Does CHI Health Mercy Council Bluffs have an emergency room?

Yes. Medicare (CMS) data lists emergency services at CHI Health Mercy Council Bluffs. In a medical emergency, call 911.

Where is CHI Health Mercy Council Bluffs?

800 Mercy Drive, Council Bluffs, IA 51503, in Pottawattamie County, Iowa.

What is the phone number of CHI Health Mercy Council Bluffs?

(712) 328-5000, as listed by Medicare (CMS).

What is the Medicare star rating of CHI Health Mercy Council Bluffs?

5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

CHI Health Mercy Council Bluffs — Council Bluffs, IA

Quick answers

Does CHI Health Mercy Council Bluffs have an emergency room?: Yes. Medicare (CMS) data lists emergency services at CHI Health Mercy Council Bluffs. In a medical emergency, call 911.
Where is CHI Health Mercy Council Bluffs?: 800 Mercy Drive, Council Bluffs, IA 51503, in Pottawattamie County, Iowa.
What is the phone number of CHI Health Mercy Council Bluffs?: (712) 328-5000, as listed by Medicare (CMS).
What is the Medicare star rating of CHI Health Mercy Council Bluffs?: 5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][5]

Treatments^[6]

Cardiac rehabilitation

Procedures^[5]

Programs and centers^[6]

Cardiac Rehabilitation (inpatient and outpatient)

Visiting and practical information

Visiting	No restricted visiting hours; children must be accompanied by an adult; new mothers have a 2-4 p.m. nap time but may still have visitors^[4]
Patient portal	MyChart

Recognition^[5]

Blue Distinction Center+ for Knee and Hip Replacement (Blue Cross and Blue Shield of Nebraska)

Doctors and clinicians (366)

366 doctors and other clinicians list CHI Health Mercy Council Bluffs as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (366)

Aarti Gupta, MDPsychiatry
Abdul K. Abdussalam, MDHospitalist
Abhushan Poudyal, MDInterventional Cardiology
Abraham P. Mathews, MDHematology/Oncology
Abubakar Tauseef, MDHospitalist
Adam J. Bierbaum, CNACertified Registered Nurse Anesthetist (CRNA)
Adam M. Pleas, MDOtolaryngology
Ahmed Al-ChalabiGastroenterology
Ahmed Sabri, MDPathology
Akshat Sood, MDHospitalist
Alan M. Parks, DOGeneral Surgery
Alan S. Kricsfeld, MDInternal Medicine
Alexander C. Yang, MDNeurosurgery
Alexander R. Staller, DOPulmonary Disease
Alicia HansonPhysician Assistant
Allison E. KidambiNurse Practitioner
Allison M. Pagan, MDFamily Practice
Allison McLendonNurse Practitioner
Allyson K. Doerr, CNACertified Registered Nurse Anesthetist (CRNA)
Amanda J. Nastase, CNACertified Registered Nurse Anesthetist (CRNA)
Amanda M. Guggenmos, NPNurse Practitioner
Amandeep Rakhra, DOInternal Medicine
Amber RieckenPhysician Assistant
Amir Zahra, DORadiation Oncology

And 342 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Methodist Jennie Edmundson0.3 mi · Council Bluffs, IA · Acute Care Hospital
Omaha VA Medical Center (VA Nebraska Western Iowa Healthcare System)7.1 mi · Omaha, NE · Federal/VA Acute Care Hospital
CHI Health Bergan Mercy10.0 mi · Omaha, NE · Acute Care Hospital
The Nebraska Methodist Hospital10 mi · Omaha, NE · Acute Care Hospital
Children's Nebraska11 mi · Omaha, NE · Children's Hospital

Other hospitals nearby

Douglas County Community Mental Health Center7.1 mi · Omaha, NE · Psychiatric Hospital
Select Specialty Hospital - Omaha (Central Campus)9.9 mi · Omaha, NE · Long-Term Acute Care Hospital
Midwest Surgical Hospital LLC10 mi · Omaha, NE · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

North Crest Living Center0.6 mi · Council Bluffs, IA · 1 of 5 stars
Midlands Living Center L L C1.0 mi · Council Bluffs, IA · 5 of 5 stars
Bethany Lutheran Home1.2 mi · Council Bluffs, IA · 1 of 5 stars

All nursing homes in the state →

Hospice providers

Angels Care Hospice3.4 mi · Council Bluffs, IA
Aseracare Hospice3.4 mi · Council Bluffs, IA
Hillcrest Hospice3.4 mi · Council Bluffs, IA · 3 of 5 stars

All hospice providers in the state →

Home health agencies

Aveanna Home Health3.4 mi · Council Bluffs, IA · 4 of 5 stars
Angels Care Home Health of Iowa4.2 mi · Council Bluffs, IA · 4 of 5 stars
Open Arms Home Health Care - Council Bluffs, LLC4.2 mi · Co Bluffs, IA

All home health agencies in the state →

Dialysis facilities

DaVita Council Bluffs Dialysis Center4.2 mi · Council Bluffs, IA · 2 of 5 stars
Dialysis Clinics, Inc - Omaha6.5 mi · Omaha, NE · 1 of 5 stars
RAI Care Center6.7 mi · Omaha, NE · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Midwest Eye Surgery Center, LLC6.5 mi · Omaha, NE
Heartland Cataract & Laser Surgery Center, Inc9.2 mi · Bellevue, NE
Midwest Endoscopy Services, LLC11 mi · Omaha, NE

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Gerald W Kirn Middle School0.5 mi · Council Bluffs, IA · Community health center
Kanesville Learning Center0.5 mi · Council Bluffs, IA · Community health center
All Care Health Center1.2 mi · Council Bluffs, IA · Community health center

Clinics and urgent care

THVC Services of NE PC4.8 mi · Omaha, NE · Urgent care center
American Current Care of Nebraska P.C.12 mi · Omaha, NE · Urgent care center
VWB LLC14 mi · Omaha, NE · Urgent care center

Pharmacies

All Care Health Center3.4 mi · Council Bluffs, IA · Community/retail pharmacy
Hy-Vee Inc3.4 mi · Council Bluffs, IA · Community/retail pharmacy
Perkwell Inc3.4 mi · Council Bluffs, IA · Community/retail pharmacy

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

Hansen House3.4 mi · Council Bluffs, IA
Heritage at Fox Run Assisted Living3.4 mi · Council Bluffs, IA
Amelia Place4.2 mi · Council Bluffs, IA
Bethany Heights Assisted Living4.2 mi · Council Bluffs, IA

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What CHI Health Mercy Council Bluffs reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	2 of 5 stars
Overall rating of the hospital	2 of 5 stars
Would recommend the hospital	3 of 5 stars
Nurses communicated well	2 of 5 stars
Doctors communicated well	2 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	2 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	65%National average: 72%
Would definitely recommend the hospital	63%National average: 71%
Nurses “always” communicated well	74%National average: 80%
Doctors “always” communicated well	74%National average: 80%
Staff “always” explained medicines before giving them	56%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	63%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	597Response rate: 18%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	0No different from the national benchmark
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.233Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12.6%
Deaths within 30 days: heart failure patients	11.6%
Deaths within 30 days: pneumonia patients	12.3%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	10.9%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.85No different from the national rate
Complications after hip or knee replacement	4.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.8%
Readmitted within 30 days: heart failure	20.6%
Readmitted within 30 days: pneumonia	17.2%
Readmitted within 30 days: COPD	19.9%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	7.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	171 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	70%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Council Bluffs Best hospitals in Iowa

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 81 common services exactly as CHI Health Mercy Council Bluffs lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT NEW 30-44 MINS	$527	$221.34	$79.05 – $447.95
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Centene — Medicaid\|NE Total Care: $79.05 ELAP — Commercial\|All Plans: $147.56 Medica — Commercial\|ACO: $156.24 Medica — Commercial\|All Other Plans: $140.57 Medica — Commercial\|CHI Health: $213.89 Medica — Commercial\|Open Access: $274.04 Midlands Choice — Commercial\|Premier: $395.25 Midlands Choice — Commercial\|Standard: $395.25 MultiPlan — Commercial\|All Plans: $447.95 PHCS — Commercial\|All Plans: $395.25
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) In the file: HC OFFICE OUTPATIENT NEW 30-44 MINS	$527	$221.34	$316.20 – $447.95
New patient office visit (about 30–44 minutes): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $447.95 PHCS — Commercial\|All Plans: $374.17 QuikTrip — Commercial\|All Plans: $316.20
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT NEW 45-59 MINS	$693	$291.06	$103.95 – $589.05
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Centene — Medicaid\|NE Total Care: $103.95 ELAP — Commercial\|All Plans: $194.04 Medica — Commercial\|ACO: $255.05 Medica — Commercial\|All Other Plans: $227.92 Medica — Commercial\|CHI Health: $319.67 Medica — Commercial\|Open Access: $360.36 Midlands Choice — Commercial\|Premier: $519.75 Midlands Choice — Commercial\|Standard: $519.75 MultiPlan — Commercial\|All Plans: $589.05 PHCS — Commercial\|All Plans: $519.75
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient (hospital stay) In the file: HC OFFICE OUTPATIENT NEW 45-59 MINS	$693	$291.06	$415.80 – $589.05
New patient office visit (about 45–59 minutes): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $589.05 PHCS — Commercial\|All Plans: $492.03 QuikTrip — Commercial\|All Plans: $415.80
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: HC OFFICE OUTPATIENT NEW 60-74 MINS	$776	$325.92	$116.40 – $659.60
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Centene — Medicaid\|NE Total Care: $116.40 ELAP — Commercial\|All Plans: $217.28 Medica — Commercial\|ACO: $346.56 Medica — Commercial\|All Other Plans: $309.43 Medica — Commercial\|CHI Health: $422.06 Medica — Commercial\|Open Access: $403.52 Midlands Choice — Commercial\|Premier: $582 Midlands Choice — Commercial\|Standard: $582 MultiPlan — Commercial\|All Plans: $659.60 PHCS — Commercial\|All Plans: $582
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient (hospital stay) In the file: HC OFFICE OUTPATIENT NEW 60-74 MINS	$776	$325.92	$465.60 – $659.60
New patient office visit (about 60–74 minutes): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $659.60 PHCS — Commercial\|All Plans: $550.96 QuikTrip — Commercial\|All Plans: $465.60
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: HC OFFICE VISIT EST 20-29 MINS	$146	$61.32	$21.90 – $173.88
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Centene — Medicaid\|NE Total Care: $21.90 ELAP — Commercial\|All Plans: $40.88 Medica — Commercial\|ACO: $126.80 Medica — Commercial\|All Other Plans: $113.42 Medica — Commercial\|CHI Health: $173.88 Medica — Commercial\|Open Access: $75.92 Midlands Choice — Commercial\|Premier: $109.50 Midlands Choice — Commercial\|Standard: $109.50 MultiPlan — Commercial\|All Plans: $124.10 PHCS — Commercial\|All Plans: $109.50
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient (hospital stay) In the file: HC OFFICE VISIT EST 20-29 MINS	$146	$61.32	$87.60 – $124.10
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $124.10 PHCS — Commercial\|All Plans: $103.66 QuikTrip — Commercial\|All Plans: $87.60
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: HC OFFICE VISIT EST 30-39 MINS	$177	$74.34	$26.55 – $246.43
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Centene — Medicaid\|NE Total Care: $26.55 ELAP — Commercial\|All Plans: $49.56 Medica — Commercial\|ACO: $177 Medica — Commercial\|All Other Plans: $167.83 Medica — Commercial\|CHI Health: $246.43 Medica — Commercial\|Open Access: $92.04 Midlands Choice — Commercial\|Premier: $132.75 Midlands Choice — Commercial\|Standard: $132.75 MultiPlan — Commercial\|All Plans: $150.45 PHCS — Commercial\|All Plans: $132.75
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient (hospital stay) In the file: HC OFFICE VISIT EST 30-39 MINS	$177	$74.34	$106.20 – $150.45
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $150.45 PHCS — Commercial\|All Plans: $125.67 QuikTrip — Commercial\|All Plans: $106.20
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPT VISIT LOW MDM	$1,550	$651	$135.01 – $1,553
Emergency room visit (moderate): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $262.88 Amerigroup — Medicare\|All Plans: $283.34 AMPS — Commercial\|All Plans: $599.07 BCBS - NE — Medicare\|All Plans: $269.85 Centene — Medicaid\|IA Total Care: $262.88 Centene — Medicaid\|NE Total Care: $232.50 Centene — Medicare\|All Plans: $277.95 Creighton University Employees — Commercial\|All Plans: $1,218 ELAP — Commercial\|All Plans: $434 Great Plains — Medicare\|All Plans: $283.34
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: HC EMERGENCY DEPT VISIT LOW MDM	$1,550	$651	$930 – $1,317.50
Emergency room visit (moderate): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $1,317.50 PHCS — Commercial\|All Plans: $1,100.50 QuikTrip — Commercial\|All Plans: $930
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPT VISIT MOD MDM	$2,472	$1,038.24	$229.78 – $3,872
Emergency room visit (moderately high): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $404.29 Amerigroup — Medicare\|All Plans: $435.74 AMPS — Commercial\|All Plans: $921.28 BCBS - NE — Medicare\|All Plans: $414.99 Centene — Medicaid\|IA Total Care: $404.29 Centene — Medicaid\|NE Total Care: $370.80 Centene — Medicare\|All Plans: $427.44 Creighton University Employees — Commercial\|All Plans: $2,753 ELAP — Commercial\|All Plans: $692.16 Great Plains — Medicare\|All Plans: $435.74
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: HC EMERGENCY DEPT VISIT MOD MDM	$2,472	$1,038.24	$1,483.20 – $2,101.20
Emergency room visit (moderately high): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,101.20 PHCS — Commercial\|All Plans: $1,755.12 QuikTrip — Commercial\|All Plans: $1,483.20
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: HC EMERGENCY DEPT VISIT HI MDM	$3,296	$1,384.32	$333.02 – $5,552
Emergency room visit (high): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $582.09 Amerigroup — Medicare\|All Plans: $627.38 AMPS — Commercial\|All Plans: $1,326.45 BCBS - NE — Medicare\|All Plans: $597.50 Centene — Medicaid\|IA Total Care: $582.09 Centene — Medicaid\|NE Total Care: $494.40 Centene — Medicare\|All Plans: $615.42 Creighton University Employees — Commercial\|All Plans: $4,580 ELAP — Commercial\|All Plans: $922.88 Great Plains — Medicare\|All Plans: $627.38
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: HC EMERGENCY DEPT VISIT HI MDM	$3,296	$1,384.32	$1,977.60 – $2,801.60
Emergency room visit (high): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,801.60 PHCS — Commercial\|All Plans: $2,340.16 QuikTrip — Commercial\|All Plans: $1,977.60

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: HC BASIC METABOLIC PANEL	$392	$164.64	$8.20 – $333.20
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $8.20 Amerigroup — Medicare\|All Plans: $8.88 AMPS — Commercial\|All Plans: $18.78 BCBS - NE — Medicare\|All Plans: $8.46 Centene — Medicaid\|IA Total Care: $8.20 Centene — Medicaid\|NE Total Care: $58.80 Centene — Medicare\|All Plans: $8.71 Creighton University Employees — Commercial\|All Plans: $27.26 ELAP — Commercial\|All Plans: $109.76 Great Plains — Medicare\|All Plans: $8.88
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: HC BASIC METABOLIC PANEL	$392	$164.64	$235.20 – $333.20
Basic metabolic panel (blood test): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $333.20 PHCS — Commercial\|All Plans: $278.32 QuikTrip — Commercial\|All Plans: $235.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: HC COMPREHENSIVE PANEL	$488	$204.96	$10.23 – $414.80
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $10.23 Amerigroup — Medicare\|All Plans: $11.09 AMPS — Commercial\|All Plans: $23.44 BCBS - NE — Medicare\|All Plans: $10.56 Centene — Medicaid\|IA Total Care: $10.23 Centene — Medicaid\|NE Total Care: $73.20 Centene — Medicare\|All Plans: $10.88 Creighton University Employees — Commercial\|All Plans: $34.05 ELAP — Commercial\|All Plans: $136.64 Great Plains — Medicare\|All Plans: $11.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: HC COMPREHENSIVE PANEL	$488	$204.96	$292.80 – $414.80
Comprehensive metabolic panel (blood test): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $414.80 PHCS — Commercial\|All Plans: $346.48 QuikTrip — Commercial\|All Plans: $292.80
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) In the file: HC OBSTETRIC PANEL	$637	$267.54	$46.33 – $541.45
Obstetric blood test panel: 10 of 27 insurance plan rates Amerigroup — Medicaid\|All Plans: $46.33 Amerigroup — Medicare\|All Plans: $50.20 AMPS — Commercial\|All Plans: $106.14 BCBS - NE — Medicare\|All Plans: $47.81 Centene — Medicaid\|IA Total Care: $46.33 Centene — Medicaid\|NE Total Care: $95.55 Centene — Medicare\|All Plans: $49.24 Creighton University Employees — Commercial\|All Plans: $154.10 ELAP — Commercial\|All Plans: $178.36 Great Plains — Medicare\|All Plans: $50.20
Obstetric blood test panel CPT 80055 · Inpatient (hospital stay) In the file: HC OBSTETRIC PANEL	$637	$267.54	$382.20 – $541.45
Obstetric blood test panel: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $541.45 PHCS — Commercial\|All Plans: $452.27 QuikTrip — Commercial\|All Plans: $382.20
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC HEART CHECK LIPID	$6	$2.52	$0.90 – $56.32
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $6.12 Amerigroup — Medicare\|All Plans: $6.30 AMPS — Commercial\|All Plans: $13.32 BCBS - NE — Medicare\|All Plans: $6 Centene — Medicaid\|IA Total Care: $6.12 Centene — Medicaid\|NE Total Care: $0.90 Centene — Medicare\|All Plans: $6.18 Creighton University Employees — Commercial\|All Plans: $6 ELAP — Commercial\|All Plans: $1.68 Great Plains — Medicare\|All Plans: $6.30
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: HC LIPID PANEL	$308	$129.36	$12.97 – $261.80
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $12.97 Amerigroup — Medicare\|All Plans: $14.06 AMPS — Commercial\|All Plans: $29.73 BCBS - NE — Medicare\|All Plans: $13.39 Centene — Medicaid\|IA Total Care: $12.97 Centene — Medicaid\|NE Total Care: $46.20 Centene — Medicare\|All Plans: $13.79 Creighton University Employees — Commercial\|All Plans: $43.17 ELAP — Commercial\|All Plans: $86.24 Great Plains — Medicare\|All Plans: $14.06
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) In the file: HC HEART CHECK LIPID	$6	$2.52	$3.60 – $5.10
Cholesterol panel (lipid panel): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $5.10 PHCS — Commercial\|All Plans: $4.26 QuikTrip — Commercial\|All Plans: $3.60
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: HC RENAL FUNCTION PANEL	$361	$151.62	$8.41 – $306.85
Kidney function panel: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $8.41 Amerigroup — Medicare\|All Plans: $9.11 AMPS — Commercial\|All Plans: $19.27 BCBS - NE — Medicare\|All Plans: $8.68 Centene — Medicaid\|IA Total Care: $8.41 Centene — Medicaid\|NE Total Care: $54.15 Centene — Medicare\|All Plans: $8.94 Creighton University Employees — Commercial\|All Plans: $27.99 ELAP — Commercial\|All Plans: $101.08 Great Plains — Medicare\|All Plans: $9.11
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: HC RENAL FUNCTION PANEL	$361	$151.62	$216.60 – $306.85
Kidney function panel: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $306.85 PHCS — Commercial\|All Plans: $256.31 QuikTrip — Commercial\|All Plans: $216.60
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HC HEPATIC PROFILE	$318	$133.56	$7.92 – $270.30
Liver function panel: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $7.92 Amerigroup — Medicare\|All Plans: $8.58 AMPS — Commercial\|All Plans: $18.14 BCBS - NE — Medicare\|All Plans: $8.17 Centene — Medicaid\|IA Total Care: $7.92 Centene — Medicaid\|NE Total Care: $47.70 Centene — Medicare\|All Plans: $8.42 Creighton University Employees — Commercial\|All Plans: $26.34 ELAP — Commercial\|All Plans: $89.04 Great Plains — Medicare\|All Plans: $8.58
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: HC HEPATIC PROFILE	$318	$133.56	$190.80 – $270.30
Liver function panel: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $270.30 PHCS — Commercial\|All Plans: $225.78 QuikTrip — Commercial\|All Plans: $190.80
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS	$139	$58.38	$3.07 – $118.15
Urine test (automated, with microscope): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $3.07 Amerigroup — Medicare\|All Plans: $3.33 AMPS — Commercial\|All Plans: $7.04 BCBS - NE — Medicare\|All Plans: $3.17 Centene — Medicaid\|IA Total Care: $3.07 Centene — Medicaid\|NE Total Care: $20.85 Centene — Medicare\|All Plans: $3.27 Creighton University Employees — Commercial\|All Plans: $10.22 ELAP — Commercial\|All Plans: $38.92 Great Plains — Medicare\|All Plans: $3.33
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: HC URINALYSIS AUTOMATD W MICRO	$146	$61.32	$3.07 – $124.10
Urine test (automated, with microscope): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $3.07 Amerigroup — Medicare\|All Plans: $3.33 AMPS — Commercial\|All Plans: $7.04 BCBS - NE — Medicare\|All Plans: $3.17 Centene — Medicaid\|IA Total Care: $3.07 Centene — Medicaid\|NE Total Care: $21.90 Centene — Medicare\|All Plans: $3.27 Creighton University Employees — Commercial\|All Plans: $10.22 ELAP — Commercial\|All Plans: $40.88 Great Plains — Medicare\|All Plans: $3.33
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: HC URINALYSIS	$139	$58.38	$83.40 – $118.15
Urine test (automated, with microscope): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $118.15 PHCS — Commercial\|All Plans: $98.69 QuikTrip — Commercial\|All Plans: $83.40
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC POCT MANUAL URINALYSIS	$58	$24.36	$3.38 – $49.30
Urine test (manual, without microscope): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $3.38 Amerigroup — Medicare\|All Plans: $3.65 AMPS — Commercial\|All Plans: $7.73 BCBS - NE — Medicare\|All Plans: $3.48 Centene — Medicaid\|IA Total Care: $3.38 Centene — Medicaid\|NE Total Care: $8.70 Centene — Medicare\|All Plans: $3.58 Creighton University Employees — Commercial\|All Plans: $8.22 ELAP — Commercial\|All Plans: $16.24 Great Plains — Medicare\|All Plans: $3.65
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: HC URINALYSIS MANUAL	$51	$21.42	$3.38 – $43.35
Urine test (manual, without microscope): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $3.38 Amerigroup — Medicare\|All Plans: $3.65 AMPS — Commercial\|All Plans: $7.73 BCBS - NE — Medicare\|All Plans: $3.48 Centene — Medicaid\|IA Total Care: $3.38 Centene — Medicaid\|NE Total Care: $7.65 Centene — Medicare\|All Plans: $3.58 Creighton University Employees — Commercial\|All Plans: $8.22 ELAP — Commercial\|All Plans: $14.28 Great Plains — Medicare\|All Plans: $3.65
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) In the file: HC POCT MANUAL URINALYSIS	$58	$24.36	$34.80 – $49.30
Urine test (manual, without microscope): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $49.30 PHCS — Commercial\|All Plans: $41.18 QuikTrip — Commercial\|All Plans: $34.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC POC URINE AUTO WO MICRO	$75	$31.50	$2.18 – $63.75
Urine test (automated, without microscope): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $2.18 Amerigroup — Medicare\|All Plans: $2.36 AMPS — Commercial\|All Plans: $5 BCBS - NE — Medicare\|All Plans: $2.25 Centene — Medicaid\|IA Total Care: $2.18 Centene — Medicaid\|NE Total Care: $11.25 Centene — Medicare\|All Plans: $2.32 Creighton University Employees — Commercial\|All Plans: $7.24 ELAP — Commercial\|All Plans: $21 Great Plains — Medicare\|All Plans: $2.36
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: HC URINALYSIS AUTO WO MICRO	$81	$34.02	$2.18 – $68.85
Urine test (automated, without microscope): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $2.18 Amerigroup — Medicare\|All Plans: $2.36 AMPS — Commercial\|All Plans: $5 BCBS - NE — Medicare\|All Plans: $2.25 Centene — Medicaid\|IA Total Care: $2.18 Centene — Medicaid\|NE Total Care: $12.15 Centene — Medicare\|All Plans: $2.32 Creighton University Employees — Commercial\|All Plans: $7.24 ELAP — Commercial\|All Plans: $22.68 Great Plains — Medicare\|All Plans: $2.36
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: HC POC URINE AUTO WO MICRO	$75	$31.50	$45 – $63.75
Urine test (automated, without microscope): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $63.75 PHCS — Commercial\|All Plans: $53.25 QuikTrip — Commercial\|All Plans: $45
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: HC PSA	$222	$93.24	$17.82 – $188.70
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $17.82 Amerigroup — Medicare\|All Plans: $19.31 AMPS — Commercial\|All Plans: $40.83 BCBS - NE — Medicare\|All Plans: $18.39 Centene — Medicaid\|IA Total Care: $17.82 Centene — Medicaid\|NE Total Care: $33.30 Centene — Medicare\|All Plans: $18.94 Creighton University Employees — Commercial\|All Plans: $59.29 ELAP — Commercial\|All Plans: $62.16 Great Plains — Medicare\|All Plans: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: HC PSA	$222	$93.24	$133.20 – $188.70
PSA (prostate specific antigen) blood test: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $188.70 PHCS — Commercial\|All Plans: $157.62 QuikTrip — Commercial\|All Plans: $133.20
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: HC TSH	$269	$112.98	$16.28 – $228.65
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $16.28 Amerigroup — Medicare\|All Plans: $17.64 AMPS — Commercial\|All Plans: $37.30 BCBS - NE — Medicare\|All Plans: $16.80 Centene — Medicaid\|IA Total Care: $16.28 Centene — Medicaid\|NE Total Care: $40.35 Centene — Medicare\|All Plans: $17.30 Creighton University Employees — Commercial\|All Plans: $54.16 ELAP — Commercial\|All Plans: $75.32 Great Plains — Medicare\|All Plans: $17.64
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: HC TSH	$269	$112.98	$161.40 – $228.65
Thyroid stimulating hormone (TSH) test: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $228.65 PHCS — Commercial\|All Plans: $190.99 QuikTrip — Commercial\|All Plans: $161.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: HC CBC W AUTO DIFF	$219	$91.98	$7.53 – $186.15
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $7.53 Amerigroup — Medicare\|All Plans: $8.16 AMPS — Commercial\|All Plans: $17.25 BCBS - NE — Medicare\|All Plans: $7.77 Centene — Medicaid\|IA Total Care: $7.53 Centene — Medicaid\|NE Total Care: $32.85 Centene — Medicare\|All Plans: $8 Creighton University Employees — Commercial\|All Plans: $25.05 ELAP — Commercial\|All Plans: $61.32 Great Plains — Medicare\|All Plans: $8.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: HC CBC W AUTO DIFF	$219	$91.98	$131.40 – $186.15
Complete blood count (CBC) with differential: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $186.15 PHCS — Commercial\|All Plans: $155.49 QuikTrip — Commercial\|All Plans: $131.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: HC HEMOGRAM CBC WITHOUT DIFF	$168	$70.56	$6.27 – $142.80
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $6.27 Amerigroup — Medicare\|All Plans: $6.79 AMPS — Commercial\|All Plans: $14.36 BCBS - NE — Medicare\|All Plans: $6.47 Centene — Medicaid\|IA Total Care: $6.27 Centene — Medicaid\|NE Total Care: $25.20 Centene — Medicare\|All Plans: $6.66 Creighton University Employees — Commercial\|All Plans: $20.84 ELAP — Commercial\|All Plans: $47.04 Great Plains — Medicare\|All Plans: $6.79
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: HC HEMOGRAM CBC WITHOUT DIFF	$168	$70.56	$100.80 – $142.80
Complete blood count (CBC), automated: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $142.80 PHCS — Commercial\|All Plans: $119.28 QuikTrip — Commercial\|All Plans: $100.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC INR	$119	$49.98	$4.16 – $101.15
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $4.16 Amerigroup — Medicare\|All Plans: $4.50 AMPS — Commercial\|All Plans: $9.52 BCBS - NE — Medicare\|All Plans: $4.29 Centene — Medicaid\|IA Total Care: $4.16 Centene — Medicaid\|NE Total Care: $17.85 Centene — Medicare\|All Plans: $4.42 Creighton University Employees — Commercial\|All Plans: $12.67 ELAP — Commercial\|All Plans: $33.32 Great Plains — Medicare\|All Plans: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC POCT PT	$137	$57.54	$4.16 – $116.45
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $4.16 Amerigroup — Medicare\|All Plans: $4.50 AMPS — Commercial\|All Plans: $9.52 BCBS - NE — Medicare\|All Plans: $4.29 Centene — Medicaid\|IA Total Care: $4.16 Centene — Medicaid\|NE Total Care: $20.55 Centene — Medicare\|All Plans: $4.42 Creighton University Employees — Commercial\|All Plans: $12.67 ELAP — Commercial\|All Plans: $38.36 Great Plains — Medicare\|All Plans: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: HC PT	$131	$55.02	$4.16 – $111.35
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $4.16 Amerigroup — Medicare\|All Plans: $4.50 AMPS — Commercial\|All Plans: $9.52 BCBS - NE — Medicare\|All Plans: $4.29 Centene — Medicaid\|IA Total Care: $4.16 Centene — Medicaid\|NE Total Care: $19.65 Centene — Medicare\|All Plans: $4.42 Creighton University Employees — Commercial\|All Plans: $12.67 ELAP — Commercial\|All Plans: $36.68 Great Plains — Medicare\|All Plans: $4.50
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: HC PTT	$160	$67.20	$5.82 – $136
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $5.82 Amerigroup — Medicare\|All Plans: $6.31 AMPS — Commercial\|All Plans: $13.34 BCBS - NE — Medicare\|All Plans: $6.01 Centene — Medicaid\|IA Total Care: $5.82 Centene — Medicaid\|NE Total Care: $24 Centene — Medicare\|All Plans: $6.19 Creighton University Employees — Commercial\|All Plans: $19.36 ELAP — Commercial\|All Plans: $44.80 Great Plains — Medicare\|All Plans: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: HC PTT	$160	$67.20	$96 – $136
Blood clotting test (partial thromboplastin time, PTT): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $136 PHCS — Commercial\|All Plans: $113.60 QuikTrip — Commercial\|All Plans: $96

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: HC CT HEAD WO CONTRAST	$1,604	$673.68	$100.97 – $1,363.40
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $100.97 Amerigroup — Medicare\|All Plans: $108.81 AMPS — Commercial\|All Plans: $230.06 BCBS - NE — Medicare\|All Plans: $103.63 Centene — Medicaid\|IA Total Care: $100.97 Centene — Medicaid\|NE Total Care: $240.60 Centene — Medicare\|All Plans: $106.74 Creighton University Employees — Commercial\|All Plans: $193.46 ELAP — Commercial\|All Plans: $449.12 Great Plains — Medicare\|All Plans: $108.81
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: HC CT HEAD WO CONTRAST	$1,604	$673.68	$962.40 – $1,363.40
CT scan of the head or brain, without contrast: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $1,363.40 PHCS — Commercial\|All Plans: $1,138.84 QuikTrip — Commercial\|All Plans: $962.40
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: HC MR BRAIN W WO CONTRAST	$4,438	$1,863.96	$339.07 – $3,772.30
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $339.07 Amerigroup — Medicare\|All Plans: $365.44 AMPS — Commercial\|All Plans: $772.65 BCBS - NE — Medicare\|All Plans: $348.04 Centene — Medicaid\|IA Total Care: $339.07 Centene — Medicaid\|NE Total Care: $665.70 Centene — Medicare\|All Plans: $358.48 Creighton University Employees — Commercial\|All Plans: $694.03 ELAP — Commercial\|All Plans: $1,242.64 Great Plains — Medicare\|All Plans: $365.44
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: HC MR BRAIN W WO CONTRAST	$4,438	$1,863.96	$2,662.80 – $3,772.30
MRI of the brain, before and after contrast: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $3,772.30 PHCS — Commercial\|All Plans: $3,150.98 QuikTrip — Commercial\|All Plans: $2,662.80
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC CHEST 2 VIEWS PA LAT	$486	$204.12	$43.72 – $413.10
Chest X-ray, 2 views: 10 of 27 insurance plan rates Amerigroup — Medicaid\|All Plans: $83.59 Amerigroup — Medicare\|All Plans: $90.10 AMPS — Commercial\|All Plans: $190.50 BCBS - NE — Medicare\|All Plans: $85.81 Centene — Medicaid\|IA Total Care: $83.59 Centene — Medicaid\|NE Total Care: $72.90 Centene — Medicare\|All Plans: $88.38 Creighton University Employees — Commercial\|All Plans: $364.50 ELAP — Commercial\|All Plans: $136.08 Great Plains — Medicare\|All Plans: $90.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC CHEST FIREMAN POLICE	$108	$45.36	$16.20 – $190.50
Chest X-ray, 2 views: 10 of 27 insurance plan rates Amerigroup — Medicaid\|All Plans: $83.59 Amerigroup — Medicare\|All Plans: $90.10 AMPS — Commercial\|All Plans: $190.50 BCBS - NE — Medicare\|All Plans: $85.81 Centene — Medicaid\|IA Total Care: $83.59 Centene — Medicaid\|NE Total Care: $16.20 Centene — Medicare\|All Plans: $88.38 Creighton University Employees — Commercial\|All Plans: $81 ELAP — Commercial\|All Plans: $30.24 Great Plains — Medicare\|All Plans: $90.10
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: HC CHEST PA LATERAL OHS	$234	$98.28	$35.10 – $198.90
Chest X-ray, 2 views: 10 of 27 insurance plan rates Amerigroup — Medicaid\|All Plans: $83.59 Amerigroup — Medicare\|All Plans: $90.10 AMPS — Commercial\|All Plans: $190.50 BCBS - NE — Medicare\|All Plans: $85.81 Centene — Medicaid\|IA Total Care: $83.59 Centene — Medicaid\|NE Total Care: $35.10 Centene — Medicare\|All Plans: $88.38 Creighton University Employees — Commercial\|All Plans: $175.50 ELAP — Commercial\|All Plans: $65.52 Great Plains — Medicare\|All Plans: $90.10
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: HC LUMBR SPINE W OBLIQUES 4OR>	$837	$351.54	$74.61 – $711.45
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $100.97 Amerigroup — Medicare\|All Plans: $108.81 AMPS — Commercial\|All Plans: $230.06 BCBS - NE — Medicare\|All Plans: $103.63 Centene — Medicaid\|IA Total Care: $100.97 Centene — Medicaid\|NE Total Care: $125.55 Centene — Medicare\|All Plans: $106.74 Creighton University Employees — Commercial\|All Plans: $87.35 ELAP — Commercial\|All Plans: $234.36 Great Plains — Medicare\|All Plans: $108.81
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: HC LUMBR SPINE W OBLIQUES 4OR>	$837	$351.54	$502.20 – $711.45
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $711.45 PHCS — Commercial\|All Plans: $594.27 QuikTrip — Commercial\|All Plans: $502.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: HC MR LUMBAR WO CONTRAST	$3,392	$1,424.64	$229.50 – $2,883.20
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $229.50 Amerigroup — Medicare\|All Plans: $247.35 AMPS — Commercial\|All Plans: $522.97 BCBS - NE — Medicare\|All Plans: $235.57 Centene — Medicaid\|IA Total Care: $229.50 Centene — Medicaid\|NE Total Care: $508.80 Centene — Medicare\|All Plans: $242.64 Creighton University Employees — Commercial\|All Plans: $393.49 ELAP — Commercial\|All Plans: $949.76 Great Plains — Medicare\|All Plans: $247.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: HC MR LUMBAR WO CONTRAST	$3,392	$1,424.64	$2,035.20 – $2,883.20
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,883.20 PHCS — Commercial\|All Plans: $2,408.32 QuikTrip — Commercial\|All Plans: $2,035.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: HC CT PELVIS W CONTRAST	$2,504	$1,051.68	$169.01 – $2,128.40
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $169.01 Amerigroup — Medicare\|All Plans: $182.16 AMPS — Commercial\|All Plans: $385.15 BCBS - NE — Medicare\|All Plans: $173.49 Centene — Medicaid\|IA Total Care: $169.01 Centene — Medicaid\|NE Total Care: $375.60 Centene — Medicare\|All Plans: $178.69 Creighton University Employees — Commercial\|All Plans: $443.26 ELAP — Commercial\|All Plans: $701.12 Great Plains — Medicare\|All Plans: $182.16
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: HC CT PELVIS W CONTRAST	$2,504	$1,051.68	$1,502.40 – $2,128.40
CT scan of the pelvis, with contrast: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,128.40 PHCS — Commercial\|All Plans: $1,777.84 QuikTrip — Commercial\|All Plans: $1,502.40
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: HC MR JOINT LOWER EXT WO CONT	$2,995	$1,257.90	$229.50 – $2,545.75
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $229.50 Amerigroup — Medicare\|All Plans: $247.35 AMPS — Commercial\|All Plans: $522.97 BCBS - NE — Medicare\|All Plans: $235.57 Centene — Medicaid\|IA Total Care: $229.50 Centene — Medicaid\|NE Total Care: $449.25 Centene — Medicare\|All Plans: $242.64 Creighton University Employees — Commercial\|All Plans: $446.09 ELAP — Commercial\|All Plans: $838.60 Great Plains — Medicare\|All Plans: $247.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: HC MR JOINT LOWER EXT WO CONT	$2,995	$1,257.90	$1,797 – $2,545.75
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,545.75 PHCS — Commercial\|All Plans: $2,126.45 QuikTrip — Commercial\|All Plans: $1,797
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: HC CT ABDOMEN PELVIS W CONTRST	$4,884	$2,051.28	$339.07 – $4,151.40
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $339.07 Amerigroup — Medicare\|All Plans: $365.44 AMPS — Commercial\|All Plans: $772.65 BCBS - NE — Medicare\|All Plans: $348.04 Centene — Medicaid\|IA Total Care: $339.07 Centene — Medicaid\|NE Total Care: $732.60 Centene — Medicare\|All Plans: $358.48 Creighton University Employees — Commercial\|All Plans: $581.32 ELAP — Commercial\|All Plans: $1,367.52 Great Plains — Medicare\|All Plans: $365.44
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: HC CT ABDOMEN PELVIS W CONTRST	$4,884	$2,051.28	$2,930.40 – $4,151.40
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $4,151.40 PHCS — Commercial\|All Plans: $3,467.64 QuikTrip — Commercial\|All Plans: $2,930.40
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: HC US ABDOMEN	$1,249	$524.58	$100.97 – $1,061.65
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $100.97 Amerigroup — Medicare\|All Plans: $108.81 AMPS — Commercial\|All Plans: $230.06 BCBS - NE — Medicare\|All Plans: $103.63 Centene — Medicaid\|IA Total Care: $100.97 Centene — Medicaid\|NE Total Care: $187.35 Centene — Medicare\|All Plans: $106.74 Creighton University Employees — Commercial\|All Plans: $218.82 ELAP — Commercial\|All Plans: $349.72 Great Plains — Medicare\|All Plans: $108.81
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: HC US ABDOMEN	$1,249	$524.58	$749.40 – $1,061.65
Ultrasound of the abdomen, complete: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $1,061.65 PHCS — Commercial\|All Plans: $886.79 QuikTrip — Commercial\|All Plans: $749.40
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC ULTRASOUND COMPLETE	$1,312	$551.04	$100.97 – $1,115.20
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $100.97 Amerigroup — Medicare\|All Plans: $108.81 AMPS — Commercial\|All Plans: $230.06 BCBS - NE — Medicare\|All Plans: $103.63 Centene — Medicaid\|IA Total Care: $100.97 Centene — Medicaid\|NE Total Care: $196.80 Centene — Medicare\|All Plans: $106.74 Creighton University Employees — Commercial\|All Plans: $246.06 ELAP — Commercial\|All Plans: $367.36 Great Plains — Medicare\|All Plans: $108.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: HC US PREGNANCY >14 WKS	$1,354	$568.68	$100.97 – $1,150.90
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $100.97 Amerigroup — Medicare\|All Plans: $108.81 AMPS — Commercial\|All Plans: $230.06 BCBS - NE — Medicare\|All Plans: $103.63 Centene — Medicaid\|IA Total Care: $100.97 Centene — Medicaid\|NE Total Care: $203.10 Centene — Medicare\|All Plans: $106.74 Creighton University Employees — Commercial\|All Plans: $246.06 ELAP — Commercial\|All Plans: $379.12 Great Plains — Medicare\|All Plans: $108.81
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: HC ULTRASOUND COMPLETE	$1,312	$551.04	$787.20 – $1,115.20
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $1,115.20 PHCS — Commercial\|All Plans: $931.52 QuikTrip — Commercial\|All Plans: $787.20
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: HC US TRANSVAGINAL	$992	$416.64	$100.97 – $843.20
Transvaginal ultrasound: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $100.97 Amerigroup — Medicare\|All Plans: $108.81 AMPS — Commercial\|All Plans: $230.06 BCBS - NE — Medicare\|All Plans: $103.63 Centene — Medicaid\|IA Total Care: $100.97 Centene — Medicaid\|NE Total Care: $148.80 Centene — Medicare\|All Plans: $106.74 Creighton University Employees — Commercial\|All Plans: $233.84 ELAP — Commercial\|All Plans: $277.76 Great Plains — Medicare\|All Plans: $108.81
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: HC US TRANSVAGINAL	$992	$416.64	$595.20 – $843.20
Transvaginal ultrasound: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $843.20 PHCS — Commercial\|All Plans: $704.32 QuikTrip — Commercial\|All Plans: $595.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC DX MAMMO INCL CAD UNI	$231	$97.02	$34.65 – $308.16
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates Amerigroup — Medicaid\|All Plans: $113.47 Centene — Medicaid\|IA Total Care: $113.47 Centene — Medicaid\|NE Total Care: $34.65 Creighton University Employees — Commercial\|All Plans: $231 ELAP — Commercial\|All Plans: $64.68 IAMolina — Medicaid\|All Plans: $115.70 Medica — Commercial\|ACO: $164.79 Medica — Commercial\|All Other Plans: $253.26 Medica — Commercial\|CHI Health: $241.85 Medica — Commercial\|Open Access: $120.12
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMO DR UNILATERAL W 3D	$239	$100.38	$35.85 – $308.16
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates Amerigroup — Medicaid\|All Plans: $113.47 Centene — Medicaid\|IA Total Care: $113.47 Centene — Medicaid\|NE Total Care: $35.85 Creighton University Employees — Commercial\|All Plans: $239 ELAP — Commercial\|All Plans: $66.92 IAMolina — Medicaid\|All Plans: $115.70 Medica — Commercial\|ACO: $164.79 Medica — Commercial\|All Other Plans: $253.26 Medica — Commercial\|CHI Health: $241.85 Medica — Commercial\|Open Access: $124.28
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM DIGITAL UNILATERL	$217	$91.14	$32.55 – $308.16
Diagnostic mammogram, one breast: 10 of 17 insurance plan rates Amerigroup — Medicaid\|All Plans: $113.47 Centene — Medicaid\|IA Total Care: $113.47 Centene — Medicaid\|NE Total Care: $32.55 Creighton University Employees — Commercial\|All Plans: $217 ELAP — Commercial\|All Plans: $60.76 IAMolina — Medicaid\|All Plans: $115.70 Medica — Commercial\|ACO: $164.79 Medica — Commercial\|All Other Plans: $253.26 Medica — Commercial\|CHI Health: $241.85 Medica — Commercial\|Open Access: $112.84
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM DIGITAL BILATERAL	$305	$128.10	$45.75 – $394.18
Diagnostic mammogram, both breasts: 10 of 17 insurance plan rates Amerigroup — Medicaid\|All Plans: $143.64 Centene — Medicaid\|IA Total Care: $143.64 Centene — Medicaid\|NE Total Care: $45.75 Creighton University Employees — Commercial\|All Plans: $305 ELAP — Commercial\|All Plans: $85.40 IAMolina — Medicaid\|All Plans: $146.45 Medica — Commercial\|ACO: $211.03 Medica — Commercial\|All Other Plans: $319.74 Medica — Commercial\|CHI Health: $305.34 Medica — Commercial\|Open Access: $158.60
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) In the file: HC MAMMOGRAM DIGITAL BILATERAL	$305	$128.10	$183 – $259.25
Diagnostic mammogram, both breasts: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $259.25 PHCS — Commercial\|All Plans: $216.55 QuikTrip — Commercial\|All Plans: $183
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: HC MAMMOGRAM DIGITAL SCREEN	$305	$128.10	$45.75 – $325.59
Screening mammogram, both breasts: 10 of 17 insurance plan rates Amerigroup — Medicaid\|All Plans: $116.04 Centene — Medicaid\|IA Total Care: $116.04 Centene — Medicaid\|NE Total Care: $45.75 Creighton University Employees — Commercial\|All Plans: $262.96 ELAP — Commercial\|All Plans: $85.40 IAMolina — Medicaid\|All Plans: $118.31 Medica — Commercial\|ACO: $174.24 Medica — Commercial\|All Other Plans: $258.92 Medica — Commercial\|CHI Health: $247.25 Medica — Commercial\|Open Access: $158.60
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: HC MAMMOGRAM DIGITAL SCREEN	$305	$128.10	$183 – $259.25
Screening mammogram, both breasts: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $259.25 PHCS — Commercial\|All Plans: $216.55 QuikTrip — Commercial\|All Plans: $183

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: HC LEFT HEART CATH NO ANGIO	$10,279	$4,317.18	$1,235.68 – $14,441.69
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $3,053.77 Amerigroup — Medicare\|All Plans: $3,291.31 AMPS — Commercial\|All Plans: $6,958.77 BCBS - NE — Medicare\|All Plans: $3,134.58 Centene — Medicaid\|IA Total Care: $3,053.77 Centene — Medicaid\|NE Total Care: $1,541.85 Centene — Medicare\|All Plans: $3,228.62 Creighton University Employees — Commercial\|All Plans: $4,214.39 ELAP — Commercial\|All Plans: $2,878.12 Great Plains — Medicare\|All Plans: $3,291.31
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) In the file: HC LEFT HEART CATH NO ANGIO	$10,279	$4,317.18	$6,167.40 – $8,737.15
Left heart catheterization (diagnostic): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $8,737.15 PHCS — Commercial\|All Plans: $7,298.09 QuikTrip — Commercial\|All Plans: $6,167.40
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) In the file: HC Z HEART ASSESS NO INDUCTION	$11,020	$4,628.40	$515.11 – $16,417.03
Heart rhythm study (electrophysiology evaluation): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $7,204.39 Amerigroup — Medicare\|All Plans: $7,764.81 AMPS — Commercial\|All Plans: $16,417.03 BCBS - NE — Medicare\|All Plans: $7,395.06 Centene — Medicaid\|IA Total Care: $7,204.39 Centene — Medicaid\|NE Total Care: $1,653 Centene — Medicare\|All Plans: $7,616.91 Creighton University Employees — Commercial\|All Plans: $4,518.20 ELAP — Commercial\|All Plans: $3,085.60 Great Plains — Medicare\|All Plans: $7,764.81
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient (hospital stay) In the file: HC Z HEART ASSESS NO INDUCTION	$11,020	$4,628.40	$6,612 – $9,367
Heart rhythm study (electrophysiology evaluation): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $9,367 PHCS — Commercial\|All Plans: $7,824.20 QuikTrip — Commercial\|All Plans: $6,612
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC ABL AF W EP STDY TRANSEPT	$45,626	$19,162.92	$1,679.90 – $53,076.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $23,291.78 Amerigroup — Medicare\|All Plans: $25,103.61 AMPS — Commercial\|All Plans: $53,076.20 BCBS - NE — Medicare\|All Plans: $23,908.20 Centene — Medicaid\|IA Total Care: $23,291.78 Centene — Medicaid\|NE Total Care: $6,843.90 Centene — Medicare\|All Plans: $24,625.45 Creighton University Employees — Commercial\|All Plans: $18,706.66 ELAP — Commercial\|All Plans: $12,775.28 Great Plains — Medicare\|All Plans: $25,103.61
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) In the file: HC ABL SVT W EP STDY TRANSEPT	$40,151	$16,863.42	$1,679.90 – $53,076.20
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $23,291.78 Amerigroup — Medicare\|All Plans: $25,103.61 AMPS — Commercial\|All Plans: $53,076.20 BCBS - NE — Medicare\|All Plans: $23,908.20 Centene — Medicaid\|IA Total Care: $23,291.78 Centene — Medicaid\|NE Total Care: $6,022.65 Centene — Medicare\|All Plans: $24,625.45 Creighton University Employees — Commercial\|All Plans: $16,461.91 ELAP — Commercial\|All Plans: $11,242.28 Great Plains — Medicare\|All Plans: $25,103.61
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) In the file: HC ABL AF W EP STDY TRANSEPT	$45,626	$19,162.92	$27,375.60 – $38,782.10
Heart rhythm study with ablation for atrial fibrillation: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $38,782.10 PHCS — Commercial\|All Plans: $32,394.46 QuikTrip — Commercial\|All Plans: $27,375.60
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: HC POLYSOMNOGRAPHY=> 6 YR	$4,741	$1,991.22	$711.15 – $4,029.85
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $965.95 Amerigroup — Medicare\|All Plans: $1,041.09 AMPS — Commercial\|All Plans: $2,201.15 BCBS - NE — Medicare\|All Plans: $991.51 Centene — Medicaid\|IA Total Care: $965.95 Centene — Medicaid\|NE Total Care: $711.15 Centene — Medicare\|All Plans: $1,021.26 Creighton University Employees — Commercial\|All Plans: $3,081.65 ELAP — Commercial\|All Plans: $1,327.48 Great Plains — Medicare\|All Plans: $1,041.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) In the file: HC POLYSOMNOGRAPHY=> 6 YR	$4,741	$1,991.22	$2,844.60 – $4,029.85
Sleep study (overnight, in a sleep lab): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $4,029.85 PHCS — Commercial\|All Plans: $3,366.11 QuikTrip — Commercial\|All Plans: $2,844.60

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC OT THERAPEUTIC EXERCISE 15M	$135	$56.70	$20.25 – $190
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates Amerigroup — Medicaid\|All Plans: $25.38 Centene — Medicaid\|IA Total Care: $25.38 Centene — Medicaid\|NE Total Care: $20.25 Creighton University Employees — Commercial\|All Plans: $158 ELAP — Commercial\|All Plans: $37.80 Greater Omaha Packing — Commercial\|Broad Network: $135 Greater Omaha Packing — Commercial\|Narrow Network: $135 IAMolina — Medicaid\|All Plans: $25.88 Medica — Commercial\|ACO: $57.65 Medica — Commercial\|All Other Plans: $51.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: HC PT THERAPEUTIC EXERCISE 15M	$135	$56.70	$20.25 – $190
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 24 insurance plan rates Amerigroup — Medicaid\|All Plans: $25.38 Centene — Medicaid\|IA Total Care: $25.38 Centene — Medicaid\|NE Total Care: $20.25 Creighton University Employees — Commercial\|All Plans: $158 ELAP — Commercial\|All Plans: $37.80 Greater Omaha Packing — Commercial\|Broad Network: $135 Greater Omaha Packing — Commercial\|Narrow Network: $135 IAMolina — Medicaid\|All Plans: $25.88 Medica — Commercial\|ACO: $57.65 Medica — Commercial\|All Other Plans: $51.84
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) In the file: HC OT THERAPEUTIC EXERCISE 15M	$135	$56.70	$81 – $114.75
Physical therapy: therapeutic exercise (each 15 minutes): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $114.75 PHCS — Commercial\|All Plans: $95.85 QuikTrip — Commercial\|All Plans: $81
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: HC PT EVAL LOW COMPLEXITY	$234	$98.28	$35.10 – $198.90
Physical therapy evaluation (low complexity): 10 of 24 insurance plan rates Amerigroup — Medicaid\|All Plans: $74.80 Centene — Medicaid\|IA Total Care: $74.80 Centene — Medicaid\|NE Total Care: $35.10 Creighton University Employees — Commercial\|All Plans: $158 ELAP — Commercial\|All Plans: $65.52 Greater Omaha Packing — Commercial\|Broad Network: $175.72 Greater Omaha Packing — Commercial\|Narrow Network: $152.80 IAMolina — Medicaid\|All Plans: $76.26 Medica — Commercial\|ACO: $196.90 Medica — Commercial\|All Other Plans: $176.57
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) In the file: HC PT EVAL LOW COMPLEXITY	$234	$98.28	$140.40 – $198.90
Physical therapy evaluation (low complexity): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $198.90 PHCS — Commercial\|All Plans: $166.14 QuikTrip — Commercial\|All Plans: $140.40
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: HC PT EVAL MODERATE COMPLEX	$255	$107.10	$38.25 – $216.75
Physical therapy evaluation (moderate complexity): 10 of 24 insurance plan rates Amerigroup — Medicaid\|All Plans: $74.80 Centene — Medicaid\|IA Total Care: $74.80 Centene — Medicaid\|NE Total Care: $38.25 Creighton University Employees — Commercial\|All Plans: $158 ELAP — Commercial\|All Plans: $71.40 Greater Omaha Packing — Commercial\|Broad Network: $175.72 Greater Omaha Packing — Commercial\|Narrow Network: $152.80 IAMolina — Medicaid\|All Plans: $76.26 Medica — Commercial\|ACO: $196.90 Medica — Commercial\|All Other Plans: $176.57
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) In the file: HC PT EVAL MODERATE COMPLEX	$255	$107.10	$153 – $216.75
Physical therapy evaluation (moderate complexity): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $216.75 PHCS — Commercial\|All Plans: $181.05 QuikTrip — Commercial\|All Plans: $153
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: HC PT EVAL HIGH COMPLEXITY	$255	$107.10	$38.25 – $216.75
Physical therapy evaluation (high complexity): 10 of 24 insurance plan rates Amerigroup — Medicaid\|All Plans: $74.80 Centene — Medicaid\|IA Total Care: $74.80 Centene — Medicaid\|NE Total Care: $38.25 Creighton University Employees — Commercial\|All Plans: $158 ELAP — Commercial\|All Plans: $71.40 Greater Omaha Packing — Commercial\|Broad Network: $175.72 Greater Omaha Packing — Commercial\|Narrow Network: $152.80 IAMolina — Medicaid\|All Plans: $76.26 Medica — Commercial\|ACO: $196.90 Medica — Commercial\|All Other Plans: $176.57
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) In the file: HC PT EVAL HIGH COMPLEXITY	$255	$107.10	$153 – $216.75
Physical therapy evaluation (high complexity): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $216.75 PHCS — Commercial\|All Plans: $181.05 QuikTrip — Commercial\|All Plans: $153
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W PATIENT 30 MINUTES	$205	$86.10	$30.75 – $347.61
Psychotherapy, 30 minutes: 10 of 25 insurance plan rates Amerigroup — Medicaid\|All Plans: $152.55 Amerigroup — Medicare\|All Plans: $164.41 AMPS — Commercial\|All Plans: $347.61 BCBS - NE — Medicare\|All Plans: $156.58 Centene — Medicaid\|IA Total Care: $152.55 Centene — Medicaid\|NE Total Care: $30.75 Centene — Medicare\|All Plans: $161.28 ELAP — Commercial\|All Plans: $57.40 Great Plains — Medicare\|All Plans: $164.41 Humana — Medicare\|All Plans: $156.58
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) In the file: HC PSYCHOTHERAPY W PATIENT 30 MINUTES	$205	$86.10	$123 – $174.25
Psychotherapy, 30 minutes: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $174.25 PHCS — Commercial\|All Plans: $145.55 QuikTrip — Commercial\|All Plans: $123
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W PATIENT 45 MINUTES	$220	$92.40	$33 – $347.61
Psychotherapy, 45 minutes: 10 of 25 insurance plan rates Amerigroup — Medicaid\|All Plans: $152.55 Amerigroup — Medicare\|All Plans: $164.41 AMPS — Commercial\|All Plans: $347.61 BCBS - NE — Medicare\|All Plans: $156.58 Centene — Medicaid\|IA Total Care: $152.55 Centene — Medicaid\|NE Total Care: $33 Centene — Medicare\|All Plans: $161.28 ELAP — Commercial\|All Plans: $61.60 Great Plains — Medicare\|All Plans: $164.41 Humana — Medicare\|All Plans: $156.58
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) In the file: HC PSYCHOTHERAPY W PATIENT 45 MINUTES	$220	$92.40	$132 – $187
Psychotherapy, 45 minutes: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $187 PHCS — Commercial\|All Plans: $156.20 QuikTrip — Commercial\|All Plans: $132
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: HC PSYCHOTHERAPY W PT 60 MINUTES	$260	$109.20	$39 – $347.61
Psychotherapy, 60 minutes: 10 of 25 insurance plan rates Amerigroup — Medicaid\|All Plans: $152.55 Amerigroup — Medicare\|All Plans: $164.41 AMPS — Commercial\|All Plans: $347.61 BCBS - NE — Medicare\|All Plans: $156.58 Centene — Medicaid\|IA Total Care: $152.55 Centene — Medicaid\|NE Total Care: $39 Centene — Medicare\|All Plans: $161.28 ELAP — Commercial\|All Plans: $72.80 Great Plains — Medicare\|All Plans: $164.41 Humana — Medicare\|All Plans: $156.58
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) In the file: HC PSYCHOTHERAPY W PT 60 MINUTES	$260	$109.20	$156 – $221
Psychotherapy, 60 minutes: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $221 PHCS — Commercial\|All Plans: $184.60 QuikTrip — Commercial\|All Plans: $156
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: HC SP PSY FAMILY THERAPY WO PT 50 MIN	$482	$202.44	$72.30 – $409.70
Family psychotherapy, without the patient: 10 of 25 insurance plan rates Amerigroup — Medicaid\|All Plans: $152.55 Amerigroup — Medicare\|All Plans: $164.41 AMPS — Commercial\|All Plans: $347.61 BCBS - NE — Medicare\|All Plans: $156.58 Centene — Medicaid\|IA Total Care: $152.55 Centene — Medicaid\|NE Total Care: $72.30 Centene — Medicare\|All Plans: $161.28 ELAP — Commercial\|All Plans: $134.96 Great Plains — Medicare\|All Plans: $164.41 Humana — Medicare\|All Plans: $156.58
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) In the file: HC SP PSY FAMILY THERAPY WO PT 50 MIN	$482	$202.44	$289.20 – $409.70
Family psychotherapy, without the patient: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $409.70 PHCS — Commercial\|All Plans: $342.22 QuikTrip — Commercial\|All Plans: $289.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: HC SP PSY FAMILY THERAPY W PT 50 MIN	$482	$202.44	$72.30 – $409.70
Family psychotherapy, with the patient: 10 of 25 insurance plan rates Amerigroup — Medicaid\|All Plans: $152.55 Amerigroup — Medicare\|All Plans: $164.41 AMPS — Commercial\|All Plans: $347.61 BCBS - NE — Medicare\|All Plans: $156.58 Centene — Medicaid\|IA Total Care: $152.55 Centene — Medicaid\|NE Total Care: $72.30 Centene — Medicare\|All Plans: $161.28 ELAP — Commercial\|All Plans: $134.96 Great Plains — Medicare\|All Plans: $164.41 Humana — Medicare\|All Plans: $156.58
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) In the file: HC SP PSY FAMILY THERAPY W PT 50 MIN	$482	$202.44	$289.20 – $409.70
Family psychotherapy, with the patient: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $409.70 PHCS — Commercial\|All Plans: $342.22 QuikTrip — Commercial\|All Plans: $289.20
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC IOP GROUP THERAPY	$124	$52.08	$18.60 – $200.13
Group psychotherapy: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $87.82 Amerigroup — Medicare\|All Plans: $94.66 AMPS — Commercial\|All Plans: $200.13 BCBS - NE — Medicare\|All Plans: $90.15 Centene — Medicaid\|IA Total Care: $87.82 Centene — Medicaid\|NE Total Care: $18.60 Centene — Medicare\|All Plans: $92.85 ELAP — Commercial\|All Plans: $34.72 Great Plains — Medicare\|All Plans: $94.66 Greater Omaha Packing — Commercial\|Broad Network: $284
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC PHP ACTIVITY THERAPY	$124	$52.08	$18.60 – $568.36
Group psychotherapy: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $87.82 Amerigroup — Medicare\|All Plans: $94.66 AMPS — Commercial\|All Plans: $200.13 BCBS - NE — Medicare\|All Plans: $90.15 Centene — Medicaid\|IA Total Care: $87.82 Centene — Medicaid\|NE Total Care: $18.60 Centene — Medicare\|All Plans: $92.85 ELAP — Commercial\|All Plans: $34.72 Great Plains — Medicare\|All Plans: $94.66 Greater Omaha Packing — Commercial\|Broad Network: $568.36
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: HC GROUP PSYCHOTHERAPY	$190	$79.80	$28.50 – $200.13
Group psychotherapy: 10 of 25 insurance plan rates Amerigroup — Medicaid\|All Plans: $87.82 Amerigroup — Medicare\|All Plans: $94.66 AMPS — Commercial\|All Plans: $200.13 BCBS - NE — Medicare\|All Plans: $90.15 Centene — Medicaid\|IA Total Care: $87.82 Centene — Medicaid\|NE Total Care: $28.50 Centene — Medicare\|All Plans: $92.85 ELAP — Commercial\|All Plans: $53.20 Great Plains — Medicare\|All Plans: $94.66 Humana — Medicare\|All Plans: $90.15

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$770.11 – $9,248.33
Removal of breast growth (open surgery): 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $3,635.65 Amerigroup — Medicare\|All Plans: $3,918.45 AMPS — Commercial\|All Plans: $8,284.73 BCBS - NE — Medicare\|All Plans: $3,731.86 Centene — Medicaid\|IA Total Care: $3,635.65 Centene — Medicare\|All Plans: $3,843.82 Great Plains — Medicare\|All Plans: $3,918.45 Greater Omaha Packing — Commercial\|Broad Network: $9,248.33 Greater Omaha Packing — Commercial\|Narrow Network: $8,042.03 Humana — Medicare\|All Plans: $3,731.86
Total hip replacement CPT 27130 · Outpatient (no overnight stay) In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,377.83 – $27,837.67
Total hip replacement: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $12,216.18 Amerigroup — Medicare\|All Plans: $13,166.46 AMPS — Commercial\|All Plans: $27,837.67 BCBS - NE — Medicare\|All Plans: $12,539.49 Centene — Medicaid\|IA Total Care: $12,216.18 Centene — Medicare\|All Plans: $12,915.67 Great Plains — Medicare\|All Plans: $13,166.46 Greater Omaha Packing — Commercial\|Broad Network: $12,955.19 Greater Omaha Packing — Commercial\|Narrow Network: $11,265.38 Humana — Medicare\|All Plans: $12,539.49
Total knee replacement CPT 27447 · Outpatient (no overnight stay) In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$2,374.89 – $27,837.67
Total knee replacement: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $12,216.18 Amerigroup — Medicare\|All Plans: $13,166.46 AMPS — Commercial\|All Plans: $27,837.67 BCBS - NE — Medicare\|All Plans: $12,539.49 Centene — Medicaid\|IA Total Care: $12,216.18 Centene — Medicare\|All Plans: $12,915.67 Great Plains — Medicare\|All Plans: $13,166.46 Greater Omaha Packing — Commercial\|Broad Network: $12,955.19 Greater Omaha Packing — Commercial\|Narrow Network: $11,265.38 Humana — Medicare\|All Plans: $12,539.49
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$314.27 – $9,248.33
Shoulder arthroscopy: shaving of shoulder bone: 10 of 20 insurance plan rates Greater Omaha Packing — Commercial\|Broad Network: $9,248.33 Greater Omaha Packing — Commercial\|Narrow Network: $8,042.03 Medica — Commercial\|ACO: $314.27 Medica — Commercial\|All Other Plans: $1,302 Medica — Commercial\|CHI Health: $953 Millard Public Schools — Commercial\|Broad Network: $9,248.33 Millard Public Schools — Commercial\|Narrow Network: $8,042.03 One World — Commercial\|Broad Network: $9,248.33 One World — Commercial\|Narrow Network: $8,042.03 Timpte — Commercial\|Broad Network: $9,248.33
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,021.52 – $10,563.53
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $3,080.54 Amerigroup — Medicare\|All Plans: $3,320.17 AMPS — Commercial\|All Plans: $7,019.80 BCBS - NE — Medicare\|All Plans: $3,162.07 Centene — Medicaid\|IA Total Care: $3,080.54 Centene — Medicare\|All Plans: $3,256.93 Great Plains — Medicare\|All Plans: $3,320.17 Greater Omaha Packing — Commercial\|Broad Network: $10,563.53 Greater Omaha Packing — Commercial\|Narrow Network: $9,185.68 Humana — Medicare\|All Plans: $3,162.07
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$556.42 – $12,798.68
Removal of tonsils and adenoids (under age 12): 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $5,616.52 Amerigroup — Medicare\|All Plans: $6,053.43 AMPS — Commercial\|All Plans: $12,798.68 BCBS - NE — Medicare\|All Plans: $5,765.17 Centene — Medicaid\|IA Total Care: $5,616.52 Centene — Medicare\|All Plans: $5,938.13 Great Plains — Medicare\|All Plans: $6,053.43 Greater Omaha Packing — Commercial\|Broad Network: $9,248.33 Greater Omaha Packing — Commercial\|Narrow Network: $8,042.03 Humana — Medicare\|All Plans: $5,765.17
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH	$1,531	$643.02	$229.65 – $3,259.25
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $890.15 Amerigroup — Medicare\|All Plans: $959.40 AMPS — Commercial\|All Plans: $2,028.44 BCBS - NE — Medicare\|All Plans: $913.71 Centene — Medicaid\|IA Total Care: $890.15 Centene — Medicaid\|NE Total Care: $229.65 Centene — Medicare\|All Plans: $941.12 Creighton University Employees — Commercial\|All Plans: $701 ELAP — Commercial\|All Plans: $428.68 Great Plains — Medicare\|All Plans: $959.40
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) In the file: HC EGD DIAGNOSTIC BRUSH WASH	$1,531	$643.02	$918.60 – $1,301.35
Upper GI endoscopy (diagnostic): rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $1,301.35 PHCS — Commercial\|All Plans: $1,087.01 QuikTrip — Commercial\|All Plans: $918.60
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: HC EGD BIOPSY SINGLE MULTIPLE	$4,583	$1,924.86	$259.52 – $3,895.55
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $890.15 Amerigroup — Medicare\|All Plans: $959.40 AMPS — Commercial\|All Plans: $2,028.44 BCBS - NE — Medicare\|All Plans: $913.71 Centene — Medicaid\|IA Total Care: $890.15 Centene — Medicaid\|NE Total Care: $687.45 Centene — Medicare\|All Plans: $941.12 Creighton University Employees — Commercial\|All Plans: $1,879.03 ELAP — Commercial\|All Plans: $1,283.24 Great Plains — Medicare\|All Plans: $959.40
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) In the file: HC EGD BIOPSY SINGLE MULTIPLE	$4,583	$1,924.86	$2,749.80 – $3,895.55
Upper GI endoscopy with biopsy: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $3,895.55 PHCS — Commercial\|All Plans: $3,253.93 QuikTrip — Commercial\|All Plans: $2,749.80
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$344.55 – $3,489.13
Colonoscopy (diagnostic): 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $865.60 Amerigroup — Medicare\|All Plans: $932.95 AMPS — Commercial\|All Plans: $1,972.51 BCBS - NE — Medicare\|All Plans: $888.52 Centene — Medicaid\|IA Total Care: $865.60 Centene — Medicare\|All Plans: $915.18 Great Plains — Medicare\|All Plans: $932.95 Greater Omaha Packing — Commercial\|Broad Network: $3,489.13 Greater Omaha Packing — Commercial\|Narrow Network: $3,034.03 Humana — Medicare\|All Plans: $888.52
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$375.06 – $3,489.13
Colonoscopy with biopsy: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $1,119.46 Amerigroup — Medicare\|All Plans: $1,206.53 AMPS — Commercial\|All Plans: $2,550.96 BCBS - NE — Medicare\|All Plans: $1,149.08 Centene — Medicaid\|IA Total Care: $1,119.46 Centene — Medicare\|All Plans: $1,183.55 Great Plains — Medicare\|All Plans: $1,206.53 Greater Omaha Packing — Commercial\|Broad Network: $3,489.13 Greater Omaha Packing — Commercial\|Narrow Network: $3,034.03 Humana — Medicare\|All Plans: $1,149.08
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$474.77 – $3,489.13
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $1,119.46 Amerigroup — Medicare\|All Plans: $1,206.53 AMPS — Commercial\|All Plans: $2,550.96 BCBS - NE — Medicare\|All Plans: $1,149.08 Centene — Medicaid\|IA Total Care: $1,119.46 Centene — Medicare\|All Plans: $1,183.55 Great Plains — Medicare\|All Plans: $1,206.53 Greater Omaha Packing — Commercial\|Broad Network: $3,489.13 Greater Omaha Packing — Commercial\|Narrow Network: $3,034.03 Humana — Medicare\|All Plans: $1,149.08
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$482.31 – $3,489.13
Ultrasound of the lower bowel by endoscope: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $1,119.46 Amerigroup — Medicare\|All Plans: $1,206.53 AMPS — Commercial\|All Plans: $2,550.96 BCBS - NE — Medicare\|All Plans: $1,149.08 Centene — Medicaid\|IA Total Care: $1,119.46 Centene — Medicare\|All Plans: $1,183.55 Great Plains — Medicare\|All Plans: $1,206.53 Greater Omaha Packing — Commercial\|Broad Network: $3,489.13 Greater Omaha Packing — Commercial\|Narrow Network: $3,034.03 Humana — Medicare\|All Plans: $1,149.08
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$1,204.54 – $12,807
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $5,539.33 Amerigroup — Medicare\|All Plans: $5,970.23 AMPS — Commercial\|All Plans: $12,622.76 BCBS - NE — Medicare\|All Plans: $5,685.93 Centene — Medicaid\|IA Total Care: $5,539.33 Centene — Medicare\|All Plans: $5,856.51 Great Plains — Medicare\|All Plans: $5,970.23 Greater Omaha Packing — Commercial\|Broad Network: $12,082.08 Greater Omaha Packing — Commercial\|Narrow Network: $10,506.16 Humana — Medicare\|All Plans: $5,685.93
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$958.25 – $10,563.53
Groin (inguinal) hernia repair, age 5 or older: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $3,350.61 Amerigroup — Medicare\|All Plans: $3,611.24 AMPS — Commercial\|All Plans: $7,635.20 BCBS - NE — Medicare\|All Plans: $3,439.28 Centene — Medicaid\|IA Total Care: $3,350.61 Centene — Medicare\|All Plans: $3,542.46 Great Plains — Medicare\|All Plans: $3,611.24 Greater Omaha Packing — Commercial\|Broad Network: $10,563.53 Greater Omaha Packing — Commercial\|Narrow Network: $9,185.68 Humana — Medicare\|All Plans: $3,439.28
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: HC BIOPSY PROSTATE	$3,208	$1,347.36	$244.59 – $4,432.01
Prostate biopsy: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $1,944.92 Amerigroup — Medicare\|All Plans: $2,096.22 AMPS — Commercial\|All Plans: $4,432.01 BCBS - NE — Medicare\|All Plans: $1,996.40 Centene — Medicaid\|IA Total Care: $1,944.92 Centene — Medicaid\|NE Total Care: $481.20 Centene — Medicare\|All Plans: $2,056.29 Creighton University Employees — Commercial\|All Plans: $1,315.28 ELAP — Commercial\|All Plans: $898.24 Great Plains — Medicare\|All Plans: $2,096.22
Prostate biopsy CPT 55700 · Inpatient (hospital stay) In the file: HC BIOPSY PROSTATE	$3,208	$1,347.36	$1,924.80 – $2,726.80
Prostate biopsy: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,726.80 PHCS — Commercial\|All Plans: $2,277.68 QuikTrip — Commercial\|All Plans: $1,924.80
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$2,253.05 – $22,524.92
Prostate removal by laparoscope (radical prostatectomy): 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $9,884.76 Amerigroup — Medicare\|All Plans: $10,653.68 AMPS — Commercial\|All Plans: $22,524.92 BCBS - NE — Medicare\|All Plans: $10,146.36 Centene — Medicaid\|IA Total Care: $9,884.76 Centene — Medicare\|All Plans: $10,450.75 Great Plains — Medicare\|All Plans: $10,653.68 Greater Omaha Packing — Commercial\|Broad Network: $12,082.08 Greater Omaha Packing — Commercial\|Narrow Network: $10,506.16 Humana — Medicare\|All Plans: $10,146.36
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$430.21 – $9,248.33
Hysteroscopy with biopsy of the uterus lining: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $3,018.75 Amerigroup — Medicare\|All Plans: $3,253.57 AMPS — Commercial\|All Plans: $6,878.98 BCBS - NE — Medicare\|All Plans: $3,098.64 Centene — Medicaid\|IA Total Care: $3,018.75 Centene — Medicare\|All Plans: $3,191.60 Great Plains — Medicare\|All Plans: $3,253.57 Greater Omaha Packing — Commercial\|Broad Network: $9,248.33 Greater Omaha Packing — Commercial\|Narrow Network: $8,042.03 Humana — Medicare\|All Plans: $3,098.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: HC INJ ANE DRG LUM SAC W IMG GDN	$2,724	$1,144.08	$189.34 – $3,259.25
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $657.50 Amerigroup — Medicare\|All Plans: $708.64 AMPS — Commercial\|All Plans: $1,498.28 BCBS - NE — Medicare\|All Plans: $674.90 Centene — Medicaid\|IA Total Care: $657.50 Centene — Medicaid\|NE Total Care: $408.60 Centene — Medicare\|All Plans: $695.15 Creighton University Employees — Commercial\|All Plans: $1,116.84 ELAP — Commercial\|All Plans: $762.72 Great Plains — Medicare\|All Plans: $708.64
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) In the file: HC INJ ANE DRG LUM SAC W IMG GDN	$2,724	$1,144.08	$1,634.40 – $2,315.40
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,315.40 PHCS — Commercial\|All Plans: $1,934.04 QuikTrip — Commercial\|All Plans: $1,634.40
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) In the file: HC INJ TRNSFRM LUM SNGL W IMAG	$2,723	$1,143.66	$212.60 – $3,259.25
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Amerigroup — Medicaid\|All Plans: $845.27 Amerigroup — Medicare\|All Plans: $911.02 AMPS — Commercial\|All Plans: $1,926.16 BCBS - NE — Medicare\|All Plans: $867.64 Centene — Medicaid\|IA Total Care: $845.27 Centene — Medicaid\|NE Total Care: $408.45 Centene — Medicare\|All Plans: $893.67 Creighton University Employees — Commercial\|All Plans: $1,116.43 ELAP — Commercial\|All Plans: $762.44 Great Plains — Medicare\|All Plans: $911.02
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) In the file: HC INJ TRNSFRM LUM SNGL W IMAG	$2,723	$1,143.66	$1,633.80 – $2,314.55
Nerve root injection, lower back, with imaging guidance: rates for 3 insurance plans MultiPlan — Commercial\|All Plans: $2,314.55 PHCS — Commercial\|All Plans: $1,933.33 QuikTrip — Commercial\|All Plans: $1,633.80
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$828.85 – $5,081
Carpal tunnel release: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $1,854.03 Amerigroup — Medicare\|All Plans: $1,998.24 AMPS — Commercial\|All Plans: $4,224.86 BCBS - NE — Medicare\|All Plans: $1,903.09 Centene — Medicaid\|IA Total Care: $1,854.03 Centene — Medicare\|All Plans: $1,960.18 Great Plains — Medicare\|All Plans: $1,998.24 Greater Omaha Packing — Commercial\|Broad Network: $3,489.13 Greater Omaha Packing — Commercial\|Narrow Network: $3,034.03 Humana — Medicare\|All Plans: $1,903.09
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$520.86 – $3,489.13
Laser treatment of clouding after cataract surgery: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $520.86 Amerigroup — Medicare\|All Plans: $561.37 AMPS — Commercial\|All Plans: $1,186.90 BCBS - NE — Medicare\|All Plans: $534.64 Centene — Medicaid\|IA Total Care: $520.86 Centene — Medicare\|All Plans: $550.68 Great Plains — Medicare\|All Plans: $561.37 Greater Omaha Packing — Commercial\|Broad Network: $3,489.13 Greater Omaha Packing — Commercial\|Narrow Network: $3,034.03 Humana — Medicare\|All Plans: $534.64
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,036.48 – $12,082.08
Cataract removal with lens implant: 10 of 33 insurance plan rates Amerigroup — Medicaid\|All Plans: $2,165.40 Amerigroup — Medicare\|All Plans: $2,333.85 AMPS — Commercial\|All Plans: $4,934.42 BCBS - NE — Medicare\|All Plans: $2,222.71 Centene — Medicaid\|IA Total Care: $2,165.40 Centene — Medicare\|All Plans: $2,289.39 Great Plains — Medicare\|All Plans: $2,333.85 Greater Omaha Packing — Commercial\|Broad Network: $12,082.08 Greater Omaha Packing — Commercial\|Narrow Network: $10,506.16 Humana — Medicare\|All Plans: $2,222.71

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,482 – $2,019
Vaginal delivery, with care before and after: 10 of 12 insurance plan rates Medica — Commercial\|ACO: $1,895 Medica — Commercial\|All Other Plans: $2,019 Medica — Commercial\|CHI Health: $1,482 Centene — Medicaid\|NE Total Care: 15% (a percentage in the contract, not a dollar amount) ELAP — Commercial\|All Plans: 28% (a percentage in the contract, not a dollar amount) Medica — Commercial\|Open Access: 75% (a percentage in the contract, not a dollar amount) Midlands Choice — Commercial\|Premier: 75% (a percentage in the contract, not a dollar amount) Midlands Choice — Commercial\|Standard: 75% (a percentage in the contract, not a dollar amount) MultiPlan — Commercial\|All Plans: 85% (a percentage in the contract, not a dollar amount) PHCS — Commercial\|All Plans: 75% (a percentage in the contract, not a dollar amount)
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,482 – $2,019
Cesarean delivery (C-section), with care before and after: 10 of 12 insurance plan rates Medica — Commercial\|ACO: $1,895 Medica — Commercial\|All Other Plans: $2,019 Medica — Commercial\|CHI Health: $1,482 Centene — Medicaid\|NE Total Care: 15% (a percentage in the contract, not a dollar amount) ELAP — Commercial\|All Plans: 28% (a percentage in the contract, not a dollar amount) Medica — Commercial\|Open Access: 75% (a percentage in the contract, not a dollar amount) Midlands Choice — Commercial\|Premier: 75% (a percentage in the contract, not a dollar amount) Midlands Choice — Commercial\|Standard: 75% (a percentage in the contract, not a dollar amount) MultiPlan — Commercial\|All Plans: 85% (a percentage in the contract, not a dollar amount) PHCS — Commercial\|All Plans: 75% (a percentage in the contract, not a dollar amount)
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,482 – $2,019
Vaginal delivery after a previous C-section, with care before and after: 10 of 12 insurance plan rates Medica — Commercial\|ACO: $1,895 Medica — Commercial\|All Other Plans: $2,019 Medica — Commercial\|CHI Health: $1,482 Centene — Medicaid\|NE Total Care: 15% (a percentage in the contract, not a dollar amount) ELAP — Commercial\|All Plans: 28% (a percentage in the contract, not a dollar amount) Medica — Commercial\|Open Access: 75% (a percentage in the contract, not a dollar amount) Midlands Choice — Commercial\|Premier: 75% (a percentage in the contract, not a dollar amount) Midlands Choice — Commercial\|Standard: 75% (a percentage in the contract, not a dollar amount) MultiPlan — Commercial\|All Plans: 85% (a percentage in the contract, not a dollar amount) PHCS — Commercial\|All Plans: 75% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$71,028.29 – $228,171
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 31 insurance plan rates Amerigroup — Medicaid\|All Plans: $81,764.22 Amerigroup — Medicare\|All Plans: $74,579.71 AMPS — Commercial\|All Plans: $156,262.24 BCBS - NE — Medicare\|All Plans: $71,028.29 Centene — Medicaid\|IA Total Care: $81,764.22 Centene — Medicare\|All Plans: $73,159.14 Creighton University Employees — Commercial\|All Plans: $163,779 Great Plains — Medicare\|All Plans: $74,579.71 Greater Omaha Packing — Commercial\|Broad Network: $173,031 Greater Omaha Packing — Commercial\|Narrow Network: $150,462
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) In the file: NO ACTIVE CODE DESCRIPTION	Not listed in the file	Not listed in the file	$22,981.62 – $104,546
Spinal fusion (not neck), without major complications: rates for 7 insurance plans Amerigroup — Medicaid\|All Plans: $22,981.62 Centene — Medicaid\|IA Total Care: $22,981.62 Creighton University Employees — Commercial\|All Plans: $104,546 IAMolina — Medicaid\|All Plans: $23,432.24 MultiPlan — Commercial\|All Plans: 85% (a percentage in the contract, not a dollar amount) PHCS — Commercial\|All Plans: 71% (a percentage in the contract, not a dollar amount) QuikTrip — Commercial\|All Plans: 60% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$14,333.04 – $44,577
Hip or knee replacement (major joint of the leg), without major complications: 10 of 31 insurance plan rates Amerigroup — Medicaid\|All Plans: $14,333.04 Amerigroup — Medicare\|All Plans: $15,086.89 AMPS — Commercial\|All Plans: $31,610.62 BCBS - NE — Medicare\|All Plans: $14,368.46 Centene — Medicaid\|IA Total Care: $14,333.04 Centene — Medicare\|All Plans: $14,799.52 Creighton University Employees — Commercial\|All Plans: $31,997 Great Plains — Medicare\|All Plans: $15,086.89 Greater Omaha Packing — Commercial\|Broad Network: $33,804 Greater Omaha Packing — Commercial\|Narrow Network: $29,395
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$13,664.94 – $55,970
Neck (cervical) spinal fusion, without complications: 10 of 31 insurance plan rates Amerigroup — Medicaid\|All Plans: $13,664.94 Amerigroup — Medicare\|All Plans: $18,778.75 AMPS — Commercial\|All Plans: $39,345.95 BCBS - NE — Medicare\|All Plans: $17,884.52 Centene — Medicaid\|IA Total Care: $13,664.94 Centene — Medicare\|All Plans: $18,421.06 Creighton University Employees — Commercial\|All Plans: $39,205 Great Plains — Medicare\|All Plans: $18,778.75 Greater Omaha Packing — Commercial\|Broad Network: $42,444 Greater Omaha Packing — Commercial\|Narrow Network: $36,908
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$6,478.02 – $28,340
Uterus and ovary surgery (not for cancer), without complications: 10 of 31 insurance plan rates Amerigroup — Medicaid\|All Plans: $6,478.02 Amerigroup — Medicare\|All Plans: $9,825.25 AMPS — Commercial\|All Plans: $20,586.24 BCBS - NE — Medicare\|All Plans: $9,357.38 Centene — Medicaid\|IA Total Care: $6,478.02 Centene — Medicare\|All Plans: $9,638.11 Creighton University Employees — Commercial\|All Plans: $20,342 Great Plains — Medicare\|All Plans: $9,825.25 Greater Omaha Packing — Commercial\|Broad Network: $21,491 Greater Omaha Packing — Commercial\|Narrow Network: $18,688

Source: CHI Health Mercy Council Bluffs’s standard charges file (chihealth.com, JSON, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 28, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	800 Mercy Drive, Council Bluffs, IA 51503
County	Pottawattamie County
State	Iowa
Phone	(712) 328‑5000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	5 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	160028
Name in Medicare records	CHI HEALTH MERCY COUNCIL BLUFFS
Profile level	Medicare data + hospital website
Official website	chihealth.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

CHI Health Mercy Council Bluffs — chihealth.com
Orthopedics | CHI Health — chihealth.com
Heart Institute | CHI Health — chihealth.com

CHI Health Mercy Council Bluffs

Summary

Profile from official sources

At a glance