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 |
|---|---|---|---|---|
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $147.25 – $147.25 | 1 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $212.96 – $212.96 | 1 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $195.59 – $195.59 | 1 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $471.45 – $471.45 | 1 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $230.16 | $548.00 | $98.64 – $465.80 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $404.71 – $404.71 | 1 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $94.75 – $94.75 | 1 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $75.87 – $75.87 | 1 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $217.31 – $217.31 | 1 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $396.06 | $943.00 | $169.74 – $801.55 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $205.30 – $205.30 | 1 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $339.78 | $809.00 | $145.62 – $687.65 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $240.66 – $240.66 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | $80.64 | $192.00 | $34.56 – $163.20 | 13 |
| Chemo ia infusion up to 1 hr CPT 96422 | $406.56 | $968.00 | $174.24 – $822.80 | 13 |
| Chemo ia push tecnique CPT 96420 | $139.02 | $331.00 | $59.58 – $281.35 | 13 |
| Chemo intralesional up to 7 96405 CPT 96405 | $89.46 | $213.00 | $38.34 – $181.05 | 13 |
| Chest 2 vws w oblique CPT 71048 | $337.68 | $804.00 | $58.84 – $683.40 | 9 |
| Chest apical lordotic proj CPT 71047 | $271.32 | $646.00 | $55.06 – $368.90 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,265.04 | $3,012.00 | $269.66 – $2,560.20 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $1,110.06 | $2,643.00 | $219.85 – $2,246.55 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $754.74 | $1,797.00 | $161.64 – $1,527.45 | 13 |
| Chest X-ray CPT 71046 | $204.12 | $486.00 | $19.44 – $91.80 | 9 |
| Chest X-ray (single view) CPT 71045 | $143.64 | $342.00 | $32.36 – $278.80 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | $148.26 | $353.00 | $63.54 – $300.05 | 9 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $171.78 | $409.00 | $73.62 – $347.65 | 9 |
| Chlamydia culture CPT 87110 | $84.00 | $200.00 | $18.99 – $170.00 | 21 |
| Chlamydia trachomatis ag if CPT 87270 | $153.30 | $365.00 | $11.61 – $310.25 | 21 |
| Chlamydia type CPT 87140 | $71.40 | $170.00 | $5.40 – $144.50 | 21 |
| Chlnggrphy intraop addl s&i CPT 74301 | $60.06 | $143.00 | $25.74 – $121.55 | 9 |
| Chloramphenicol sodium injec HCPCS J0720 | $76.26 | $181.56 | $32.69 – $154.33 | 9 |
| Chloride CPT 82435 | $48.72 | $116.00 | $4.46 – $88.40 | 21 |
| Chloride 24 hour urine CPT 82436 | $56.70 | $135.00 | $5.57 – $114.75 | 21 |
| Chloroprocaine hcl injection HCPCS J2401 | $41.79 | $99.50 | $17.91 – $84.58 | 8 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $865.20 | $2,060.00 | $21.91 – $121.70 | 13 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $63.58 | $151.37 | $17.91 – $84.58 | 13 |
| Cholangiogram percutaneous compl CPT 47532 | $2,215.08 | $5,274.00 | $391.61 – $4,482.90 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $399.42 | $951.00 | $43.72 – $808.35 | 9 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $983.57 – $1,002.85 | 3 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $722.39 – $736.56 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $802.51 – $818.24 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,535.52 | $3,656.00 | $598.86 – $2,827.95 | 9 |
| Cholesterol CPT 82465 | $43.26 | $103.00 | $4.21 – $87.55 | 21 |
| Cholesterol body fluid CPT 84999 | $219.24 | $522.00 | $90.36 – $426.70 | 9 |
| Cholesterol (Lipid) Test CPT 80061 | $129.36 | $308.00 | $1.08 – $13.32 | 21 |
| Cholinesterase CPT 82480 | $39.48 | $94.00 | $7.63 – $79.90 | 21 |
| Cholinesterase challenge CPT 95857 | $145.74 | $347.00 | $48.83 – $294.95 | 9 |
| Chorion biopsy CPT 59015 | $337.26 | $803.00 | $144.54 – $682.55 | 9 |
| Chromatography CPT 83021 | $73.08 | $174.00 | $17.50 – $147.90 | 21 |
| Chromosome analys amniotic CPT 88269 | $145.32 | $346.00 | $62.28 – $385.53 | 21 |
| Chromosome analysis 15-20 cell count CPT 88262 | $791.70 | $1,885.00 | $121.60 – $1,602.25 | 21 |
| Chromosome analysis 5 CPT 88261 | $585.48 | $1,394.00 | $250.92 – $1,390.48 | 21 |
| Chromosome analys placenta CPT 88267 | $644.28 | $1,534.00 | $182.72 – $1,414.36 | 21 |
| Chromosome count additional CPT 88285 | $89.46 | $213.00 | $26.07 – $181.05 | 21 |
| Chromosome karyotype study CPT 88280 | $86.10 | $205.00 | $32.44 – $197.43 | 21 |
| Chromosome study additional CPT 88289 | $94.50 | $225.00 | $33.36 – $191.25 | 21 |
| Chylomicron screen, bf - sendout CPT 82664 | $151.20 | $360.00 | $59.60 – $306.00 | 21 |
| Cidofovir injection HCPCS J0740 | $1,506.73 | $3,587.45 | $312.80 – $1,477.09 | 15 |
| Cilastatin sodium injection HCPCS J0743 | $62.72 | $149.32 | $5.87 – $84.58 | 13 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $746.45 – $746.45 | 1 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $86.84 | $206.75 | $1.37 – $84.58 | 13 |
| Circum 28 days or older CPT 54161 | not published | not published | $375.38 – $375.38 | 1 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $276.30 – $276.30 | 1 |
| Circumcision (newborn) CPT 54150 | $1,358.70 | $3,235.00 | $180.43 – $2,749.75 | 8 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $960.33 | $2,286.50 | $3.47 – $84.58 | 13 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $302.30 | $719.75 | $18.60 – $310.98 | 15 |
| C-laminoplasty w/graft/plate CPT 63051 | not published | not published | $1,492.97 – $1,522.25 | 3 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $13,466.25 | $32,062.50 | $18.15 – $453.75 | 12 |
| Clamp neck artery CPT 61703 | not published | not published | $1,098.63 – $1,120.17 | 3 |
| Claviculectomy partial CPT 23120 | not published | not published | $1,113.53 – $1,113.53 | 1 |
| Claviculectomy total CPT 23125 | not published | not published | $1,334.61 – $1,334.61 | 1 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $260.48 – $260.48 | 1 |
| Clearance of airways CPT 31720 | $597.24 | $1,422.00 | $70.02 – $330.65 | 9 |
| Clearance of airways CPT 31725 | not published | not published | $107.66 – $150.15 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $483.27 – $483.27 | 1 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $86.84 | $206.75 | $0.75 – $3.53 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $839.79 | $1,999.50 | $11.85 – $55.93 | 12 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,185.28 – $2,185.28 | 1 |
| Cllr miami j sm HCPCS L0174 | $173.17 | $412.30 | $74.22 – $350.46 | 10 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $2,028.61 – $2,068.38 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $41.79 | $99.50 | $14.74 – $84.58 | 13 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $683.98 – $1,447.38 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,471.15 – $1,499.99 | 3 |
| Close chest after drainage CPT 32810 | not published | not published | $832.87 – $1,619.25 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $501.48 | $1,194.00 | $214.92 – $1,014.90 | 8 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $704.14 – $1,350.85 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $779.73 – $779.73 | 1 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $769.02 | $1,831.00 | $329.58 – $1,556.35 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $623.28 | $1,484.00 | $267.12 – $1,261.40 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,365.84 | $3,252.00 | $585.36 – $2,764.20 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $215.88 | $514.00 | $92.52 – $436.90 | 9 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,219.34 – $1,219.34 | 1 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $323.80 – $323.80 | 1 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $624.16 – $624.16 | 1 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $889.56 | $2,118.00 | $381.24 – $1,800.30 | 8 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $573.76 – $573.76 | 1 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $200.53 – $200.53 | 1 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $369.18 | $879.00 | $158.22 – $747.15 | 8 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,448.85 – $1,448.85 | 1 |
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.