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 |
|---|---|---|---|---|
| Endovas iliac a device addon CPT 34808 | $1,134.84 | $2,702.00 | $217.60 – $2,166.65 | 11 |
| Endovenous laser vein addon 36479 CPT 36479 | $3,519.18 | $8,379.00 | $242.91 – $7,122.15 | 9 |
| Endovenous mchnchem 1st vein CPT 36473 | $2,230.20 | $5,310.00 | $324.24 – $4,513.50 | 9 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $159.60 – $159.60 | 1 |
| Endovenous rf abl vein addl CPT 36476 | $3,659.88 | $8,714.00 | $237.43 – $7,406.90 | 9 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $4,003.86 | $9,533.00 | $321.30 – $8,103.05 | 9 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | $1,842.12 | $4,386.00 | $156.87 – $3,728.10 | 9 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $8,675.10 | $20,655.00 | $29.39 – $11,938.25 | 15 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $163.92 | $390.28 | $0.92 – $84.58 | 13 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $231.38 – $431.70 | 4 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $238.36 – $431.09 | 4 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $833.05 – $849.39 | 3 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,900.09 – $1,937.34 | 3 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $2,185.57 – $2,228.43 | 3 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $724.36 – $738.57 | 3 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $629.24 – $2,538.82 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $804.79 – $820.57 | 3 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $537.81 – $1,530.46 | 4 |
| Enzyme histochemistry CPT 88319 | $550.62 | $1,311.00 | $208.51 – $1,114.35 | 13 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | $9.22 | $21.95 | $3.96 – $22.83 | 10 |
| Ep & ablate supravent arrhyt CPT 93653 | $18,346.02 | $43,681.00 | $1,481.28 – $32,673.15 | 9 |
| Ep & ablate ventric tachy CPT 93654 | $10,457.16 | $24,898.00 | $1,784.73 – $18,564.85 | 9 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,284.36 | $3,058.00 | $550.44 – $2,599.30 | 9 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $1,284.36 | $3,058.00 | $250.24 – $2,599.30 | 9 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | $392.70 | $935.00 | $168.30 – $794.75 | 9 |
| Epidrm autogrft t/a/l add-on CPT 15111 | $392.70 | $935.00 | $168.30 – $794.75 | 9 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $696.36 | $1,658.00 | $97.97 – $1,308.15 | 9 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $620.36 – $620.36 | 1 |
| Epidural lysis on single day 62264 CPT 62264 | $744.66 | $1,773.00 | $319.14 – $1,507.05 | 9 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,576.91 – $1,576.91 | 1 |
| Epikeratoplasty CPT 65767 | not published | not published | $1,233.96 – $2,872.28 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | $1,921.08 | $4,574.00 | $254.73 – $3,667.75 | 9 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,375.35 – $1,375.35 | 1 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,167.14 – $1,167.14 | 1 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $235.20 | $560.00 | $2.69 – $476.00 | 13 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $816.06 | $1,943.00 | $263.15 – $1,651.55 | 8 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,169.82 | $2,785.28 | $6.62 – $134.64 | 15 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $122.96 | $292.75 | $13.99 – $84.58 | 13 |
| Epstein barr early antigen antibody CPT 86663 | $76.86 | $183.00 | $12.71 – $155.55 | 21 |
| Epstein barr nuclear antigen antibody CPT 86664 | $76.86 | $183.00 | $14.82 – $155.55 | 21 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $74.76 | $178.00 | $17.57 – $145.35 | 21 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,838.45 | $9,139.15 | $15.84 – $7,768.28 | 15 |
| Ercp biliary & pancreas CPT 74330 | $754.74 | $1,797.00 | $131.57 – $1,527.45 | 9 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $863.58 – $863.58 | 1 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $707.05 – $707.05 | 1 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $808.48 – $808.48 | 1 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $808.96 – $808.96 | 1 |
| Ercp remove duct calculi 43264 CPT 43264 | $2,058.00 | $4,900.00 | $680.30 – $4,165.00 | 9 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $703.04 – $703.04 | 1 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $667.99 – $667.99 | 1 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $899.26 – $899.26 | 1 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $602.91 – $602.91 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $2,620.80 | $6,240.00 | $114.97 – $5,304.00 | 15 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $266.59 | $634.73 | $9.12 – $84.58 | 13 |
| ER Visit (level 1, minor) CPT 99281 | $152.46 | $363.00 | $11.72 – $308.55 | 10 |
| ER Visit (level 2) CPT 99282 | $304.92 | $726.00 | $79.28 – $617.10 | 8 |
| ER Visit (level 3) CPT 99283 | $651.00 | $1,550.00 | $135.01 – $1,317.50 | 8 |
| ER Visit (level 4) CPT 99284 | $1,038.24 | $2,472.00 | $229.78 – $2,101.20 | 8 |
| ER Visit (level 5, high severity) CPT 99285 | $1,384.32 | $3,296.00 | $333.02 – $2,801.60 | 8 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $154.62 | $368.13 | $50.37 – $237.83 | 13 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $82.22 – $149.14 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $183.54 | $437.00 | $78.66 – $371.45 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $153.30 | $365.00 | $17.91 – $84.58 | 8 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $121.23 – $201.73 | 4 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $954.09 – $972.80 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,059.45 – $1,080.23 | 3 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,503.18 – $2,552.26 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $360.05 – $360.05 | 1 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $183.35 – $183.35 | 1 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $439.66 – $439.66 | 1 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $348.08 – $348.08 | 1 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $295.49 – $295.49 | 1 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $220.73 – $220.73 | 1 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $308.62 – $308.62 | 1 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $193.07 – $193.07 | 1 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,049.16 | $2,498.00 | $164.03 – $2,123.30 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $152.42 – $152.42 | 1 |
| Esophagoscopy flex remove fb CPT 43215 | $918.96 | $2,188.00 | $262.10 – $1,859.80 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $367.73 – $367.73 | 1 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $250.82 – $250.82 | 1 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $479.49 – $479.49 | 1 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $347.89 – $347.89 | 1 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $292.03 – $292.03 | 1 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $1,032.74 – $1,032.74 | 1 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $300.32 – $300.32 | 1 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $373.34 – $373.34 | 1 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $369.43 – $369.43 | 1 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $318.34 – $318.34 | 1 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $319.60 – $319.60 | 1 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $354.59 – $354.59 | 1 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,211.90 – $1,235.67 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $264.64 – $264.64 | 1 |
| Esophagus motility study CPT 91010 | $1,128.96 | $2,688.00 | $297.40 – $2,284.80 | 9 |
| Esoph balloon distension tst CPT 91040 | $508.62 | $1,211.00 | $217.98 – $1,029.35 | 9 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $287.18 – $287.18 | 1 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $241.63 – $241.63 | 1 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $737.94 – $1,481.11 | 4 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,071.45 – $1,092.46 | 3 |
| Esoph imped function test CPT 91037 | $188.16 | $448.00 | $80.64 – $380.80 | 9 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $249.29 – $249.29 | 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.