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 |
|---|---|---|---|---|
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $7,765.24 | $18,488.65 | $4.58 – $84.58 | 15 |
| Pemivibart infusion HCPCS M0224 | $321.30 | $765.00 | $137.70 – $650.25 | 9 |
| Peng benzathine/procaine inj HCPCS J0558 | $466.91 | $1,111.67 | $16.57 – $944.91 | 15 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,320.35 | $3,143.68 | $20.36 – $752.85 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $105.63 | $251.50 | $0.79 – $84.58 | 13 |
| Penicillin g procaine inj HCPCS J2510 | $149.20 | $355.23 | $36.83 – $301.95 | 11 |
| Penile injection CPT 54235 | $182.28 | $434.00 | $78.12 – $368.90 | 8 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $4,196.56 | $9,991.80 | $612.00 – $2,890.00 | 12 |
| Penile vascular study CPT 93980 | $279.30 | $665.00 | $109.94 – $565.25 | 13 |
| Penile venous occlusion CPT 37790 | not published | not published | $921.10 – $921.10 | 1 |
| Penis plastic surgery CPT 54360 | not published | not published | $1,366.66 – $1,366.66 | 1 |
| Penis study CPT 54240 | not published | not published | $82.38 – $82.38 | 1 |
| Pentobarbital sodium inj HCPCS J2515 | $3,538.40 | $8,424.75 | $19.19 – $2,429.47 | 9 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $4,883.32 | $11,626.95 | $2,092.86 – $9,882.91 | 15 |
| Perc cryo ablate renal tum CPT 50593 | $4,576.32 | $10,896.00 | $856.21 – $9,261.60 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $10,505.88 | $25,014.00 | $4,156.20 – $19,626.50 | 9 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,429.46 | $27,213.00 | $4,552.02 – $21,495.65 | 9 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $8,543.22 | $20,341.00 | $3,414.06 – $16,121.95 | 9 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,544.96 | $27,488.00 | $4,552.02 – $21,495.65 | 9 |
| Perc d-e cor stent ather br HCPCS C9603 | $8,543.22 | $20,341.00 | $3,414.06 – $16,121.95 | 9 |
| Perc d-e cor stent ather s HCPCS C9602 | $11,544.96 | $27,488.00 | $4,552.02 – $21,495.65 | 9 |
| Perc drug-el cor stent bran HCPCS C9601 | $8,543.22 | $20,341.00 | $3,414.06 – $16,121.95 | 9 |
| Perc drug-el cor stent sing HCPCS C9600 | $11,544.96 | $27,488.00 | $4,552.02 – $21,495.65 | 9 |
| Perc rf ablate renal tumor CPT 50592 | $3,935.82 | $9,371.00 | $642.22 – $7,965.35 | 9 |
| Percut ablate liver rf CPT 47382 | $2,819.46 | $6,713.00 | $1,208.34 – $5,706.05 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $168.00 | $400.00 | $35.48 – $241.40 | 13 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,222.62 | $2,911.00 | $224.67 – $2,474.35 | 11 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,392.40 – $1,419.70 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $843.36 | $2,008.00 | $361.44 – $1,706.80 | 9 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $901.18 – $1,476.70 | 4 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $1,329.85 – $1,329.85 | 1 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $515.40 – $515.40 | 1 |
| Peripheral vascular rehab CPT 93668 | $45.78 | $109.00 | $1.08 – $5.10 | 9 |
| Peri-proc device eval icd CPT 93287 | $27.72 | $66.00 | $11.88 – $56.10 | 13 |
| Peri-proc device eval pm CPT 93286 | $27.72 | $66.00 | $11.88 – $56.10 | 13 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $762.43 – $762.43 | 1 |
| Peritoneogram rs&i CPT 74190 | $647.22 | $1,541.00 | $59.68 – $1,309.85 | 9 |
| Perit-vens shunt pat tst CPT 78291 | $530.04 | $1,262.00 | $227.16 – $1,132.17 | 13 |
| Perq art m-thrombect &/nfs CPT 61645 | $6,747.30 | $16,065.00 | $721.00 – $12,290.15 | 11 |
| Perq clsr tcat l atr apndge CPT 33340 | $4,521.30 | $10,765.00 | $174.42 – $823.65 | 11 |
| Perq dev breast 1st mr guide CPT 19287 | $2,914.38 | $6,939.00 | $237.53 – $5,898.15 | 8 |
| Perq dev breast 1st strtctc CPT 19283 | $1,126.44 | $2,682.00 | $186.69 – $2,279.70 | 8 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $2,120.43 – $2,120.43 | 1 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,317.69 – $1,317.69 | 1 |
| Perq plmt bile duct stent CPT 47538 | $3,819.06 | $9,093.00 | $435.23 – $7,729.05 | 9 |
| Perq plmt bile duct stent CPT 47539 | $3,819.06 | $9,093.00 | $789.05 – $7,729.05 | 9 |
| Perq plmt bile duct stent CPT 47540 | $3,819.06 | $9,093.00 | $813.14 – $7,729.05 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $227.22 | $541.00 | $97.38 – $459.85 | 9 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,018.71 – $1,018.71 | 1 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $937.92 – $937.92 | 1 |
| Perq transcath closure each CPT 93592 | $6,151.74 | $14,647.00 | $732.90 – $12,449.95 | 9 |
| Perq transcath closure pda CPT 93582 | $5,830.44 | $13,882.00 | $1,169.20 – $11,799.70 | 9 |
| Perq transcath cls aortic CPT 93591 | $12,304.32 | $29,296.00 | $1,666.60 – $24,901.60 | 9 |
| Perq transcath cls mitral CPT 93590 | $17,236.38 | $41,039.00 | $2,020.77 – $34,883.15 | 9 |
| Perq transcath septal reduxn CPT 93583 | $17,236.38 | $41,039.00 | $688.00 – $34,883.15 | 11 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $524.64 – $524.64 | 1 |
| Perq tx malar fracture CPT 21355 | not published | not published | $627.08 – $627.08 | 1 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $869.97 – $869.97 | 1 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,429.07 – $1,429.07 | 1 |
| Pertussis ag if CPT 87265 | $251.58 | $599.00 | $11.61 – $509.15 | 21 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $14,272.91 | $33,983.11 | $12.97 – $28,885.65 | 15 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $50.82 | $121.00 | $21.78 – $102.85 | 12 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,220.98 | $7,669.00 | $1,380.42 – $6,518.65 | 9 |
| Pet CT whole body initial CPT 78816 | $3,092.04 | $7,362.00 | $1,325.16 – $6,257.70 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,433.06 | $5,793.00 | $907.70 – $4,688.60 | 9 |
| Pet image w/ct lmtd CPT 78814 | $2,802.24 | $6,672.00 | $1,200.96 – $5,671.20 | 9 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $20,752.20 | $49,410.00 | $11.34 – $53.55 | 12 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $540.52 – $540.52 | 1 |
| Ph body fluid CPT 83986 | $47.04 | $112.00 | $3.47 – $95.20 | 21 |
| Phencyclidine (pcp) CPT 83992 | $117.18 | $279.00 | $19.74 – $237.15 | 15 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $105.64 | $251.52 | $17.91 – $84.58 | 13 |
| Phenobarbital therapeutic drug level CPT 80184 | $110.88 | $264.00 | $14.83 – $224.40 | 21 |
| Phentolaine mesylate inj HCPCS J2760 | $894.02 | $2,128.60 | $89.79 – $498.82 | 15 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $86.84 | $206.75 | $17.91 – $84.58 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $41.79 | $99.50 | $0.43 – $84.58 | 13 |
| Phenytoin total therapeutic drug level CPT 80185 | $110.88 | $264.00 | $12.84 – $224.40 | 21 |
| Phlebotomy therapeutic CPT 99195 | $157.08 | $374.00 | $35.46 – $243.10 | 9 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,968.12 | $4,686.00 | $484.64 – $3,983.10 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $1,968.12 | $4,686.00 | $594.03 – $3,983.10 | 9 |
| Phosphorus CPT 84100 | $47.46 | $113.00 | $4.59 – $96.05 | 21 |
| Phosphorus 24 hour urine CPT 84105 | $70.56 | $168.00 | $5.60 – $142.80 | 21 |
| Photopheresis CPT 36522 | $3,344.88 | $7,964.00 | $182.74 – $6,769.40 | 9 |
| Phys blood bank serv reactj CPT 86078 | $96.60 | $230.00 | $41.40 – $230.00 | 13 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $49.94 | $118.90 | $2.42 – $80.86 | 13 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $57.31 – $57.31 | 1 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $517.39 | $1,231.88 | $221.74 – $1,047.10 | 8 |
| Pin caspar distraction 12mm HCPCS C1821 | $7,378.56 | $17,568.00 | $170.82 – $806.65 | 12 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $406.56 | $968.00 | $174.24 – $822.80 | 8 |
| Pin finger dislocation CPT 26776 | not published | not published | $862.60 – $862.60 | 1 |
| Pin finger fracture each CPT 26756 | not published | not published | $815.07 – $815.07 | 1 |
| Pin hand dislocation CPT 26676 | not published | not published | $976.58 – $976.58 | 1 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $860.43 – $860.43 | 1 |
| Pinworm exam CPT 87172 | $37.80 | $90.00 | $4.14 – $76.50 | 21 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $234.62 | $558.60 | $1.00 – $84.58 | 13 |
| Place breast cath for rad CPT 19297 | not published | not published | $168.04 – $168.04 | 1 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $609.71 – $609.71 | 1 |
| Place cath intracranial art CPT 36228 | $1,974.84 | $4,702.00 | $432.29 – $3,590.40 | 8 |
| Place cath xtrnl carotid CPT 36227 | $2,406.60 | $5,730.00 | $211.11 – $4,145.45 | 8 |
| Place cecostomy tube perc CPT 49442 | $1,261.68 | $3,004.00 | $389.61 – $2,553.40 | 9 |
| Place duod/jej tube perc CPT 49441 | $888.30 | $2,115.00 | $380.70 – $1,797.75 | 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.