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 |
|---|---|---|---|---|
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $317.94 – $317.94 | 1 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $175.29 – $175.29 | 1 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $195.30 | $465.00 | $36.14 – $395.25 | 13 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $146.48 – $146.48 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $288.58 – $288.58 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $255.59 | $608.54 | $44.28 – $268.80 | 13 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,975.28 – $6,043.99 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,050.84 | $2,502.00 | $244.44 – $2,126.70 | 13 |
| Sinus CT scan (with contrast) CPT 70487 | $1,034.46 | $2,463.00 | $194.63 – $2,093.55 | 13 |
| Sinus CT scan (without contrast) CPT 70486 | $808.50 | $1,925.00 | $172.35 – $1,636.25 | 13 |
| Sinus/juglr venogram s&i CPT 75860 | $1,055.88 | $2,514.00 | $137.26 – $2,136.90 | 13 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $652.87 – $652.87 | 1 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $1,132.30 – $1,132.30 | 1 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $983.96 – $983.96 | 1 |
| Sirolimus, oral HCPCS J7520 | $4,982.38 | $11,862.80 | $1.14 – $21.14 | 13 |
| Skin and muscle repair face CPT 15845 | not published | not published | $1,984.02 – $1,984.02 | 1 |
| Skin Biopsy CPT 11102 | $132.30 | $315.00 | $44.10 – $267.75 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,259.54 – $1,259.54 | 1 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $198.07 – $198.07 | 1 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,378.99 – $1,378.99 | 1 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,355.30 – $1,355.30 | 1 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $1,793.40 | $4,270.00 | $201.87 – $3,629.50 | 9 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,286.05 – $2,330.88 | 3 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,066.47 – $3,126.59 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | $1,529.21 | $3,640.96 | $509.74 – $3,094.82 | 10 |
| Sleep study attended CPT 95807 | $824.04 | $1,962.00 | $274.68 – $2,153.05 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | $1,991.22 | $4,741.00 | $663.74 – $4,029.85 | 13 |
| Sleep study unattended CPT 95806 | $320.88 | $764.00 | $96.26 – $649.40 | 13 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,608.00 – $1,639.53 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $44.59 | $106.15 | $2.04 – $12.37 | 8 |
| Sling suprapubic suburetheral HCPCS C1771 | $3,963.86 | $9,437.75 | $86.10 – $522.75 | 12 |
| Slitting of prepuce CPT 54000 | not published | not published | $212.31 – $212.31 | 1 |
| Slitting of prepuce CPT 54001 | not published | not published | $268.13 – $268.13 | 1 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $74.76 | $178.00 | $24.92 – $158.00 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | $125.16 | $298.00 | $41.72 – $253.30 | 9 |
| Slp pure tone screening CPT 92551 | $102.90 | $245.00 | $14.40 – $208.25 | 11 |
| Slp ther svc non-spch gen CPT 92606 | $224.70 | $535.00 | $74.90 – $454.75 | 9 |
| Sm-153 lexidron ther HCPCS A9604 | $20,913.90 | $49,795.00 | $6,971.30 – $42,325.75 | 8 |
| Small bowel endoscopy CPT 44360 | not published | not published | $269.56 – $269.56 | 1 |
| Small bowel endoscopy CPT 44364 | not published | not published | $382.60 – $382.60 | 1 |
| Small bowel endoscopy CPT 44366 | not published | not published | $449.06 – $449.06 | 1 |
| Small bowel endoscopy CPT 44369 | not published | not published | $459.56 – $459.56 | 1 |
| Small bowel endoscopy CPT 44376 | not published | not published | $531.47 – $531.47 | 1 |
| Small bowel endoscopy CPT 44378 | not published | not published | $718.66 – $718.66 | 1 |
| Small bowel endoscopy CPT 44382 | not published | not published | $139.08 – $139.08 | 1 |
| Small bowel endoscopy CPT 44384 | not published | not published | $285.26 – $285.26 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $358.74 – $358.74 | 1 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $341.12 – $341.12 | 1 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $297.00 – $297.00 | 1 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $558.64 – $558.64 | 1 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $108.15 – $108.15 | 1 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $159.18 – $159.18 | 1 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $499.82 – $499.82 | 1 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | $0.01 | $0.01 – $0.01 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $61.74 | $147.00 | $5.22 – $124.95 | 21 |
| Smear gram stain CPT 87205 | $51.66 | $123.00 | $4.14 – $104.55 | 21 |
| Smear nasal eosinophil CPT 89190 | $46.20 | $110.00 | $5.61 – $93.50 | 21 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $54.60 | $130.00 | $5.80 – $110.50 | 21 |
| Smear wet mount CPT 87210 | $70.56 | $168.00 | $5.64 – $65.45 | 21 |
| Sock fracture or equal each HCPCS L3995 | $18.02 | $42.89 | $6.01 – $36.46 | 10 |
| Sodium 24 hour urine CPT 84300 | $47.46 | $113.00 | $4.91 – $96.05 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $86.84 | $206.75 | $2.29 – $175.74 | 13 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $86.84 | $206.75 | $0.55 – $3.32 | 13 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $41.79 | $99.50 | $0.57 – $84.58 | 13 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $86.84 | $206.75 | $0.15 – $84.58 | 8 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $61.09 | $145.43 | $1.81 – $84.58 | 13 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $379.75 | $904.15 | $39.62 – $240.55 | 13 |
| Sodium serum/plasma/whole blood CPT 84295 | $53.76 | $128.00 | $4.66 – $108.80 | 21 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $207.90 | $495.00 | $69.30 – $420.75 | 8 |
| Somatosensory testing CPT 95927 | $526.26 | $1,253.00 | $175.42 – $1,065.05 | 9 |
| Somatropin injection HCPCS J2941 | $587.69 | $1,399.25 | $44.12 – $1,189.37 | 9 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $296.23 – $296.23 | 1 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $322.10 – $322.10 | 1 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $215.12 – $215.12 | 1 |
| Special physics consult CPT 77370 | $702.24 | $1,672.00 | $234.08 – $1,421.20 | 13 |
| Special radiation dosimetry CPT 77331 | $362.46 | $863.00 | $36.14 – $733.55 | 13 |
| Special radiation treatment CPT 77470 | $1,855.14 | $4,417.00 | $67.26 – $3,754.45 | 13 |
| Special teletx port plan CPT 77321 | $1,107.12 | $2,636.00 | $84.06 – $2,240.60 | 13 |
| Specific gravity body fluid CPT 84315 | $19.74 | $47.00 | $3.18 – $39.95 | 21 |
| Specimen fat stain CPT 89125 | $18.48 | $44.00 | $5.70 – $37.40 | 21 |
| Speech evaluation complex CPT 70371 | $240.66 | $573.00 | $80.22 – $487.05 | 13 |
| Sperm washing 58323 CPT 58323 | not published | not published | $22.32 – $67.01 | 5 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $1,319.18 – $1,319.18 | 1 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,403.16 – $1,403.16 | 1 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $193.54 – $193.54 | 1 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $228.94 – $228.94 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $647.64 | $1,542.00 | $161.62 – $1,310.70 | 8 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $435.54 | $1,037.00 | $54.43 – $881.45 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $752.43 – $767.19 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,488.71 – $1,517.90 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,153.19 – $1,175.80 | 3 |
| Splint finger 4 prong foam sm HCPCS A4570 | $61.28 | $145.90 | $7.32 – $68.26 | 10 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $1,294.67 – $1,294.67 | 1 |
| Split blood or products CPT 86985 | $103.74 | $247.00 | $34.58 – $209.95 | 9 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $241.73 – $241.73 | 1 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $13,815.06 | $32,893.00 | $4,605.02 – $27,959.05 | 8 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $2,428.19 – $2,428.19 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $1,801.74 – $1,801.74 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $518.22 – $518.22 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $374.91 – $374.91 | 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.