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 |
|---|---|---|---|---|
| Srs linear based CPT 77372 | $10,717.14 | $25,517.00 | $1,794.32 – $20,604.85 | 13 |
| Srs multisource CPT 77371 | $8,909.88 | $21,214.00 | $2,096.56 – $18,031.90 | 9 |
| Srs spinal lesion CPT 63620 | not published | not published | $1,985.84 – $1,985.84 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $430.82 – $430.82 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $191.94 | $457.00 | $63.98 – $388.45 | 15 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $121.80 | $290.00 | $36.54 – $221.85 | 11 |
| Stem cells total count CPT 86367 | $2,215.50 | $5,275.00 | $75.37 – $4,312.05 | 21 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $12,498.36 | $29,758.00 | $1,265.38 – $25,294.30 | 9 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $12,949.23 | $30,831.50 | $0.01 – $0.01 | 12 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,481.57 | $5,908.50 | $5.55 – $33.68 | 12 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $14,303.52 | $34,056.00 | $2.08 – $12.58 | 12 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $413.70 | $985.00 | $137.90 – $837.25 | 12 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $7,175.28 | $17,084.00 | $866.71 – $14,521.40 | 9 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,811.96 | $13,838.00 | $371.36 – $11,762.30 | 9 |
| Stent placemt retro carotid CPT 37217 | $3,451.14 | $8,217.00 | $1,032.86 – $6,589.20 | 11 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $10,139.64 | $24,142.00 | $1,223.75 – $20,520.70 | 9 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,156.11 – $1,178.78 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $603.24 – $1,014.01 | 4 |
| St evaluate speech sound production CPT 92522 | $152.04 | $362.00 | $50.68 – $307.70 | 15 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $191.94 | $457.00 | $63.98 – $388.45 | 15 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $297.78 | $709.00 | $99.26 – $602.65 | 11 |
| St evaluation swallow function CPT 92610 | $133.98 | $319.00 | $44.66 – $271.15 | 11 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,001.91 – $1,001.91 | 1 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $454.85 – $848.78 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $93.24 | $222.00 | $31.08 – $188.70 | 9 |
| Strapping of chest CPT 29200 | $189.42 | $451.00 | $35.43 – $383.35 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $136.08 | $324.00 | $36.27 – $275.40 | 9 |
| Strapping of hand or finger CPT 29280 | $127.26 | $303.00 | $37.95 – $257.55 | 9 |
| Strapping of hip CPT 29520 | $89.04 | $212.00 | $29.68 – $180.20 | 9 |
| Strapping of knee CPT 29530 | $98.28 | $234.00 | $32.76 – $198.90 | 9 |
| Strapping of toes 29550 CPT 29550 | $89.04 | $212.00 | $21.40 – $180.20 | 9 |
| Strep a ag ia CPT 87430 | $70.14 | $167.00 | $16.29 – $141.95 | 21 |
| Strep b dna amp probe CPT 87653 | $53.76 | $128.00 | $17.92 – $128.00 | 21 |
| Stress test pulmonary CPT 94618 | $276.78 | $659.00 | $22.91 – $560.15 | 9 |
| Stress tte complete CPT 93351 | $1,762.32 | $4,196.00 | $284.59 – $3,566.60 | 13 |
| St treatment speech individual CPT 92507 | $162.12 | $386.00 | $54.04 – $328.10 | 15 |
| St treatment swallow dysfunction/oral CPT 92526 | $154.98 | $369.00 | $51.66 – $313.65 | 11 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $198.74 – $198.74 | 1 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $95.78 – $95.78 | 1 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $188.90 – $188.90 | 1 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $210.15 – $210.15 | 1 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $1,239.71 – $1,239.71 | 1 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $1,000.25 – $1,000.25 | 1 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $1,202.46 – $1,202.46 | 1 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $1,641.61 – $1,641.61 | 1 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,204.82 – $1,228.45 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $86.84 | $206.75 | $0.13 – $84.58 | 9 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $840.00 – $840.00 | 1 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $14,715.46 | $35,036.80 | $183.40 – $1,113.50 | 8 |
| Sulfonylurea screen qn-sendout CPT 80377 | $224.70 | $535.00 | $46.45 – $454.75 | 9 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $319.65 | $761.05 | $13.93 – $84.58 | 9 |
| Support clav 29.6-40.5in med HCPCS L3650 | $30.66 | $73.00 | $2.70 – $20.04 | 10 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $196.04 – $196.04 | 1 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $684.47 – $1,470.02 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $649.24 – $1,470.21 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $809.59 – $809.59 | 1 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $783.66 – $799.02 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,248.81 – $1,248.81 | 1 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,376.55 – $1,376.55 | 1 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,714.46 – $1,714.46 | 1 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,263.40 – $1,263.40 | 1 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,653.33 – $1,653.33 | 1 |
| Surgical opening esophagus CPT 43351 | not published | not published | $907.52 – $925.32 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $791.25 – $806.77 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,727.08 – $1,727.08 | 1 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $501.27 – $1,431.70 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,434.91 – $1,434.91 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $65.52 | $156.00 | $21.84 – $132.60 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $94.92 | $226.00 | $31.64 – $192.10 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $115.08 | $274.00 | $38.36 – $232.90 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $186.06 | $443.00 | $62.02 – $376.55 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $239.40 | $570.00 | $79.80 – $570.00 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $318.78 | $759.00 | $106.26 – $759.00 | 13 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $855.16 – $871.93 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $965.59 – $984.53 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $810.36 – $826.25 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $798.63 – $798.63 | 1 |
| Susceptibility agar dilution per agent CPT 87181 | $35.70 | $85.00 | $4.60 – $72.25 | 21 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $91.56 | $218.00 | $4.60 – $185.30 | 21 |
| Susceptibility mic per plate CPT 87186 | $81.90 | $195.00 | $8.38 – $165.75 | 21 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $861.78 – $1,855.29 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $566.27 – $566.27 | 1 |
| Suspension of uterus CPT 58410 | not published | not published | $680.22 – $1,531.72 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $401.35 – $878.20 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $794.67 – $810.25 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,026.09 – $1,046.21 | 3 |
| Svc venogram s&i CPT 75827 | $981.12 | $2,336.00 | $124.43 – $1,711.90 | 13 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,516.33 – $1,516.33 | 1 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,441.78 – $1,441.78 | 1 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $650.10 – $1,449.57 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $1,482.18 – $1,482.18 | 1 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $830.50 – $846.79 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | $864.30 | $2,057.85 | $7.49 – $583.06 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $34.02 | $81.00 | $4.26 – $68.85 | 21 |
| System cardiomems hosp electronics HCPCS C2624 | $19,547.22 | $46,541.00 | $5,145.00 – $31,237.50 | 12 |
| System pacing micra av HCPCS C1786 | $17,293.50 | $41,175.00 | $456.75 – $2,773.13 | 12 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $8,070.30 | $19,215.00 | $0.51 – $3.09 | 12 |
| System sealant biosentry tract HCPCS C2613 | $439.78 | $1,047.09 | $132.30 – $803.25 | 12 |
| T3 (triiodothyronine) free CPT 84481 | $237.72 | $566.00 | $16.41 – $481.10 | 21 |
| T3 (triiodothyronine) total CPT 84480 | $86.52 | $206.00 | $13.74 – $175.10 | 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.