Children's Nebraska

8200 Dodge St, Omaha, NE 68114 · (402) 955-5400

ChildrensVoluntary non-profit - PrivateOmaha, NE-IA metro Website ↗

Price file

Prices published

File dated 2026-03-31

2,067 price rows for 65 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048

—

cash

$8 to $282

46 negotiated rates

$320

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177

—

cash

$437 to $5,661

23 negotiated rates

$6,433

list

CT scan of the head, no contrast

CPT 70450

—

cash

$130 to $2,785

23 negotiated rates

$3,165

list

CT scan of the pelvis, with contrast

CPT 72193

—

cash

$218 to $3,814

23 negotiated rates

$4,334

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,793 to $4,716

5 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,719 to $6,954

4 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491

—

cash

$33 to $99

23 negotiated rates

$113

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$1,117 to $1,900

5 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,444 to $2,445

5 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,444 to $2,445

5 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025

—

cash

$7 to $170

46 negotiated rates

$193

list

Comprehensive metabolic panel (blood test)

CPT 80053

—

cash

$10 to $385

46 negotiated rates

$437

list

Diagnostic mammogram (both breasts)

CPT 77066

—

cash

$141 to $426

6 negotiated rates

—

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$26 to $27

4 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$46 to $584

131 negotiated rates

$409

list

Family psychotherapy with the patient

CPT 90847

—

cash

$92 to $366

23 negotiated rates

$297

list

Family psychotherapy without the patient

CPT 90846

—

cash

$79 to $366

23 negotiated rates

$255

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$7,145 to $12,353

5 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591

—

cash

$33 to $99

23 negotiated rates

$113

list

Group psychotherapy

CPT 90853

—

cash

$113 to $208

5 negotiated rates

—

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$16,769 to $17,356

4 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$2,454 to $5,514

5 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$7,085 to $7,333

4 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$4,322 to $7,316

5 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,973 to $6,686

5 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$672 to $1,124

5 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$3,939 to $19,164

23 negotiated rates

$21,777

list

Lipid panel (cholesterol test)

CPT 80061

—

cash

$13 to $289

69 negotiated rates

$75

list

Liver function panel

CPT 80076

—

cash

$8 to $260

46 negotiated rates

$296

list

MRI of the brain, with and without contrast

CPT 70553

—

cash

$437 to $6,294

23 negotiated rates

$7,152

list

MRI of the knee or other lower joint, no contrast

CPT 73721

—

cash

$296 to $3,795

23 negotiated rates

$4,312

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148

—

cash

$296 to $4,720

23 negotiated rates

$5,364

list

MRI of the neck (cervical spine), no contrast

CPT 72141

—

cash

$296 to $4,691

23 negotiated rates

$5,331

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$16,487 to $17,064

4 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$691 to $2,322

46 negotiated rates

$2,639

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$23 to $371

116 negotiated rates

$306

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$47 to $394

116 negotiated rates

$448

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$55 to $551

116 negotiated rates

$569

list

PSA test (prostate)

CPT 84153

—

cash

$17 to $231

23 negotiated rates

$263

list

Partial thromboplastin time (blood clotting test)

CPT 85730

—

cash

$6 to $279

115 negotiated rates

$32

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110

—

cash

$25 to $75

6 negotiated rates

—

list

Pregnancy ultrasound (after first trimester)

CPT 76805

—

cash

$130 to $914

23 negotiated rates

$1,039

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$102 to $106

4 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$123 to $127

4 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$2,509 to $2,596

4 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$12,750 to $21,720

5 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610

—

cash

$4 to $118

92 negotiated rates

$32

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$69 to $281

23 negotiated rates

$221

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$95 to $335

23 negotiated rates

$308

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$120 to $363

23 negotiated rates

$386

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$4,690 to $8,000

5 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067

—

cash

$114 to $345

6 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$1,246 to $5,728

23 negotiated rates

$6,509

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$29,774 to $30,816

4 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$1,090 to $1,807

5 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$848 to $1,442

5 negotiated rates

—

list

TSH test (thyroid)

CPT 84443

—

cash

$9 to $301

207 negotiated rates

$40

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$7,245 to $12,096

5 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830

—

cash

$130 to $822

23 negotiated rates

$934

list

Ultrasound of the abdomen (complete)

CPT 76700

—

cash

$130 to $1,377

23 negotiated rates

$1,565

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$1,148 to $1,853

5 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$1,148 to $1,853

5 negotiated rates

—

list

Urinalysis with microscope

CPT 81001

—

cash

$3 to $108

46 negotiated rates

$123

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$4,229 to $4,377

4 negotiated rates

—

list

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

CPT 72110

—

cash

$114 to $873

23 negotiated rates

$992

list

Source files

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

https://childrensnebraska.pt.panaceainc.com/MRFDownload/childrensnebraska/childrensnebraska
Children's Nebraska · parsed · tall v3.0.0 · file dated 2026-03-31 · 133.9 MB · 2067 price rows read · read Nov 2026