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 |
|---|---|---|---|---|
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $698.53 – $712.22 | 3 |
| Place gastrostomy tube perc CPT 49440 | $1,287.30 | $3,065.00 | $377.58 – $2,292.45 | 9 |
| Placement bile duct support CPT 47801 | not published | not published | $705.71 – $719.54 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,140.30 | $2,715.00 | $186.06 – $2,307.75 | 8 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,003.80 | $2,390.00 | $93.35 – $2,031.50 | 8 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $842.52 | $2,006.00 | $158.28 – $1,705.10 | 8 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $2,052.12 | $4,886.00 | $381.78 – $4,153.10 | 9 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $229.74 | $547.00 | $72.24 – $438.60 | 9 |
| Placement of drain pancreas CPT 48001 | not published | not published | $1,011.16 – $1,030.98 | 3 |
| Placement of seton CPT 46020 | not published | not published | $216.55 – $216.55 | 1 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $11,004.42 | $26,201.00 | $779.06 – $22,270.85 | 9 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $644.99 – $644.99 | 1 |
| Place needles h&n for right CPT 41019 | not published | not published | $938.62 – $938.62 | 1 |
| Place needles pelvic for right CPT 55920 | not published | not published | $883.05 – $883.05 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,659.90 | $11,095.00 | $354.14 – $8,187.20 | 8 |
| Place po breast cath for rad CPT 19296 | not published | not published | $378.78 – $378.78 | 1 |
| Place right device/marker pros CPT 55876 | not published | not published | $194.19 – $194.19 | 1 |
| Place slctv cath carotd art uni CPT 36224 | $5,120.64 | $12,192.00 | $644.36 – $8,912.25 | 8 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $3,021.06 | $7,193.00 | $506.27 – $5,285.30 | 8 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $2,013.06 | $4,793.00 | $563.36 – $3,420.40 | 8 |
| Place slctv cath subclavian art CPT 36225 | $2,765.28 | $6,584.00 | $572.59 – $4,766.80 | 8 |
| Place slctv cath vertebral art uni CPT 36226 | $5,837.58 | $13,899.00 | $641.21 – $10,155.80 | 8 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $124.32 | $296.00 | $24.92 – $151.30 | 9 |
| Plasma volume multiple CPT 78111 | $909.30 | $2,165.00 | $120.02 – $1,840.25 | 13 |
| Plastic mod low ext pad/line HCPCS L2275 | $139.22 | $331.47 | $46.41 – $281.75 | 10 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,495.70 – $1,495.70 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $235.62 | $561.00 | $24.13 – $476.85 | 21 |
| Platelet automated CPT 85049 | $52.92 | $126.00 | $4.35 – $107.10 | 21 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $22.60 – $22.60 | 1 |
| Platelet pheresis each unit HCPCS P9034 | $865.62 | $2,061.00 | $288.54 – $1,751.85 | 9 |
| Platelets each unit HCPCS P9019 | $87.78 | $209.00 | $29.12 – $176.80 | 9 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $464.94 | $1,107.00 | $154.98 – $940.95 | 9 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $795.06 | $1,893.00 | $264.60 – $1,606.50 | 9 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $704.76 | $1,678.00 | $234.92 – $1,426.30 | 9 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $500.22 | $1,191.00 | $166.18 – $1,008.95 | 9 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,121.40 | $2,670.00 | $373.80 – $2,269.50 | 9 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,069.32 | $2,546.00 | $170.66 – $1,036.15 | 9 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $2,346.96 | $5,588.00 | $489.26 – $4,749.80 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,521.28 | $8,384.00 | $374.56 – $7,126.40 | 9 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,080.68 | $4,954.00 | $379.66 – $4,210.90 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,080.68 | $4,954.00 | $635.86 – $4,210.90 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $716.94 | $1,707.00 | $238.98 – $1,450.95 | 11 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $570.78 | $1,359.00 | $158.28 – $1,155.15 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $570.78 | $1,359.00 | $79.46 – $1,155.15 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $1,106.70 | $2,635.00 | $290.24 – $2,239.75 | 11 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,831.62 | $4,361.00 | $118.69 – $3,706.85 | 8 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $979.86 | $2,333.00 | $93.14 – $1,983.05 | 8 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $758.52 | $1,806.00 | $79.25 – $1,535.10 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $530.46 | $1,263.00 | $83.01 – $1,073.55 | 9 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $934.91 – $1,649.09 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | $4,843.86 | $11,533.00 | $622.34 – $9,803.05 | 9 |
| Plmt biliary drainage cath CPT 47534 | $2,346.96 | $5,588.00 | $684.98 – $4,749.80 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $2,404.92 | $5,726.00 | $473.51 – $4,867.10 | 9 |
| Plmt ureteral stent prq CPT 50694 | $2,080.68 | $4,954.00 | $496.10 – $4,210.90 | 9 |
| Pm device progr eval dual CPT 93280 | $133.56 | $318.00 | $42.00 – $255.00 | 13 |
| Pm device progr eval multi CPT 93281 | $59.64 | $142.00 | $18.76 – $113.90 | 13 |
| Pm phone r-strip device eval CPT 93293 | $106.68 | $254.00 | $33.60 – $204.00 | 13 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $172.54 – $172.54 | 1 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $187.32 | $446.00 | $25.27 – $379.10 | 21 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $37,945.60 | $90,346.65 | $105.74 – $16,456.05 | 15 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $817.32 | $1,946.00 | $272.44 – $5,810.25 | 13 |
| Polysom any age 1-3> param CPT 95808 | $757.68 | $1,804.00 | $252.56 – $2,731.02 | 13 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,164.68 | $5,154.00 | $721.56 – $4,380.90 | 13 |
| Positional change of finger CPT 26555 | not published | not published | $2,590.71 – $2,590.71 | 1 |
| Postop app non-wgt bear dsg HCPCS L5450 | $295.07 | $702.54 | $92.85 – $563.72 | 10 |
| Postpartum Care Only CPT 59430 | $1,078.56 | $2,568.00 | $320.31 – $2,182.80 | 9 |
| Potassium 24 hour urine CPT 84133 | $53.76 | $128.00 | $4.58 – $108.80 | 21 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $86.84 | $206.75 | $0.09 – $84.58 | 13 |
| Potassium serum/plasma/whole blood CPT 84132 | $47.88 | $114.00 | $4.61 – $87.55 | 21 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $9.01 | $21.45 | $3.01 – $18.24 | 8 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $2.27 | $5.39 | $0.76 – $4.59 | 8 |
| Pq biliary strict dil s&i CPT 74363 | $1,630.44 | $3,882.00 | $138.50 – $3,141.60 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $738.36 | $1,758.00 | $109.31 – $1,315.80 | 13 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $7,788.90 | $18,545.00 | $876.50 – $10,778.00 | 9 |
| Pq thr inj ext pse CPT 36002 | $310.38 | $739.00 | $103.46 – $628.15 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $829.08 | $1,974.00 | $276.36 – $1,677.90 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $2,181.90 | $5,195.00 | $661.78 – $4,017.95 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $2,050.86 | $4,883.00 | $683.62 – $4,150.55 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $166.53 | $396.48 | $55.51 – $337.01 | 9 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,802.64 | $4,292.00 | $600.88 – $3,648.20 | 8 |
| Pr application of long arm splint CPT 29105 | $176.40 | $420.00 | $58.80 – $357.00 | 9 |
| Pr application splint static short arm CPT 29125 | $157.08 | $374.00 | $52.36 – $317.90 | 9 |
| Pr biopsy skin punch single lesion CPT 11104 | $254.52 | $606.00 | $84.84 – $515.10 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,152.38 – $1,152.38 | 1 |
| Pr correction hammertoe CPT 28285 | not published | not published | $746.84 – $746.84 | 1 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $14.70 | $35.00 | $4.90 – $29.75 | 9 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $1,222.62 | $2,911.00 | $224.67 – $2,474.35 | 11 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,222.62 | $2,911.00 | $224.67 – $2,474.35 | 11 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $291.40 – $291.40 | 1 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $220.50 | $525.00 | $63.14 – $383.35 | 9 |
| Prealbumin CPT 84134 | $90.30 | $215.00 | $14.14 – $182.75 | 21 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $120.56 | $287.04 | $0.20 – $97.51 | 13 |
| Prednisone 1 mg tablet HCPCS J7512 | $351.96 | $838.00 | $0.01 – $2.98 | 13 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $370.42 – $370.42 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $568.68 | $1,354.00 | $167.52 – $1,115.20 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $444.36 | $1,058.00 | $133.90 – $899.30 | 13 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $774.88 – $774.88 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $1,421.51 – $1,421.51 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $72.79 – $72.79 | 1 |
| Preparation palate mold CPT 42280 | not published | not published | $207.90 – $207.90 | 1 |
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.