CHI Health Immanuel

Omaha, NE

Posts prices for 45 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $643.02 $1,531 0.7×
Upper GI endoscopy (EGD) with biopsy (43239) $1,924.86 $4,583 2.0×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$629.16–$686.28 $1,498–$1,634 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$1,143.66–$1,243.20 $2,723–$2,960 varies
CT head/brain without contrast (70450) $673.68 $1,604 6.2×
MRI brain without contrast (70551) $1,454.04 $3,462 5.9×
MRI brain with contrast (70552) $1,695.96 $4,038 4.7×
MRI brain without and with contrast (70553) $1,863.96 $4,438 5.1×
X-ray lower spine, 4+ views (72110) $351.54 $837 3.2×
MRI lumbar spine without contrast (72148) $1,424.64 $3,392 5.8×
CT pelvis with contrast (72193) $1,051.68 $2,504 5.8×
MRI lower-extremity joint without contrast (73721) $1,257.90 $2,995 5.1×
CT abdomen and pelvis with contrast (74177) $2,051.28 $4,884 5.7×
Ultrasound, abdomen complete (76700) $524.58 $1,249 4.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$551.04–$568.68 $1,312–$1,354 varies
Ultrasound, transvaginal (76830) $416.64 $992 3.8×
Mammography, one breast (diagnostic) (77065)
range across 3 matching MRF lines
$91.14–$100.38 $217–$239 varies
Mammography, both breasts (diagnostic) (77066) $128.10 $305 1.2×
Mammography, screening (bilateral) (77067) $128.10 $305 1.4×
Basic metabolic panel (80048) $164.64 $392 19.5×
Comprehensive metabolic panel (80053) $204.96 $488 19.4×
Obstetric panel (80055) $267.54 $637 5.6×
Lipid panel (80061)
range across 2 matching MRF lines
$2.52–$129.36 $6–$308 varies
Renal function panel (80069) $151.62 $361 17.5×
Hepatic function panel (80076) $133.56 $318 16.3×
Urinalysis, non-automated, with microscopy (81000) $36.12 $86 9.0×
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
$21.42–$24.36 $51–$58 varies
PSA, total (84153) $93.24 $222 5.1×
Thyroid stimulating hormone (TSH) (84443) $112.98 $269 6.7×
CBC with automated differential (85025) $91.98 $219 11.8×
CBC, automated (85027) $70.56 $168 10.9×
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$49.98–$57.54 $119–$137 varies
Partial thromboplastin time (PTT) (85730) $67.20 $160 11.2×
Psychotherapy, 30 minutes (90832) $86.10 $205 0.5×
Psychotherapy, 45 minutes (90834) $92.40 $220 0.5×
Psychotherapy, 60 minutes (90837) $109.20 $260 0.6×
Family psychotherapy, without patient (50 min) (90846) $202.44 $482 1.1×
Family psychotherapy, with patient (50 min) (90847) $202.44 $482 1.1×
Group psychotherapy (90853)
range across 5 matching MRF lines
$52.08–$79.80 $124–$190 varies
Left heart catheterization (93452) $4,317.18 $10,279 1.3×
Sleep study (attended polysomnography) (95810) $1,991.22 $4,741 2.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $56.70 $135 2.0×
Office visit, new patient (low complexity, ~30 min) (99203) $221.34 $527 1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $291.06 $693 2.1×
Office visit, new patient (high complexity, ~60 min) (99205) $325.92 $776 2.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (JSON, 138.6 MB) ↓ — captured 2026-07-20

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