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 |
|---|---|---|---|---|
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $106.72 – $106.72 | 1 |
| Artiss fibrin sealant HCPCS C9250 | $1,275.75 | $3,037.50 | $176.65 – $1,147.50 | 10 |
| Art trnsposj carotid subclav CPT 35695 | not published | not published | $1,044.19 – $1,801.28 | 4 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $1,044.03 – $1,736.11 | 4 |
| Art trnsposj subclavian CPT 35693 | not published | not published | $877.68 – $1,477.39 | 4 |
| Art trnsposj vertbrl carotid CPT 35691 | not published | not published | $1,185.30 – $1,662.86 | 4 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $2,486.33 – $2,535.08 | 3 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $2,329.77 – $2,375.45 | 3 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $2,329.77 – $2,375.45 | 3 |
| Ascenda two piece catheter HCPCS C1772 | $29,206.80 | $69,540.00 | $1,568.00 – $9,520.00 | 12 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,515.52 – $1,545.23 | 3 |
| Asp core fat pad CPT 17999 | $154.56 | $368.00 | $51.52 – $312.80 | 8 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $308.78 – $308.78 | 1 |
| Asp & inj w/heparin pleurx cath CPT 32999 | $963.48 | $2,294.00 | $321.16 – $1,949.90 | 9 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $1,943.76 | $4,628.00 | $268.44 – $3,933.80 | 8 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $417.48 | $994.00 | $77.34 – $844.90 | 8 |
| Aspirate pleura without imaging 32554 CPT 32554 | $435.96 | $1,038.00 | $22.26 – $135.15 | 8 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $636.30 | $1,515.00 | $137.78 – $1,287.75 | 9 |
| Aspiration orbital contents CPT 67415 | not published | not published | $195.20 – $195.20 | 1 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $588.84 | $1,402.00 | $91.50 – $1,191.70 | 9 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | $1,270.92 | $3,026.00 | $423.64 – $2,572.10 | 9 |
| Assay acid phosphatase CPT 84060 | $3.78 | $9.00 | $1.26 – $16.96 | 21 |
| Assay blood catecholamines CPT 82383 | $178.92 | $426.00 | $28.18 – $362.10 | 21 |
| Assay of adp & amp CPT 82030 | $202.02 | $481.00 | $25.00 – $408.85 | 21 |
| Assay of breath ethanol CPT 82075 | $40.32 | $96.00 | $13.44 – $94.81 | 21 |
| Assay of estrogen CPT 84233 | $208.74 | $497.00 | $69.58 – $497.00 | 21 |
| Assay of galactose CPT 82760 | $41.16 | $98.00 | $10.85 – $83.30 | 21 |
| Assay of neonatal thyroxine CPT 84437 | $17.22 | $41.00 | $5.74 – $41.00 | 21 |
| Assay of osteocalcin CPT 83937 | $85.68 | $204.00 | $28.56 – $204.00 | 21 |
| Assay of procainamide w/metab CPT 80192 | $81.90 | $195.00 | $16.23 – $165.75 | 21 |
| Assay of progesterone CPT 84234 | $208.74 | $497.00 | $62.87 – $497.00 | 21 |
| Assay of PSA complexed CPT 84152 | $336.42 | $801.00 | $17.82 – $680.85 | 21 |
| Assay of salicylate CPT 80179 | $180.18 | $429.00 | $18.06 – $364.65 | 17 |
| Assay of sialic acid CPT 84275 | $11.76 | $28.00 | $3.92 – $29.84 | 21 |
| Assay of somatostatin CPT 84307 | $142.80 | $340.00 | $17.72 – $289.00 | 21 |
| Assay of thiocyanate CPT 84430 | $46.20 | $110.00 | $11.27 – $93.50 | 21 |
| Assay of tyrosine CPT 84510 | $125.58 | $299.00 | $10.30 – $254.15 | 21 |
| Assay of urine sulfate CPT 84392 | $34.86 | $83.00 | $5.32 – $70.55 | 21 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $139.86 | $333.00 | $46.62 – $283.05 | 11 |
| Assess cyst contrast inject CPT 49424 | $366.24 | $872.00 | $69.70 – $682.55 | 9 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $54.60 | $130.00 | $4.14 – $110.50 | 21 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $411.16 – $411.16 | 1 |
| Assistive tech assessment, ot CPT 97755 | $97.86 | $233.00 | $32.62 – $198.05 | 9 |
| Ast/sgot CPT 84450 | $45.36 | $108.00 | $5.02 – $91.80 | 21 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $23,628.83 | $56,259.10 | $69.80 – $26,294.60 | 15 |
| Athletic trn eval high cmplx CPT 97171 | $60.90 | $145.00 | $20.30 – $158.00 | 13 |
| Athletic trn eval mod cmplx CPT 97170 | $60.90 | $145.00 | $20.30 – $158.00 | 13 |
| Athletic trn re-eval plan cr CPT 97172 | $53.76 | $128.00 | $17.92 – $158.00 | 13 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $6,931.26 | $16,503.00 | $1,057.79 – $14,027.55 | 9 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $9,941.82 | $23,671.00 | $1,231.73 – $20,120.35 | 9 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $61.41 | $146.20 | $0.07 – $84.58 | 13 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $805.60 – $1,526.70 | 4 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $664.42 – $1,315.88 | 4 |
| Attach ocular implant CPT 65140 | not published | not published | $1,773.22 – $1,773.22 | 1 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $191.52 | $456.00 | $53.48 – $324.70 | 9 |
| Augmentation cheek bone CPT 21270 | not published | not published | $1,396.16 – $1,396.16 | 1 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $1,278.69 – $1,278.69 | 1 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,479.09 – $1,479.09 | 1 |
| Augmentation of facial bones CPT 21208 | not published | not published | $1,410.44 – $1,410.44 | 1 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $5,325.60 | $12,680.00 | $395.81 – $8,891.85 | 9 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $5,525.10 | $13,155.00 | $939.73 – $9,835.35 | 9 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $1,966.00 – $1,966.00 | 1 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $3,051.47 – $3,051.47 | 1 |
| Autologous blood op salvage CPT 86891 | $643.02 | $1,531.00 | $214.34 – $1,301.35 | 9 |
| Autologous blood process CPT 86890 | $357.00 | $850.00 | $119.00 – $722.50 | 9 |
| Automated diff wbc count CPT 85004 | $63.00 | $150.00 | $6.27 – $127.50 | 21 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $4,228.31 | $10,067.40 | $77.08 – $8,557.29 | 15 |
| Av fistula revision CPT 36833 | $4,001.76 | $9,528.00 | $1,333.92 – $8,098.80 | 9 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,288.88 – $1,288.88 | 1 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,219.66 – $1,219.66 | 1 |
| Av fusion direct any site CPT 36821 | $2,137.80 | $5,090.00 | $712.60 – $4,326.50 | 9 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,284.05 – $1,284.05 | 1 |
| Avul nail plate addl CPT 11732 | $151.20 | $360.00 | $32.42 – $306.00 | 8 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $301.98 | $719.00 | $100.66 – $611.15 | 8 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,284.89 – $1,284.89 | 1 |
| Azacitidine injection HCPCS J9025 | $1,229.01 | $2,926.20 | $0.36 – $84.58 | 13 |
| Azathioprine 50 mg tablet HCPCS J7500 | $103.83 | $247.20 | $0.49 – $2.98 | 13 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $41.79 | $99.50 | $1.85 – $84.58 | 13 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $114.19 | $271.87 | $14.14 – $85.83 | 8 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,806.00 | $4,300.00 | $51.41 – $367.20 | 15 |
| Baclofen eval charges CPT 97750 | $73.92 | $176.00 | $24.64 – $158.00 | 11 |
| Bacterial meningitis antigen CPT 86403 | $68.46 | $163.00 | $11.18 – $138.55 | 21 |
| Bacterial vaginosis pcr CPT 87801 | $241.08 | $574.00 | $68.02 – $552.24 | 21 |
| Bactericidal level serum CPT 87197 | $121.80 | $290.00 | $14.56 – $246.50 | 21 |
| Balloon dilate urtrl strix CPT 50706 | $4,302.90 | $10,245.00 | $335.87 – $8,708.25 | 9 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,441.20 – $1,469.46 | 3 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $36.37 | $86.58 | $0.11 – $0.62 | 8 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $342.43 – $342.43 | 1 |
| Bausch health Ultrasound surg HCPCS V2788 | $417.90 | $995.00 | $35.00 – $212.50 | 12 |
| B cells total count CPT 86355 | $74.76 | $178.00 | $24.92 – $178.00 | 21 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $357.93 | $852.20 | $2.33 – $724.37 | 13 |
| Bebtelovimab injection HCPCS M0222 | $250.74 | $597.00 | $83.58 – $507.45 | 8 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $2,036.75 | $4,849.40 | $3.29 – $4,121.99 | 15 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $4,291.50 | $10,217.85 | $45.96 – $2,505.46 | 15 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $4,594.80 | $10,940.00 | $2.97 – $1,471.99 | 15 |
| Benign lesion paring 2-4 CPT 11056 | $128.10 | $305.00 | $42.15 – $259.25 | 8 |
| Benign lesion paring 4+ CPT 11057 | $196.14 | $467.00 | $55.21 – $396.95 | 8 |
| #_benzodiazconfur CPT 80346 | $71.40 | $170.00 | $20.30 – $123.25 | 9 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $93.94 | $223.65 | $13.83 – $84.58 | 13 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $36.96 | $88.00 | $12.32 – $88.00 | 21 |
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.