Supplies, drugs & other prices at CHI Health Lakeside
Omaha, NE · every code in this section with a posted price and a Medicare benchmark.
105 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,874.04 | $4,462 | 2.3× |
| 2d tte w or w/o fol w/con,fu (C8924) | $953.40 | $2,270 | 2.6× |
| Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) | $2,436.42 | $5,801 | 0.6× |
| Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) | $1,278.90 | $3,045 | 0.6× |
| Adm tocilizu covid-19 1st (M0249) | $200.34 | $477 | 0.4× |
| Adm tocilizu covid-19 2nd (M0250) | $200.34 | $477 | 0.4× |
| Catheterize for urine spec (P9612) | $87.78 | $209 | 9.4× |
| Covid-19 lab test non-cdc (U0002) | $73.50 | $175 | 1.4× |
| Diab manage trn per indiv (G0108) | $53.76 | $128 | 1.0× |
| Diab manage trn ind/group (G0109) | $25.20 | $60 | 1.6× |
| Direct refer hospital observ (G0379) | $273.42 | $651 | 0.4× |
| Drug test def 1-7 classes (G0480) | $96.18 | $229 | 0.8× |
| Elec stim other than wound (G0283) | $105 | $250 | 8.3× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $173.04 | $412 | 0.1× |
| Electrophysiologic eval ccm-d leads separate (0931T) | $173.04 | $412 | 0.1× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $2,116.38 | $5,039 | 0.6× |
| Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) | $7,747.32 | $18,446 | 0.6× |
| Facility svs dental rehab (G0330) | $1,226.82 | $2,921 | 0.4× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $3,458.70 | $8,235 | 4.5× |
| Group mnt 2 or more 30 mins (G0271) | $26.46 | $63 | 1.6× |
| Hbot, full body chamber, 30m (G0277) | $190.68 | $454 | 1.3× |
| Inj for sacroiliac jt anesth (G0260) | $490.56 | $1,168 | 0.7× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) | $744.66 | $1,773 | 0.8× |
| Insertion perm ccm-d system pulse generator only (0916T) | $15,988.98 | $38,069 | 0.7× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $17,624.88 | $41,964 | 0.8× |
| Insertion/Replacement Complete Iims (0525T) unusually low: confirm this is the full procedure |
$7,916.16 | $18,848 | 0.4× |
| Insertion/Replacement Iims Electrode Only (0526T) | $5,933.34 | $14,127 | 0.7× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $5,933.34 | $14,127 | 0.7× |
| Insj perm ccm-d sys 1 transvns lead only (0917T) | $5,895.54 | $14,037 | 0.7× |
| Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) | $5,895.54 | $14,037 | 0.7× |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $22,838.34 | $54,377 | 0.7× |
| Insj Wcs Lv Eltrd Only (0516T) | $5,933.34 | $14,127 | 0.5× |
| Insj Wcs Lv Pg Compnt (0517T) | $5,933.34 | $14,127 | 0.5× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $20,794.20 | $49,510 | 0.6× |
| Interrog dev eval iims ip (0529T) | $29.40 | $70 | 0.8× |
| Interrog dev eval impl ccm-d system in person (0927T) | $5.04 | $12 | 0.1× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $29.40 | $70 | 1.0× |
| Mnt subs tx for change dx (G0270) | $54.18 | $129 | 1.7× |
| Mri w/cont, breast, bi (C8906) range across 2 matching MRF lines |
$704.76–$1,426.32 | $1,678–$3,396 | varies |
| Mri w/cont, breast, uni (C8903) | $1,443.12 | $3,436 | 7.9× |
| Mri w/o fol w/cont, breast, (C8908) | $1,677.90 | $3,995 | 4.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $1,443.12 | $3,436 | 4.0× |
| N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $42.84 | $102 | 0.1× |
| Njx bone sub matrl into subchondral bone defect (0707T) | $2,111.76 | $5,028 | 0.6× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) | $688.38 | $1,639 | 0.7× |
| Non-blind interatrial shunt (C9760) | $19,588.80 | $46,640 | 0.7× |
| Non-ophthalmic fva (C9733) | $312.48 | $744 | 0.9× |
| Oral hiv-1/hiv-2 screen (G0435) | $89.46 | $213 | 7.5× |
| Oth resp proc, group (G0239) | $67.62 | $161 | 1.7× |
| Oth resp proc, indiv (G0238) | $106.26 | $253 | 3.5× |
| Pemivibart infusion (M0224) | $321.30 | $765 | 0.7× |
| Perc d-e cor revasc chro sin (C9607) range across 2 matching MRF lines |
$10,621.38–$11,429.46 | $25,289–$27,213 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$10,621.38–$11,544.96 | $25,289–$27,488 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$10,621.38–$11,544.96 | $25,289–$27,488 | varies |
| Perc drug-el cor stent sing (C9600) range across 2 matching MRF lines |
$10,621.38–$11,544.96 | $25,289–$27,488 | varies |
| Perq Sacral Augmt Bilat Inj (0201T) range across 2 matching MRF lines |
$1,800.54–$4,580.52 | $4,287–$10,906 | varies |
| Perq Sacral Augmt Unilat Inj (0200T) range across 2 matching MRF lines |
$1,440.60–$4,580.52 | $3,430–$10,906 | varies |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) unusually low: confirm this is the full procedure |
$4,061.40 | $9,670 | 0.3× |
| Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T) likely a partial charge, not the full procedure |
$277.20 | $660 | 0.0× |
| Prgrmg dev eval iims ip (0528T) | $29.40 | $70 | 0.8× |
| Programming device eval impl ccm-d sys in person (0926T) | $5.04 | $12 | 0.1× |
| Prolonged iv inf, req pump (C8957) | $227.22 | $541 | 1.0× |
| Psa screening (G0103) | $98.28 | $234 | 5.1× |
| Quan CT tiss charac i&r w/cncrnt CT exam (0722T) | $463.68 | $1,104 | 0.7× |
| Quan CT tiss charac w/o CT (0721T) | $463.68 | $1,104 | 0.7× |
| Quan MRI alys brain with diagnostic MRI (0866T) | $166.74 | $397 | 0.7× |
| Relocation skin pocket implanted ccm-d pg (0925T) | $1,303.26 | $3,103 | 0.6× |
| Removal complete iims (0530T) | $2,508.24 | $5,972 | 0.6× |
| Removal iims electrode only (0531T) | $2,508.24 | $5,972 | 0.6× |
| Removal iims implt mntr only (0532T) | $2,508.24 | $5,972 | 0.6× |
| Removal perm ccm-d system pulse generator only (0919T) | $2,592.66 | $6,173 | 0.7× |
| Repositioning prev impl ccm-d transvns eltrd/ld (0924T) | $440.58 | $1,049 | 0.7× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$7,667.10 | $18,255 | 0.4× |
| Revasc intra lithotrip-stent (C9765) | $20,176.80 | $48,040 | 1.1× |
| Revasc intravasc lithotripsy (C9764) unusually low: confirm this is the full procedure |
$3,833.76 | $9,128 | 0.3× |
| Revasc lith-sten-ath tib/per (C9775) | $11,900.28 | $28,334 | 0.6× |
| Revasc lithotr-ather tib/per (C9774) | $11,900.28 | $28,334 | 0.6× |
| Revasc lithotr-stent tib/per (C9773) | $11,900.28 | $28,334 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $7,440.30 | $17,715 | 0.6× |
| Revasc lithotrip-stent-ather (C9767) | $12,307.68 | $29,304 | 0.6× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $17,624.88 | $41,964 | 1.6× |
| Rmvl perm ccm-d sys 1 transvns dfb lead only (0921T) | $2,592.66 | $6,173 | 0.7× |
| Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) | $2,592.66 | $6,173 | 0.7× |
| Rmvl perm ccm-d sys dual transvns leads only (0922T) | $2,592.66 | $6,173 | 0.7× |
| Rmvl Pg Compnt Wcs (0518T) | $2,508.24 | $5,972 | 0.6× |
| Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) | $15,988.98 | $38,069 | 0.7× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) likely a partial charge, not the full procedure |
$13.44 | $32 | 0.0× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $17,836.14 | $42,467 | 0.8× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $81.06 | $193 | 3.1× |
| Screen pap by tech w md supv (P3000) | $10.08 | $24 | 0.5× |
| Tcat implt wrls l atr prs snr l-t l atr prs mntr (0933T) | $458.22 | $1,091 | 0.1× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $13,224.96 | $31,488 | 0.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $12,710.46 | $30,263 | 0.6× |
| Therapeutic procd strg endur (G0237) | $83.16 | $198 | 2.8× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) unusually low: confirm this is the full procedure |
$2,709 | $6,450 | 0.5× |
| Transcatheter renal sympath denervation unilat (0338T) unusually low: confirm this is the full procedure |
$2,586.78 | $6,159 | 0.4× |
| Trauma respons w/hosp criti (G0390) range across 6 matching MRF lines |
$731.22–$4,153.80 | $1,741–$9,890 | varies |
| Trluml perip athrc abd aorta (0236T) range across 2 matching MRF lines |
$6,785.52–$7,192.50 | $16,156–$17,125 | varies |
| Trluml Perip Athrc Brchiocph (0237T) range across 2 matching MRF lines |
$2,107.98–$7,043.82 | $5,019–$16,771 | varies |
| Trluml Perip Athrc Iliac Art (0238T) range across 2 matching MRF lines |
$6,785.52–$7,192.50 | $16,156–$17,125 | varies |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) range across 2 matching MRF lines |
$6,785.52–$7,192.50 | $16,156–$17,125 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $2,318.40 | $5,520 | 2.8× |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$1,506.96–$2,318.40 | $3,588–$5,520 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 3 matching MRF lines |
$533.40–$1,659 | $1,270–$3,950 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 3 matching MRF lines |
$238.98–$468.72 | $569–$1,116 | varies |
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.