00 | $9,742.00 | $1,954.89 – $7,793.60 | 6 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,832.38 – $1,868.31 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,947.88 – $1,986.08 | 3 |
| Vancomycin hcl injection HCPCS J3370 | $0.93 | $1.86 | $0.43 – $1.86 | 11 |
| Vancomycin peak therapeutic drug level CPT 80202 | $184.50 | $369.00 | $13.12 – $295.20 | 17 |
| Varicella zoster antibody igg CPT 86787 | $74.00 | $148.00 | $12.48 – $118.40 | 17 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,378.52 – $1,378.52 | 1 |
| Vasectomy CPT 55250 | not published | not published | $439.34 – $439.34 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $41.73 | $83.45 | $19.20 – $66.76 | 6 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $4,679.96 | $9,359.91 | $23.31 – $7,487.93 | 13 |
| Veeg cont 2-12 hrs CPT 95713 | $421.00 | $842.00 | $193.66 – $673.60 | 7 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $220.00 | $440.00 | $101.20 – $352.00 | 7 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,416.13 – $1,443.89 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,751.28 – $1,785.62 | 3 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,302.46 – $1,328.00 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Vein x-ray adrenal gland CPT 75840 | $1,840.50 | $3,681.00 | $141.04 – $2,944.80 | 11 |
| Vein x-ray adrenal glands CPT 75842 | $1,872.00 | $3,744.00 | $166.89 – $2,995.20 | 11 |
| Vein x-ray kidney CPT 75831 | $1,224.00 | $2,448.00 | $129.05 – $1,958.40 | 11 |
| Vein x-ray liver CPT 75891 | $860.50 | $1,721.00 | $137.26 – $1,376.80 | 11 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,028.00 | $4,056.00 | $136.00 – $3,244.80 | 11 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,285.00 | $2,570.00 | $136.00 – $2,056.00 | 11 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,759.00 | $5,518.00 | $137.26 – $4,414.40 | 11 |
| Vein x-ray skull CPT 75870 | $1,688.50 | $3,377.00 | $184.55 – $2,701.60 | 11 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $117.00 | $234.00 | $14.95 – $52.00 | 6 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $17.01 – $17.01 | 1 |
| Venogram ext bil s&i CPT 75822 | $976.00 | $1,952.00 | $123.80 – $1,561.60 | 11 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $787.00 | $1,574.00 | $111.83 – $1,259.20 | 11 |
| Venous mech thrombectomy CPT 37187 | $5,746.50 | $11,493.00 | $712.87 – $9,194.40 | 6 |
| Venous m-thrombectomy add-on CPT 37188 | $4,654.50 | $9,309.00 | $506.71 – $7,447.20 | 6 |
| Venous sampling s&i CPT 75893 | $1,500.50 | $3,001.00 | $150.49 – $2,400.80 | 11 |
| Ventilator each subsequent day CPT 94003 | $383.00 | $766.00 | $110.02 – $612.80 | 7 |
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.