Visits & medical services prices at CHI Health St. Elizabeth

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $5,101 $10,202 0.6×
Actigraphy testing recording analysis i&r (95803) $27.50 $55 0.4×
Airway inhalation treatment (94640) $112.25 $224.50 0.5×
Analyze neurostim no prog (95970) $94 $188 0.7×
Appl on-body injector for timed subq injection (96377) $95 $190 2.0×
Arrhythmia induction (93618) $4,633.50 $9,267 3.7×
Assessment of aphasia (96105) $135.50 $271 1.4×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $119 $238 3.2×
Behavioral and qualitative analysis of voice and resonance (92524) $244 $488 2.2×
Biofeedback training any modality (90901) $100 $200 2.4×
Breath Hydrogen/Methane Test (91065) $525 $1,050 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $247.50 $495 0.6×
Bundle of his recording (93600) $4,633.50 $9,267 0.6×
Canalith Repositioning (95992) $99 $198 2.4×
Capsule endoscopy (91110) $1,636 $3,272 1.7×
Car seat/bed test 60 min (94780) $95.50 $191 2.5×
Cardiac Stress Tst,Tracing Only (93017) $806.50 $1,613 3.6×
Cardiopulmonary resuscitation (92950) $674 $1,348 3.0×
Cardioversion (92960) $456 $912 0.7×
Cardioversion internal (92961) $421 $842 0.6×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,012 $14,024 2.1×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $9,872.50 $19,745 2.9×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$6,967.50 $13,935 0.4×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $10,678 $21,356 3.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $9,872.50 $19,745 2.9×
Cbt 1st hour (94644) $189.50 $379 1.4×
Chemo Admin Peritoneal Cavity (96446) $372 $744 1.1×
Chemo Hormon Antineopl Sq/Im (96402) $89.50 $179 1.2×
Chemo inj subarach/intravent (96542) $934 $1,868 2.7×
Chemo IV push addl drug (96411) $213 $426 2.8×
Chemo Iv Push Sngl Drug (96409) $240.25 $480.50 0.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $666.25 $1,332.50 1.9×
Chemother, IV infusion, 1 hr (96413) $432.75 $865.50 1.3×
Chemother, IV infusion, ea add hr (96415) $462.25 $924.50 6.2×
Chemother,ia infusn tech,<1 hr (96422) $306.50 $613 0.9×
Chemother,Ia Push Technique (96420) $235 $470 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $179.75 $359.50 2.4×
Chemotherapy admn intraarterial infusion ea hr (96423) $144.50 $289 3.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $694.50 $1,389 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $328.50 $657 4.4×
Circadian respiratry pattern rec 12-24 hr infant (94772) $365.50 $731 0.9×
Color/duplex Doppler, complete (93975) $735 $1,470 3.0×
Color/duplex Doppler, limited (93976) $316 $632 2.9×
Continuous Glucose Monitoring (95250) $261 $522 1.9×
Coronary artery angio s&i (93454) $8,083.50 $16,167 2.4×
Cpap initiation and management (94660) $570.50 $1,141 2.5×
Cpt initial (94667) $140.50 $281 1.0×
Critical care (99291) $1,297 $2,594 1.5×
Debridement Open Wound 20 Sq Cm< (97597) $164 $328 0.8×
Demo &/or eval,pt use,aerosol device (94664) $177.50 $355 0.8×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $1,846 $3,692 4.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $507 $1,014 2.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $389.50 $779 3.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $852.50 $1,705 3.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $750 $1,500 6.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $517 $1,034 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $258.50 $517 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,036 $2,072 9.5×
Duplex hemodialysis access (93990) $402.50 $805 3.7×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $217.50 $435 0.9×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $105 $210 1.0×
Duplex scan extracranial art compl bi study (93880) $881.50 $1,763 3.6×
Echo Heart Xthoracic,Limited (93308) $576.50 $1,153 2.3×
Echo transesophageal (93312) $1,442.50 $2,885 2.5×
Echo Transthoracic - Congenital Tte Complete (93303) $1,320 $2,640 2.3×
Echo Transthoracic - Congenital Tte Limited (93304) $1,320 $2,640 2.3×
EEG awake asleep (95819) $929 $1,858 4.1×
EEG awake drowsy (95816) $794 $1,588 3.5×
EEG cerebral death evaluation (95824) $842.50 $1,685 2.2×
EEG coma or sleep only (95822) $667.50 $1,335 3.0×
Eeg Extended Monitoring 61-119 Minutes (95813) $1,026.50 $2,053 4.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $790.50 $1,581 3.5×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,716.50 $3,433 4.4×
EKG (93005) $136.50 $273 2.2×
EKG rhythm strip (93041) $81 $162 1.3×
Ekg Signal Averaging (93278) $272 $544 4.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $32 $64 0.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $916.50 $1,833 4.1×
EMG four extremities (95864) $622 $1,244 4.7×
EMG one extremity (95860) $533.50 $1,067 3.9×
EMG three extremities (95863) $986.50 $1,973 7.4×
EMG two extremities (95861) $858.50 $1,717 6.2×
Endomyocardial biopsy (93505) $1,099.50 $2,199 0.3×
Ep & ablate supravent arrhyt (93653) $14,491.50 $28,983 0.5×
Ep Analyze Pacer Sys (93724) $490.50 $981 1.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$3,068 $6,136 0.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $4,633.50 $9,267 0.6×
Ep Electrophysiologic F/U Study (93624) $6,005 $12,010 0.7×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,690.50 $3,381 1.3×
Ep Right Ventricular Recording (93603) $4,633.50 $9,267 3.7×
Er level 1 (99281) $171.50 $343 2.0×
Er level ii (99282) $268 $536 1.7×
Er level iii (99283) $471.50 $943 1.7×
Er level IV (99284) $632 $1,264 1.5×
Er level v (99285) $1,071.50 $2,143 1.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $191.50 $383 2.7×
Evaluation of speech fluency (92521) $101 $202 0.8×
Evaluation of speech sound production (92522) $138.50 $277 1.2×
Evaluation of swallowing function (92610) $184 $368 2.2×
Evaluation with prescription of speech-generating alternative (92607) $200.50 $401 1.6×
Evoked Auditory Test,Comprehsv (92588) $225 $450 0.6×
Evoked auditory test,limited (92587) $225 $450 1.0×
Exhaled Air Analysis (94690) $406 $812 6.6×
External ECG rec>48hr<7d recording (93242) $100 $200 2.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $100 $200 0.7×
External ECG rec>7d<15d recording (93246) $122.50 $245 3.2×
External ECG rec>7d<15d scanning alys w/report (93247) $122.50 $245 0.9×
External Ecg Scanning Analysis Report (93226) $500 $1,000 8.2×
Flow volume loop (94375) $203 $406 0.9×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,052 $2,104 2.7×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $752.50 $1,505 3.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,517.50 $3,035 1.7×
Group Therapeutic Procedures (97150) $56.50 $113 3.1×
Holter Monitor Recording (93225) $347.50 $695 2.5×
Icd Device Interrogate (93289) $120 $240 3.1×
Ilr Device Eval Progr (93285) $124 $248 3.2×
Imaging of colon using capsule endoscope, with interpretation and report (91113) $1,415.50 $2,831 1.5×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $36.50 $73 0.9×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $52.50 $105 0.7×
Immunization Admin (90471) $76.50 $153 1.0×
Immunotherapy, 2+ Injections (95117) $61.50 $123 1.3×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $257 $514 0.7×
Ins swan ganz bedside (93503) $906.25 $1,812.50 0.6×
Interrog dev eval icpms phys/qhp in person (93290) $66.50 $133 1.7×
Interrog dev eval scrms phys/qhp in person (93291) $84 $168 2.8×
Interrog&prgrmg ipnss during polysomnography (93152) $804.50 $1,609 2.5×
Interrogate subq defib (93261) $102 $204 2.6×
Interrogation of vad (93750) $96.50 $193 1.0×
Intra Atrial Recording (93602) $4,633.50 $9,267 0.6×
Intra-atrial pacing (93610) $4,633.50 $9,267 0.6×
Intralesional Chemo Admin,<8 Lesn (96405) $138.50 $277 1.9×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,295.50 $6,591 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $88.50 $177 1.4×
IV infusion hydration each additional hour (96361) $78.25 $156.50 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $147.75 $295.50 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $77 $154 1.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $210.50 $421 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $60.25 $120.50 1.2×
IV push initial (96374) $175 $350 0.8×
Maintenance of spinal canal or brain drug infusion pump (95990) $431 $862 1.3×
Manual therapy 15 min (97140) $61 $122 2.2×
Massage 15 min (97124) $31 $62 1.0×
Maximum voluntary ventilation (94200) $180.50 $361 2.9×
Mechanical chest wall oscillation (94669) $135 $270 0.6×
Mechanical traction (97012) $99.50 $199 6.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $45.50 $91 1.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $41.50 $83 1.1×
Methacholine challenge (94070) $1,180.50 $2,361 3.0×
Mnt Group Ea 30 Min (97804) $25.50 $51 1.5×
Motility study esophagus (91010) $1,032.50 $2,065 2.7×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $270.50 $541 3.0×
Multiple sleep latency test (95805) $1,763 $3,526 2.0×
Nasopharyngoscopy (92511) $136 $272 0.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $788 $1,576 5.7×
Neg press wnd tx </=50 sq cm (97607) $236.25 $472.50 0.6×
Neg press wound tx >50 cm (97608) $227.50 $455 0.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $150 $300 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $267.75 $535.50 0.6×
Newborn resuscitation (99465) $603 $1,206 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $283.50 $567 2.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $560.75 $1,121.50 2.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $446 $892 3.3×
Nonphysician Telephone Assessment 11-20 Min (98967) $32.50 $65 1.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $55 $110 1.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $17.50 $35 1.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $49 $98 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $47.50 $95 1.5×
Ot eval high complex 60 min (97167) $121 $242 1.2×
Ot eval low complex 30 min (97165) $91 $182 0.9×
Ot eval mod complex 45 min (97166) $101 $202 1.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $44.50 $89 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $43.50 $87 1.1×
Ot re-eval est plan care (97168) $81 $162 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $214.50 $429 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $230.50 $461 1.7×
Pediatric apnea monitor analyses computer (94776) $1,668.50 $3,337 12.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $126.50 $253 0.6×
Peripheral arterial disease rehab per session (93668) $163 $326 2.7×
Phy/qhp op pulm rhb w/mntr (94626) $157.50 $315 2.6×
Phy/qhp op pulm rhb w/o mntr (94625) $157.50 $315 2.6×
Plethysmography (94726) $485 $970 1.3×
Pm device eval in person (93288) $35.50 $71 0.9×
Pm device progr eval dual (93280) $85 $170 2.2×
Pm device progr eval multi (93281) $94.50 $189 2.4×
Pm device progr eval sngl (93279) $87.50 $175 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,587 $5,174 2.9×
Polysom <6 yrs 4/> paramtrs (95782) $662.50 $1,325 0.7×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $819.50 $1,639 21.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $171.50 $343 4.4×
Programming of dual lead implantable defibrillator system (93283) $153 $306 3.9×
Programming of single lead implantable defibrillator system (93282) $132.50 $265 3.4×
Prq balloon valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$2,598 $5,196 0.4×
Prq Balloon Valvuloplasty Mitral Valve (92987)
unusually low: confirm this is the full procedure
$4,752 $9,504 0.4×
Prq card revasc chronic 1vsl (92943) $6,751 $13,502 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $11,558 $23,116 1.0×
Prq Card Stent/Ath/Angio (92933) $14,975 $29,950 0.8×
Prq revasc byp graft 1 vsl (92937) $8,226.50 $16,453 0.7×
Prq trluml coronary angio/atherect one art/brnch (92924) $13,804.50 $27,609 1.2×
Prq trluml coronary angioplasty one art/branch (92920) $7,200.50 $14,401 1.2×
Pt Electrical Stimulation (97032) $45 $90 3.1×
Pt eval high complex 45 min (97163) $105 $210 1.1×
Pt eval low complex 20 min (97161) $81 $162 0.8×
Pt Gait Training Therapy (97116) $40 $80 1.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $53 $106 1.6×
Pt Physical Performance Test (97750) $59 $118 1.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $88 $176 0.9×
Pt re-evaluation (97164) $71 $142 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $46 $92 1.4×
Pt Ultrasound Therapy (97035) $56.50 $113 3.9×
Pt Whirlpool Therapy (97022) $45 $90 2.9×
Pulm Funct Test Oscillometry (94728) $63 $126 0.5×
Pulm function test by gas (94727) $213.50 $427 1.0×
Pulmonary stress testing (94618) $318 $636 2.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $7,895 $15,790 2.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $12,328.50 $24,657 3.7×
R hrt art/grft angio (93457) $8,035.50 $16,071 2.4×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $13,079.50 $26,159 3.9×
Refill/Maint Pump/Resvr Syst (96522) $241 $482 1.1×
Refill/maint, portable pump (96521) $246.50 $493 1.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $288.50 $577 7.4×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $241.50 $483 0.8×
Right heart cath (93451) $5,160 $10,320 1.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $114.50 $229 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $77 $154 3.6×
Rt Chest Wall Manipulation,Subsequent (94668) $73 $146 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $35.50 $71 0.7×
Sc Ther Infusion Reset Pump (96371) $63.50 $127 0.8×
Sensory Integration Ea 15 Min (97533) $43 $86 0.7×
Sleep study unattended (95806) $214 $428 1.0×
Smoking cessation > 10 min (99407) $29.50 $59 0.8×
Somatosensory testing (95938) $898.50 $1,797 1.0×
Speech group therapy (92508) $49 $98 2.0×
Speech sound lang comprehen (92523) $213 $426 0.9×
Spirometry (94010) $208 $416 0.9×
Standardized Cognitive Performance Testing (96125) $136 $272 1.3×
Stress echo (93350) $1,448 $2,896 2.6×
Stress Tte Complete (93351) $1,304.50 $2,609 2.3×
Surfactant Admin Thru Tube (94610) $163 $326 0.7×
Temp transcutaneous pacing (92953) $437.50 $875 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $71.50 $143 3.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $71.50 $143 3.4×
Ther/prop/diag inj/inf proc (96379) $29.50 $59 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $102.25 $204.50 1.4×
Therapeutic Activities (97530) $54 $108 1.5×
Therapeutic phlebotomy (99195) $199.50 $399 1.4×
Tilt Table Eval (93660) $1,457 $2,914 3.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $23.50 $47 0.6×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $505 $1,010 2.0×
Transcranial Doppler Limited (93888) $264.50 $529 2.4×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,486 $2,972 2.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $939.50 $1,879 3.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $197 $394 2.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $193 $386 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $136.50 $273 2.8×
Unlisted Cardiovascular Service/Procedure (93799) $245.50 $491 1.8×
Unlisted pulmonary service/procedure (94799) $143.50 $287 1.1×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$4,871 $9,742 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $1,077.50 $2,155 4.3×
Vasc Duplex Scan Extracranial,Limited (93882) $255.50 $511 2.4×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $592 $1,184 2.6×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $421 $842 1.1×
Veeg by tech 2-12 hr intermittent monitoring (95712) $220 $440 0.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $421 $842 1.1×
Ventilation assist & mgmt inpatient 1st day (94002) $765.50 $1,531 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $383 $766 0.6×
Visual Evoked Potential Test (95930) $835.50 $1,671 3.7×
Vital capacity total (94150) $49.50 $99 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $40 $80 1.3×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $67 $134 1.1×