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 |
|---|---|---|---|---|
| Close kidney-skin fistula CPT 50520 | not published | not published | $995.60 – $1,015.12 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $464.52 | $1,106.00 | $199.08 – $940.10 | 8 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,264.60 – $1,264.60 | 1 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $771.95 – $1,223.92 | 4 |
| Close mult vsd CPT 33675 | not published | not published | $1,895.95 – $1,933.12 | 3 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,951.68 – $1,989.95 | 3 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,273.17 – $1,298.14 | 3 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,270.37 – $1,295.28 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $278.54 – $278.54 | 1 |
| Close tear duct opening CPT 68761 | not published | not published | $224.74 – $224.74 | 1 |
| Close tear system fistula CPT 68770 | not published | not published | $1,193.81 – $1,193.81 | 1 |
| Clos txnose fx without stablz 21315 CPT 21315 | $934.92 | $2,226.00 | $111.59 – $1,892.10 | 8 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $609.67 – $1,583.57 | 4 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,225.10 – $1,249.12 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $786.49 – $1,854.95 | 4 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $802.34 – $818.07 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,684.62 | $4,011.00 | $382.66 – $3,409.35 | 8 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $181.73 – $181.73 | 1 |
| Closure of salivary fistula CPT 42600 | not published | not published | $680.11 – $680.11 | 1 |
| Closure of valve CPT 33600 | not published | not published | $2,034.61 – $2,074.51 | 3 |
| Closure of valve CPT 33602 | not published | not published | $1,964.24 – $2,002.76 | 3 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $630.46 – $630.46 | 1 |
| Closure paravalvlr leak pq CPT 33999 | $11,862.06 | $28,243.00 | $174.60 – $824.50 | 9 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,071.79 – $1,092.80 | 3 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $834.41 – $1,667.65 | 4 |
| Clot factor fletcher fact CPT 85292 | $254.94 | $607.00 | $18.34 – $515.95 | 21 |
| Clot factor xii hageman CPT 85280 | $326.34 | $777.00 | $18.75 – $660.45 | 21 |
| Clot factor xiii fibrin stab CPT 85290 | $179.34 | $427.00 | $15.83 – $362.95 | 21 |
| Clotting assay whole blood CPT 85396 | $133.56 | $318.00 | $37.21 – $270.30 | 13 |
| Clsd ostomy pouch without barr HCPCS A5052 | $12.75 | $30.35 | $4.07 – $25.80 | 8 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $381.36 | $908.00 | $163.44 – $771.80 | 9 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $309.54 | $737.00 | $132.66 – $626.45 | 8 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $348.60 | $830.00 | $149.40 – $705.50 | 9 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $466.18 – $466.18 | 1 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $175.56 | $418.00 | $75.24 – $355.30 | 8 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $455.28 | $1,084.00 | $195.12 – $921.40 | 8 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $104.16 | $248.00 | $44.64 – $210.80 | 9 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $372.02 – $372.02 | 1 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $365.40 | $870.00 | $156.60 – $739.50 | 8 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $160.44 | $382.00 | $68.76 – $324.70 | 8 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $244.86 | $583.00 | $104.94 – $495.55 | 8 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $292.32 | $696.00 | $125.28 – $591.60 | 9 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,154.16 | $2,748.00 | $494.64 – $2,335.80 | 8 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,199.94 | $2,857.00 | $514.26 – $2,428.45 | 8 |
| Clsd tx fracture of radius 25500 CPT 25500 | $239.82 | $571.00 | $102.78 – $485.35 | 9 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $482.58 | $1,149.00 | $206.82 – $976.65 | 8 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $162.54 | $387.00 | $69.66 – $328.95 | 8 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $280.14 | $667.00 | $120.06 – $566.95 | 8 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $727.86 | $1,733.00 | $311.94 – $1,473.05 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $412.44 | $982.00 | $176.76 – $834.70 | 8 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 8 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $507.38 – $507.38 | 1 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $285.18 | $679.00 | $122.22 – $577.15 | 8 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $273.42 | $651.00 | $117.18 – $553.35 | 8 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $695.94 | $1,657.00 | $298.26 – $1,408.45 | 8 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $187.74 | $447.00 | $80.46 – $379.95 | 8 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $915.26 – $915.26 | 1 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $432.98 – $432.98 | 1 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $338.94 | $807.00 | $145.26 – $685.95 | 8 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $482.58 | $1,149.00 | $206.82 – $976.65 | 8 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $965.20 – $965.20 | 1 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $520.38 | $1,239.00 | $223.02 – $1,053.15 | 8 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $587.16 | $1,398.00 | $251.64 – $1,188.30 | 8 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $2,061.36 | $4,908.00 | $178.67 – $4,171.80 | 8 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,478.40 | $3,520.00 | $632.60 – $2,992.00 | 8 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $235.62 | $561.00 | $100.98 – $476.85 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $323.82 | $771.00 | $138.78 – $655.35 | 8 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $250.40 – $250.40 | 1 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $589.05 – $589.05 | 1 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 8 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $441.42 | $1,051.00 | $189.18 – $893.35 | 8 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $225.12 | $536.00 | $96.48 – $455.60 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 9 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $474.14 – $474.14 | 1 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 8 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 8 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,433.88 | $3,414.00 | $614.52 – $2,901.90 | 8 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $654.17 – $654.17 | 1 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $191.94 | $457.00 | $57.06 – $388.45 | 8 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $237.72 | $566.00 | $101.88 – $481.10 | 9 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $244.86 | $583.00 | $104.94 – $495.55 | 8 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,152.48 | $2,744.00 | $493.92 – $2,332.40 | 8 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $474.60 | $1,130.00 | $203.40 – $960.50 | 8 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $561.04 – $561.04 | 1 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $554.67 – $554.67 | 1 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $553.98 | $1,319.00 | $237.42 – $1,121.15 | 8 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $1,013.82 – $1,013.82 | 1 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $154.56 | $368.00 | $66.24 – $312.80 | 8 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $259.98 | $619.00 | $111.42 – $526.15 | 9 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $2,098.13 – $2,139.27 | 3 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,996.78 – $2,035.94 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $534.66 | $1,273.00 | $229.14 – $1,082.05 | 8 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $341.88 | $814.00 | $146.52 – $691.90 | 8 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $461.99 – $1,322.71 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,038.24 | $2,472.00 | $444.96 – $2,101.20 | 8 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $574.77 – $574.77 | 1 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,029.00 | $2,450.00 | $441.00 – $2,082.50 | 8 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $150.78 | $359.00 | $64.62 – $305.15 | 8 |
| Cltx lunate dislc w/mnpj CPT 25690 | $144.90 | $345.00 | $62.10 – $293.25 | 8 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $1,760.68 – $1,760.68 | 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.