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 |
|---|---|---|---|---|
| T4 (thyroxine) free CPT 84439 | $63.84 | $152.00 | $8.74 – $129.20 | 21 |
| T4 (thyroxine) total CPT 84436 | $28.98 | $69.00 | $6.66 – $58.65 | 21 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $176.74 | $420.80 | $0.20 – $3.43 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $80.64 | $192.00 | $13.30 – $163.20 | 21 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $2,674.63 | $6,368.15 | $1,018.91 – $5,412.93 | 8 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,909.02 – $1,946.45 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,755.79 – $1,790.21 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $897.53 – $915.13 | 3 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $21,745.13 | $51,774.10 | $621.29 – $3,300.60 | 8 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $147.71 – $147.71 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $121.30 – $121.30 | 1 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,330.35 – $1,330.35 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $242.80 – $242.80 | 1 |
| Tavr perq femoral CPT 33361 | $8,256.36 | $19,658.00 | $1,188.07 – $16,709.30 | 11 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $850.84 | $2,025.80 | $0.34 – $327.93 | 15 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $201.60 | $480.00 | $60.06 – $480.00 | 21 |
| Tc-99m bicisate HCPCS A9557 | $2,905.14 | $6,917.00 | $872.13 – $5,879.45 | 8 |
| Tc-99m depreotide HCPCS A9536 | $721.56 | $1,718.00 | $274.88 – $1,460.30 | 8 |
| Tc-99m diag per dose HCPCS A4641 | $220.08 | $524.00 | $83.84 – $445.40 | 8 |
| Tc-99m disofenin HCPCS A9510 | $133.98 | $319.00 | $51.04 – $271.15 | 8 |
| Tc-99m exametazime diag HCPCS A9521 | $2,625.84 | $6,252.00 | $1,000.32 – $5,314.20 | 8 |
| Tc-99m fanolesomab diag HCPCS A9566 | $1,590.96 | $3,788.00 | $606.08 – $3,219.80 | 8 |
| Tc-99m labeled rbc HCPCS A9560 | $259.56 | $618.00 | $44.48 – $236.30 | 8 |
| Tc-99m maa HCPCS A9540 | $312.06 | $743.00 | $48.58 – $631.55 | 8 |
| Tc-99m mebrofenin HCPCS A9537 | $58.38 | $139.00 | $22.24 – $118.15 | 8 |
| Tc-99m medronate HCPCS A9503 | $84.42 | $201.00 | $30.47 – $170.85 | 8 |
| Tc-99m mertiatide HCPCS A9562 | $558.18 | $1,329.00 | $212.64 – $1,129.65 | 8 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $4.20 | $10.00 | $1.60 – $8.50 | 8 |
| Tc-99m oxidronate HCPCS A9561 | $60.48 | $144.00 | $23.04 – $122.40 | 8 |
| Tc-99m pentetate dtpa HCPCS A9539 | $249.90 | $595.00 | $41.63 – $505.75 | 8 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $284.34 | $677.00 | $33.63 – $575.45 | 8 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.26 | $3.00 | $0.48 – $2.55 | 8 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $72.66 | $173.00 | $27.68 – $147.05 | 8 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $468.30 | $1,115.00 | $25.92 – $137.70 | 8 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $145.74 | $347.00 | $55.52 – $294.95 | 8 |
| Tc-99m sulfur colloid HCPCS A9541 | $291.90 | $695.00 | $63.20 – $335.75 | 8 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $70.14 | $167.00 | $26.72 – $141.95 | 8 |
| Tc-99m tilmanocept diag HCPCS A9520 | $327.60 | $780.00 | $124.80 – $663.00 | 8 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $783.36 – $783.36 | 1 |
| Tcd emboli detect w/inj CPT 93893 | $524.16 | $1,248.00 | $199.68 – $1,060.80 | 13 |
| Tcd emboli detect without inj CPT 93892 | $524.16 | $1,248.00 | $199.68 – $1,060.80 | 13 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $149.77 – $149.77 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $133.56 | $318.00 | $45.52 – $318.00 | 21 |
| T cells total count CPT 86359 | $133.56 | $318.00 | $36.56 – $296.82 | 21 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $367.57 – $837.33 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,026.63 – $1,804.99 | 4 |
| Telavancin injection HCPCS J3095 | $749.37 | $1,784.20 | $5.99 – $1,516.57 | 15 |
| Telethx isodose plan cplx CPT 77307 | $1,922.34 | $4,577.00 | $256.22 – $3,890.45 | 13 |
| Telethx isodose plan simple CPT 77306 | $1,191.96 | $2,838.00 | $141.67 – $2,412.30 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,841.93 | $9,147.45 | $25.02 – $7,775.34 | 15 |
| Tendon lengthening CPT 26476 | not published | not published | $1,221.11 – $1,221.11 | 1 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $1,099.71 – $1,099.71 | 1 |
| Tendon shortening CPT 26477 | not published | not published | $1,196.56 – $1,196.56 | 1 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,748.12 – $1,748.12 | 1 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,814.41 | $40,034.30 | $133.70 – $25,769.41 | 15 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,133.66 – $1,133.66 | 1 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,149.37 – $1,149.37 | 1 |
| Tenolysis triceps CPT 24332 | not published | not published | $1,163.78 – $1,163.78 | 1 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,463.03 – $1,463.03 | 1 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $982.74 – $982.74 | 1 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $576.26 – $1,352.82 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $568.22 – $568.22 | 1 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $468.11 – $468.11 | 1 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $41.79 | $99.50 | $2.71 – $84.58 | 13 |
| Test for porphobilinogen CPT 84106 | $55.02 | $131.00 | $5.64 – $111.35 | 21 |
| Testicular imaging w/vasc flow CPT 78761 | $732.06 | $1,743.00 | $278.88 – $1,481.55 | 13 |
| Testosterone undecanoate 1mg HCPCS J3145 | $4,352.22 | $10,362.41 | $1.60 – $8,808.05 | 13 |
| Test stress cardiovascular tracing only CPT 93017 | $875.70 | $2,085.00 | $4.00 – $21.25 | 13 |
| Test urine for porphyrins CPT 84119 | $49.98 | $119.00 | $12.94 – $101.15 | 21 |
| Test urine urobilinogen CPT 84578 | $23.94 | $57.00 | $4.33 – $48.45 | 21 |
| Tetanus immune globulin inj HCPCS J1670 | $943.91 | $2,247.40 | $359.59 – $1,910.29 | 15 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $8,737.92 | $20,804.56 | $3,328.73 – $17,683.88 | 8 |
| Thaw preserved stem cells CPT 38208 | $1,236.48 | $2,944.00 | $53.63 – $2,502.40 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $70.56 | $168.00 | $13.70 – $142.80 | 21 |
| Therapeutic procd strg endur HCPCS G0237 | $83.16 | $198.00 | $19.90 – $168.30 | 9 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $34.86 | $83.00 | $13.28 – $75.15 | 17 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $42.00 | $100.00 | $14.72 – $85.00 | 17 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $225.83 – $225.83 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $41.79 | $99.50 | $1.65 – $84.58 | 13 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,362.45 – $1,389.17 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,487.90 – $1,517.08 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $714.84 | $1,702.00 | $30.24 – $586.30 | 9 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,203.70 – $2,246.91 | 3 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.98 – $1,087.07 | 4 |
| Thoracic duct procedure CPT 38381 | not published | not published | $833.36 – $1,450.18 | 4 |
| Thoracic duct procedure CPT 38382 | not published | not published | $615.18 – $1,238.77 | 4 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $240.44 – $377.56 | 4 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,885.37 – $2,941.94 | 3 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,043.34 – $1,063.80 | 3 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,433.84 – $1,461.96 | 3 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $2,728.74 | $6,497.00 | $548.92 – $5,522.45 | 9 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,359.78 – $1,386.44 | 3 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $192.90 – $377.98 | 4 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,589.47 – $1,620.63 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $893.54 – $1,960.08 | 4 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,200.67 – $1,224.22 | 3 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $877.33 – $1,901.13 | 4 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $928.99 – $1,714.67 | 4 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $733.92 – $1,207.23 | 4 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $840.26 – $856.73 | 3 |
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.