CHI Health Immanuel
6901 N 72nd St, Omaha, NE · Chihealth · · NPI 1912085184
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 |
|---|---|---|---|---|
| Ins pq tunnld ip cath w/img CPT 49418 | $3,087.42 | $7,351.00 | $373.36 – $5,748.55 | 9 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $16,197.30 | $38,565.00 | $631.05 – $32,780.25 | 9 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $14,044.38 | $33,439.00 | $857.72 – $28,423.15 | 9 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $8,103.90 | $19,295.00 | $609.69 – $16,400.75 | 9 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $7,105.56 | $16,918.00 | $582.31 – $14,380.30 | 9 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $8,471.82 | $20,171.00 | $818.45 – $15,921.35 | 9 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $555.11 – $555.11 | 1 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $23,509.50 | $55,975.00 | $594.66 – $47,578.75 | 9 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $955.29 – $955.29 | 1 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $209.31 – $209.31 | 1 |
| Install spinal shunt CPT 63740 | not published | not published | $806.07 – $1,759.28 | 4 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $1,229.13 – $1,229.13 | 1 |
| Inst fibrinolysis agent ini day CPT 32561 | $348.18 | $829.00 | $105.98 – $643.45 | 9 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $599.76 | $1,428.00 | $112.79 – $1,213.80 | 9 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $2,664.90 | $6,345.00 | $888.30 – $5,393.25 | 9 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $437.22 | $1,041.00 | $81.67 – $884.85 | 8 |
| Instill, bupivac and meloxic HCPCS C9088 | $588.92 | $1,402.17 | $97.07 – $589.35 | 8 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $183.94 – $183.94 | 1 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $653.92 – $653.92 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $580.55 – $580.55 | 1 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $2,485.56 | $5,918.00 | $480.33 – $4,678.40 | 9 |
| Ins tun intraperit dia cath CPT 49421 | $2,742.18 | $6,529.00 | $405.83 – $5,235.15 | 9 |
| Inst via cath agent pleurds CPT 32560 | $428.82 | $1,021.00 | $139.92 – $867.85 | 9 |
| Insulin total CPT 83525 | $126.00 | $300.00 | $11.08 – $255.00 | 21 |
| Ins vag brachytx device CPT 57156 | $226.38 | $539.00 | $75.46 – $458.15 | 9 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $4,290.87 | $10,216.35 | $1,258.66 – $7,641.84 | 9 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $104.14 | $247.95 | $34.72 – $210.76 | 12 |
| Interdental fixation CPT 21110 | $552.30 | $1,315.00 | $184.10 – $1,117.75 | 8 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,120.88 – $1,120.88 | 1 |
| Interdiscal perq aspir dx CPT 62267 | $389.34 | $927.00 | $129.78 – $787.95 | 9 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $339.23 – $339.23 | 1 |
| Interrog dev eval scrms ip CPT 93291 | $31.08 | $74.00 | $10.36 – $62.90 | 13 |
| Interrog device eval heart CPT 93289 | $294.42 | $701.00 | $68.31 – $540.60 | 13 |
| Interrog evl pm/ldls pm ip CPT 93288 | $165.06 | $393.00 | $51.94 – $315.35 | 13 |
| Interrog&prgrmg ipnss polysm CPT 93152 | $627.90 | $1,495.00 | $209.30 – $1,270.75 | 9 |
| Interstitial brachy inter CPT 77799 | $2,212.98 | $5,269.00 | $399.98 – $2,428.45 | 9 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,204.77 – $2,566.64 | 4 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $770.44 – $785.54 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $643.15 – $643.15 | 1 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $719.63 – $719.63 | 1 |
| Intra-atrial pacing CPT 93610 | $1,918.56 | $4,568.00 | $95.00 – $3,662.65 | 9 |
| Intra-atrial recording CPT 93602 | $4,781.70 | $11,385.00 | $78.81 – $3,662.65 | 9 |
| Intracard echo interv w/s&i CPT 93662 | $2,445.24 | $5,822.00 | $41.62 – $4,948.70 | 9 |
| Intracran angioplsty w/stent CPT 61635 | $11,422.32 | $27,196.00 | $1,051.28 – $23,116.60 | 11 |
| Intracranial angioplasty CPT 61630 | $12,964.14 | $30,867.00 | $491.72 – $26,236.95 | 11 |
| Intracranial complete study CPT 93886 | $336.00 | $800.00 | $112.00 – $680.00 | 13 |
| Intracranial limited study CPT 93888 | $309.12 | $736.00 | $103.04 – $625.60 | 13 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $2,094.82 – $2,135.90 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,674.33 – $3,746.37 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,537.11 – $2,586.85 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,847.71 – $3,923.15 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,943.58 – $1,981.69 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,059.53 – $3,119.52 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $129.78 – $129.78 | 1 |
| Intranasal reconstruction CPT 30620 | not published | not published | $1,284.82 – $1,284.82 | 1 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $301.56 – $301.56 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $338.94 | $807.00 | $112.98 – $685.95 | 8 |
| Intrapul surf admin endo tube CPT 94610 | $129.36 | $308.00 | $21.84 – $200.20 | 9 |
| Intrauterine transfusion ftl CPT 36460 | $496.02 | $1,181.00 | $165.34 – $1,003.85 | 9 |
| Intraventricular pacing CPT 93612 | $2,433.48 | $5,794.00 | $109.70 – $4,646.10 | 9 |
| Intrinsic factor antibody CPT 86340 | $45.36 | $108.00 | $14.62 – $108.00 | 21 |
| Intro cath dialysis circuit CPT 36901 | $869.82 | $2,071.00 | $289.94 – $1,760.35 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $9,665.04 | $23,012.00 | $437.98 – $19,560.20 | 9 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $7,055.58 | $16,799.00 | $64.54 – $391.85 | 9 |
| Intro catheter aorta CPT 36200 | $765.24 | $1,822.00 | $246.73 – $1,548.70 | 9 |
| Intro cath svc/ivc CPT 36010 | $687.12 | $1,636.00 | $195.47 – $1,390.60 | 9 |
| Intro long gi tube CPT 44500 | $451.50 | $1,075.00 | $35.85 – $913.75 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $281.40 | $670.00 | $93.80 – $569.50 | 9 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $268.63 – $268.63 | 1 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,126.46 | $5,063.00 | $158.84 – $4,303.55 | 9 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $170.10 | $405.00 | $56.70 – $344.25 | 9 |
| Intubation endotracheal emergency procedure CPT 31500 | $454.02 | $1,081.00 | $120.68 – $732.70 | 9 |
| Ionm remote/>1 pt or per hr CPT 95941 | $708.54 | $1,687.00 | $236.18 – $1,433.95 | 9 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $170.06 | $404.90 | $0.03 – $0.17 | 9 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $488.25 | $1,162.50 | $0.11 – $1.70 | 9 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $74,568.32 | $177,543.60 | $143.84 – $37,728.10 | 15 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $68.96 | $164.18 | $3.25 – $84.58 | 13 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,667.90 | $13,495.00 | $51.57 – $11,470.75 | 15 |
| Iron CPT 83540 | $65.52 | $156.00 | $6.27 – $127.50 | 21 |
| Iron binding capacity CPT 83550 | $79.38 | $189.00 | $8.47 – $160.65 | 21 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $71.58 | $170.41 | $15.28 – $121.60 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $136.86 | $325.85 | $0.20 – $122.57 | 13 |
| Irradiation of blood product each unit reference CPT 86945 | $76.86 | $183.00 | $25.62 – $155.55 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $71.40 | $170.00 | $23.80 – $144.50 | 13 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $362.38 – $362.38 | 1 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $48.03 – $48.03 | 1 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,585.94 – $1,585.94 | 1 |
| Ivc venogram s&i CPT 75825 | $1,691.76 | $4,028.00 | $116.24 – $2,978.40 | 13 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $128.10 | $305.00 | $18.06 – $198.25 | 9 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $100.80 | $240.00 | $33.60 – $204.00 | 9 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $26.88 | $64.00 | $8.96 – $54.40 | 9 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $313.32 | $746.00 | $104.44 – $634.10 | 9 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $194.80 – $194.80 | 1 |
| Ivp w/nephrotomography CPT 74415 | $757.68 | $1,804.00 | $241.92 – $1,533.40 | 13 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $338.52 | $806.00 | $112.84 – $685.10 | 13 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $12,198.86 | $29,044.90 | $108.35 – $24,688.17 | 15 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,001.32 – $1,001.32 | 1 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,138.64 – $1,138.64 | 1 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $446.10 – $446.10 | 1 |
| J-tube placement CPT 44015 | not published | not published | $166.85 – $252.19 | 4 |
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.