Omaha, NE
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 28, 2026 | Aug 16, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Alegent Health Immanuel Medical Center’s price for it.
The codes Alegent Health Immanuel Medical Center has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Propofol intravenous emulsionHCPCS J2704 | $0 | $28 | $33 | 119% | 1,573–1,582 | $0 | $85 |
| Lactated Ringer's solution infusionHCPCS J7120 | $5 | $61 | $68 | 111% | 1,397 | $2 | $176 |
| Blood draw from a veinCPT 36415 | $18 | $28 | $23 | 83% | 1,250–1,268 | $9 | $82 |
| Comprehensive metabolic blood panelCPT 80053 | $68 | $113 | $133 | 118% | 1,141–1,195 | $10 | $415 |
| Iodixanol contrast injection, 320 mg/mLHCPCS Q9967 | $50 | $118 | $178 | 151% | 803 | $0 | $988 |
| Normal saline IV solution 0.9%HCPCS J7030 | $6 | $61 | $67 | 111% | 715–724 | $2 | $176 |
| Complete blood count with automated differentialCPT 85025 | $32 | $53 | $58 | 111% | 659–722 | $8 | $186 |
| Therapeutic exercise sessionCPT 97110 | $96 | $92 | $46 | 50% | 635 | $19 | $190 |
| Sodium chloride (saline) IV solutionHCPCS J7050 | $1 | $29 | $33 | 115% | 447 | $1 | $85 |
| Thyroid stimulating hormone blood testCPT 84443 | $54 | $86 | $70 | 81% | 403–448 | $16 | $229 |
EIN: 470376615
Last updated: Feb 28, 2026
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Hospital ID: be5fc803cae44b6cab2de198c7b222bc434a641870d1bae01658fe592cf173f7