Home › Hospitals › CHI Health Nebraska Heart Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Posted cash Posted gross × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $487.14
$1,059
0.5×
CT head/brain without contrast (70450) $951.74
$2,069
8.8×
MRI brain without contrast (70551) $1,495.46
$3,251
6.0×
MRI brain with contrast (70552) $1,623.34
$3,529
4.5×
MRI brain without and with contrast (70553) $1,322.96
$2,876
3.7×
X-ray lower spine, 4+ views (72110) $234.14
$509
2.2×
CT pelvis with contrast (72193) $621.92
$1,352
3.4×
CT abdomen and pelvis with contrast (74177) $2,404.42
$5,227
6.6×
Ultrasound, abdomen complete (76700) $265.42
$577
2.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $212.06
$461
2.0×
Ultrasound, transvaginal (76830) $414.92
$902
3.8×
Basic metabolic panel (80048) $40.94
$89
4.8×
Comprehensive metabolic panel (80053) $64.86
$141
6.1×
Lipid panel (80061) $44.62
$97
3.3×
Renal function panel (80069) $54.74
$119
6.3×
Hepatic function panel (80076) $34.50
$75
4.2×
Urinalysis, non-automated, with microscopy (81000) $27.14
$59
6.8×
Urinalysis, non-automated, without microscopy (81002) $11.50
$25
3.3×
PSA, total (84153) $45.54
$99
2.5×
Thyroid stimulating hormone (TSH) (84443) $44.16
$96
2.6×
CBC with automated differential (85025) $34.04
$74
4.4×
CBC, automated (85027) $49.22
$107
7.6×
Prothrombin time (PT) (85610) range across 2 matching MRF lines $20.24–$49.22
$44–$107
varies
Partial thromboplastin time (PTT) (85730) $38.64
$84
6.4×
Left heart catheterization (93452) $2,805.08
$6,098
0.8×
Sleep study (attended polysomnography) (95810) $2,255.38
$4,903
2.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $56.12
$122
1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $171.12
$372
1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $260.36
$566
1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $327.52
$712
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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