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 |
|---|---|---|---|---|
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,210.31 – $1,210.31 | 1 |
| Urea nitrogen CPT 84520 | $39.90 | $95.00 | $3.83 – $73.95 | 21 |
| Urea nitrogen 24 hour urine CPT 84540 | $36.96 | $88.00 | $5.39 – $74.80 | 21 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $328.34 – $328.34 | 1 |
| Ureter endoscopy CPT 50970 | not published | not published | $691.95 – $691.95 | 1 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $658.41 – $658.41 | 1 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $882.38 – $882.38 | 1 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $668.26 – $668.26 | 1 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $661.79 – $661.79 | 1 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $592.85 – $592.85 | 1 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $870.07 – $870.07 | 1 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $664.88 – $664.88 | 1 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,080.05 – $2,082.11 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,078.48 – $1,099.62 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $476.70 | $1,135.00 | $93.72 – $964.75 | 9 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $1,408.24 – $1,408.24 | 1 |
| Urethrocystography void s&i CPT 74455 | $471.66 | $1,123.00 | $157.22 – $954.55 | 13 |
| Uric acid blood CPT 84550 | $52.92 | $126.00 | $4.38 – $107.10 | 21 |
| Uric acid urine CPT 84560 | $39.90 | $95.00 | $4.93 – $80.75 | 21 |
| Urinalysis microscopic only CPT 81015 | $44.10 | $105.00 | $2.96 – $89.25 | 21 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $29.40 | $70.00 | $2.10 – $59.50 | 21 |
| Urinalysis (with microscopy) CPT 81001 | $61.32 | $146.00 | $3.07 – $118.15 | 21 |
| Urinalysis (without microscopy) CPT 81003 | $34.02 | $81.00 | $2.18 – $63.75 | 21 |
| Urinary reflex study CPT 51792 | not published | not published | $413.64 – $413.64 | 1 |
| Urine Culture Test CPT 87086 | $71.82 | $171.00 | $7.82 – $145.35 | 21 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $10.29 – $10.29 | 1 |
| Urine pregnancy test CPT 81025 | $63.42 | $151.00 | $8.34 – $128.35 | 21 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,271.84 – $1,296.78 | 3 |
| Urography, antegrade CPT 74425 | $485.94 | $1,157.00 | $126.78 – $983.45 | 9 |
| Use 1st target lesion CPT 76982 | $113.82 | $271.00 | $37.94 – $230.35 | 9 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,249.30 | $10,117.38 | $10.94 – $8,599.78 | 15 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $29,537.74 | $70,327.95 | $134.29 – $51,405.50 | 15 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $234.36 | $558.00 | $72.76 – $441.71 | 8 |
| Vaccine dtap < 7 years im CPT 90700 | $109.47 | $260.62 | $13.71 – $94.08 | 9 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $137.96 | $328.46 | $45.99 – $279.20 | 10 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $101.14 | $240.80 | $33.72 – $204.68 | 8 |
| Vaccine dtap-ipv/hib im CPT 90698 | $118.52 | $282.18 | $27.28 – $165.62 | 8 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $59.01 | $140.48 | $18.82 – $119.41 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $118.52 | $282.18 | $13.93 – $84.58 | 9 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $142.98 | $340.41 | $19.84 – $120.45 | 9 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $58.71 | $139.77 | $19.57 – $118.81 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $95.75 | $227.96 | $23.81 – $144.52 | 16 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $77.44 | $184.37 | $13.93 – $84.58 | 16 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $31.50 | $75.00 | $10.50 – $77.15 | 16 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $37.80 | $90.00 | $12.60 – $77.14 | 16 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $18.90 | $45.00 | $6.30 – $38.25 | 16 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $32.34 | $77.00 | $10.50 – $70.77 | 16 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $17.64 | $42.00 | $5.60 – $34.00 | 16 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $17.64 | $42.00 | $5.88 – $35.70 | 16 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $18.90 | $45.00 | $6.30 – $38.25 | 16 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $350.68 | $834.93 | $102.62 – $623.05 | 10 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $263.34 | $626.99 | $77.70 – $471.75 | 10 |
| Vaccine mmr live subcutaneous CPT 90707 | $547.12 | $1,302.65 | $59.97 – $364.10 | 9 |
| Vaccine mmrv live subcutaneous CPT 90710 | $336.42 | $800.98 | $112.14 – $680.84 | 8 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $237.26 | $564.89 | $74.99 – $455.29 | 16 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $406.29 | $967.35 | $131.33 – $797.36 | 16 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $490.98 | $1,169.00 | $158.69 – $963.47 | 8 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $861.32 | $2,050.75 | $23.89 – $1,743.14 | 9 |
| Vaccine rabies im CPT 90675 | $689.41 | $1,641.45 | $73.22 – $444.55 | 11 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,104.47 | $2,629.67 | $368.16 – $2,235.22 | 8 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,104.47 | $2,629.67 | $368.16 – $2,235.22 | 8 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $170.50 | $405.95 | $56.84 – $345.06 | 10 |
| Vaccine tdap >=7 years im CPT 90715 | $99.75 | $237.48 | $23.87 – $144.91 | 9 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $81.77 | $194.69 | $15.07 – $91.46 | 9 |
| Vaccine varicella live subcutaneous CPT 90716 | $365.17 | $869.45 | $66.38 – $402.99 | 11 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $39.54 | $94.14 | $13.18 – $80.02 | 8 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,866.92 – $1,866.92 | 1 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $2,327.58 – $2,327.58 | 1 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,742.31 – $1,742.31 | 1 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $2,452.42 – $2,452.42 | 1 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $2,278.02 – $2,278.02 | 1 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,679.18 – $1,679.18 | 1 |
| Vaginal bx CPT 58999 | $13.02 | $31.00 | $4.34 – $26.35 | 8 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,600.18 – $1,600.18 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,576.79 – $1,576.79 | 1 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,254.41 – $3,254.41 | 1 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,397.01 – $3,254.41 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $788.62 – $1,698.08 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $110.52 – $200.45 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $879.28 – $896.52 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $864.46 – $881.41 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $127.26 | $303.00 | $13.12 – $257.55 | 21 |
| Valrubicin injection HCPCS J9357 | $3,508.68 | $8,354.00 | $1,169.56 – $7,100.90 | 15 |
| Valvuloplasty aortic CPT 92986 | $3,353.28 | $7,984.00 | $1,117.76 – $6,786.40 | 9 |
| Valvuloplasty aortic valve CPT 33390 | $3,378.48 | $8,044.00 | $1,126.16 – $6,837.40 | 11 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $2,086.44 – $2,127.35 | 3 |
| Valvuloplasty mitral CPT 92987 | $5,898.48 | $14,044.00 | $1,966.16 – $11,937.40 | 9 |
| Valvuloplasty pulmonary CPT 92990 | $5,115.60 | $12,180.00 | $1,705.20 – $10,353.00 | 9 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,832.38 – $1,868.31 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,947.88 – $1,986.08 | 3 |
| Vancomycin hcl injection HCPCS J3370 | $41.79 | $99.50 | $1.69 – $84.58 | 13 |
| Vancomycin peak therapeutic drug level CPT 80202 | $160.86 | $383.00 | $13.12 – $325.55 | 21 |
| Varicella zoster antibody igg CPT 86787 | $65.52 | $156.00 | $12.48 – $132.60 | 21 |
| Varicella-zoster immue globin im CPT 90396 | $3,974.34 | $9,462.71 | $93.75 – $8,043.31 | 11 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $1,378.52 – $1,378.52 | 1 |
| Vasectomy CPT 55250 | not published | not published | $439.34 – $439.34 | 1 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $260.90 | $621.18 | $13.93 – $84.58 | 8 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $19,655.82 | $46,799.55 | $19.43 – $39,779.62 | 15 |
| Veeg cont 2-12 hrs CPT 95713 | $433.86 | $1,033.00 | $144.62 – $878.05 | 9 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $660.24 | $1,572.00 | $220.08 – $1,336.20 | 9 |
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.