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 |
|---|---|---|---|---|
| Adrenalin epinephrine inject HCPCS J0171 | $41.79 | $99.50 | $0.69 – $84.58 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | $109.20 | $260.00 | $19.43 – $221.00 | 21 |
| #afb mycobacteria suscep. #1 CPT 87190 | $24.36 | $58.00 | $7.08 – $49.30 | 21 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $514.50 | $1,225.00 | $111.78 – $1,041.25 | 21 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $470.36 | $1,119.90 | $201.59 – $951.92 | 10 |
| After cataract laser surgery CPT 66821 | not published | not published | $594.76 – $594.76 | 1 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $14,475.20 | $34,464.75 | $189.28 – $4,184.30 | 15 |
| Air injection into abdomen 49400 CPT 49400 | $778.26 | $1,853.00 | $168.34 – $1,575.05 | 8 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $53.34 | $127.00 | $22.86 – $107.95 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $28.56 | $68.00 | $7.54 – $57.80 | 21 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $135.08 | $321.60 | $37.22 – $175.74 | 13 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $234.36 | $558.00 | $24.12 – $117.32 | 15 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $55.02 | $131.00 | $5.60 – $111.35 | 21 |
| Albumin serum plasma or whole blood CPT 82040 | $34.44 | $82.00 | $4.79 – $69.70 | 21 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $168.84 | $402.00 | $16.74 – $341.70 | 17 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $48.30 | $115.00 | $7.06 – $33.32 | 8 |
| Alginate drsg wound filler HCPCS A6199 | $17.29 | $41.15 | $7.41 – $34.98 | 8 |
| Alkaline phosphatase CPT 84075 | $52.50 | $125.00 | $5.02 – $106.25 | 21 |
| Allergen egg white ige CPT 86003 | $55.44 | $132.00 | $5.06 – $112.20 | 21 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $2,380.41 – $2,380.41 | 1 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $17.33 | $41.25 | $6.48 – $30.60 | 13 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $2,173.50 | $5,175.00 | $67.08 – $482.34 | 13 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $222.60 | $530.00 | $23.82 – $112.46 | 13 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $7,299.60 | $17,380.00 | $0.01 – $0.04 | 12 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $5,792.85 | $13,792.49 | $148.72 – $702.27 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $96.18 | $229.00 | $20.70 – $97.75 | 13 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $177.18 | $421.85 | $75.94 – $358.58 | 13 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $4,673.09 | $11,126.40 | $35.77 – $168.90 | 13 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $7,854.00 | $18,700.00 | $143.10 – $675.75 | 12 |
| All tstg perq&iq drugs/biol CPT 95018 | $47.88 | $114.00 | $12.25 – $96.90 | 9 |
| All tstg perq&iq w/venoms CPT 95017 | $26.88 | $64.00 | $6.20 – $54.40 | 9 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $41.79 | $99.50 | $4.10 – $84.58 | 15 |
| Alpha-fetoprotein amniotic CPT 82106 | $89.04 | $212.00 | $16.47 – $180.20 | 21 |
| Alpha-fetoprotein tumor marker CPT 82105 | $103.74 | $247.00 | $16.25 – $191.25 | 21 |
| Alprostadil for injection HCPCS J0270 | $252.70 | $601.65 | $0.57 – $423.61 | 9 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $17,833.94 | $42,461.75 | $77.56 – $634.27 | 15 |
| Alt/sgpt CPT 84460 | $60.90 | $145.00 | $5.14 – $123.25 | 21 |
| Aluminum - quest CPT 82108 | $42.84 | $102.00 | $18.36 – $102.00 | 21 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $466.28 – $466.28 | 1 |
| Amantadine (symmetrel)-sendout CPT 80375 | $199.50 | $475.00 | $46.45 – $403.75 | 9 |
| Amifostine HCPCS J0207 | $6,285.50 | $14,965.46 | $899.86 – $4,249.32 | 11 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $41.79 | $99.50 | $0.67 – $84.58 | 13 |
| Aminolevulinic acid delta CPT 82135 | $136.08 | $324.00 | $15.94 – $275.40 | 21 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $41.79 | $99.50 | $8.53 – $84.58 | 13 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $86.84 | $206.75 | $37.22 – $175.74 | 8 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $41.79 | $99.50 | $0.20 – $84.58 | 13 |
| Amitriptyline (elavil) -sendout CPT 80335 | $511.98 | $1,219.00 | $16.20 – $76.50 | 9 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $7,994.03 | $19,033.39 | $3,426.02 – $16,178.39 | 8 |
| Ammonia CPT 82140 | $119.70 | $285.00 | $14.12 – $242.25 | 21 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $505.26 | $1,203.00 | $143.79 – $1,022.55 | 9 |
| Amniocentesis therapeutic CPT 59001 | $1,245.30 | $2,965.00 | $315.69 – $2,520.25 | 9 |
| Amobarbital 125 mg inj HCPCS J0300 | $1,436.59 | $3,420.45 | $5.38 – $2,907.39 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,802.64 | $4,292.00 | $772.56 – $3,648.20 | 8 |
| Amphetamine confirm urine -sendout CPT 80324 | $10.08 | $24.00 | $4.32 – $24.00 | 9 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $72.90 | $173.55 | $20.03 – $147.52 | 13 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $610.41 | $1,453.35 | $18.37 – $310.98 | 15 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $41.79 | $99.50 | $0.75 – $84.58 | 13 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $41.79 | $99.50 | $1.65 – $84.58 | 13 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $799.49 – $799.49 | 1 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $715.06 – $1,297.72 | 4 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,219.89 – $1,219.89 | 1 |
| Amputate hand at wrist CPT 25920 | not published | not published | $592.07 – $1,374.01 | 4 |
| Amputate leg at thigh CPT 27591 | not published | not published | $906.52 – $1,796.45 | 4 |
| Amputate leg at thigh CPT 27592 | not published | not published | $699.34 – $1,217.75 | 4 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $748.81 – $1,263.26 | 4 |
| Amputate metacarpal bone 26910 CPT 26910 | $2,072.47 | $4,934.44 | $888.20 – $4,194.28 | 8 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $813.41 – $1,417.06 | 4 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $818.07 – $1,735.59 | 4 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $1,076.44 – $1,076.44 | 1 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $1,160.59 – $1,160.59 | 1 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $1,288.60 – $1,288.60 | 1 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,131.31 – $1,131.31 | 1 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $1,505.01 – $1,505.01 | 1 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $930.07 – $930.07 | 1 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $1,060.54 – $1,060.54 | 1 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $712.84 – $1,448.98 | 4 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $591.84 – $1,342.30 | 4 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $780.30 – $1,625.86 | 4 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $640.71 – $1,186.67 | 4 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $1,173.59 – $1,173.59 | 1 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $698.55 – $1,029.95 | 4 |
| Amputation of forearm CPT 25900 | not published | not published | $667.63 – $1,351.27 | 4 |
| Amputation of forearm CPT 25905 | not published | not published | $689.30 – $1,318.97 | 4 |
| Amputation of forearm CPT 25915 | not published | not published | $1,169.62 – $2,166.74 | 4 |
| Amputation of hand CPT 25927 | not published | not published | $636.65 – $1,623.85 | 4 |
| Amputation of leg at hip CPT 27290 | not published | not published | $1,593.55 – $3,004.79 | 4 |
| Amputation of leg at hip CPT 27295 | not published | not published | $1,225.74 – $2,330.87 | 4 |
| Amputation of lower leg CPT 27882 | not published | not published | $654.03 – $1,072.05 | 4 |
| Amputation of lower leg CPT 27881 | not published | not published | $859.85 – $1,535.42 | 4 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $562.04 – $1,009.76 | 4 |
| Amputation of upper arm CPT 24900 | not published | not published | $659.34 – $1,384.76 | 4 |
| Amputation of upper arm CPT 24920 | not published | not published | $653.69 – $1,375.23 | 4 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $1,340.41 – $1,340.41 | 1 |
| Amputation toe interphalangeal joint CPT 28825 | $1,212.54 | $2,887.00 | $328.61 – $2,453.95 | 8 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $336.95 – $336.95 | 1 |
| Amylase CPT 82150 | $89.04 | $212.00 | $6.28 – $172.55 | 21 |
| Anabolic steroid 1 or 2 CPT 80327 | $142.80 | $340.00 | $46.45 – $289.00 | 9 |
| Ana ds-dna CPT 86226 | $41.58 | $99.00 | $11.73 – $95.28 | 21 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $209.16 | $498.00 | $46.45 – $347.65 | 9 |
| Anal pressure record CPT 91122 | $581.28 | $1,384.00 | $249.12 – $1,176.40 | 9 |
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.