Saint Elizabeth Regional Medical Center
Saint Elizabeth Regional Medical Center in Lincoln, NE publishes cash prices for 43 common procedures listed here, from its own machine-readable price file updated Feb 28, 2026. Click a procedure to compare it with other hospitals nearby.
555 South 70th Street, Lincoln, NE 68510 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $2,383.50 | $4,767.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN PELVIS W CONTRST | $2,383.50 | $4,767.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $934.00 | $1,868.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $934.00 | $1,868.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,285.00 | $2,570.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,285.00 | $2,570.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCL CAD BI | $214.00 | $428.00 | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCL CAD BI | $214.00 | $428.00 | 50% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $166.00 | $332.00 | 50% |
| Diagnostic mammogram, one breast CPT 77065 HC DX MAMMO INCL CAD UNI | $193.00 | $386.00 | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMOGRAM DIGITAL UNILATERL | $166.00 | $332.00 | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DX MAMMO INCL CAD UNI | $193.00 | $386.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,583.00 | $3,166.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR JOINT LOWER EXT WO CONT | $1,583.00 | $3,166.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR JNT LOWER EXT W WO CONT | $2,074.00 | $4,148.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR JNT LOWER EXT W WO CONT | $2,074.00 | $4,148.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST | $1,512.50 | $3,025.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST | $1,512.50 | $3,025.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $1,939.00 | $3,878.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $1,939.00 | $3,878.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR LUMBAR WO CONTRAST | $1,583.00 | $3,166.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR LUMBAR WO CONTRAST | $1,583.00 | $3,166.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC ULTRASOUND COMPLETE | $278.00 | $556.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY >14 WKS | $742.50 | $1,485.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC ULTRASOUND COMPLETE | $278.00 | $556.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY >14 WKS | $742.50 | $1,485.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $274.00 | $548.00 | 50% |
| Screening mammogram, both breasts CPT 77067 HC SCR MAMMO UNI INCL CAD | $191.50 | $383.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 HC MAMMOG DR UNILAT SCREEN M52 | $92.00 | $184.00 | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCR MAMMO BI INCL CAD | $274.00 | $548.00 | 50% |
| Screening mammogram, both breasts inpatient CPT 77067 HC SCR MAMMO UNI INCL CAD | $191.50 | $383.00 | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC MAMMOG DR UNILAT SCREEN M52 | $92.00 | $184.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $2,276.50 | $4,553.00 | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY=> 6 YR | $2,276.50 | $4,553.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $467.50 | $935.00 | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $467.50 | $935.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN | $262.00 | $524.00 | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN | $262.00 | $524.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $423.50 | $847.00 | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC LUMBR SPINE W OBLIQUES 4OR> | $423.50 | $847.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL | $189.00 | $378.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL | $189.00 | $378.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL | $148.50 | $297.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL | $148.50 | $297.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF | $105.50 | $211.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF | $105.50 | $211.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $81.00 | $162.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM CBC WITHOUT DIFF | $81.00 | $162.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE PANEL | $235.00 | $470.00 | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE PANEL | $235.00 | $470.00 | 50% |
| Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL | $183.00 | $366.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL | $183.00 | $366.00 | 50% |
| Liver function blood test panel CPT 80076 HC HEPATIC PROFILE | $153.50 | $307.00 | 50% |
| Liver function blood test panel inpatient CPT 80076 HC HEPATIC PROFILE | $153.50 | $307.00 | 50% |
| Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL | $307.00 | $614.00 | 50% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL | $307.00 | $614.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $167.50 | $335.00 | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $167.50 | $335.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA | $107.00 | $214.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA | $107.00 | $214.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT | $77.00 | $154.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT | $77.00 | $154.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PT | $63.50 | $127.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT PT | $66.00 | $132.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT | $63.50 | $127.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT PT | $66.00 | $132.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH | $129.50 | $259.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH | $129.50 | $259.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS | $67.00 | $134.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTOMATD W MICRO | $70.50 | $141.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS | $67.00 | $134.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTOMATD W MICRO | $70.50 | $141.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC POC URINE AUTO WO MICRO | $34.00 | $68.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO WO MICRO | $36.50 | $73.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POC URINE AUTO WO MICRO | $34.00 | $68.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO WO MICRO | $36.50 | $73.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS MANUAL | $15.50 | $31.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS MANUAL | $15.50 | $31.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH NO ANGIO | $7,862.00 | $15,724.00 | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH NO ANGIO | $7,862.00 | $15,724.00 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ ANE DRG LUM SAC W IMG GDN | $1,044.00 | $2,088.00 | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ ANE DRG LUM SAC W IMG GDN | $1,044.00 | $2,088.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ ANE DRG LUM SAC W O IMG GDN | $979.50 | $1,959.00 | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ ANE DRG LUM SAC W O IMG GDN | $979.50 | $1,959.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ TRNSFRM LUM SNGL W IMAG | $588.50 | $1,177.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ TRNSFRM LUM SNGL W IMAG | $588.50 | $1,177.00 | 50% |
| Prostate biopsy CPT 55700 HC BIOPSY PROSTATE | $1,046.00 | $2,092.00 | 50% |
| Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE | $1,046.00 | $2,092.00 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE MULTIPLE | $1,575.50 | $3,151.00 | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE MULTIPLE | $1,575.50 | $3,151.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,058.50 | $2,117.00 | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC BRUSH WASH | $1,058.50 | $2,117.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW 30-44 MINS | $203.00 | $406.00 | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW 30-44 MINS | $203.00 | $406.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW 45-59 MINS | $308.00 | $616.00 | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW 45-59 MINS | $308.00 | $616.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW 60-74 MINS | $388.50 | $777.00 | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW 60-74 MINS | $388.50 | $777.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $41.00 | $82.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $58.50 | $117.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THER EXERCISE 15M M59 | $58.50 | $117.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15M | $41.00 | $82.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15M | $58.50 | $117.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THER EXERCISE 15M M59 | $58.50 | $117.00 | 50% |