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 |
|---|---|---|---|---|
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $43.68 | $104.00 | $16.64 – $88.40 | 9 |
| External recharg sys intern HCPCS L8689 | $2,305.80 | $5,490.00 | $240.00 – $1,275.00 | 12 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $550.62 | $1,311.00 | $139.29 – $1,114.35 | 21 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $39.90 | $95.00 | $15.20 – $80.75 | 21 |
| Extraction of lens CPT 66930 | not published | not published | $1,631.62 – $1,631.62 | 1 |
| Extraction of lens CPT 66940 | not published | not published | $1,494.23 – $1,494.23 | 1 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $1,425.61 – $1,425.61 | 1 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $52.08 – $52.08 | 1 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $295.37 – $295.37 | 1 |
| Eye suture during surgery CPT 67335 | not published | not published | $355.13 – $355.13 | 1 |
| F-18 fdg pet diag HCPCS A9552 | $257.46 | $613.00 | $98.08 – $521.05 | 8 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $3,442.64 | $8,196.75 | $1,311.48 – $6,967.24 | 8 |
| F-18 fluciclovine per mci HCPCS A9588 | $882.84 | $2,102.00 | $336.32 – $1,786.70 | 8 |
| F-18 sodium fluoride HCPCS A9580 | $133.14 | $317.00 | $50.72 – $269.45 | 8 |
| Fabrication & fitting HCPCS V2628 | $92.24 | $219.60 | $11.72 – $62.22 | 8 |
| Face bone graft CPT 21210 | not published | not published | $1,451.71 – $1,451.71 | 1 |
| Facial bones <3 CPT 70140 | $75.18 | $179.00 | $28.64 – $152.15 | 13 |
| Facility svs dental rehab HCPCS G0330 | $1,226.82 | $2,921.00 | $467.36 – $2,482.85 | 9 |
| Factor ix CPT 85250 | $342.30 | $815.00 | $18.45 – $692.75 | 21 |
| Factor ix complex HCPCS J7194 | $41.79 | $99.50 | $1.40 – $84.58 | 19 |
| Factor ix recombinant nos HCPCS J7195 | $41.79 | $99.50 | $1.56 – $84.58 | 19 |
| Factor viii CPT 85240 | $75.60 | $180.00 | $17.35 – $153.00 | 21 |
| Factor viii HCPCS J7190 | $41.79 | $99.50 | $0.92 – $84.58 | 20 |
| Factor viii recombinant nos HCPCS J7192 | $41.79 | $99.50 | $1.31 – $84.58 | 20 |
| Fallopian tube recnl CPT 58345 | not published | not published | $544.01 – $544.01 | 1 |
| Family therapy without pt 50min 90846 CPT 90846 | $202.44 | $482.00 | $77.12 – $409.70 | 8 |
| Family therapy with patient 50 min 90847 CPT 90847 | $202.44 | $482.00 | $77.12 – $409.70 | 8 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $6,141.41 | $14,622.40 | $22.58 – $12,429.04 | 15 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $690.52 – $1,735.84 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $39.48 | $94.00 | $4.95 – $79.90 | 21 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $15,120.00 | $36,000.00 | $5,760.00 – $30,600.00 | 8 |
| #fecal-sodium CPT 84302 | $32.34 | $77.00 | $4.71 – $65.45 | 21 |
| Feeding tube reposition CPT 74355 | $693.42 | $1,651.00 | $176.34 – $1,403.35 | 9 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $184.38 | $439.00 | $18.06 – $373.15 | 17 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $253.05 – $409.10 | 4 |
| Fem/popl revasc w/stent CPT 37226 | $11,362.26 | $27,053.00 | $911.74 – $22,995.05 | 9 |
| Feno poc CPT 95012 | $36.54 | $87.00 | $13.92 – $73.95 | 9 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $141.75 | $337.50 | $0.71 – $84.58 | 13 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $1,716.63 | $4,087.20 | $0.96 – $763.22 | 15 |
| Ferritin CPT 82728 | $102.48 | $244.00 | $13.21 – $207.40 | 21 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $384.14 | $914.60 | $0.28 – $641.37 | 11 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $346.92 | $826.00 | $122.56 – $651.10 | 13 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $194.04 | $462.00 | $65.79 – $392.70 | 9 |
| Fetal cord puncture prenatal CPT 59012 | $280.14 | $667.00 | $106.72 – $566.95 | 9 |
| Fetal fibronectin CPT 82731 | $493.92 | $1,176.00 | $62.41 – $999.60 | 21 |
| Fetal fluid drainage w/us CPT 59074 | $135.66 | $323.00 | $51.68 – $274.55 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $207.48 | $494.00 | $7.49 – $419.90 | 21 |
| Fetal hemoglobin rosette CPT 85461 | $91.98 | $219.00 | $9.07 – $186.15 | 21 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $28.56 | $68.00 | $10.88 – $60.95 | 21 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $73.98 – $73.98 | 1 |
| Fetal monitor w/report CPT 59050 | $133.56 | $318.00 | $50.88 – $270.30 | 11 |
| Fetal non stress test CPT 59025 | $242.34 | $577.00 | $38.05 – $490.45 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $197.93 – $197.93 | 1 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $919.70 – $919.70 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $165.90 | $395.00 | $9.86 – $335.75 | 21 |
| Fibrin degradation products CPT 85362 | $85.26 | $203.00 | $6.68 – $172.55 | 21 |
| Fibrin degrade semiquant CPT 85378 | $180.18 | $429.00 | $9.41 – $364.65 | 21 |
| Fibrinogen activity CPT 85384 | $108.36 | $258.00 | $9.41 – $219.30 | 21 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $179.76 | $428.00 | $0.64 – $8.88 | 21 |
| Fibrinolytic antiplasmin CPT 85410 | $108.36 | $258.00 | $7.47 – $219.30 | 21 |
| Fibrinolytic plasminogen CPT 85415 | $132.72 | $316.00 | $16.66 – $268.60 | 21 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $126.84 | $302.00 | $6.32 – $256.70 | 21 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,564.85 – $4,563.91 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $263.87 | $628.26 | $0.24 – $333.75 | 15 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $41.79 | $99.50 | $0.81 – $84.58 | 15 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $940.30 | $2,238.80 | $0.20 – $812.22 | 15 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,294.42 – $1,294.42 | 1 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,717.50 | $18,375.00 | $26.81 – $142.42 | 12 |
| Filter vena cava fem denali HCPCS C1880 | $2,667.42 | $6,351.00 | $18.56 – $98.60 | 12 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $687.82 – $1,541.06 | 4 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $636.30 | $1,515.00 | $168.15 – $1,287.75 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $636.30 | $1,515.00 | $96.26 – $1,287.75 | 9 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $80.43 – $80.43 | 1 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $636.30 | $1,515.00 | $94.82 – $1,287.75 | 9 |
| Fine needle asp without image guide 10021 CPT 10021 | $254.52 | $606.00 | $96.96 – $515.10 | 8 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,355.97 | $5,609.43 | $82.95 – $440.64 | 12 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,705.01 – $1,705.01 | 1 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,209.10 – $2,209.10 | 1 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $840.47 – $856.95 | 3 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $594.85 – $1,261.07 | 4 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $87.78 – $87.78 | 1 |
| Fixation of ankle joint CPT 27860 | not published | not published | $311.85 – $311.85 | 1 |
| Fixation of knee joint CPT 27570 | $1,826.16 | $4,348.00 | $290.98 – $3,695.80 | 9 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,815.39 – $1,815.39 | 1 |
| Fix g/colon tube w/device CPT 49460 | $360.78 | $859.00 | $93.95 – $730.15 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,267.98 – $1,267.98 | 1 |
| Fl exam g/colon tube w contrast CPT 49465 | $347.76 | $828.00 | $57.12 – $703.80 | 9 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $106.30 – $106.30 | 1 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,349.75 – $1,349.75 | 1 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,472.16 – $1,472.16 | 1 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $173.99 – $173.99 | 1 |
| Florbetaben f18 diagnostic HCPCS Q9983 | $2,074.38 | $4,939.00 | $790.24 – $4,198.15 | 10 |
| Flow cytometry marker each additional CPT 88185 | $57.96 | $138.00 | $5.76 – $36.00 | 13 |
| Flow cytometry one marker technical component CPT 88184 | $428.82 | $1,021.00 | $87.68 – $494.95 | 13 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $86.84 | $206.75 | $2.08 – $84.58 | 13 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $522.19 | $1,243.30 | $26.81 – $167.55 | 15 |
| Fluidotherapy charges pt CPT 97022 | $41.16 | $98.00 | $15.04 – $158.00 | 15 |
| Fluid pressure muscle 20950 CPT 20950 | $450.66 | $1,073.00 | $165.65 – $912.05 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $100.80 | $240.00 | $11.68 – $204.00 | 21 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $438.90 | $1,045.00 | $145.24 – $816.85 | 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.