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Chi Health St. Elizabeth

555 South 70Th St, Lincoln, NE 68510 · (402) 219-7700

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Lincoln, NE metroWebsite ↗

Price file

Prices published

File dated 2026-02-28

2,182 price rows for 60 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $41

$189
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,384

$2,384
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $934

$934
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $622

$1,285
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $109

$109
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $34

$106
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $65

$235
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $214

$214
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $232

$276
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $90

$90
cash
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Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $2,805

$7,862
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $3

$3
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $35

$154
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,323

$1,939
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,583

$1,583
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,583

$1,583
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,757

$1,757
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $487

$589
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $171

$203
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $260

$308
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $328

$389
cash
PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $46

$107
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $39

$77
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $56

$41
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $212

$278
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,046

$1,046
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $25

$64
cash
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Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $92

$92
cash
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Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,255

$2,277
cash
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Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $980

$980
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,044

$1,044
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $80

$130
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $415

$468
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $262

$262
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $1,059

$1,059
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,576

$1,576
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $20

$67
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $234

$424
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.