Does Chi Health Mercy Council Bluffs publish its standard charges and chargemaster?

Yes. Chi Health Mercy Council Bluffs publishes a machine-readable file with 8,382 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Chi Health Mercy Council Bluffs charge for procedures?

Chi Health Mercy Council Bluffs (Council Bluffs, IA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · IA · CCN 160028

Chi Health Mercy Council Bluffs

Council Bluffs, IA, 51502

141 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

8,382

last crawl 2026-05-22

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All IA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/470484764_chi-health-mercy-council-bluffs_standardcharges.json · JSON

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	20	—	—	$60	$21,976	1.7×	$33,326
Psychiatric diagnostic evaluation	CPT	90791	17	$456	$191.52	$45.3	$220.46	1.2×	$387.6
Psychiatric eval with medical services	CPT	90792	17	$456	$191.52	$68.4	$223.44	1.3×	$387.6
Psychotherapy 30 minutes	CPT	90832	16	$205	$86.1	$30.75	$153.75	1.0×	$347.61
Psychotherapy 45 minutes	CPT	90834	16	$220	$92.4	$33	$156.75	0.98×	$347.61
Psychotherapy 60 minutes	CPT	90837	16	$260	$109.2	$39	$160.5	0.84×	$347.61
Crisis psychotherapy 60 minutes	CPT	90839	17	$244	$102.48	$36.6	$158.15	0.99×	$847
emergency
ED visit level 1	CPT	99281	21	$363	$152.46	$11.72	$190.5	1.4×	$847
ED visit level 2	CPT	99282	21	$726	$304.92	$79.28	$377.52	1.6×	$967
ED visit level 3	CPT	99283	21	$1,550	$651	$135.01	$806	2.0×	$1,553
ED visit level 4	CPT	99284	21	$2,472	$1,038.24	$229.78	$1,137.12	1.7×	$3,872
ED visit level 5	CPT	99285	21	$3,296	$1,384.32	$333.02	$1,713.92	1.6×	$5,552
Critical care, first hour	CPT	99291	21	$5,358	$2,250.36	$405.87	$2,302	2.1×	$4,933
imaging
CT head without contrast	CPT	70450	21	$1,604	$673.68	$100.97	$240.6	1.2×	$1,363.4
CT head with contrast	CPT	70460	21	$2,181	$916.02	$169.01	$385.15	1.6×	$1,853.85
CT head with and without contrast	CPT	70470	21	$2,630	$1,104.6	$169.01	$418.61	1.6×	$2,235.5
CT neck with contrast	CPT	70491	21	$2,687	$1,128.54	$169.01	$543.02	2.0×	$2,283.95
MRI brain without contrast	CPT	70551	21	$3,462	$1,454.04	$229.5	$522.97	1.3×	$2,942.7
MRI brain with contrast	CPT	70552	21	$4,038	$1,695.96	$339.07	$772.65	1.6×	$3,432.3
MRI brain with and without contrast	CPT	70553	21	$4,438	$1,863.96	$339.07	$859.31	1.5×	$3,772.3
Chest X-ray single view	CPT	71045	17	$342	$143.64	$32.36	$170.56	1.8×	$290.7
Chest X-ray 2 views	CPT	71046	17	$486	$204.12	$16.2	$124.96	1.3×	$413.1
Chest X-ray 3 views	CPT	71047	17	$646	$271.32	$55.06	$225.68	2.4×	$549.1
CT chest without contrast	CPT	71250	21	$1,797	$754.74	$100.97	$423.24	2.0×	$1,527.45
CT chest with contrast	CPT	71260	21	$2,643	$1,110.06	$169.01	$546.52	1.9×	$2,246.55
CT chest with and without contrast	CPT	71270	21	$3,012	$1,265.04	$169.01	$673.27	2.3×	$2,560.2
MRI chest without contrast	CPT	71550	21	$4,180	$1,755.6	$229.5	$1,120.94	2.6×	$3,553
MRI chest with contrast	CPT	71551	21	$4,578	$1,922.76	$572.54	$1,281.84	1.6×	$3,891.3
MRI chest with and without contrast	CPT	71552	21	$4,976	$2,089.92	$339.07	$1,393.28	2.3×	$4,229.6
Lumbosacral spine X-ray	CPT	72100	21	$741	$311.22	$55.06	$108.81	1.1×	$629.85
CT cervical spine without contrast	CPT	72125	21	$2,179	$915.18	$100.97	$429.07	2.1×	$1,852.15
CT thoracic spine without contrast	CPT	72128	21	$2,282	$958.44	$100.97	$426.74	2.1×	$1,939.7
CT lumbar spine without contrast	CPT	72131	21	$2,227	$935.34	$100.97	$424.41	2.1×	$1,892.95
MRI cervical spine without contrast	CPT	72141	21	$3,392	$1,424.64	$229.5	$522.97	1.3×	$2,883.2
MRI thoracic spine without contrast	CPT	72146	21	$3,718	$1,561.56	$229.5	$557.7	1.5×	$3,160.3
MRI lumbar spine without contrast	CPT	72148	21	$3,392	$1,424.64	$229.5	$522.97	1.4×	$2,883.2
MRI lumbar spine with and without contrast	CPT	72149	21	$4,037	$1,695.54	$339.07	$772.65	1.7×	$3,431.45
MRI cervical spine with and without contrast	CPT	72156	21	$4,986	$2,094.12	$339.07	$867.45	1.6×	$4,238.1
MRI lumbar spine with contrast	CPT	72158	21	$4,681	$1,966.02	$339.07	$861.65	1.6×	$3,978.85
CT pelvis without contrast	CPT	72192	21	$2,019	$847.98	$100.97	$302.85	1.5×	$1,716.15
CT pelvis with contrast	CPT	72193	21	$2,504	$1,051.68	$169.01	$548.82	2.0×	$2,128.4
Shoulder X-ray	CPT	73030	21	$511	$214.62	$48.76	$88.38	0.95×	$434.35
Humerus X-ray	CPT	73060	21	$486	$204.12	$45.61	$88.38	0.99×	$413.1
Hand X-ray 3 views	CPT	73130	21	$531	$223.02	$54.43	$97.43	1.0×	$451.35
MRI upper extremity joint without contrast	CPT	73221	21	$2,794	$1,173.48	$229.5	$552.32	1.3×	$2,374.9
MRI upper extremity joint with and without contrast	CPT	73223	21	$3,548	$1,490.16	$339.07	$993.44	1.6×	$3,015.8
Hip X-ray 2 views	CPT	73510	8	$232	$97.44	$34.8	$139.2	1.8×	$197.2
Knee X-ray 1-2 views	CPT	73560	21	$552	$231.84	$49.39	$89.23	0.96×	$469.2
Ankle X-ray 3 views	CPT	73610	21	$546	$229.32	$53.17	$100.7	1.1×	$464.1
MRI lower extremity joint without contrast	CPT	73721	21	$2,995	$1,257.9	$229.5	$552.32	1.2×	$2,545.75
MRI lower extremity joint with and without contrast	CPT	73723	21	$3,923	$1,647.66	$339.07	$1,098.44	1.7×	$3,334.55
CT abdomen without contrast	CPT	74150	21	$2,246	$943.32	$100.97	$336.9	1.8×	$1,909.1
CT abdomen with contrast	CPT	74160	21	$2,995	$1,257.9	$169.01	$546.52	1.9×	$2,545.75
CT abdomen with and without contrast	CPT	74170	21	$3,324	$1,396.08	$169.01	$629.08	1.9×	$2,825.4
CT abdomen and pelvis without contrast	CPT	74176	21	$3,712	$1,559.04	$200.3	$512.43	1.4×	$3,155.2
CT abdomen and pelvis with contrast	CPT	74177	21	$4,884	$2,051.28	$339.07	$772.65	1.4×	$4,151.4
CT abdomen and pelvis with and without contrast	CPT	74178	21	$6,985	$2,933.7	$339.07	$1,047.75	1.8×	$5,937.25
MRI abdomen without contrast	CPT	74181	21	$3,349	$1,406.58	$229.5	$850.01	2.2×	$2,846.65
MRI abdomen with and without contrast	CPT	74183	21	$4,293	$1,803.06	$339.07	$1,202.04	2.1×	$3,649.05
Abdominal ultrasound complete	CPT	76700	21	$1,249	$524.58	$100.97	$270.93	1.8×	$1,061.65
Abdominal ultrasound limited	CPT	76705	21	$762	$320.04	$100.97	$213.36	1.5×	$647.7
Retroperitoneal ultrasound complete	CPT	76770	21	$1,162	$488.04	$100.97	$252.33	1.8×	$987.7
Obstetric ultrasound first trimester	CPT	76801	21	$1,058	$444.36	$100.97	$243.03	1.7×	$899.3
Obstetric ultrasound after first trimester	CPT	76805	21	$1,354	$568.68	$100.97	$422.19	2.8×	$1,150.9
Obstetric ultrasound with fetal anatomy	CPT	76811	21	$1,169	$490.98	$165.84	$359.34	1.5×	$993.65
Transvaginal ultrasound	CPT	76830	21	$992	$416.64	$100.97	$277.76	1.9×	$843.2
Pelvic ultrasound complete	CPT	76856	21	$1,123	$471.66	$100.97	$250	1.7×	$954.55
Scrotal ultrasound	CPT	76870	21	$991	$416.22	$95.8	$161.43	1.2×	$842.35
Diagnostic mammography unilateral	CPT	77065	11	$239	$100.38	$32.55	$143.4	0.96×	$308.16
Diagnostic mammography bilateral	CPT	77066	11	$305	$128.1	$45.75	$197.02	1.0×	$394.18
Screening mammography bilateral	CPT	77067	11	$305	$128.1	$45.75	$183	1.2×	$325.59
EKG tracing only	CPT	93005	21	$466	$195.72	$6.75	$128.52	1.1×	$396.1
Transthoracic echocardiogram complete	CPT	93306	21	$3,527	$1,481.34	$242.76	$1,622.42	2.7×	$2,997.95
Transthoracic echocardiogram	CPT	93307	21	$1,877	$788.34	$176.97	$863.42	3.5×	$1,595.45
Stress echocardiogram	CPT	93350	21	$2,871	$1,205.82	$222.37	$1,320.66	2.6×	$2,440.35
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	—	—	$60	$31,012	1.5×	$47,029
Intracranial hemorrhage/CVA w CC	MS-DRG	065	20	—	—	$60	$15,854	1.5×	$24,042
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	20	—	—	$60	$10,731	1.4×	$16,273
Respiratory infections & inflammations w MCC	MS-DRG	177	20	—	—	$60	$25,201	1.6×	$38,217
COPD w MCC	MS-DRG	190	20	—	—	$60	$17,508	1.6×	$26,550
COPD w CC	MS-DRG	191	20	—	—	$60	$13,393	1.5×	$20,311
COPD w/o CC/MCC	MS-DRG	192	20	—	—	$60	$10,090	1.4×	$15,301
Simple pneumonia & pleurisy w CC	MS-DRG	194	20	—	—	$60	$12,784	1.5×	$19,386
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	—	—	$60	$9,708	1.5×	$14,722
AMI discharged alive w MCC	MS-DRG	280	20	—	—	$60	$25,590	1.6×	$38,806
AMI discharged alive w CC	MS-DRG	281	20	—	—	$60	$14,371	1.5×	$21,793
AMI discharged alive w/o CC/MCC	MS-DRG	282	20	—	—	$60	$11,304	1.4×	$17,143
Heart failure & shock w MCC	MS-DRG	291	20	—	—	$60	$20,342	1.6×	$30,848
Heart failure & shock w CC	MS-DRG	292	20	—	—	$60	$13,426	1.5×	$20,360
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	—	—	$60	$8,554	1.4×	$12,972
Cardiac arrhythmia w MCC	MS-DRG	308	20	—	—	$60	$18,800	1.6×	$28,510
Cardiac arrhythmia w CC	MS-DRG	309	20	—	—	$60	$11,526	1.5×	$17,479
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	20	—	—	$60	$8,723	1.4×	$13,228
GI hemorrhage w CC	MS-DRG	378	20	—	—	$60	$15,370	1.5×	$23,309
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	—	—	$60	$9,926	1.5×	$15,053
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	20	—	—	$60	$12,165	1.5×	$18,448
Fractures of femur w/o MCC	MS-DRG	533	20	—	—	$60	$23,773	1.6×	$36,052
Kidney/UTI w MCC	MS-DRG	689	20	—	—	$60	$18,245	1.6×	$27,668
Kidney/UTI w/o MCC	MS-DRG	690	20	—	—	$60	$12,513	1.5×	$18,975
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	—	—	$60	$30,589	1.6×	$46,388
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	20	—	—	$60	$16,073	1.5×	$24,375
lab
Basic metabolic panel (BMP)	CPT	80048	21	$392	$164.64	$8.2	$57.86	1.8×	$333.2
General health panel	CPT	80050	11	$1,106	$464.52	$52.42	$409.22	3.8×	$940.1
Electrolyte panel	CPT	80051	21	$258	$108.36	$6.79	$55.21	2.3×	$219.3
Comprehensive metabolic panel	CPT	80053	21	$488	$204.96	$10.23	$72.24	1.6×	$414.8
Lipid panel	CPT	80061	21	$308	$129.36	$1.68	$13.28	0.35×	$261.8
Renal function panel	CPT	80069	21	$361	$151.62	$8.41	$54.15	2.0×	$306.85
Hepatic function panel	CPT	80076	21	$318	$133.56	$7.92	$47.7	1.8×	$270.3
Urinalysis non-automated	CPT	81002	21	$58	$24.36	$3.38	$17.5	2.5×	$49.3
Urinalysis automated	CPT	81003	21	$81	$34.02	$2.18	$17.69	1.3×	$68.85
Glucose quantitative	CPT	82947	21	$88	$36.96	$1.38	$4.05	0.23×	$74.8
Hemoglobin A1c	CPT	83036	21	$193	$81.06	$9.4	$40.83	1.5×	$164.05
Thyroid stimulating hormone (TSH)	CPT	84443	21	$269	$112.98	$16.28	$70.68	1.5×	$228.65
Complete blood count with automated differential	CPT	85025	21	$219	$91.98	$7.53	$31.77	1.2×	$186.15
Complete blood count without differential	CPT	85027	21	$168	$70.56	$6.27	$27.2	1.3×	$142.8
Urine culture bacterial	CPT	87086	21	$171	$71.82	$7.82	$33.94	1.5×	$145.35
Urine culture identification	CPT	87088	21	$113	$47.46	$7.84	$31.64	1.4×	$96.05
Tissue exam by pathologist level IV	CPT	88305	21	$443	$186.06	$50.72	$154.84	1.5×	$376.55
maternity
Fetal non-stress test	CPT	59025	17	$577	$242.34	$38.05	$235.64	1.3×	$1,302
Routine obstetric care including vaginal delivery	CPT	59400	8	—	—	$15	$75	0.03×	$2,019
Vaginal delivery only	CPT	59409	21	$6,504	$2,731.68	$488.1	$3,098.64	1.4×	$6,878.98
Vaginal delivery with postpartum	CPT	59410	12	—	—	$15	$1,482	1.4×	$3,259.25
Routine obstetric care with C-section	CPT	59510	8	—	—	$15	$75	0.03×	$2,019
C-section delivery only	CPT	59514	10	—	—	$15	$75	0.08×	$2,019
C-section with postpartum	CPT	59515	12	—	—	$15	$1,482	1.2×	$12,082
office
Office visit, new patient, 15-29 min	CPT	99202	8	$464	$194.88	$8.4	$75.91	0.88×	$394.4
Office visit, new patient, 30-44 minutes	CPT	99203	8	$527	$221.34	$79.05	$316.2	2.6×	$447.95
Office visit, new patient, 45-59 min	CPT	99204	8	$693	$291.06	$103.95	$415.8	2.4×	$589.05
Office visit, new patient, 60-74 min	CPT	99205	8	$776	$325.92	$116.4	$465.6	2.1×	$659.6
Office visit, established patient, 5 min	CPT	99211	8	$83	$34.86	$12.15	$49.8	0.77×	$70.55
Office visit, established patient, 10-19 min	CPT	99212	9	$167	$70.14	$17.1	$86.84	1.1×	$141.95
Office visit, established patient, 20-29 minutes	CPT	99213	8	$208	$87.36	$21.9	$109.5	0.96×	$176.8
Office visit, established patient, 30-39 minutes	CPT	99214	8	$257	$107.94	$26.55	$142.05	0.93×	$246.43
Office visit, established patient, 40-54 min	CPT	99215	8	$291	$122.22	$30.45	$162.4	0.86×	$345.78
preventive
Upper GI endoscopy diagnostic	CPT	43235	21	$1,531	$643.02	$229.65	$931.98	1.0×	$3,259.25
Upper GI endoscopy with biopsy	CPT	43239	21	$4,583	$1,924.86	$259.52	$2,108.18	2.2×	$3,895.55
Sigmoidoscopy diagnostic	CPT	45330	20	—	—	$15	$888.52	1.1×	$3,259.25
Sigmoidoscopy with biopsy	CPT	45331	20	—	—	$15	$888.52	0.99×	$3,259.25
Colonoscopy diagnostic	CPT	45378	20	—	—	$15	$888.52	1.0×	$3,489.13
Colonoscopy with biopsy	CPT	45380	20	—	—	$15	$1,149.08	0.95×	$3,489.13
Colonoscopy with polyp removal	CPT	45385	20	—	—	$15	$1,149.08	0.95×	$3,489.13
surgery
Total shoulder arthroplasty	CPT	23472	20	—	—	$15	$12,082	2.9×	$39,787
PCI w drug-eluting stent w MCC	MS-DRG	246	6	—	—	$60	$9,419.36	0.34×	$19,121
PCI w drug-eluting stent w/o MCC	MS-DRG	247	6	—	—	$60	$6,246.14	0.34×	$12,651
Hip hemiarthroplasty	CPT	27125	14	—	—	$15	$1,052.43	0.84×	$12,955
Total hip replacement	CPT	27130	20	—	—	$15	$12,456	2.9×	$27,838
Total knee replacement	CPT	27447	20	—	—	$15	$12,456	3.0×	$27,838
Knee revision arthroplasty single component	CPT	27486	14	—	—	$15	$1,359.22	0.81×	$18,690
Knee revision arthroplasty all components	CPT	27487	14	—	—	$15	$1,757.6	0.88×	$18,690
Shoulder arthroscopy with decompression	CPT	29826	12	—	—	$15	$199.64	0.61×	$9,248.33
Shoulder arthroscopy with rotator cuff repair	CPT	29827	20	—	—	$15	$6,961.99	2.1×	$15,456
Knee arthroscopy with meniscectomy	CPT	29881	20	—	—	$15	$3,162.07	1.5×	$10,564
ACL reconstruction	CPT	29888	20	—	—	$15	$6,961.99	2.1×	$15,456
Major small/large bowel procedures w MCC	MS-DRG	329	20	—	—	$60	$71,588	1.7×	$108,562
Major small/large bowel procedures w CC	MS-DRG	330	20	—	—	$60	$36,850	1.6×	$55,883
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	20	—	—	$60	$25,739	1.6×	$39,033
CABG single arterial graft	CPT	33533	14	—	—	$15	$1,846.84	0.99×	$12,765
CABG 2 arterial grafts	CPT	33534	14	—	—	$15	$1,895	0.88×	$12,765
CABG 3 arterial grafts	CPT	33535	14	—	—	$15	$1,895	0.83×	$12,765
CABG 4+ arterial grafts	CPT	33536	14	—	—	$15	$1,895	0.77×	$12,765
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	20	—	—	$60	$25,855	1.6×	$39,208
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	20	—	—	$60	$20,542	1.5×	$31,151
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	—	—	$60	$55,025	1.7×	$83,444
Open appendectomy	CPT	44950	20	—	—	$15	$6,081.01	5.4×	$13,500
Laparoscopic appendectomy	CPT	44970	21	$9,374	$3,937.08	$701	$5,799.65	3.7×	$12,807
Spinal fusion (non-cervical) w MCC	MS-DRG	459	6	—	—	$60	$17,359	0.35×	$35,311
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	7	—	—	$60	$22,982	0.68×	$104,546
Major joint replacement w MCC	MS-DRG	469	20	—	—	$60	$50,959	1.7×	$77,279
Major joint replacement w/o MCC	MS-DRG	470	20	—	—	$60	$29,395	1.6×	$44,577
Laparoscopic cholecystectomy	CPT	47562	20	—	—	$15	$5,685.93	3.2×	$12,807
Lap cholecystectomy with cholangiography	CPT	47563	20	—	—	$15	$5,685.93	3.0×	$12,807
Hip & femur procedures except major joint w MCC	MS-DRG	480	20	—	—	$60	$45,850	1.6×	$69,531
Hip & femur procedures except major joint w CC	MS-DRG	481	20	—	—	$60	$32,348	1.6×	$49,055
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	20	—	—	$60	$24,732	1.5×	$37,506
Open umbilical hernia repair	CPT	49560	8	—	—	$15	$75	0.04×	$6,546
Umbilical hernia repair age 5+	CPT	49585	8	—	—	$15	$75	0.06×	$6,546
Lap inguinal hernia repair	CPT	49650	20	—	—	$15	$5,685.93	5.1×	$12,807
Lap incisional hernia repair	CPT	49652	8	—	—	$15	$75	0.03×	$12,807
Total abdominal hysterectomy	CPT	58150	14	—	—	$15	$861.22	0.88×	$14,442
Vaginal hysterectomy	CPT	58260	20	—	—	$15	$4,810.87	2.7×	$12,082
Lap-assisted vaginal hysterectomy	CPT	58550	20	—	—	$15	$5,685.93	3.9×	$12,955
Lap-assisted vaginal hysterectomy >250g	CPT	58552	20	—	—	$15	$10,146	4.6×	$22,525
Lap salpingo-oophorectomy	CPT	58661	20	—	—	$15	$5,685.93	2.8×	$12,807
OR procedure for obesity w MCC	MS-DRG	619	20	—	—	$60	$42,506	1.6×	$64,460
OR procedure for obesity w CC	MS-DRG	620	20	—	—	$60	$24,897	1.5×	$37,756
OR procedure for obesity w/o CC/MCC	MS-DRG	621	20	—	—	$60	$22,790	1.5×	$34,560
Complex cataract surgery	CPT	66982	20	—	—	$15	$2,222.71	1.0×	$12,082
Cataract surgery with lens implant	CPT	66984	20	—	—	$15	$2,222.71	1.0×	$12,082
Intravitreal injection	CPT	67028	21	$586.15	$246.19	$87.93	$339.41	0.99×	$3,259.25
Vitrectomy mechanical	CPT	67042	20	—	—	$15	$3,920.52	1.6×	$12,082
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	20	—	—	$60	$18,688	1.5×	$28,340
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	20	—	—	$60	$30,463	1.6×	$46,196
PCI single major coronary artery	CPT	92920	21	$18,142	$7,619.64	$936.43	$9,433.84	1.7×	$15,421
PCI with drug-eluting stent	CPT	92928	21	$25,563	$10,736	$1,041.94	$11,759	1.2×	$24,536
PCI bypass graft	CPT	92937	21	$17,592	$7,388.64	$1,041.45	$11,052	1.0×	$24,536
Left heart catheterization	CPT	93452	21	$10,279	$4,317.18	$1,235.68	$5,345.08	1.7×	$14,442
Coronary angiography with cath	CPT	93455	21	$21,683	$9,106.86	$1,365.57	$10,191	3.3×	$18,431
Coronary angiography with bypass cath	CPT	93458	21	$33,158	$13,926	$1,395.83	$14,033	4.5×	$28,184

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 21)

Payer	Codes covered	Median rate
Multiplan	198	$368.9
quiktrip	198	$260.4
phcs	198	$311.34
Centene	198	$242.64
UnitedHealthcare	194	$340.86
medica	194	$604.24
midlands choice	194	$563.63
iamolina	180	$562.15
amerigroup	180	$435.74
greater omaha packing	164	$3,259.25
millard public schools	164	$3,259.25
one world	164	$3,259.25
timpte	164	$3,374.19
great plains	163	$365.44
todays options	163	$355
Humana	163	$348.04
pace	163	$348.04
Blue Cross Blue Shield	163	$348.04
amps	163	$772.65
elap	151	$126.56
creighton university employees	144	$667.73

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