Supplies, drugs & other prices at CHI Health St. Elizabeth

Lincoln, NE · every code in this section with a posted price and a Medicare benchmark.

67 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,572 $3,144 1.9×
2d tte w or w/o fol w/con,fu (C8924) $553.50 $1,107 1.5×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $227 $454 0.1×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T)
likely a partial charge, not the full procedure
$760.50 $1,521 0.1×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $1,073 $2,146 0.5×
Adm tocilizu covid-19 1st (M0249) $241 $482 0.5×
Catheterize for urine spec (P9612) $77.75 $155.50 8.3×
Covid-19 lab test non-cdc (U0002) $79.50 $159 1.5×
Diab manage trn per indiv (G0108) $88 $176 1.6×
Diab manage trn ind/group (G0109) $42.50 $85 2.7×
Direct refer hospital observ (G0379) $123 $246 0.2×
Elec stim other than wound (G0283) $56.50 $113 4.5×
Ephys eval ccm-d ld 1st impl (0930T) $169.96 $339.92 0.1×
Ephys eval ccm-d ld separate (0931T) $169.96 $339.92 0.1×
Facility svs dental rehab (G0330) $1,643.50 $3,287 0.5×
Followup eval of foot pt lop (G0246) $1,556 $3,112 11.3×
Hbot, full body chamber, 30m (G0277) $210 $420 1.5×
Initial foot exam pt lops (G0245) $1,556 $3,112 11.3×
Inj for sacroiliac jt anesth (G0260) $565 $1,130 0.8×
Insertion perm ccm-d system pulse generator only (0916T) $15,712.34 $31,424.67 0.7×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $5,793.19 $11,586.37 0.7×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $5,793.19 $11,586.37 0.7×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $22,443.11 $44,886.21 0.7×
Intens cardiac rehab no exer (G0423) $208.50 $417 1.6×
Intens cardiac rehab w/exerc (G0422) $208.50 $417 1.6×
Interrog dev eval impl ccm-d system in person (0927T) $5.22 $10.44 0.1×
Mri w/cont, breast, bi (C8906) $964.50 $1,929 2.7×
Mri w/o fol w/cont, breast, (C8908) $2,009.50 $4,019 5.5×
Mri w/o fol w/cont, brst, un (C8905) $1,728 $3,456 4.8×
N-invs det hrt fail aug echo (0932T) $42 $83.99 0.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $583 $1,166 1.3×
Non-blind interatrial shunt (C9760) $17,778 $35,556 0.6×
Non-ophthalmic fva (C9733) $375.50 $751 1.0×
Oth resp proc, group (G0239) $55 $110 1.4×
Oth resp proc, indiv (G0238) $82.50 $165 2.7×
Pemivibart infusion (M0224) $360.50 $721 0.8×
Perq Sacral Augmt Bilat Inj (0201T) $7,439.50 $14,879 1.0×
Perq Sacral Augmt Unilat Inj (0200T) $5,253 $10,506 0.7×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$3,991.07 $7,982.13 0.3×
Place device/marker, non pro (C9728) $216 $432 0.2×
Programming device eval impl ccm-d sys in person (0926T) $5.22 $10.44 0.1×
Prolonged iv inf, req pump (C8957) $235 $470 1.1×
Psa screening (G0103) $111.50 $223 5.8×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,058.50 $2,117 1.6×
Quan CT tiss charac w/o CT (0721T) $1,058.50 $2,117 1.6×
Relocation skin pocket implanted ccm-d pg (0925T) $1,280.46 $2,560.92 0.6×
Removal perm ccm-d system pulse generator only (0919T) $2,547.51 $5,095.02 0.7×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $432.78 $865.56 0.7×
Revasc intra lithotrip-ather (C9766) $17,898.50 $35,797 0.9×
Revasc intra lithotrip-stent (C9765) $18,735.50 $37,471 1.0×
Revasc lithotrip tibi/perone (C9772) $9,285.50 $18,571 0.8×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $2,547.51 $5,095.02 0.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $2,547.51 $5,095.02 0.7×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $2,547.51 $5,095.02 0.7×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $15,712.34 $31,424.67 0.7×
Routine footcare pt w lops (G0247) $1,556 $3,112 7.5×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $450.31 $900.61 0.1×
Therapeutic procd strg endur (G0237) $66 $132 2.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T)
likely a partial charge, not the full procedure
$843.50 $1,687 0.1×
Trauma respons w/hosp criti (G0390) $883.50 $1,767 0.6×
Trluml Perip Athrc Renal Art (0234T)
likely a partial charge, not the full procedure
$843.50 $1,687 0.1×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $14,888 $29,776 1.2×
Trluml peripheral atherectomy iliac artery ea (0238T) $15,336 $30,672 0.8×
Tte w or w/o contr, cont ecg (C8930) $1,630.50 $3,261 2.0×
Tte w or w/o fol w/con,stres (C8928) $1,344 $2,688 1.7×
Tte w or wo fol wcon,doppler (C8929) $1,092.25 $2,184.50 1.3×
Unsched dialysis esrd pt hos (G0257) $479.50 $959 0.7×