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 |
|---|---|---|---|---|
| Cystoscopy inject material CPT 52327 | not published | not published | $483.90 – $483.90 | 1 |
| Cystoscopy removal of clots CPT 52001 | $1,167.60 | $2,780.00 | $500.40 – $2,363.00 | 9 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $340.28 – $340.28 | 1 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $464.73 – $464.73 | 1 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $597.89 – $597.89 | 1 |
| Cystoscopy & ureter catheter CPT 52005 | $1,706.46 | $4,063.00 | $250.36 – $3,453.55 | 8 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $557.34 – $557.34 | 1 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $897.14 – $897.14 | 1 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,476.03 – $1,476.03 | 1 |
| Cystouretero & or pyeloscope CPT 52351 | $1,894.62 | $4,511.00 | $565.97 – $3,834.35 | 9 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $690.25 – $690.25 | 1 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $778.68 – $778.68 | 1 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $872.21 – $872.21 | 1 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $776.14 – $776.14 | 1 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $731.68 – $731.68 | 1 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $832.84 – $832.84 | 1 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $661.63 – $661.63 | 1 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $736.60 – $736.60 | 1 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $495.56 – $495.56 | 1 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $285.12 – $285.12 | 1 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $265.50 – $265.50 | 1 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $94.67 – $94.67 | 1 |
| Cystourethro w/implant CPT 52441 | not published | not published | $392.28 – $392.28 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $642.83 – $642.83 | 1 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $578.11 – $578.11 | 1 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $531.11 – $531.11 | 1 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $120.02 | $285.75 | $1.30 – $84.58 | 13 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $73.50 | $175.00 | $13.94 – $143.65 | 21 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $139.44 | $332.00 | $16.33 – $282.20 | 21 |
| Cytopath c/v index add-on CPT 88155 | $2.94 | $7.00 | $1.26 – $15.54 | 21 |
| Cytopath fl nongyn filter CPT 88106 | $138.60 | $330.00 | $59.40 – $330.00 | 13 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $174.30 | $415.00 | $74.70 – $352.75 | 13 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $76.86 | $183.00 | $25.79 – $172.17 | 21 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $68.04 | $162.00 | $19.64 – $137.70 | 21 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $103.32 | $246.00 | $44.28 – $246.00 | 13 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $107.10 | $255.00 | $45.90 – $238.42 | 13 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $64.68 | $154.00 | $15.77 – $130.90 | 13 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $101.64 | $242.00 | $40.57 – $205.70 | 13 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $241.50 | $575.00 | $103.50 – $488.75 | 13 |
| Cytopath smear other source CPT 88160 | $52.50 | $125.00 | $22.50 – $125.00 | 13 |
| Cytopath smear other source CPT 88162 | $43.68 | $104.00 | $18.72 – $104.00 | 13 |
| Cytopath smear oth prep screen & interp CPT 88161 | $58.38 | $139.00 | $25.02 – $139.00 | 13 |
| Cytopath tbs c/v manual CPT 88164 | $34.86 | $83.00 | $14.94 – $83.00 | 21 |
| Cytotoxic antibody screening CPT 86808 | $940.38 | $2,239.00 | $28.76 – $1,903.15 | 21 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $41.79 | $99.50 | $6.88 – $84.58 | 13 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,345.62 | $3,203.85 | $337.51 – $2,723.28 | 15 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,246.25 | $7,729.15 | $13.41 – $6,569.78 | 15 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $61.51 | $146.45 | $0.01 – $84.58 | 13 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $22,089.92 | $52,595.03 | $41.50 – $44,705.78 | 15 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $7,832.44 | $18,648.65 | $2.49 – $765.80 | 15 |
| Dark field exam spec collj CPT 87164 | $142.80 | $340.00 | $10.40 – $289.00 | 21 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $173.52 | $413.12 | $38.81 – $351.16 | 15 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $340.60 – $340.60 | 1 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $440.37 – $440.37 | 1 |
| Dch glucoscan CPT 82948 | $40.74 | $97.00 | $4.89 – $82.45 | 21 |
| Dch pulmonary stress test CPT 94621 | $893.76 | $2,128.00 | $165.84 – $1,808.80 | 9 |
| Dch validity tests CPT 81002 | $24.36 | $58.00 | $3.38 – $43.35 | 21 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,151.75 – $1,151.75 | 1 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,149.66 – $3,149.66 | 1 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $520.15 – $520.15 | 1 |
| D&c of cervical stump CPT 57558 | not published | not published | $244.15 – $244.15 | 1 |
| Deamidated gliadin antibody iga CPT 86258 | $50.82 | $121.00 | $21.78 – $102.85 | 8 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $678.21 – $1,264.94 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $338.10 | $805.00 | $53.03 – $684.25 | 8 |
| Debridement (>20 cm) charge pt CPT 97598 | $224.70 | $535.00 | $46.35 – $454.75 | 9 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,451.52 | $3,456.00 | $419.31 – $2,937.60 | 8 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $433.44 | $1,032.00 | $100.65 – $877.20 | 8 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $729.12 | $1,736.00 | $177.11 – $1,475.60 | 8 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $656.88 | $1,564.00 | $114.41 – $1,303.05 | 9 |
| Debride nail1-5 11720 CPT 11720 | $89.04 | $212.00 | $27.05 – $180.20 | 8 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $45.53 – $45.53 | 1 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $547.24 – $547.24 | 1 |
| Debride skin bone at fx site CPT 11012 | $811.86 | $1,933.00 | $347.94 – $1,643.05 | 8 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $543.75 – $1,035.83 | 4 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $738.75 – $1,384.24 | 4 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $433.44 | $1,032.00 | $46.77 – $877.20 | 8 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $96.79 – $96.79 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $601.02 | $1,431.00 | $257.58 – $1,216.35 | 8 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $28.18 – $28.18 | 1 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,011.36 | $2,408.00 | $287.34 – $2,046.80 | 8 |
| Decalcification CPT 88311 | $76.86 | $183.00 | $15.98 – $155.55 | 13 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,152.40 | $2,743.80 | $1.16 – $136.05 | 13 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $354.90 | $845.00 | $64.74 – $718.25 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $866.67 – $866.67 | 1 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,398.56 – $1,398.56 | 1 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $2,282.01 – $2,282.01 | 1 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $1,061.38 – $1,061.38 | 1 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,618.30 – $1,618.30 | 1 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $2,454.96 – $2,454.96 | 1 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,463.89 – $1,463.89 | 1 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,734.12 – $1,734.12 | 1 |
| Decompression of leg CPT 27892 | not published | not published | $1,000.00 – $1,000.00 | 1 |
| Decompression of leg CPT 27893 | not published | not published | $1,158.68 – $1,158.68 | 1 |
| Decompression of leg CPT 27894 | not published | not published | $1,502.72 – $1,502.72 | 1 |
| Decompression of lower leg CPT 27600 | not published | not published | $742.60 – $742.60 | 1 |
| Decompression of lower leg CPT 27601 | not published | not published | $829.52 – $829.52 | 1 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $1,040.28 – $1,040.28 | 1 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,094.56 – $1,094.56 | 1 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,238.66 – $1,238.66 | 1 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,320.38 – $1,320.38 | 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.