CHI Health Midlands
11111 S 84th Street, Papillion, NE · Chihealth · · NPI 1215006101
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $39.06 | $93.00 | $16.74 – $93.00 | 21 |
| 17-hydroxypregnenolone CPT 84143 | $57.12 | $136.00 | $22.10 – $136.00 | 21 |
| 17-ketosteroids CPT 83586 | $270.90 | $645.00 | $12.40 – $548.25 | 21 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,874.04 | $4,462.00 | $803.16 – $3,792.70 | 9 |
| 2nd order venous cath CPT 36012 | $1,613.22 | $3,841.00 | $315.69 – $2,681.75 | 9 |
| 3d ech img cgen car anomal CPT 93319 | $66.78 | $159.00 | $28.62 – $135.15 | 9 |
| 3-d radiotherapy plan CPT 77295 | $5,593.14 | $13,317.00 | $483.84 – $11,319.45 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | $238.14 | $567.00 | $29.21 – $481.95 | 13 |
| 5' nucleotidase - sendout CPT 83915 | $48.72 | $116.00 | $10.80 – $98.60 | 21 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $94.50 | $225.00 | $36.58 – $191.25 | 13 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,437.96 – $2,485.77 | 3 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,067.45 | $7,303.45 | $37.13 – $4,125.99 | 15 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $8.40 | $20.00 | $3.60 – $26.66 | 21 |
| Abd aorta w/runoff s&i CPT 75630 | $1,702.68 | $4,054.00 | $121.49 – $3,276.75 | 13 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $594.10 – $605.75 | 3 |
| Abd/low ext cath 1st CPT 36245 | $1,151.22 | $2,741.00 | $425.38 – $2,050.20 | 9 |
| Abd/low ext cath 2nd CPT 36246 | $867.72 | $2,066.00 | $371.88 – $1,756.10 | 9 |
| Abd/low ext cath 3rd CPT 36247 | $1,470.42 | $3,501.00 | $539.01 – $2,618.85 | 9 |
| Abd/low ext cath addl CPT 36248 | $323.82 | $771.00 | $88.98 – $566.10 | 9 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,396.08 | $3,324.00 | $384.43 – $2,825.40 | 13 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,257.90 | $2,995.00 | $339.02 – $2,545.75 | 13 |
| Abdominal CT scan (without contrast) CPT 74150 | $943.32 | $2,246.00 | $159.12 – $1,909.10 | 13 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,803.06 | $4,293.00 | $462.19 – $3,649.05 | 13 |
| Abdominal MRI (with contrast) CPT 74182 | $1,604.82 | $3,821.00 | $434.45 – $3,247.85 | 13 |
| Abdominal MRI (without contrast) CPT 74181 | $1,406.58 | $3,349.00 | $250.74 – $2,846.65 | 13 |
| Abdominal paracentesis w/image guidance CPT 49083 | $730.38 | $1,739.00 | $199.71 – $1,478.15 | 8 |
| Abdominal Ultrasound (complete) CPT 76700 | $524.58 | $1,249.00 | $147.97 – $1,061.65 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $320.04 | $762.00 | $112.46 – $647.70 | 13 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,174.11 – $2,174.11 | 1 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $467.46 | $1,113.00 | $136.52 – $946.05 | 8 |
| Ablate arrhythmia add on CPT 93655 | $6,898.92 | $16,426.00 | $543.04 – $12,410.85 | 9 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,190.79 – $1,214.14 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,714.00 – $1,747.61 | 3 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,436.08 – $1,464.24 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $523.91 – $1,163.86 | 4 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,629.63 – $1,661.59 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $2,593.92 | $6,176.00 | $640.73 – $5,249.60 | 8 |
| Ablate bone tumor(s) perq CPT 20982 | $4,497.36 | $10,708.00 | $676.81 – $9,101.80 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $5,320.56 | $12,668.00 | $1,032.59 – $9,653.45 | 9 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,295.73 – $1,321.13 | 3 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,588.23 – $1,619.37 | 3 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,532.87 – $1,562.92 | 3 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $385.12 – $385.12 | 1 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $289.40 – $289.40 | 1 |
| Ablate pulm tumor perq crybl CPT 32994 | $5,181.96 | $12,338.00 | $815.87 – $10,487.30 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | $2,874.90 | $6,845.00 | $817.13 – $5,818.25 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $12,148.92 | $28,926.00 | $47.70 – $225.25 | 9 |
| Ablation cryo abd perit om CPT 49999 | $640.92 | $1,526.00 | $274.68 – $1,297.10 | 8 |
| Ablation cryo adrenal tumor CPT 60699 | $3,846.78 | $9,159.00 | $1,555.38 – $7,344.85 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $4,065.18 | $9,679.00 | $838.13 – $8,227.15 | 9 |
| Ablation cryo retro lymph node CPT 38999 | $321.72 | $766.00 | $21.74 – $314.06 | 9 |
| Ablation cryo thigh/knee CPT 27599 | $196.14 | $467.00 | $84.06 – $396.95 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $512.40 | $1,220.00 | $50.58 – $238.85 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,851.99 – $1,851.99 | 1 |
| Abortion CPT 59850 | not published | not published | $344.29 – $708.16 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $422.39 – $422.39 | 1 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $31.94 – $31.94 | 1 |
| Abrasion lesion single CPT 15786 | not published | not published | $256.91 – $256.91 | 1 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,632.12 | $3,886.00 | $363.49 – $3,303.10 | 9 |
| Abscess imaging ltd area CPT 78805 | $572.04 | $1,362.00 | $245.16 – $1,157.70 | 8 |
| Abscess imaging whole body CPT 78806 | $964.74 | $2,297.00 | $413.46 – $1,952.45 | 8 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $210.00 | $500.00 | $90.00 – $425.00 | 9 |
| Access thoracic lymph duct CPT 38794 | $665.70 | $1,585.00 | $285.30 – $1,347.25 | 9 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $92.82 | $221.00 | $0.04 – $84.58 | 13 |
| Acetaminophen level CPT 80143 | $219.66 | $523.00 | $18.06 – $444.55 | 17 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $79.95 | $190.35 | $17.91 – $84.58 | 13 |
| Acetone qualitative CPT 82009 | $60.90 | $145.00 | $4.38 – $123.25 | 21 |
| Acetylcholine receptor modulating antibody CPT 86043 | $89.46 | $213.00 | $38.34 – $181.05 | 8 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $397.53 | $946.50 | $0.49 – $3.62 | 13 |
| Acne surgery 10040 CPT 10040 | not published | not published | $98.72 – $98.72 | 1 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $144.06 | $343.00 | $61.74 – $291.55 | 8 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $15.12 | $36.00 | $6.48 – $34.63 | 16 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $1,168.44 – $1,168.44 | 1 |
| Actigraphy testing CPT 95803 | $141.54 | $337.00 | $60.66 – $286.45 | 9 |
| Acute hepatitis panel CPT 80074 | $319.62 | $761.00 | $46.16 – $646.85 | 21 |
| Acyclovir 400 mg tablet HCPCS J8499 | $33.77 | $80.40 | $8.43 – $39.78 | 8 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $41.79 | $99.50 | $0.04 – $84.58 | 13 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,030.65 | $4,834.86 | $89.10 – $420.75 | 12 |
| Adding walker to prev cast CPT 29440 | not published | not published | $54.12 – $54.12 | 1 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $184.41 | $439.05 | $0.36 – $84.58 | 13 |
| Adenovirus antibody,serum - quest CPT 86603 | $102.90 | $245.00 | $12.47 – $208.25 | 21 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $391.58 – $1,684.24 | 4 |
| Adh-sendout CPT 84588 | $89.46 | $213.00 | $32.88 – $213.00 | 21 |
| Adj gastric band via subq port CPT 43999 | $653.94 | $1,557.00 | $280.26 – $1,323.45 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $847.88 – $847.88 | 1 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,445.51 – $1,445.51 | 1 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $686.89 | $1,635.45 | $0.65 – $20.53 | 9 |
| Admin ecg contrast agent CPT 93352 | $139.44 | $332.00 | $33.11 – $282.20 | 15 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $200.34 | $477.00 | $47.80 – $405.45 | 13 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $269.64 | $642.00 | $108.25 – $545.70 | 13 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $419.58 | $999.00 | $179.82 – $849.15 | 13 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $281.82 | $671.00 | $120.78 – $570.35 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $108.36 | $258.00 | $46.44 – $219.30 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $96.60 | $230.00 | $41.40 – $195.50 | 13 |
| Administration immunization 1 vaccine CPT 90471 | $53.76 | $128.00 | $3.42 – $16.15 | 9 |
| Administration immunization each additional vaccine CPT 90472 | $136.92 | $326.00 | $27.82 – $277.10 | 8 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $61.32 | $146.00 | $26.28 – $124.10 | 8 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $13,076.26 | $31,133.95 | $32.58 – $16,539.94 | 15 |
| Adrenal cortex & medulla img CPT 78075 | $1,204.14 | $2,867.00 | $516.06 – $2,436.95 | 13 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,165.07 – $1,187.92 | 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.