Drm agrft t/a/l ea addl cost in Nebraska

DRM AGRFT T/A/L EA ADDL · CPT 15131

Hospital City Cash price Negotiated range Payers
CHI Health Midlands Papillion not published $164.28 – $164.28 1
CHI Health Lakeside Omaha not published $164.28 – $164.28 1
CHI Health Immanuel Omaha not published $164.28 – $164.28 1
CHI Health Creighton University Medical Center - Bergan Mercy Omaha not published $164.28 – $164.28 1
CHI Health St. Francis Grand Island not published $164.28 – $164.28 1
CHI Health St. Elizabeth Lincoln not published $164.28 – $164.28 1
CHI Health Nebraska Heart Lincoln not published $164.28 – $164.28 1
CHI Health Good Samaritan Kearney not published $164.28 – $164.28 1