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 |
|---|---|---|---|---|
| CT angio hrt w/3d image CPT 75574 | $1,309.56 | $3,118.00 | $411.96 – $2,650.30 | 13 |
| CT angio pelvis CPT 72191 | $660.24 | $1,572.00 | $282.96 – $1,336.20 | 13 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,288.56 | $3,068.00 | $416.79 – $2,607.80 | 13 |
| CT colonography dx CPT 74261 | $1,223.88 | $2,914.00 | $524.52 – $2,476.90 | 13 |
| CT colonography dx w/dye CPT 74262 | $1,285.20 | $3,060.00 | $550.80 – $2,601.00 | 13 |
| CT colonography screening CPT 74263 | $1,062.18 | $2,529.00 | $455.22 – $2,529.00 | 13 |
| CT guidance for needle placement CPT 77012 | $898.80 | $2,140.00 | $133.27 – $1,819.00 | 13 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,178.52 | $2,806.00 | $107.39 – $2,194.70 | 13 |
| CT guid cryo ablat intramuscular CPT 20999 | $171.36 | $408.00 | $73.44 – $346.80 | 9 |
| CT guid parench tis ablat CPT 77013 | $1,080.24 | $2,572.00 | $462.96 – $2,186.20 | 9 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $109.20 | $260.00 | $46.80 – $221.00 | 13 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,204.98 | $2,869.00 | $363.41 – $2,438.65 | 13 |
| CT hrt w/3d image CPT 75572 | $1,257.48 | $2,994.00 | $286.90 – $2,544.90 | 13 |
| CT limited or localized follow-up study CPT 76380 | $437.22 | $1,041.00 | $168.57 – $884.85 | 13 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,039.92 | $2,476.00 | $219.85 – $2,104.60 | 13 |
| CT lower extremity without contrast (both sides) CPT 73700 | $805.98 | $1,919.00 | $162.27 – $1,631.15 | 13 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,168.86 | $2,783.00 | $270.92 – $2,365.55 | 13 |
| CT neck soft tissue w/contrast CPT 70491 | $1,128.54 | $2,687.00 | $234.36 – $2,283.95 | 13 |
| CT neck soft tissue without contrast CPT 70490 | $1,071.84 | $2,552.00 | $176.76 – $2,169.20 | 13 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,388.10 | $3,305.00 | $285.43 – $2,809.25 | 13 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,368.36 | $3,258.00 | $296.14 – $2,769.30 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,152.48 | $2,744.00 | $249.48 – $2,332.40 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,029.00 | $2,450.00 | $193.37 – $2,082.50 | 13 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $188.16 | $448.00 | $80.64 – $380.80 | 9 |
| CT scan for therapy guide CPT 77014 | $495.60 | $1,180.00 | $142.09 – $952.85 | 13 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,933.70 | $6,985.00 | $482.37 – $5,937.25 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,051.28 | $4,884.00 | $427.31 – $4,151.40 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,559.04 | $3,712.00 | $200.30 – $3,155.20 | 13 |
| CT thoracic spine w/contrast CPT 72129 | $1,102.50 | $2,625.00 | $220.48 – $2,231.25 | 13 |
| CT thoracic spine without contrast CPT 72128 | $958.44 | $2,282.00 | $162.90 – $1,939.70 | 13 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $99.96 | $238.00 | $42.84 – $202.30 | 9 |
| CT t-spine w /wo contrast CPT 72130 | $1,112.16 | $2,648.00 | $272.18 – $2,250.80 | 13 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,045.38 | $2,489.00 | $286.06 – $2,115.65 | 13 |
| CT upper extremity without contrast (both sides) CPT 73200 | $893.34 | $2,127.00 | $224.05 – $1,807.95 | 13 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,259.58 | $2,999.00 | $374.98 – $2,549.15 | 13 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $1,357.86 – $1,357.86 | 1 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,165.82 – $1,165.82 | 1 |
| Culture aerobic additional method definitive id each CPT 87077 | $38.64 | $92.00 | $7.83 – $78.20 | 21 |
| Culture afb any source CPT 87116 | $144.48 | $344.00 | $10.47 – $292.40 | 21 |
| Culture anaerobic additional method definitive id each CPT 87076 | $113.40 | $270.00 | $7.83 – $229.50 | 21 |
| Culture anaerobic except blood CPT 87075 | $186.48 | $444.00 | $9.18 – $377.40 | 21 |
| Culture bacteria anaerobic CPT 87073 | $340.20 | $810.00 | $9.36 – $688.50 | 21 |
| Culture bact stool aero addl path ea CPT 87046 | $71.40 | $170.00 | $9.15 – $144.50 | 21 |
| Culture body fluid CPT 87070 | $105.00 | $250.00 | $8.35 – $115.60 | 21 |
| Culture fungi definitive id mold CPT 87107 | $93.24 | $222.00 | $10.00 – $188.70 | 21 |
| Culture fungi definitive id yeast CPT 87106 | $47.46 | $113.00 | $10.00 – $96.05 | 21 |
| Culture fungi other (except blood) CPT 87102 | $221.34 | $527.00 | $8.15 – $447.95 | 21 |
| Culture fungi skin/hair/nail CPT 87101 | $42.42 | $101.00 | $7.47 – $85.85 | 21 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $5.46 | $13.00 | $2.34 – $28.86 | 21 |
| Culture mycoplasma any source CPT 87109 | $85.26 | $203.00 | $14.91 – $172.55 | 21 |
| Culture quantitative aerobic other source CPT 87071 | $50.82 | $121.00 | $9.59 – $102.85 | 21 |
| Culture screening strep group a CPT 87081 | $83.16 | $198.00 | $6.43 – $168.30 | 21 |
| Culture typing immunologic CPT 87147 | $104.58 | $249.00 | $5.02 – $211.65 | 21 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $57.96 | $138.00 | $24.84 – $138.00 | 21 |
| Culture urine each isolate CPT 87088 | $47.46 | $113.00 | $7.84 – $96.05 | 21 |
| Curette/treat cornea CPT 65435 | not published | not published | $132.83 – $132.83 | 1 |
| Curette/treat cornea CPT 65436 | not published | not published | $705.10 – $705.10 | 1 |
| Cutter lead HCPCS C1773 | $7,202.58 | $17,149.00 | $10.45 – $49.35 | 12 |
| Cv line/pic reposition CPT 36597 | $755.16 | $1,798.00 | $111.55 – $1,441.60 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $41.79 | $99.50 | $0.94 – $84.58 | 13 |
| Cyclic citrullinated peptide antibody CPT 86200 | $51.66 | $123.00 | $12.55 – $104.55 | 21 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $732.76 | $1,744.65 | $44.33 – $209.32 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1,150.80 | $2,740.00 | $0.63 – $2.98 | 13 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $134.03 | $319.10 | $42.55 – $271.24 | 13 |
| Cyclosporine 2 hour CPT 80158 | $161.28 | $384.00 | $17.49 – $326.40 | 21 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $206.80 | $492.36 | $0.63 – $2.98 | 13 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,210.53 | $2,882.20 | $1.11 – $5.22 | 13 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $11,167.89 | $26,590.20 | $228.60 – $1,079.50 | 12 |
| Cystatin c CPT 82610 | $37.80 | $90.00 | $6.38 – $76.50 | 21 |
| Cystine urine quantitative CPT 82131 | $146.16 | $348.00 | $22.27 – $295.80 | 21 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $901.36 – $901.36 | 1 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $352.38 | $839.00 | $49.39 – $713.15 | 13 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $494.15 – $494.15 | 1 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $891.78 – $1,685.44 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,399.65 – $1,399.65 | 1 |
| Cystoscopy and biopsy CPT 52007 | $2,276.82 | $5,421.00 | $311.03 – $4,607.85 | 9 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $447.41 – $447.41 | 1 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $327.01 – $327.01 | 1 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $378.27 – $378.27 | 1 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $459.92 – $459.92 | 1 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $539.41 – $539.41 | 1 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $732.31 – $732.31 | 1 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $393.44 – $393.44 | 1 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $303.22 – $303.22 | 1 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $494.38 – $494.38 | 1 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $603.83 – $603.83 | 1 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $377.08 – $377.08 | 1 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $366.45 – $366.45 | 1 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $455.70 – $455.70 | 1 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $523.49 – $523.49 | 1 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $542.28 – $542.28 | 1 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $519.69 – $519.69 | 1 |
| Cystoscopy and treatment CPT 52310 | $1,304.10 | $3,105.00 | $283.77 – $2,639.25 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $512.82 – $512.82 | 1 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $460.32 – $460.32 | 1 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $492.30 – $492.30 | 1 |
| Cystoscopy (Bladder Scope) CPT 52000 | $513.66 | $1,223.00 | $150.80 – $1,039.55 | 8 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $315.63 – $315.63 | 1 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $309.98 – $309.98 | 1 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $629.10 – $629.10 | 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.