Tlh w/t/o 250 g or less cost in Nebraska

Tlh w/t/o 250 g or less · CPT 58571

Hospital City Cash price Negotiated range Payers
CHI Health Midlands Papillion not published $1,708.16 – $1,708.16 1
CHI Health Lakeside Omaha not published $1,708.16 – $1,708.16 1
CHI Health Immanuel Omaha not published $1,708.16 – $1,708.16 1
CHI Health Creighton University Medical Center - Bergan Mercy Omaha not published $1,708.16 – $1,708.16 1
CHI Health St. Francis Grand Island not published $1,708.16 – $1,708.16 1
CHI Health St. Elizabeth Lincoln not published $1,708.16 – $1,708.16 1
CHI Health Nebraska Heart Lincoln not published $1,708.16 – $1,708.16 1
CHI Health Good Samaritan Kearney not published $1,708.16 – $1,708.16 1