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 |
|---|---|---|---|---|
| Gamma globulin 1 cc inj HCPCS J1460 | $925.01 | $2,202.40 | $42.51 – $1,872.04 | 15 |
| Gammaglobulin iga CPT 82784 | $55.02 | $131.00 | $9.02 – $111.35 | 21 |
| Gammaglobulin ige CPT 82785 | $91.56 | $218.00 | $15.95 – $185.30 | 21 |
| Gamma glutamyltransferase CPT 82977 | $57.54 | $137.00 | $6.98 – $116.45 | 21 |
| Gamunex-c/gammaked HCPCS J1561 | $6,543.60 | $15,580.00 | $17.91 – $99.50 | 15 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $96.04 | $228.65 | $27.18 – $130.22 | 13 |
| Gastric motility studies CPT 91020 | $1,073.94 | $2,557.00 | $387.16 – $2,173.45 | 9 |
| Gastroduodenostomy CPT 43810 | not published | not published | $654.03 – $1,840.38 | 4 |
| Gastroesophageal reflux study CPT 78262 | $672.00 | $1,600.00 | $288.00 – $1,360.00 | 13 |
| Gastroesophageal reflux test CPT 91034 | $1,255.80 | $2,990.00 | $269.03 – $2,541.50 | 9 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,755.86 – $1,790.29 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,002.22 – $2,041.48 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $691.92 – $705.48 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $870.84 – $887.91 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | $166.99 | $397.59 | $6.33 – $36.56 | 14 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,178.16 – $1,201.26 | 3 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $1,119.93 – $1,119.93 | 1 |
| Gated heart multiple CPT 78473 | $286.86 | $683.00 | $122.94 – $683.00 | 13 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $3.43 | $8.15 | $1.47 – $6.93 | 8 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $68.30 | $162.60 | $29.27 – $138.21 | 10 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $217.86 | $518.70 | $4.74 – $84.58 | 13 |
| General health panel CPT 80050 | $464.52 | $1,106.00 | $52.42 – $940.10 | 11 |
| Generator barostim neo2 2014 HCPCS C1767 | $37,207.93 | $88,590.30 | $129.34 – $610.75 | 12 |
| Generator emblem MRI sicd subq HCPCS C1722 | $31,512.60 | $75,030.00 | $1,620.00 – $7,650.00 | 12 |
| Genioplasty augmentation CPT 21120 | not published | not published | $954.45 – $954.45 | 1 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $1,609.02 – $1,609.02 | 1 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $1,015.54 – $1,015.54 | 1 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $1,401.23 – $1,401.23 | 1 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $86.84 | $206.75 | $1.75 – $84.58 | 13 |
| Gentamicin peak therapeutic drug level CPT 80170 | $64.26 | $153.00 | $15.87 – $130.05 | 21 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,267.98 | $3,019.00 | $543.42 – $2,566.15 | 9 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $263.82 – $263.82 | 1 |
| Ghs abscess perianal iandd CPT 46050 | $873.18 | $2,079.00 | $190.53 – $1,767.15 | 9 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,096.62 | $2,611.00 | $331.51 – $2,219.35 | 8 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $46.20 | $110.00 | $9.51 – $93.50 | 21 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $102.90 | $245.00 | $16.57 – $208.25 | 21 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $81.90 | $195.00 | $31.43 – $165.75 | 9 |
| Ghs antibodies (torch) igm CPT 86694 | $69.30 | $165.00 | $13.94 – $140.25 | 21 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $73.37 – $73.37 | 1 |
| Ghs bladder cath - complex-foley CPT 51703 | $199.92 | $476.00 | $81.54 – $385.05 | 9 |
| Ghs bleeding time (ivy) CPT 85002 | $116.76 | $278.00 | $4.67 – $236.30 | 21 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $833.28 | $1,984.00 | $103.64 – $1,686.40 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,102.52 | $5,006.00 | $108.90 – $2,052.46 | 9 |
| Ghs change cysto/gastrost CPT 43762 | $227.22 | $541.00 | $34.20 – $221.81 | 9 |
| Ghs chemo >8 hrs CPT 96416 | $275.94 | $657.00 | $118.26 – $558.45 | 13 |
| Ghs chemo IV push, ea addtl CPT 96411 | $175.56 | $418.00 | $75.24 – $355.30 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $82.32 | $196.00 | $34.01 – $196.00 | 21 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $161.28 | $384.00 | $69.12 – $326.40 | 9 |
| Ghs closed reduction ankle dislocation CPT 27840 | $210.00 | $500.00 | $90.00 – $425.00 | 9 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $597.24 | $1,422.00 | $255.96 – $1,208.70 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $474.60 | $1,130.00 | $203.40 – $960.50 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,142.82 | $2,721.00 | $489.78 – $2,312.85 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,405.74 | $3,347.00 | $602.46 – $2,844.95 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $798.42 | $1,901.00 | $342.18 – $1,615.85 | 8 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $769.02 | $1,831.00 | $329.58 – $1,556.35 | 8 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,200.78 | $2,859.00 | $514.62 – $2,430.15 | 8 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $320.46 | $763.00 | $137.34 – $648.55 | 9 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $198.24 | $472.00 | $84.96 – $401.20 | 9 |
| Ghs community re-entry 15 minutes CPT 97537 | $44.52 | $106.00 | $19.08 – $158.00 | 15 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $285.60 | $680.00 | $69.05 – $578.00 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $207.06 | $493.00 | $55.76 – $419.05 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $241.08 | $574.00 | $77.83 – $487.90 | 8 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $241.08 | $574.00 | $96.64 – $487.90 | 8 |
| Ghs cricothyroidotomy CPT 31605 | $1,033.20 | $2,460.00 | $442.80 – $2,091.00 | 8 |
| Ghs cutdown placement age 1 and over CPT 36425 | $446.88 | $1,064.00 | $73.48 – $904.40 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | $525.84 | $1,252.00 | $85.41 – $1,064.20 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | $418.74 | $997.00 | $179.46 – $847.45 | 9 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $460.32 | $1,096.00 | $192.34 – $931.60 | 8 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $249.48 | $594.00 | $61.47 – $504.90 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $543.48 | $1,294.00 | $193.79 – $1,099.90 | 8 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $217.14 | $517.00 | $93.06 – $439.45 | 9 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $134.27 – $134.27 | 1 |
| Ghs excision ingrown nail CPT 11765 | $156.66 | $373.00 | $67.14 – $317.05 | 8 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $232.68 | $554.00 | $99.72 – $470.90 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | $283.50 | $675.00 | $121.50 – $573.75 | 8 |
| Ghs fb removal from muscle - complicated CPT 20525 | $2,168.04 | $5,162.00 | $462.15 – $4,387.70 | 8 |
| Ghs fb removal - incisional CPT 10121 | $1,231.86 | $2,933.00 | $346.84 – $2,493.05 | 8 |
| Ghs fb removal - non-incisional CPT 20520 | $1,078.56 | $2,568.00 | $280.48 – $2,182.80 | 8 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $55.44 | $132.00 | $6.76 – $112.20 | 21 |
| Ghs fish cytogen CPT 88271 | $94.92 | $226.00 | $20.76 – $192.10 | 21 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $187.32 | $446.00 | $49.60 – $379.10 | 21 |
| Ghs flow volume loop CPT 94375 | $199.92 | $476.00 | $46.87 – $404.60 | 9 |
| Ghs gastric intub aspiration lavage CPT 43753 | $203.28 | $484.00 | $39.54 – $411.40 | 9 |
| Ghs hcv amplificaiton CPT 87521 | $213.36 | $508.00 | $34.01 – $431.80 | 21 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $141.54 | $337.00 | $15.01 – $286.45 | 21 |
| Ghs hgb stability-thal CPT 83068 | $95.34 | $227.00 | $9.18 – $192.95 | 21 |
| Ghs histoplasma antigen CPT 87385 | $131.88 | $314.00 | $12.84 – $266.90 | 21 |
| Ghs HIV antibody CPT 86703 | $44.52 | $106.00 | $13.28 – $90.10 | 21 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $1,105.02 | $2,631.00 | $102.85 – $2,236.35 | 21 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,461.18 | $3,479.00 | $404.19 – $2,957.15 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,052.94 | $2,507.00 | $451.26 – $2,130.95 | 9 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $1,224.72 | $2,916.00 | $319.20 – $2,478.60 | 8 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $298.20 | $710.00 | $127.80 – $603.50 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $191.94 | $457.00 | $67.68 – $319.60 | 8 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $99.12 | $236.00 | $42.48 – $200.60 | 8 |
| Ghs inf midline insertion CPT 36140 | $316.68 | $754.00 | $135.72 – $640.90 | 9 |
| Ghs inhibitor screen CPT 85335 | $187.32 | $446.00 | $12.47 – $379.10 | 21 |
| Ghs init tx 1st degree burn CPT 16000 | $81.06 | $193.00 | $34.74 – $164.05 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $601.44 | $1,432.00 | $257.76 – $1,217.20 | 9 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $758.52 | $1,806.00 | $226.93 – $1,535.10 | 8 |
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.