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 |
|---|---|---|---|---|
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $42.00 | $100.00 | $13.72 – $85.00 | 21 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $127.26 | $303.00 | $13.12 – $257.55 | 21 |
| Mayo vasoactive intestinal peptide CPT 84586 | $746.34 | $1,777.00 | $34.23 – $1,510.45 | 21 |
| Mayo vitamin b3 (niacin) CPT 84591 | $133.56 | $318.00 | $9.52 – $68.00 | 21 |
| Mayo vitamin k CPT 84597 | $159.18 | $379.00 | $13.29 – $322.15 | 21 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $91.14 | $217.00 | $12.84 – $184.45 | 21 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $684.60 – $1,519.25 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $957.60 – $957.60 | 1 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,024.49 – $1,024.49 | 1 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,084.69 – $1,084.69 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,738.38 – $1,738.38 | 1 |
| Measure kidney pressure CPT 50396 | not published | not published | $218.95 – $218.95 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | $118.02 | $281.00 | $21.02 – $238.85 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $167.08 – $167.08 | 1 |
| #mec-opiates CPT 80356 | $10.08 | $24.00 | $3.36 – $24.00 | 9 |
| Medial canthopexy CPT 21280 | not published | not published | $1,125.58 – $1,125.58 | 1 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $716.92 – $716.92 | 1 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $551.10 – $551.10 | 1 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $138.29 | $329.25 | $0.49 – $84.58 | 9 |
| Melphalan oral 2 mg HCPCS J8600 | $905.02 | $2,154.80 | $9.47 – $1,831.58 | 11 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $1,212.54 | $2,887.00 | $37.80 – $229.50 | 13 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $3,089.88 – $3,089.88 | 1 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $41.79 | $99.50 | $5.12 – $84.58 | 13 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $7,746.55 | $18,444.15 | $25.86 – $12,985.20 | 15 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $134.14 | $319.36 | $0.27 – $84.58 | 13 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $466.64 – $466.64 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $132.51 | $315.50 | $2.61 – $84.58 | 13 |
| Metabolic Blood Panel (Basic) CPT 80048 | $164.64 | $392.00 | $8.20 – $333.20 | 21 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $204.96 | $488.00 | $10.23 – $414.80 | 21 |
| Metabolic panel ionized ca CPT 80047 | $170.52 | $406.00 | $13.30 – $345.10 | 21 |
| Metatarsal joint implant HCPCS L8641 | $945.95 | $2,252.25 | $70.00 – $425.00 | 12 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $226.80 | $540.00 | $1.27 – $282.99 | 13 |
| Methadone injection HCPCS J1230 | $902.37 | $2,148.50 | $17.57 – $842.44 | 13 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $41.79 | $99.50 | $6.88 – $84.58 | 13 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $361.71 | $861.20 | $0.20 – $2.98 | 13 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $63.93 | $152.20 | $4.50 – $84.58 | 13 |
| Methotrexate therapeutic drug level CPT 80204 | $118.86 | $283.00 | $37.37 – $240.55 | 17 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2,017.24 | $4,802.95 | $2.99 – $18.54 | 10 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $42.91 | $102.16 | $13.93 – $84.58 | 13 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $326.38 | $777.08 | $2.57 – $660.51 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $205.30 | $488.80 | $0.20 – $4.16 | 13 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $89.51 | $213.10 | $13.93 – $84.58 | 8 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $41.79 | $99.50 | $0.79 – $84.58 | 13 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $86.84 | $206.75 | $28.95 – $175.74 | 8 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $149.82 | $356.70 | $0.36 – $84.58 | 13 |
| Microalbumin urine screen CPT 82044 | $5.88 | $14.00 | $1.96 – $14.00 | 21 |
| Microdissection laser CPT 88380 | $57.54 | $137.00 | $19.18 – $137.00 | 13 |
| Microdissection manual CPT 88381 | $203.28 | $484.00 | $67.76 – $484.00 | 13 |
| Microsatellite instability CPT 81301 | $771.54 | $1,837.00 | $257.18 – $1,837.00 | 21 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $371.85 – $371.85 | 1 |
| Microvolt t-wave assess CPT 93025 | $184.38 | $439.00 | $61.46 – $373.15 | 13 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $66.45 | $158.20 | $0.12 – $84.58 | 13 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $86.84 | $206.75 | $28.95 – $175.74 | 8 |
| Middle cerebral artery echo CPT 76821 | $168.00 | $400.00 | $56.00 – $340.00 | 13 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $86.84 | $206.75 | $1.18 – $84.58 | 13 |
| Minocycline hydrochloride HCPCS J2265 | $415.58 | $989.46 | $2.47 – $841.05 | 10 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $13,623.04 | $32,435.80 | $4,541.02 – $27,570.43 | 8 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $2,466.94 | $5,873.65 | $37.45 – $247.70 | 15 |
| Mitomycin instillation HCPCS J9281 | $2,438.84 | $5,806.75 | $249.53 – $4,935.74 | 15 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $214.26 | $510.13 | $71.42 – $433.62 | 15 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,211.51 – $2,254.88 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,973.14 – $1,973.14 | 1 |
| Mnl appl strs jt radiography CPT 77071 | $73.50 | $175.00 | $24.50 – $175.00 | 13 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $155.23 – $155.23 | 1 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $274.16 – $274.16 | 1 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $260.97 – $260.97 | 1 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $369.41 – $369.41 | 1 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $848.36 – $848.36 | 1 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $457.88 – $457.88 | 1 |
| Mnt subs tx for change dx HCPCS G0270 | $54.18 | $129.00 | $18.06 – $109.65 | 16 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $119.69 – $216.13 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,190.79 – $1,214.14 | 3 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $464.14 – $1,045.72 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $336.00 | $800.00 | $112.00 – $680.00 | 8 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $4,578.53 | $10,901.25 | $1,256.85 – $7,630.88 | 12 |
| Monovisc inj per dose HCPCS J7327 | $1,705.31 | $4,060.26 | $553.47 – $3,451.23 | 13 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $122.48 | $291.60 | $2.64 – $84.58 | 13 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $41.79 | $99.50 | $13.93 – $84.58 | 8 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $634.41 | $1,510.50 | $8.89 – $84.58 | 13 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $352.80 | $840.00 | $117.60 – $840.00 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $312.48 | $744.00 | $104.16 – $632.40 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $196.98 | $469.00 | $65.66 – $423.31 | 13 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $540.46 – $540.46 | 1 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $352.80 | $840.00 | $55.44 – $396.00 | 13 |
| M/phmtrc alysishquant/semiq CPT 88369 | $435.12 | $1,036.00 | $145.04 – $880.60 | 13 |
| MRA abdomen post contrast CPT 74185 | $1,195.32 | $2,846.00 | $398.44 – $2,419.10 | 13 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $801.78 | $1,909.00 | $149.80 – $1,070.00 | 13 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $2,103.78 | $5,009.00 | $373.24 – $2,266.10 | 13 |
| MRA pelvis CPT 72198 | $1,010.94 | $2,407.00 | $249.90 – $1,642.61 | 13 |
| MRA spinal canal CPT 72159 | $1,414.98 | $3,369.00 | $471.66 – $2,863.65 | 13 |
| MRA upper extremity post contrast-bil CPT 73225 | $748.02 | $1,781.00 | $54.18 – $387.00 | 13 |
| Mr elastography CPT 76391 | $194.04 | $462.00 | $64.68 – $392.70 | 9 |
| MRI breast c- unilateral CPT 77046 | $201.60 | $480.00 | $67.20 – $408.00 | 9 |
| MRI breast c-+ w/cad uni CPT 77048 | $60.48 | $144.00 | $20.16 – $149.76 | 11 |
| MRI breast without cont bi CPT 77047 | $201.60 | $480.00 | $67.20 – $408.00 | 9 |
| MRI breast w IV cont bi CPT 77049 | $1,505.70 | $3,585.00 | $461.56 – $3,047.25 | 11 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $610.26 | $1,453.00 | $203.42 – $1,235.05 | 13 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,419.18 | $3,379.00 | $473.06 – $2,872.15 | 13 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,533.00 | $3,650.00 | $511.00 – $3,102.50 | 13 |
| MRI chest without contrast CPT 71550 | $1,755.60 | $4,180.00 | $527.14 – $3,553.00 | 13 |
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.