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 |
|---|---|---|---|---|
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $9,864.96 | $23,488.00 | $63.21 – $3,992.96 | 15 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $4,731.72 | $11,266.00 | $28.61 – $1,915.18 | 15 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $5,629.79 | $13,404.25 | $482.56 – $2,278.73 | 8 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $5,614.98 | $13,369.00 | $16.34 – $2,272.69 | 15 |
| R & l heart cath congenital CPT 93531 | $2,774.94 | $6,607.00 | $1,189.26 – $5,615.95 | 13 |
| R & l heart cath congenital CPT 93532 | $2,319.66 | $5,523.00 | $994.14 – $4,694.55 | 13 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $912.90 – $2,001.36 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $446.46 | $1,063.00 | $172.18 – $903.55 | 8 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $1,221.55 – $1,221.55 | 1 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $648.59 – $648.59 | 1 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,162.98 | $2,769.00 | $498.42 – $2,353.65 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $427.37 – $427.37 | 1 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,176.42 | $2,801.00 | $267.56 – $2,380.85 | 8 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $226.82 – $226.82 | 1 |
| Rmvl icd by tv extr CPT 33244 | $1,813.14 | $4,317.00 | $777.06 – $3,669.45 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $24,031.14 | $57,217.00 | $696.21 – $44,893.60 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $30,809.10 | $73,355.00 | $725.70 – $57,363.95 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $13,864.20 | $33,010.00 | $670.51 – $26,187.65 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $3,028.20 | $7,210.00 | $389.51 – $5,270.85 | 9 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $190.16 – $190.16 | 1 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $455.79 – $866.33 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,514.82 – $1,544.52 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $368.76 | $878.00 | $135.90 – $641.75 | 9 |
| Rmvl perm pm pulse gen CPT 33233 | $4,610.34 | $10,977.00 | $423.91 – $9,050.80 | 9 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $144.01 – $285.24 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $13,996.92 | $33,326.00 | $671.64 – $24,963.65 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,686.38 | $13,539.00 | $611.42 – $10,092.05 | 9 |
| Rmvl pq iabp CPT 33968 | $287.28 | $684.00 | $37.56 – $581.40 | 11 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $687.54 | $1,637.00 | $199.54 – $1,196.80 | 11 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,333.02 – $2,333.02 | 1 |
| Rmvl sq defib electrode CPT 33272 | $2,433.06 | $5,793.00 | $625.61 – $4,924.05 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $653.52 | $1,556.00 | $153.13 – $1,322.60 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,038.30 – $1,038.30 | 1 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $94.92 | $226.00 | $40.68 – $192.10 | 9 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,795.22 – $3,622.67 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,963.03 – $3,965.33 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $869.94 – $887.00 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $1,521.24 | $3,622.00 | $632.34 – $2,986.05 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $1,106.28 | $2,634.00 | $454.50 – $2,146.25 | 9 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $274.50 – $486.17 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,911.33 – $1,948.80 | 3 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,270.57 – $2,315.09 | 3 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,168.25 – $1,191.15 | 3 |
| Romiplostim injection HCPCS J2796 | $2,504.00 | $5,961.90 | $82.03 – $5,067.62 | 9 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $2,760.37 | $6,572.30 | $9.47 – $5,320.45 | 15 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.16 | $448.00 | $0.06 – $84.58 | 13 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $12,705.00 | $30,250.00 | $17.91 – $84.58 | 8 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $3,107.88 – $3,168.82 | 3 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $1,062.10 – $1,062.10 | 1 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,308.30 | $3,115.00 | $120.75 – $2,498.15 | 9 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $935.76 | $2,228.00 | $401.04 – $1,893.80 | 13 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $881.58 | $2,099.00 | $109.62 – $1,784.15 | 9 |
| Rpl tun-cvad w subq port CPT 36582 | $2,815.68 | $6,704.00 | $526.93 – $5,698.40 | 9 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $594.85 – $594.85 | 1 |
| Rpl tun cvc wo subq port CPT 36581 | $2,491.86 | $5,933.00 | $339.97 – $4,438.70 | 9 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,063.72 – $1,084.57 | 3 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,780.07 – $1,780.07 | 1 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,634.07 – $1,634.07 | 1 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,390.95 – $1,418.23 | 3 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,181.66 – $1,204.83 | 3 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,072.91 – $1,093.94 | 3 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $973.66 – $992.75 | 3 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $1,478.84 – $1,507.83 | 3 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,035.33 – $1,055.63 | 3 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $1,405.80 – $1,405.80 | 1 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $1,903.78 – $1,903.78 | 1 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $999.76 – $1,019.37 | 3 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $908.01 – $1,684.75 | 4 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $833.98 – $1,549.65 | 4 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $1,156.45 – $1,156.45 | 1 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $1,455.43 – $1,455.43 | 1 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $2,336.36 – $2,382.17 | 3 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,765.93 – $1,800.55 | 3 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $1,908.52 – $1,908.52 | 1 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $1,082.45 – $1,082.45 | 1 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $1,126.48 – $1,126.48 | 1 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $748.99 – $748.99 | 1 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $1,109.33 – $1,109.33 | 1 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $766.71 – $766.71 | 1 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $1,744.91 – $1,744.91 | 1 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $318.17 – $318.17 | 1 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,206.74 – $1,230.40 | 3 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $1,057.62 – $1,057.62 | 1 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,463.96 – $2,512.28 | 3 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,195.14 – $2,238.18 | 3 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,049.34 – $2,089.53 | 3 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,079.23 – $2,120.00 | 3 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,104.59 – $2,145.85 | 3 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,473.38 – $2,521.88 | 3 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,391.34 – $2,438.23 | 3 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,358.88 – $2,405.14 | 3 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $2,275.67 – $2,320.29 | 3 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $2,256.23 – $2,300.47 | 3 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $691.93 – $691.93 | 1 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $1,785.34 – $1,785.34 | 1 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $894.79 – $3,782.27 | 4 |
| Rsv assay w/optic CPT 87807 | $86.94 | $207.00 | $12.70 – $175.95 | 21 |
| Rubella antibody igg CPT 86762 | $76.86 | $183.00 | $13.94 – $155.55 | 21 |
| Rubeola antibody igg CPT 86765 | $76.86 | $183.00 | $12.48 – $155.55 | 21 |
| Russell viper venom diluted CPT 85613 | $76.86 | $183.00 | $9.28 – $155.55 | 21 |
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.