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 |
|---|---|---|---|---|
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $760.49 – $760.49 | 1 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $1,055.67 – $1,055.67 | 1 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,053.11 – $1,053.11 | 1 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $8,908.41 | $21,210.50 | $129.02 – $18,028.93 | 15 |
| Blink reflex test CPT 95933 | $65.94 | $157.00 | $25.12 – $133.45 | 9 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $10,069.50 | $23,975.00 | $0.01 – $0.01 | 12 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $3,690.23 | $8,786.25 | $15.99 – $84.95 | 12 |
| Bln dil 900ml preperitnl HCPCS C1727 | $909.30 | $2,165.00 | $69.60 – $369.75 | 12 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,382.66 | $5,673.00 | $48.00 – $255.00 | 12 |
| Bln press regulation 71-80cm HCPCS C1815 | $4,163.78 | $9,913.75 | $387.36 – $2,057.85 | 12 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $3,304.98 | $7,869.00 | $140.80 – $748.00 | 12 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $53.51 | $127.40 | $4.48 – $23.76 | 8 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $784.56 | $1,868.00 | $147.71 – $1,587.80 | 9 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,808.52 | $4,306.00 | $137.99 – $3,660.10 | 9 |
| Block paracervical nrv CPT 64435 | not published | not published | $81.40 – $81.40 | 1 |
| Block plantar digital nerve CPT 64455 | not published | not published | $64.18 – $64.18 | 1 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,594.32 | $3,796.00 | $131.65 – $3,226.60 | 9 |
| Block tap inj(s) w/wo img uni CPT 64486 | $837.48 | $1,994.00 | $105.40 – $1,694.90 | 9 |
| Blood clot lysis time CPT 85175 | $82.32 | $196.00 | $14.69 – $166.60 | 21 |
| Blood Clotting (PT/INR) Test CPT 85610 | $57.54 | $137.00 | $4.16 – $101.15 | 21 |
| Blood Clotting (PTT) Test CPT 85730 | $67.20 | $160.00 | $5.82 – $136.00 | 21 |
| Blood Count (CBC) Test CPT 85025 | $91.98 | $219.00 | $7.53 – $186.15 | 21 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $70.56 | $168.00 | $6.27 – $142.80 | 21 |
| Blood count spun microhematocrit CPT 85013 | $41.58 | $99.00 | $6.78 – $84.15 | 21 |
| Blood Culture Test CPT 87040 | $180.18 | $429.00 | $10.00 – $364.65 | 21 |
| Blood draw capillary 36416 CPT 36416 | $22.68 | $54.00 | $5.72 – $45.90 | 8 |
| Blood gases o2 saturation direct measurement CPT 82805 | $294.00 | $700.00 | $76.33 – $595.00 | 21 |
| Blood gases ph venous CPT 82800 | $73.50 | $175.00 | $10.66 – $148.75 | 21 |
| Blood, l/r, irradiated HCPCS P9056 | $452.34 | $1,077.00 | $172.32 – $915.45 | 9 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $33.60 | $80.00 | $12.80 – $80.00 | 21 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $32.34 | $77.00 | $4.10 – $65.45 | 21 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $27.72 | $66.00 | $4.24 – $56.10 | 21 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $35.28 | $84.00 | $5.15 – $58.65 | 21 |
| Blood smear interpretation CPT 85060 | $41.58 | $99.00 | $15.84 – $99.00 | 13 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $60.90 | $145.00 | $3.68 – $58.65 | 21 |
| Blood split unit HCPCS P9011 | $368.76 | $878.00 | $115.40 – $743.75 | 9 |
| Blood typing abo CPT 86900 | $58.80 | $140.00 | $5.67 – $108.80 | 13 |
| Blood typing ag donor ea ag CPT 86902 | $230.16 | $548.00 | $10.76 – $465.80 | 13 |
| Blood typing patient serum CPT 86904 | $85.26 | $203.00 | $30.66 – $172.55 | 13 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $230.16 | $548.00 | $7.56 – $465.80 | 13 |
| Blood typing rh (d) CPT 86901 | $49.98 | $119.00 | $5.67 – $90.95 | 13 |
| Blood typing rh phenotype complete reference CPT 86906 | $112.98 | $269.00 | $15.14 – $228.65 | 13 |
| Blood volume CPT 78122 | $481.74 | $1,147.00 | $145.87 – $974.95 | 13 |
| Bone biopsy open superficial CPT 20240 | $1,635.48 | $3,894.00 | $265.82 – $3,309.90 | 8 |
| Bone Density Scan (DEXA) CPT 77080 | $280.14 | $667.00 | $55.69 – $566.95 | 13 |
| Bone imaging multiple areas CPT 78305 | $645.96 | $1,538.00 | $246.08 – $1,307.30 | 13 |
| Bone/joint imaging ltd area CPT 78300 | $489.30 | $1,165.00 | $186.40 – $990.25 | 13 |
| Bone marrow;aspiration only 38220 CPT 38220 | $774.48 | $1,844.00 | $128.12 – $1,279.25 | 9 |
| Bone marrow aspir bone grfg CPT 20939 | not published | not published | $123.44 – $123.44 | 1 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $774.48 | $1,844.00 | $134.25 – $1,279.25 | 9 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $370.06 – $370.06 | 1 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $352.21 – $352.21 | 1 |
| Bone marrow imaging body CPT 78104 | $191.10 | $455.00 | $72.80 – $455.00 | 13 |
| Bone marrow imaging ltd CPT 78102 | $268.80 | $640.00 | $102.40 – $640.00 | 13 |
| Bone marrow imaging mult CPT 78103 | $320.04 | $762.00 | $121.92 – $762.00 | 13 |
| Bone marrow interpretation CPT 85097 | $550.62 | $1,311.00 | $92.17 – $1,114.35 | 13 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $5,517.18 – $5,517.18 | 1 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $2,807.93 – $5,241.29 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $5,225.54 – $5,225.54 | 1 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $2,862.53 – $5,085.19 | 4 |
| Bone survey-lead poisoning CPT 77074 | $177.66 | $423.00 | $67.68 – $359.55 | 13 |
| Bone void filler nanoss 10cc HCPCS C9362 | $273.00 | $650.00 | $104.00 – $552.50 | 12 |
| Boot j walker l HCPCS L4386 | $118.11 | $281.20 | $17.96 – $116.69 | 10 |
| Boot mlti podous univ xlg HCPCS L4396 | $178.57 | $425.16 | $12.92 – $83.93 | 10 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $108.55 | $258.45 | $12.11 – $78.66 | 10 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $120.96 | $288.00 | $16.50 – $244.80 | 21 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,366.30 | $8,015.00 | $1.41 – $84.58 | 13 |
| (both sides) donor search management CPT 38204 | not published | not published | $191.10 – $191.10 | 1 |
| (both sides) smear without diff wbc count CPT 85008 | $28.98 | $69.00 | $3.33 – $58.65 | 21 |
| Bowel imaging CPT 78290 | $527.94 | $1,257.00 | $201.12 – $1,257.00 | 13 |
| Bpg axillary-pop/-tibial CPT 35623 | not published | not published | $920.14 – $938.18 | 3 |
| Bpg carotid-vertebral CPT 35642 | not published | not published | $1,001.11 – $1,740.27 | 4 |
| Bpg ilio-celiac CPT 35632 | not published | not published | $1,745.16 – $1,779.38 | 3 |
| Bpg ilio-mesenteric CPT 35633 | not published | not published | $1,884.73 – $1,921.68 | 3 |
| Bpg iliorenal CPT 35634 | not published | not published | $1,707.87 – $1,741.36 | 3 |
| Bpg pop-tibl/-prnl artery CPT 35671 | not published | not published | $1,008.50 – $1,028.28 | 3 |
| Bpg splenorenal CPT 35636 | not published | not published | $1,276.14 – $1,301.16 | 3 |
| Bpg subclavian-axillary CPT 35616 | not published | not published | $1,032.14 – $1,052.38 | 3 |
| Bpg subclavian-vertebral CPT 35645 | not published | not published | $1,006.64 – $1,665.07 | 4 |
| Brace afo lg left 6607 HCPCS L1930 | $690.92 | $1,645.03 | $12.11 – $78.66 | 10 |
| Brace ank air stirrup univ HCPCS L4350 | $78.05 | $185.82 | $29.74 – $157.95 | 10 |
| Brace ankle stablizing lg HCPCS L1902 | $80.01 | $190.50 | $30.48 – $161.93 | 10 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $755.54 | $1,798.90 | $287.83 – $1,529.07 | 10 |
| Brace back t-lso custom HCPCS L0486 | $892.46 | $2,124.90 | $339.99 – $1,806.17 | 8 |
| Brace knee extender plus 22-30in HCPCS L1832 | $342.11 | $814.53 | $13.27 – $86.21 | 10 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $613.75 | $1,461.30 | $233.81 – $1,242.11 | 10 |
| Brace wrist classic lft sm HCPCS L3908 | $68.88 | $164.00 | $5.44 – $35.31 | 10 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,491.27 – $1,491.27 | 1 |
| Brach/thor cath 1st CPT 36215 | $937.86 | $2,233.00 | $325.28 – $1,728.05 | 9 |
| Brach/thor cath 2nd CPT 36216 | $514.92 | $1,226.00 | $196.16 – $1,042.10 | 9 |
| Brach/thor cath 3rd CPT 36217 | $768.60 | $1,830.00 | $266.56 – $1,416.10 | 9 |
| Brach/thor cath addl CPT 36218 | $1,053.36 | $2,508.00 | $94.02 – $2,131.80 | 9 |
| Brachy source i-125 injection HCPCS C2638 | $39.06 | $93.00 | $14.88 – $79.05 | 12 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $27.72 | $66.00 | $10.56 – $56.10 | 12 |
| Brachy source yttrium-90 HCPCS C2616 | $24,595.20 | $58,560.00 | $4,760.00 – $25,287.50 | 12 |
| Brachy src nonstrand c-131 HCPCS C2643 | $55.40 | $131.90 | $21.11 – $112.12 | 12 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $346.50 | $825.00 | $132.00 – $701.25 | 12 |
| Brachy src stranded c-131 HCPCS C2642 | $34,545.00 | $82,250.00 | $845.72 – $4,492.86 | 12 |
| Brachytx isodose complex CPT 77318 | $1,705.20 | $4,060.00 | $580.10 – $3,451.00 | 13 |
| Brachytx isodose intermed CPT 77317 | $1,461.60 | $3,480.00 | $429.41 – $2,958.00 | 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.