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 |
|---|---|---|---|---|
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,174.32 | $12,319.80 | $28.43 – $10,471.83 | 15 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $1,617.53 – $1,617.53 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $46.20 | $110.00 | $15.40 – $93.50 | 17 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $176.40 | $420.00 | $58.80 – $357.00 | 17 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $765.37 – $765.37 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $655.20 | $1,560.00 | $218.40 – $1,326.00 | 13 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $399.84 | $952.00 | $133.28 – $809.20 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $432.60 | $1,030.00 | $144.20 – $875.50 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $203.28 | $484.00 | $67.76 – $411.40 | 13 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $528.36 | $1,258.00 | $77.14 – $468.35 | 13 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $726.18 | $1,729.00 | $185.18 – $1,469.65 | 13 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $744.66 | $1,773.00 | $248.22 – $1,507.05 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $640.50 | $1,525.00 | $213.50 – $1,296.25 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $318.78 | $759.00 | $106.26 – $645.15 | 13 |
| Scan proc cranial extra CPT 61782 | not published | not published | $321.80 – $321.80 | 1 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $402.93 – $402.93 | 1 |
| Scan proc spinal CPT 61783 | not published | not published | $401.48 – $401.48 | 1 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $849.24 | $2,022.00 | $222.10 – $1,718.70 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $851.32 – $851.32 | 1 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $1,417.50 | $3,375.00 | $334.43 – $2,030.44 | 12 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $81.06 | $193.00 | $26.49 – $172.17 | 19 |
| Screening Mammogram CPT 77067 | $128.10 | $305.00 | $42.70 – $262.96 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $98.28 | $234.00 | $19.31 – $198.90 | 19 |
| Screen pap by tech w md supv HCPCS P3000 | $10.08 | $24.00 | $3.36 – $40.38 | 19 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $12,852.53 | $30,601.26 | $0.01 – $0.04 | 12 |
| Sc ther infusion reset pump CPT 96371 | $52.08 | $124.00 | $17.36 – $105.40 | 9 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $642.83 – $1,513.41 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,190.74 | $7,597.00 | $433.21 – $6,457.45 | 9 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $39.06 | $93.00 | $10.02 – $79.05 | 8 |
| Sedimentation rate erythrocyte automated CPT 85652 | $53.76 | $128.00 | $2.62 – $108.80 | 21 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,358.61 – $1,385.25 | 3 |
| Semen analysis presence/motility CPT 89321 | $50.40 | $120.00 | $11.68 – $102.00 | 21 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $755.56 – $755.56 | 1 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,300.59 – $1,300.59 | 1 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,193.05 – $1,193.05 | 1 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,403.89 – $1,403.89 | 1 |
| Serial casting application 97139app CPT 97139 | $60.90 | $145.00 | $14.29 – $158.00 | 15 |
| Sertraline (zoloft) - sendout CPT 80332 | $164.22 | $391.00 | $46.45 – $332.35 | 9 |
| Set radiation therapy field CPT 77280 | $798.00 | $1,900.00 | $266.00 – $1,615.00 | 13 |
| Set radiation therapy field CPT 77285 | $1,196.58 | $2,849.00 | $398.86 – $2,421.65 | 13 |
| Set radiation therapy field CPT 77290 | $1,534.26 | $3,653.00 | $511.42 – $3,105.05 | 13 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,085.28 – $1,085.28 | 1 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $189.06 – $189.06 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $85.89 – $85.89 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $118.50 – $118.50 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $140.24 – $140.24 | 1 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $181.29 – $181.29 | 1 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $116.76 | $278.00 | $38.92 – $236.30 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $93.11 – $93.11 | 1 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $118.44 – $118.44 | 1 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $133.37 – $133.37 | 1 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $64.16 – $64.16 | 1 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $170.52 | $406.00 | $56.84 – $345.10 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $125.58 | $299.00 | $41.86 – $254.15 | 9 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $3,835.32 | $9,131.70 | $711.90 – $4,322.25 | 12 |
| Sheath laser cavaclear 14f HCPCS C1603 | $2,830.28 | $6,738.75 | $943.43 – $5,727.94 | 8 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $883.85 – $883.85 | 1 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $1,713.20 – $1,713.20 | 1 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,978.16 – $1,978.16 | 1 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,116.17 – $1,116.17 | 1 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,021.52 – $1,021.52 | 1 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,104.66 – $1,104.66 | 1 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,005.94 – $1,005.94 | 1 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,106.34 – $1,106.34 | 1 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,931.96 – $1,931.96 | 1 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,116.89 – $1,116.89 | 1 |
| Shoe post-op mens m HCPCS L3260 | $94.42 | $224.80 | $18.41 – $191.08 | 10 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,280.20 – $1,280.20 | 1 |
| Shortening of thigh bone CPT 27465 | not published | not published | $962.00 – $2,314.56 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,241.37 – $2,486.48 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,448.48 – $1,448.48 | 1 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,890.46 – $1,890.46 | 1 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $1,993.74 – $1,993.74 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,490.16 | $3,548.00 | $496.72 – $3,015.80 | 13 |
| Shoulder MRI (with contrast) CPT 73222 | $1,396.50 | $3,325.00 | $464.08 – $2,826.25 | 13 |
| Shoulder MRI (without contrast) CPT 73221 | $1,173.48 | $2,794.00 | $273.44 – $2,374.90 | 13 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $1,978.75 – $1,978.75 | 1 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,165.25 – $2,356.79 | 4 |
| Shoulder X-ray CPT 73030 | $214.62 | $511.00 | $48.76 – $434.35 | 13 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,416.59 – $1,444.36 | 3 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,458.45 – $1,487.04 | 3 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,454.73 – $1,483.26 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,411.64 | $5,742.00 | $297.50 – $1,806.25 | 12 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $276.78 | $659.00 | $92.26 – $560.15 | 13 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,438.56 – $1,466.76 | 3 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,619.58 – $1,651.33 | 3 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,661.36 – $1,693.93 | 3 |
| Sialography s&i CPT 70390 | $297.36 | $708.00 | $99.12 – $601.80 | 13 |
| Sialolithotomy 42330 CPT 42330 | $1,367.10 | $3,255.00 | $315.32 – $2,766.75 | 8 |
| Sickling rbc CPT 85660 | $25.20 | $60.00 | $5.33 – $51.00 | 21 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $135.74 – $135.74 | 1 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $213.74 – $213.74 | 1 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $220.73 – $220.73 | 1 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $125.52 – $125.52 | 1 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $300.17 – $300.17 | 1 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $197.30 – $197.30 | 1 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $288.52 – $288.52 | 1 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $371.05 – $371.05 | 1 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $225.23 – $225.23 | 1 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $232.97 – $232.97 | 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.