Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) cost in Nebraska
HC Destruction by Neurolytic Agent W/Imaging Guidance Lumbar/Sacral Additional Bl · CPT 64636
$428.93
lowest in Nebraska
$1,509.48
state median
$3,993.13
highest in Nebraska
$1,616.72
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health St. Francis | Grand Island | $428.93 | $111.70 – $683.38 | 7 |
| CHI Health Good Samaritan | Kearney | $443.47 | $111.70 – $676.11 | 7 |
| Ogallala Community Hospital | Ogallala | $531.47 | $120.56 – $293.04 | 13 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | $1,509.48 | $111.70 – $3,054.90 | 9 |
| Lasting Hope Recovery Center | Omaha | $1,509.48 | $610.98 – $3,054.90 | 7 |
| CHI Health Immanuel | Omaha | $1,509.48 | $111.70 – $3,054.90 | 9 |
| CHI Health Lakeside | Omaha | $1,509.48 | $111.70 – $3,054.90 | 9 |
| CHI Health Midlands | Papillion | $1,509.48 | $111.70 – $3,054.90 | 9 |
| CHI Health Plainview | Plainview | $2,331.00 | $1,692.75 – $3,757.91 | 19 |
| CHI Health Schuyler | Schuyler | $2,358.75 | $594.41 – $3,141.86 | 18 |
| CHI Health St. Mary's | Nebraska City | $3,993.13 | $1,030.52 – $4,618.56 | 16 |
| CHI Health St. Elizabeth | Lincoln | not published | $111.70 – $111.70 | 1 |
| CHI Health Nebraska Heart | Lincoln | not published | $111.70 – $111.70 | 1 |