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 |
|---|---|---|---|---|
| X-ray eye detection foreign body (both sides) CPT 70030 | $86.94 | $207.00 | $28.98 – $175.95 | 13 |
| X-ray facial bones complete > 3 views CPT 70150 | $259.56 | $618.00 | $65.79 – $525.30 | 13 |
| X-ray femur >=2 views (both sides) CPT 73552 | $65.52 | $156.00 | $21.84 – $132.60 | 9 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $141.54 | $337.00 | $47.18 – $286.45 | 13 |
| X-ray foot 2 views (both sides) CPT 73620 | $157.08 | $374.00 | $39.94 – $317.90 | 13 |
| X-ray forearm 2 views (both sides) CPT 73090 | $194.46 | $463.00 | $40.57 – $393.55 | 13 |
| X-ray hand 2 views (both sides) CPT 73120 | $171.78 | $409.00 | $44.35 – $347.65 | 13 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $145.32 | $346.00 | $39.31 – $294.10 | 13 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $108.78 | $259.00 | $36.26 – $220.15 | 9 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $108.78 | $259.00 | $36.26 – $220.15 | 9 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $108.78 | $259.00 | $36.26 – $220.15 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $207.48 | $494.00 | $69.16 – $419.90 | 9 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $79.80 | $190.00 | $26.60 – $161.50 | 9 |
| X-ray humerus >= 2 views left CPT 73060 | $204.12 | $486.00 | $45.61 – $413.10 | 13 |
| X-ray joint survey 1 view CPT 77077 | $88.20 | $210.00 | $29.40 – $178.50 | 13 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $231.84 | $552.00 | $49.39 – $469.20 | 13 |
| X-ray knee 3 views (both sides) CPT 73562 | $264.18 | $629.00 | $60.10 – $534.65 | 13 |
| X-ray knee ap standing bilateral CPT 73565 | $120.54 | $287.00 | $40.18 – $243.95 | 13 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $105.84 | $252.00 | $35.28 – $214.20 | 13 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $519.54 | $1,237.00 | $56.32 – $1,051.45 | 13 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $351.54 | $837.00 | $74.61 – $711.45 | 13 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $429.24 | $1,022.00 | $88.49 – $868.70 | 13 |
| X-ray mandible complete > 4 views CPT 70110 | $218.40 | $520.00 | $60.10 – $442.00 | 13 |
| X-ray mandible ltd <4 views CPT 70100 | $87.36 | $208.00 | $29.12 – $176.80 | 13 |
| X-ray nasal bones complete > 3 views CPT 70160 | $204.96 | $488.00 | $55.69 – $414.80 | 13 |
| X-ray neck soft tissue CPT 70360 | $186.48 | $444.00 | $42.46 – $377.40 | 13 |
| X-ray nose to rectum for foreign body child CPT 76010 | $186.06 | $443.00 | $39.31 – $376.55 | 13 |
| X-ray of mammary ducts CPT 77054 | $537.18 | $1,279.00 | $91.01 – $1,087.15 | 13 |
| X-ray pelvis 1-2 views CPT 72170 | $168.42 | $401.00 | $36.77 – $340.85 | 13 |
| X-ray pelvis complete > 3 views CPT 72190 | $261.24 | $622.00 | $56.95 – $528.70 | 13 |
| Xray place dist ext thor ao CPT 75959 | $543.06 | $1,293.00 | $172.30 – $1,099.05 | 11 |
| Xray place prox ext thor ao CPT 75958 | $570.36 | $1,358.00 | $190.12 – $1,154.30 | 11 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $476.70 | $1,135.00 | $101.72 – $964.75 | 9 |
| X-ray ribs 2 views left CPT 71100 | $169.26 | $403.00 | $49.39 – $342.55 | 13 |
| X-ray ribs 3 views bilateral CPT 71110 | $235.62 | $561.00 | $56.95 – $476.85 | 13 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $228.90 | $545.00 | $55.69 – $463.25 | 13 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $322.56 | $768.00 | $70.20 – $652.80 | 13 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $236.88 | $564.00 | $53.80 – $479.40 | 13 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $102.06 | $243.00 | $34.02 – $206.55 | 13 |
| X-ray scapula complete (both sides) CPT 73010 | $203.70 | $485.00 | $28.58 – $412.25 | 13 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $163.38 | $389.00 | $26.69 – $330.65 | 13 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $242.76 | $578.00 | $51.28 – $491.30 | 13 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $636.30 | $1,515.00 | $66.42 – $1,287.75 | 13 |
| X-ray skull < 4 views CPT 70250 | $143.64 | $342.00 | $47.88 – $290.70 | 13 |
| X-ray skull > 4 views complete CPT 70260 | $243.18 | $579.00 | $58.84 – $492.15 | 13 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $119.28 | $284.00 | $39.76 – $284.00 | 13 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $402.36 | $958.00 | $134.12 – $814.30 | 13 |
| X-ray small intestine follow-through study CPT 74248 | $527.10 | $1,255.00 | $93.53 – $1,066.75 | 9 |
| X-ray spine single view CPT 72020 | $170.94 | $407.00 | $31.10 – $345.95 | 13 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $84.00 | $200.00 | $28.00 – $170.00 | 13 |
| X-ray sternum > 2 views CPT 71120 | $110.46 | $263.00 | $36.82 – $223.55 | 13 |
| X-ray surgical specimen CPT 76098 | $277.20 | $660.00 | $22.53 – $561.00 | 13 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $317.94 | $757.00 | $105.98 – $643.45 | 13 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $209.16 | $498.00 | $69.72 – $423.30 | 13 |
| X-ray thoracic spine 2 views CPT 72070 | $183.96 | $438.00 | $43.72 – $372.30 | 13 |
| X-ray thoracic spine 3 views CPT 72072 | $230.16 | $548.00 | $54.43 – $465.80 | 13 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $197.82 | $471.00 | $46.24 – $400.35 | 13 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $57.54 | $137.00 | $19.18 – $116.45 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $301.98 | $719.00 | $100.66 – $611.15 | 9 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $214.20 | $510.00 | $44.98 – $433.50 | 13 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $146.58 | $349.00 | $43.09 – $296.65 | 13 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $465.36 | $1,108.00 | $127.12 – $771.80 | 13 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $325.08 | $774.00 | $93.24 – $566.10 | 13 |
| X-ray upper gi&small intest CPT 74245 | $506.10 | $1,205.00 | $168.70 – $1,024.25 | 8 |
| X-ray wrist 2 views (both sides) CPT 73100 | $145.32 | $346.00 | $48.44 – $294.10 | 13 |
| Xylose absorption test blood &/or urine CPT 84620 | $119.28 | $284.00 | $12.51 – $241.40 | 21 |
| Xyntha inj HCPCS J7185 | $41.79 | $99.50 | $1.21 – $84.58 | 20 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $36,036.00 | $85,800.00 | $10,924.90 – $66,329.75 | 8 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $56.87 | $135.40 | $1.28 – $113.48 | 13 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $107.14 | $255.09 | $6.86 – $84.58 | 13 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $576.24 | $1,372.00 | $9.24 – $84.58 | 13 |
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.