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 |
|---|---|---|---|---|
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $277.50 | $555.00 | $55.69 – $444.00 | 11 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $366.50 | $733.00 | $70.20 – $586.40 | 11 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $299.00 | $598.00 | $53.80 – $478.40 | 11 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $179.00 | $358.00 | $45.61 – $286.40 | 11 |
| X-ray scapula complete (both sides) CPT 73010 | $244.00 | $488.00 | $28.58 – $390.40 | 11 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $167.50 | $335.00 | $26.69 – $268.00 | 11 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $282.00 | $564.00 | $51.28 – $451.20 | 11 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $654.00 | $1,308.00 | $66.42 – $1,046.40 | 11 |
| X-ray skull < 4 views CPT 70250 | $139.00 | $278.00 | $51.91 – $222.40 | 11 |
| X-ray skull > 4 views complete CPT 70260 | $343.00 | $686.00 | $58.84 – $548.80 | 11 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $463.00 | $926.00 | $158.49 – $740.80 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $586.50 | $1,173.00 | $93.53 – $938.40 | 7 |
| X-ray spine single view CPT 72020 | $216.00 | $432.00 | $31.10 – $345.60 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $175.50 | $351.00 | $58.21 – $280.80 | 11 |
| X-ray sternum > 2 views CPT 71120 | $96.50 | $193.00 | $44.39 – $154.40 | 11 |
| X-ray surgical specimen CPT 76098 | $277.00 | $554.00 | $43.52 – $443.20 | 11 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $421.00 | $842.00 | $188.12 – $673.60 | 11 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $187.50 | $375.00 | $78.39 – $300.00 | 11 |
| X-ray thoracic spine 2 views CPT 72070 | $219.00 | $438.00 | $43.72 – $350.40 | 11 |
| X-ray thoracic spine 3 views CPT 72072 | $306.50 | $613.00 | $54.43 – $490.40 | 11 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $200.00 | $400.00 | $46.24 – $320.00 | 11 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $177.50 | $355.00 | $56.95 – $284.00 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $394.00 | $788.00 | $104.24 – $630.40 | 7 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $266.00 | $532.00 | $44.98 – $425.60 | 11 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $189.50 | $379.00 | $43.09 – $303.20 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $578.00 | $1,156.00 | $183.08 – $818.40 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $495.00 | $990.00 | $160.38 – $792.00 | 11 |
| X-ray upper gi&small intest CPT 74245 | $756.00 | $1,512.00 | $347.76 – $1,209.60 | 7 |
| X-ray wrist 2 views (both sides) CPT 73100 | $165.00 | $330.00 | $48.76 – $264.00 | 11 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $1,262.50 | $2,525.00 | $126.95 – $2,020.00 | 11 |
| Xyntha inj HCPCS J7185 | $0.57 | $1.14 | $0.20 – $3.42 | 16 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $0.67 | $1.34 | $0.31 – $1.34 | 11 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $19.16 | $38.31 | $8.23 – $30.65 | 11 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $17.14 | $34.27 | $0.06 – $0.23 | 11 |
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.