CHI Health Lakeside
16901 LAKESIDE HILLS CT, Omaha, NE · Chihealth · · NPI 1649355132
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 |
|---|---|---|---|---|
| Decompression of tibia nerve CPT 28035 | not published | not published | $688.30 – $688.30 | 1 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $695.35 – $695.35 | 1 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,575.21 – $1,606.09 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,426.68 – $2,426.68 | 1 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $2,881.79 – $2,881.79 | 1 |
| Decompress small bowel CPT 44021 | not published | not published | $686.68 – $1,762.34 | 4 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,667.17 – $2,667.17 | 1 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $3,153.59 – $3,153.59 | 1 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $350.76 – $350.76 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $561.10 – $561.10 | 1 |
| Deep muscle biopsy 20205 CPT 20205 | $1,748.46 | $4,163.00 | $279.43 – $3,538.55 | 9 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $101.12 | $240.75 | $5.86 – $84.58 | 13 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,927.45 | $6,970.10 | $6.31 – $1,761.88 | 15 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,423.49 – $1,423.49 | 1 |
| Delay flap arms/legs CPT 15610 | not published | not published | $462.02 – $462.02 | 1 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $654.19 – $654.19 | 1 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $618.89 – $618.89 | 1 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $401.33 – $401.33 | 1 |
| Delivery of placenta 59414 CPT 59414 | $954.66 | $2,273.00 | $160.04 – $1,932.05 | 8 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,657.22 – $1,657.22 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $620.59 – $1,158.59 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $150.36 | $358.00 | $28.48 – $304.30 | 9 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,197.52 – $2,197.52 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $6,990.21 | $16,643.35 | $21.77 – $7,690.85 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $195.30 | $465.00 | $74.40 – $395.25 | 8 |
| Depo-estradiol cypionate inj HCPCS J1000 | $428.47 | $1,020.15 | $33.40 – $867.13 | 13 |
| Dermabrasion other than face CPT 15782 | not published | not published | $708.39 – $708.39 | 1 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $806.46 – $806.46 | 1 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $680.90 – $680.90 | 1 |
| Dermabrasion total face CPT 15780 | not published | not published | $1,267.75 – $1,267.75 | 1 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,270.67 – $1,270.67 | 1 |
| Dermagraft HCPCS Q4106 | $1,587.60 | $3,780.00 | $11.36 – $60.35 | 13 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,430.02 – $1,430.02 | 1 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,117.49 – $1,117.49 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $11,108.58 | $26,449.00 | $1,786.42 – $22,481.65 | 11 |
| Design custom breast implant CPT 19396 | not published | not published | $264.77 – $264.77 | 1 |
| Design mlc device for imrt CPT 77338 | $2,918.58 | $6,949.00 | $459.67 – $5,906.65 | 13 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,577.84 | $3,756.75 | $4.72 – $84.58 | 15 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $421.97 – $687.20 | 4 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $2,078.16 | $4,948.00 | $791.68 – $4,205.80 | 11 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $12,859.98 | $30,619.00 | $1,126.86 – $26,026.15 | 11 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $166.07 – $166.07 | 1 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $225.31 – $225.31 | 1 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $259.92 – $259.92 | 1 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $182.47 – $182.47 | 1 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $200.68 – $200.68 | 1 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $231.27 – $231.27 | 1 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $134.95 – $134.95 | 1 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $166.70 – $166.70 | 1 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $210.86 – $210.86 | 1 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $233.27 – $233.27 | 1 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,509.48 | $3,594.00 | $367.40 – $3,054.90 | 9 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,509.48 | $3,594.00 | $127.53 – $3,054.90 | 9 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $288.29 – $288.29 | 1 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $127.68 | $304.00 | $48.64 – $258.40 | 9 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $401.94 – $401.94 | 1 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $254.27 – $254.27 | 1 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $159.60 – $159.60 | 1 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $686.64 – $686.64 | 1 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $150.36 | $358.00 | $57.28 – $304.30 | 8 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $999.39 – $999.39 | 1 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $4.01 – $4.01 | 1 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $255.32 – $255.32 | 1 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $342.20 – $342.20 | 1 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $261.62 – $261.62 | 1 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $131.57 – $131.57 | 1 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $358.26 – $358.26 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,509.48 | $3,594.00 | $111.70 – $3,054.90 | 9 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,509.48 | $3,594.00 | $368.03 – $3,054.90 | 9 |
| Destruction ciliary body CPT 66700 | not published | not published | $747.08 – $747.08 | 1 |
| Destruction ciliary body CPT 66720 | not published | not published | $784.79 – $784.79 | 1 |
| Destruction ciliary body CPT 66740 | not published | not published | $747.08 – $747.08 | 1 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $271.51 – $271.51 | 1 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $244.17 – $244.17 | 1 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $285.05 – $285.05 | 1 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $261.24 – $261.24 | 1 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $318.97 – $318.97 | 1 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $249.06 – $249.06 | 1 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $291.90 – $291.90 | 1 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $204.71 – $204.71 | 1 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $329.13 – $329.13 | 1 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $187.51 – $187.51 | 1 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $1,315.15 – $1,315.15 | 1 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $352.07 – $352.07 | 1 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $218.84 – $218.84 | 1 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $183.67 – $183.67 | 1 |
| Detect agent nos dna dir CPT 87797 | $80.64 | $192.00 | $29.10 – $163.20 | 21 |
| Device ablt adv novasure HCPCS C1886 | $5,321.87 | $12,671.10 | $205.64 – $1,092.42 | 12 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $1,916.46 | $4,563.00 | $702.00 – $3,729.38 | 12 |
| Device intraute mirena HCPCS J7298 | $1,836.53 | $4,372.68 | $699.63 – $3,716.78 | 10 |
| Device sut capio slim opn HCPCS C2631 | $623.91 | $1,485.48 | $105.60 – $561.00 | 12 |
| Device tiss remov myosure reach HCPCS C1782 | $1,044.75 | $2,487.50 | $136.80 – $726.75 | 12 |
| Devise bowel pouch CPT 44316 | not published | not published | $948.78 – $967.39 | 3 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $57.96 | $138.00 | $22.08 – $117.30 | 13 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $228.48 | $544.00 | $0.06 – $2.98 | 13 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $65.21 | $155.25 | $0.18 – $84.58 | 13 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,053.51 | $2,508.35 | $52.79 – $288.88 | 15 |
| Dextran 40 infusion HCPCS J7100 | $86.84 | $206.75 | $15.09 – $175.74 | 9 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $86.84 | $206.75 | $0.98 – $175.74 | 13 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $86.84 | $206.75 | $9.98 – $175.74 | 8 |
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.