Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % cost in Nebraska
HC SPLIT ATOGRFT F/S/N/H/F/G/M/D GT 1ST 100SQCM/</1 % · CPT 15120
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| CHI Health Midlands | Papillion | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health Lakeside | Omaha | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health Immanuel | Omaha | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health Creighton University Medical Center - Bergan Mercy | Omaha | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health St. Francis | Grand Island | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health St. Elizabeth | Lincoln | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health Nebraska Heart | Lincoln | not published | $1,294.67 – $1,294.67 | 1 |
| CHI Health Good Samaritan | Kearney | not published | $1,294.67 – $1,294.67 | 1 |