▸ Hospital · IA · CCN 160028
Chi Health Mercy Council Bluffs
800 MERCY DRIVE, COUNCIL BLUFFS, IA, 51502
141 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
21
with negotiated rates
Rates published
8,382
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 20 | — | — | $60 | $21,976 | $33,326 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 17 | $456 | $191.52 | $45.3 | $220.46 | $387.6 |
| Psychiatric eval with medical services | CPT | 90792 | 17 | $456 | $191.52 | $68.4 | $223.44 | $387.6 |
| Psychotherapy 30 minutes | CPT | 90832 | 16 | $205 | $86.1 | $30.75 | $153.75 | $347.61 |
| Psychotherapy 45 minutes | CPT | 90834 | 16 | $220 | $92.4 | $33 | $156.75 | $347.61 |
| Psychotherapy 60 minutes | CPT | 90837 | 16 | $260 | $109.2 | $39 | $160.5 | $347.61 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 17 | $244 | $102.48 | $36.6 | $158.15 | $847 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 21 | $363 | $152.46 | $11.72 | $190.5 | $847 |
| ED visit level 2 | CPT | 99282 | 21 | $726 | $304.92 | $79.28 | $377.52 | $967 |
| ED visit level 3 | CPT | 99283 | 21 | $1,550 | $651 | $135.01 | $806 | $1,553 |
| ED visit level 4 | CPT | 99284 | 21 | $2,472 | $1,038.24 | $229.78 | $1,137.12 | $3,872 |
| ED visit level 5 | CPT | 99285 | 21 | $3,296 | $1,384.32 | $333.02 | $1,713.92 | $5,552 |
| Critical care, first hour | CPT | 99291 | 21 | $5,358 | $2,250.36 | $405.87 | $2,302 | $4,933 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 21 | $1,604 | $673.68 | $100.97 | $240.6 | $1,363.4 |
| CT head with contrast | CPT | 70460 | 21 | $2,181 | $916.02 | $169.01 | $385.15 | $1,853.85 |
| CT head with and without contrast | CPT | 70470 | 21 | $2,630 | $1,104.6 | $169.01 | $418.61 | $2,235.5 |
| CT neck with contrast | CPT | 70491 | 21 | $2,687 | $1,128.54 | $169.01 | $543.02 | $2,283.95 |
| MRI brain without contrast | CPT | 70551 | 21 | $3,462 | $1,454.04 | $229.5 | $522.97 | $2,942.7 |
| MRI brain with contrast | CPT | 70552 | 21 | $4,038 | $1,695.96 | $339.07 | $772.65 | $3,432.3 |
| MRI brain with and without contrast | CPT | 70553 | 21 | $4,438 | $1,863.96 | $339.07 | $859.31 | $3,772.3 |
| Chest X-ray single view | CPT | 71045 | 17 | $342 | $143.64 | $32.36 | $170.56 | $290.7 |
| Chest X-ray 2 views | CPT | 71046 | 17 | $486 | $204.12 | $16.2 | $124.96 | $413.1 |
| Chest X-ray 3 views | CPT | 71047 | 17 | $646 | $271.32 | $55.06 | $225.68 | $549.1 |
| CT chest without contrast | CPT | 71250 | 21 | $1,797 | $754.74 | $100.97 | $423.24 | $1,527.45 |
| CT chest with contrast | CPT | 71260 | 21 | $2,643 | $1,110.06 | $169.01 | $546.52 | $2,246.55 |
| CT chest with and without contrast | CPT | 71270 | 21 | $3,012 | $1,265.04 | $169.01 | $673.27 | $2,560.2 |
| MRI chest without contrast | CPT | 71550 | 21 | $4,180 | $1,755.6 | $229.5 | $1,120.94 | $3,553 |
| MRI chest with contrast | CPT | 71551 | 21 | $4,578 | $1,922.76 | $572.54 | $1,281.84 | $3,891.3 |
| MRI chest with and without contrast | CPT | 71552 | 21 | $4,976 | $2,089.92 | $339.07 | $1,393.28 | $4,229.6 |
| Lumbosacral spine X-ray | CPT | 72100 | 21 | $741 | $311.22 | $55.06 | $108.81 | $629.85 |
| CT cervical spine without contrast | CPT | 72125 | 21 | $2,179 | $915.18 | $100.97 | $429.07 | $1,852.15 |
| CT thoracic spine without contrast | CPT | 72128 | 21 | $2,282 | $958.44 | $100.97 | $426.74 | $1,939.7 |
| CT lumbar spine without contrast | CPT | 72131 | 21 | $2,227 | $935.34 | $100.97 | $424.41 | $1,892.95 |
| MRI cervical spine without contrast | CPT | 72141 | 21 | $3,392 | $1,424.64 | $229.5 | $522.97 | $2,883.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 21 | $3,718 | $1,561.56 | $229.5 | $557.7 | $3,160.3 |
| MRI lumbar spine without contrast | CPT | 72148 | 21 | $3,392 | $1,424.64 | $229.5 | $522.97 | $2,883.2 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 21 | $4,037 | $1,695.54 | $339.07 | $772.65 | $3,431.45 |
| MRI cervical spine with and without contrast | CPT | 72156 | 21 | $4,986 | $2,094.12 | $339.07 | $867.45 | $4,238.1 |
| MRI lumbar spine with contrast | CPT | 72158 | 21 | $4,681 | $1,966.02 | $339.07 | $861.65 | $3,978.85 |
| CT pelvis without contrast | CPT | 72192 | 21 | $2,019 | $847.98 | $100.97 | $302.85 | $1,716.15 |
| CT pelvis with contrast | CPT | 72193 | 21 | $2,504 | $1,051.68 | $169.01 | $548.82 | $2,128.4 |
| Shoulder X-ray | CPT | 73030 | 21 | $511 | $214.62 | $48.76 | $88.38 | $434.35 |
| Humerus X-ray | CPT | 73060 | 21 | $486 | $204.12 | $45.61 | $88.38 | $413.1 |
| Hand X-ray 3 views | CPT | 73130 | 21 | $531 | $223.02 | $54.43 | $97.43 | $451.35 |
| MRI upper extremity joint without contrast | CPT | 73221 | 21 | $2,794 | $1,173.48 | $229.5 | $552.32 | $2,374.9 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 21 | $3,548 | $1,490.16 | $339.07 | $993.44 | $3,015.8 |
| Hip X-ray 2 views | CPT | 73510 | 8 | $232 | $97.44 | $34.8 | $139.2 | $197.2 |
| Knee X-ray 1-2 views | CPT | 73560 | 21 | $552 | $231.84 | $49.39 | $89.23 | $469.2 |
| Ankle X-ray 3 views | CPT | 73610 | 21 | $546 | $229.32 | $53.17 | $100.7 | $464.1 |
| MRI lower extremity joint without contrast | CPT | 73721 | 21 | $2,995 | $1,257.9 | $229.5 | $552.32 | $2,545.75 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 21 | $3,923 | $1,647.66 | $339.07 | $1,098.44 | $3,334.55 |
| CT abdomen without contrast | CPT | 74150 | 21 | $2,246 | $943.32 | $100.97 | $336.9 | $1,909.1 |
| CT abdomen with contrast | CPT | 74160 | 21 | $2,995 | $1,257.9 | $169.01 | $546.52 | $2,545.75 |
| CT abdomen with and without contrast | CPT | 74170 | 21 | $3,324 | $1,396.08 | $169.01 | $629.08 | $2,825.4 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 21 | $3,712 | $1,559.04 | $200.3 | $512.43 | $3,155.2 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 21 | $4,884 | $2,051.28 | $339.07 | $772.65 | $4,151.4 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 21 | $6,985 | $2,933.7 | $339.07 | $1,047.75 | $5,937.25 |
| MRI abdomen without contrast | CPT | 74181 | 21 | $3,349 | $1,406.58 | $229.5 | $850.01 | $2,846.65 |
| MRI abdomen with and without contrast | CPT | 74183 | 21 | $4,293 | $1,803.06 | $339.07 | $1,202.04 | $3,649.05 |
| Abdominal ultrasound complete | CPT | 76700 | 21 | $1,249 | $524.58 | $100.97 | $270.93 | $1,061.65 |
| Abdominal ultrasound limited | CPT | 76705 | 21 | $762 | $320.04 | $100.97 | $213.36 | $647.7 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 21 | $1,162 | $488.04 | $100.97 | $252.33 | $987.7 |
| Obstetric ultrasound first trimester | CPT | 76801 | 21 | $1,058 | $444.36 | $100.97 | $243.03 | $899.3 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 21 | $1,354 | $568.68 | $100.97 | $422.19 | $1,150.9 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 21 | $1,169 | $490.98 | $165.84 | $359.34 | $993.65 |
| Transvaginal ultrasound | CPT | 76830 | 21 | $992 | $416.64 | $100.97 | $277.76 | $843.2 |
| Pelvic ultrasound complete | CPT | 76856 | 21 | $1,123 | $471.66 | $100.97 | $250 | $954.55 |
| Scrotal ultrasound | CPT | 76870 | 21 | $991 | $416.22 | $95.8 | $161.43 | $842.35 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $239 | $100.38 | $32.55 | $143.4 | $308.16 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $305 | $128.1 | $45.75 | $197.02 | $394.18 |
| Screening mammography bilateral | CPT | 77067 | 11 | $305 | $128.1 | $45.75 | $183 | $325.59 |
| EKG tracing only | CPT | 93005 | 21 | $466 | $195.72 | $6.75 | $128.52 | $396.1 |
| Transthoracic echocardiogram complete | CPT | 93306 | 21 | $3,527 | $1,481.34 | $242.76 | $1,622.42 | $2,997.95 |
| Transthoracic echocardiogram | CPT | 93307 | 21 | $1,877 | $788.34 | $176.97 | $863.42 | $1,595.45 |
| Stress echocardiogram | CPT | 93350 | 21 | $2,871 | $1,205.82 | $222.37 | $1,320.66 | $2,440.35 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $60 | $31,012 | $47,029 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $60 | $15,854 | $24,042 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $60 | $10,731 | $16,273 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $60 | $25,201 | $38,217 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $60 | $17,508 | $26,550 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $60 | $13,393 | $20,311 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $60 | $10,090 | $15,301 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $60 | $12,784 | $19,386 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $60 | $9,708 | $14,722 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $60 | $25,590 | $38,806 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $60 | $14,371 | $21,793 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $60 | $11,304 | $17,143 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $60 | $20,342 | $30,848 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $60 | $13,426 | $20,360 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $60 | $8,554 | $12,972 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $60 | $18,800 | $28,510 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $60 | $11,526 | $17,479 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $60 | $8,723 | $13,228 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $60 | $15,370 | $23,309 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $60 | $9,926 | $15,053 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $60 | $12,165 | $18,448 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $60 | $23,773 | $36,052 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $60 | $18,245 | $27,668 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $60 | $12,513 | $18,975 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $60 | $30,589 | $46,388 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $60 | $16,073 | $24,375 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 21 | $392 | $164.64 | $8.2 | $57.86 | $333.2 |
| General health panel | CPT | 80050 | 11 | $1,106 | $464.52 | $52.42 | $409.22 | $940.1 |
| Electrolyte panel | CPT | 80051 | 21 | $258 | $108.36 | $6.79 | $55.21 | $219.3 |
| Comprehensive metabolic panel | CPT | 80053 | 21 | $488 | $204.96 | $10.23 | $72.24 | $414.8 |
| Lipid panel | CPT | 80061 | 21 | $308 | $129.36 | $1.68 | $13.28 | $261.8 |
| Renal function panel | CPT | 80069 | 21 | $361 | $151.62 | $8.41 | $54.15 | $306.85 |
| Hepatic function panel | CPT | 80076 | 21 | $318 | $133.56 | $7.92 | $47.7 | $270.3 |
| Urinalysis non-automated | CPT | 81002 | 21 | $58 | $24.36 | $3.38 | $17.5 | $49.3 |
| Urinalysis automated | CPT | 81003 | 21 | $81 | $34.02 | $2.18 | $17.69 | $68.85 |
| Glucose quantitative | CPT | 82947 | 21 | $88 | $36.96 | $1.38 | $4.05 | $74.8 |
| Hemoglobin A1c | CPT | 83036 | 21 | $193 | $81.06 | $9.4 | $40.83 | $164.05 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 21 | $269 | $112.98 | $16.28 | $70.68 | $228.65 |
| Complete blood count with automated differential | CPT | 85025 | 21 | $219 | $91.98 | $7.53 | $31.77 | $186.15 |
| Complete blood count without differential | CPT | 85027 | 21 | $168 | $70.56 | $6.27 | $27.2 | $142.8 |
| Urine culture bacterial | CPT | 87086 | 21 | $171 | $71.82 | $7.82 | $33.94 | $145.35 |
| Urine culture identification | CPT | 87088 | 21 | $113 | $47.46 | $7.84 | $31.64 | $96.05 |
| Tissue exam by pathologist level IV | CPT | 88305 | 21 | $443 | $186.06 | $50.72 | $154.84 | $376.55 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 17 | $577 | $242.34 | $38.05 | $235.64 | $1,302 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 8 | — | — | $15 | $75 | $2,019 |
| Vaginal delivery only | CPT | 59409 | 21 | $6,504 | $2,731.68 | $488.1 | $3,098.64 | $6,878.98 |
| Vaginal delivery with postpartum | CPT | 59410 | 12 | — | — | $15 | $1,482 | $3,259.25 |
| Routine obstetric care with C-section | CPT | 59510 | 8 | — | — | $15 | $75 | $2,019 |
| C-section delivery only | CPT | 59514 | 10 | — | — | $15 | $75 | $2,019 |
| C-section with postpartum | CPT | 59515 | 12 | — | — | $15 | $1,482 | $12,082 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 8 | $464 | $194.88 | $8.4 | $75.91 | $394.4 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 8 | $527 | $221.34 | $79.05 | $316.2 | $447.95 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 8 | $693 | $291.06 | $103.95 | $415.8 | $589.05 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 8 | $776 | $325.92 | $116.4 | $465.6 | $659.6 |
| Office visit, established patient, 5 min | CPT | 99211 | 8 | $83 | $34.86 | $12.15 | $49.8 | $70.55 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 9 | $167 | $70.14 | $17.1 | $86.84 | $141.95 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 8 | $208 | $87.36 | $21.9 | $109.5 | $176.8 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 8 | $257 | $107.94 | $26.55 | $142.05 | $246.43 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 8 | $291 | $122.22 | $30.45 | $162.4 | $345.78 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 21 | $1,531 | $643.02 | $229.65 | $931.98 | $3,259.25 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 21 | $4,583 | $1,924.86 | $259.52 | $2,108.18 | $3,895.55 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 20 | — | — | $15 | $888.52 | $3,259.25 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 20 | — | — | $15 | $888.52 | $3,259.25 |
| Colonoscopy diagnostic | CPT | 45378 | 20 | — | — | $15 | $888.52 | $3,489.13 |
| Colonoscopy with biopsy | CPT | 45380 | 20 | — | — | $15 | $1,149.08 | $3,489.13 |
| Colonoscopy with polyp removal | CPT | 45385 | 20 | — | — | $15 | $1,149.08 | $3,489.13 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 20 | — | — | $15 | $12,082 | $39,787 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $60 | $9,419.36 | $19,121 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $60 | $6,246.14 | $12,651 |
| Hip hemiarthroplasty | CPT | 27125 | 14 | — | — | $15 | $1,052.43 | $12,955 |
| Total hip replacement | CPT | 27130 | 20 | — | — | $15 | $12,456 | $27,838 |
| Total knee replacement | CPT | 27447 | 20 | — | — | $15 | $12,456 | $27,838 |
| Knee revision arthroplasty single component | CPT | 27486 | 14 | — | — | $15 | $1,359.22 | $18,690 |
| Knee revision arthroplasty all components | CPT | 27487 | 14 | — | — | $15 | $1,757.6 | $18,690 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 12 | — | — | $15 | $199.64 | $9,248.33 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 20 | — | — | $15 | $6,961.99 | $15,456 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 20 | — | — | $15 | $3,162.07 | $10,564 |
| ACL reconstruction | CPT | 29888 | 20 | — | — | $15 | $6,961.99 | $15,456 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $60 | $71,588 | $108,562 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $60 | $36,850 | $55,883 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $60 | $25,739 | $39,033 |
| CABG single arterial graft | CPT | 33533 | 14 | — | — | $15 | $1,846.84 | $12,765 |
| CABG 2 arterial grafts | CPT | 33534 | 14 | — | — | $15 | $1,895 | $12,765 |
| CABG 3 arterial grafts | CPT | 33535 | 14 | — | — | $15 | $1,895 | $12,765 |
| CABG 4+ arterial grafts | CPT | 33536 | 14 | — | — | $15 | $1,895 | $12,765 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $60 | $25,855 | $39,208 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $60 | $20,542 | $31,151 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $60 | $55,025 | $83,444 |
| Open appendectomy | CPT | 44950 | 20 | — | — | $15 | $6,081.01 | $13,500 |
| Laparoscopic appendectomy | CPT | 44970 | 21 | $9,374 | $3,937.08 | $701 | $5,799.65 | $12,807 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $60 | $17,359 | $35,311 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $60 | $22,982 | $104,546 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $60 | $50,959 | $77,279 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $60 | $29,395 | $44,577 |
| Laparoscopic cholecystectomy | CPT | 47562 | 20 | — | — | $15 | $5,685.93 | $12,807 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 20 | — | — | $15 | $5,685.93 | $12,807 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $60 | $45,850 | $69,531 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $60 | $32,348 | $49,055 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $60 | $24,732 | $37,506 |
| Open umbilical hernia repair | CPT | 49560 | 8 | — | — | $15 | $75 | $6,546 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 8 | — | — | $15 | $75 | $6,546 |
| Lap inguinal hernia repair | CPT | 49650 | 20 | — | — | $15 | $5,685.93 | $12,807 |
| Lap incisional hernia repair | CPT | 49652 | 8 | — | — | $15 | $75 | $12,807 |
| Total abdominal hysterectomy | CPT | 58150 | 14 | — | — | $15 | $861.22 | $14,442 |
| Vaginal hysterectomy | CPT | 58260 | 20 | — | — | $15 | $4,810.87 | $12,082 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 20 | — | — | $15 | $5,685.93 | $12,955 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 20 | — | — | $15 | $10,146 | $22,525 |
| Lap salpingo-oophorectomy | CPT | 58661 | 20 | — | — | $15 | $5,685.93 | $12,807 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $60 | $42,506 | $64,460 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $60 | $24,897 | $37,756 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $60 | $22,790 | $34,560 |
| Complex cataract surgery | CPT | 66982 | 20 | — | — | $15 | $2,222.71 | $12,082 |
| Cataract surgery with lens implant | CPT | 66984 | 20 | — | — | $15 | $2,222.71 | $12,082 |
| Intravitreal injection | CPT | 67028 | 21 | $586.15 | $246.19 | $87.93 | $339.41 | $3,259.25 |
| Vitrectomy mechanical | CPT | 67042 | 20 | — | — | $15 | $3,920.52 | $12,082 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $60 | $18,688 | $28,340 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $60 | $30,463 | $46,196 |
| PCI single major coronary artery | CPT | 92920 | 21 | $18,142 | $7,619.64 | $936.43 | $9,433.84 | $15,421 |
| PCI with drug-eluting stent | CPT | 92928 | 21 | $25,563 | $10,736 | $1,041.94 | $11,759 | $24,536 |
| PCI bypass graft | CPT | 92937 | 21 | $17,592 | $7,388.64 | $1,041.45 | $11,052 | $24,536 |
| Left heart catheterization | CPT | 93452 | 21 | $10,279 | $4,317.18 | $1,235.68 | $5,345.08 | $14,442 |
| Coronary angiography with cath | CPT | 93455 | 21 | $21,683 | $9,106.86 | $1,365.57 | $10,191 | $18,431 |
| Coronary angiography with bypass cath | CPT | 93458 | 21 | $33,158 | $13,926 | $1,395.83 | $14,033 | $28,184 |
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 |