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 |
|---|---|---|---|---|
| Laser surgery of prostate CPT 52647 | not published | not published | $1,232.76 – $1,232.76 | 1 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,313.05 – $1,313.05 | 1 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $187.26 – $187.26 | 1 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,824.38 – $1,824.38 | 1 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,968.39 – $1,968.39 | 1 |
| Lateral canthopexy CPT 21282 | $1,234.80 | $2,940.00 | $411.60 – $2,499.00 | 8 |
| Lat retinacular release open CPT 27425 | not published | not published | $864.23 – $864.23 | 1 |
| Lavage cannulation maxillary sinus CPT 31000 | $153.30 | $365.00 | $51.10 – $310.25 | 8 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $2,095.51 – $2,095.51 | 1 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $1,382.20 – $1,382.20 | 1 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,835.00 | $6,750.00 | $79.80 – $484.50 | 12 |
| Lead capillary CPT 83655 | $64.68 | $154.00 | $11.73 – $130.90 | 21 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $12,309.78 | $29,309.00 | $21.51 – $130.56 | 12 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $5,687.64 | $13,542.00 | $395.08 – $2,398.70 | 12 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,533.42 – $2,533.42 | 1 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,600.30 – $2,600.30 | 1 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $3,234.59 – $3,234.59 | 1 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,679.52 – $2,679.52 | 1 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $3,094.94 – $3,094.94 | 1 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,658.87 – $1,658.87 | 1 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,451.94 | $3,457.00 | $291.31 – $2,938.45 | 13 |
| Leishmania antibody CPT 86717 | $119.28 | $284.00 | $11.87 – $241.40 | 21 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,249.44 – $1,249.44 | 1 |
| Lengthening of palate CPT 42227 | not published | not published | $1,597.62 – $1,597.62 | 1 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,714.52 – $1,714.52 | 1 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,107.48 – $2,203.01 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $950.29 – $950.29 | 1 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,234.15 – $1,234.15 | 1 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,651.84 – $1,651.84 | 1 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $987.44 – $1,996.79 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,752.24 – $1,752.24 | 1 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,858.48 – $1,858.48 | 1 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,100.13 – $2,100.13 | 1 |
| Lens, intraocular (new tech) HCPCS C1780 | $497.70 | $1,185.00 | $21.00 – $127.50 | 12 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $207.90 | $495.00 | $4.76 – $28.90 | 12 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,044.75 | $2,487.50 | $9.10 – $55.25 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $366.80 | $873.33 | $11.90 – $72.25 | 12 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $165.55 | $394.15 | $6.86 – $84.58 | 13 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $2,040.57 | $4,858.50 | $63.39 – $470.86 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $10,378.04 | $24,709.60 | $1,153.11 – $7,001.03 | 15 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | $2,619.99 | $6,238.05 | $873.33 – $5,302.35 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $110.27 | $262.53 | $0.05 – $84.58 | 13 |
| Levetiracetam therapeutic drug level CPT 80177 | $91.14 | $217.00 | $12.84 – $184.45 | 21 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $86.84 | $206.75 | $0.80 – $175.74 | 13 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $153.79 | $366.15 | $43.68 – $265.16 | 8 |
| Liberta rc ipg HCPCS C1820 | $28,761.02 | $68,478.60 | $189.00 – $1,147.50 | 12 |
| Lidocaine injection HCPCS J2001 | $41.79 | $99.50 | $0.02 – $84.58 | 9 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $41.79 | $99.50 | $13.93 – $84.58 | 8 |
| Lidocaine therapeutic drug level CPT 80176 | $85.26 | $203.00 | $14.24 – $172.55 | 21 |
| Ligate esophagus veins CPT 43400 | not published | not published | $978.04 – $2,747.03 | 4 |
| Ligate leg veins open CPT 37761 | $2,505.30 | $5,965.00 | $835.10 – $5,070.25 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,020.50 – $1,020.50 | 1 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $140.03 – $241.16 | 4 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,023.25 – $1,043.32 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $820.45 – $820.45 | 1 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $698.59 – $698.59 | 1 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $699.28 – $699.28 | 1 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,002.12 | $2,386.00 | $334.04 – $2,028.10 | 9 |
| Ligation common iliac vein CPT 37660 | not published | not published | $608.63 – $620.57 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $439.55 – $439.55 | 1 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $1,390.39 – $1,390.39 | 1 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $1,300.38 – $1,300.38 | 1 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $1,336.13 – $1,336.13 | 1 |
| Ligation major artery chest CPT 37616 | not published | not published | $924.05 – $942.17 | 3 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $332.22 – $713.35 | 4 |
| Ligation major artery neck CPT 37615 | not published | not published | $953.82 – $953.82 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,147.48 – $1,147.48 | 1 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $875.99 – $2,383.92 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $814.55 – $814.55 | 1 |
| Ligation of inf vena cava CPT 37619 | $3,426.36 | $8,158.00 | $1,142.12 – $6,934.30 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $1,306.77 – $1,306.77 | 1 |
| Ligation of salivary duct CPT 42665 | not published | not published | $415.99 – $415.99 | 1 |
| Ligation of shunt CPT 49428 | not published | not published | $141.85 – $782.86 | 4 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,656.19 – $1,656.19 | 1 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $2,038.68 | $4,854.00 | $459.50 – $4,125.90 | 9 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $670.47 – $670.47 | 1 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,030.64 – $1,030.64 | 1 |
| Liletta, 52 mg HCPCS J7297 | $1,001.81 | $2,385.24 | $333.94 – $2,027.46 | 10 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $391.44 – $391.44 | 1 |
| Lincomycin injection HCPCS J2010 | $326.49 | $777.35 | $8.45 – $660.75 | 13 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $153.72 | $366.00 | $2.23 – $84.58 | 13 |
| Lipase CPT 83690 | $95.76 | $228.00 | $6.68 – $193.80 | 21 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $665.34 – $665.34 | 1 |
| Lipoprotein blood quant CPT 83704 | $265.44 | $632.00 | $33.13 – $537.20 | 21 |
| Lipoprotein direct measurement hdl CPT 83718 | $95.76 | $228.00 | $7.94 – $193.80 | 21 |
| Lipoprotein direct measurement ldl CPT 83721 | $86.94 | $207.00 | $10.18 – $175.95 | 21 |
| Lithium therapeutic drug level CPT 80178 | $109.62 | $261.00 | $6.41 – $221.85 | 21 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $3,001.74 | $7,147.00 | $1,000.58 – $6,074.95 | 9 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,207.08 | $2,874.00 | $402.36 – $2,442.90 | 11 |
| Liver elastography 91200 CPT 91200 | $151.20 | $360.00 | $38.05 – $306.00 | 9 |
| Liver Function Test CPT 80076 | $133.56 | $318.00 | $7.92 – $270.30 | 21 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $657.51 – $670.40 | 3 |
| Liver imaging CPT 78201 | $357.42 | $851.00 | $119.14 – $851.00 | 13 |
| Liver/spleen imag static only CPT 78215 | $580.86 | $1,383.00 | $193.62 – $1,175.55 | 13 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $480.06 | $1,143.00 | $160.02 – $971.55 | 13 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $892.48 – $892.48 | 1 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $41.79 | $99.50 | $1.11 – $84.58 | 13 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $79.43 | $189.10 | $26.48 – $160.74 | 10 |
| Low back disk surgery CPT 63030 | not published | not published | $1,660.20 – $1,660.20 | 1 |
| Low cost skin substitute app HCPCS C5271 | $363.72 | $866.00 | $121.24 – $736.10 | 9 |
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.