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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × 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) range across 2 matching MRF lines |
$54–$101.50 | $108–$203 | varies |
| 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× |
| Electrophysiologic eval ccm-d leads at 1st impl (0930T) | $169.96 | $339.92 | 0.1× |
| Electrophysiologic eval ccm-d leads 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-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) | $42 | $83.99 | 0.1× |
| Njx platelet plasma (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× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$786–$1,634 | $1,572–$3,268 | varies |
| Trluml perip athrc abd aorta (0236T) likely a partial charge, not the full procedure |
$843.50 | $1,687 | 0.1× |
| Trluml Perip Athrc Brchiocph (0237T) | $14,888 | $29,776 | 1.2× |
| Trluml Perip Athrc Iliac Art (0238T) | $15,336 | $30,672 | 0.8× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) likely a partial charge, not the full procedure |
$843.50 | $1,687 | 0.1× |
| 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) range across 2 matching MRF lines |
$698.50–$1,486 | $1,397–$2,972 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 3 matching MRF lines |
$256.50–$675 | $513–$1,350 | 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.