| Hospital | Address | Code | Price | Last Updated |
|---|---|---|---|---|
| Chi Health Schuyler | 1721 Colfax St, Schuyler | G0259 | $461 [source] | 4 years ago |
| Chi Health Plainview | 704 N 3Rd St, Plainview | G0259 | $461 [source] | 4 years ago |
| Chi Health St. Mary | 1301 Grundman Blvd, Nebraska City | G0259 | $466 [source] | 4 years ago |
| Chi Health St. Francis | 2116 W Faidley Ave, Grand Island | G0259 | $842 [source] | 4 years ago |
| Chi Health Lakeside | 17201 Wright St, Omaha | G0259 | $1,006 [source] | 4 years ago |
| Chi Health Midlands | 11111 S 84Th St, Papillion | G0259 | $1,006 [source] | 4 years ago |
| Chi Health Creighton University Medical Center - Bergan Mercy | 7500 Mercy Rd, Omaha | G0259 | $1,006 [source] | 4 years ago |
| Chi Health Immanuel | 7101 Newport Ave, Omaha | G0259 | $1,006 [source] | 4 years ago |