CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Optx medial ankle fx CPT 27766 | not published | not published | $1,143.70 – $1,143.70 | 1 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $1,530.69 – $1,530.69 | 1 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,011.49 – $2,011.49 | 1 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $939.62 – $939.62 | 1 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $1,197.55 – $1,197.55 | 1 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,181.10 – $1,181.10 | 1 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $686.50 – $1,487.39 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,026.82 – $2,026.82 | 1 |
| Optx post ankle fx CPT 27769 | not published | not published | $1,364.79 – $1,364.79 | 1 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $1,655.35 – $1,655.35 | 1 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,298.53 – $2,298.53 | 1 |
| Optx radial shaft fracture CPT 25515 | $2,759.82 | $6,571.00 | $985.65 – $5,585.35 | 9 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,197.06 – $1,197.06 | 1 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,149.46 – $1,149.46 | 1 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,490.08 – $1,490.08 | 1 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,792.58 – $1,792.58 | 1 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,699.22 – $1,699.22 | 1 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,276.23 – $1,276.23 | 1 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,823.33 – $1,823.33 | 1 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,634.20 – $1,634.20 | 1 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,726.39 – $1,726.39 | 1 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $1,182.45 – $1,182.45 | 1 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,087.55 – $1,087.55 | 1 |
| Optx thigh fx CPT 27269 | not published | not published | $906.22 – $923.99 | 3 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,508.70 – $1,508.70 | 1 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,381.72 – $1,381.72 | 1 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,185.18 – $1,185.18 | 1 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $1,180.81 – $1,180.81 | 1 |
| Oral busulfan HCPCS J8510 | $908.88 | $2,164.00 | $20.53 – $1,839.40 | 12 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | $89.46 | $213.00 | $11.61 – $181.05 | 20 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $2,154.39 – $2,196.64 | 3 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,393.63 – $2,440.57 | 3 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,471.23 – $2,519.68 | 3 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,115.58 – $1,115.58 | 1 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,352.25 – $1,352.25 | 1 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $815.81 – $815.81 | 1 |
| Organic acids total quant ea spec CPT 83918 | $320.04 | $762.00 | $22.87 – $510.00 | 21 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $6,287.24 | $14,969.60 | $23.87 – $3,931.23 | 16 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $223.21 – $223.21 | 1 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $41.79 | $99.50 | $7.72 – $84.58 | 14 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $9.50 | $22.60 | $3.39 – $23.51 | 10 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $236.30 | $562.60 | $84.39 – $478.21 | 8 |
| Oscillation chest wall mechanical per session CPT 94669 | $136.50 | $325.00 | $32.04 – $276.25 | 9 |
| Osmolality blood CPT 83930 | $116.76 | $278.00 | $6.41 – $236.30 | 21 |
| Osmolality urine CPT 83935 | $43.68 | $104.00 | $6.61 – $88.40 | 21 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $615.32 – $615.32 | 1 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $1,086.88 – $1,086.88 | 1 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $2,550.56 – $2,550.56 | 1 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $1,827.76 – $1,827.76 | 1 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $2,278.58 – $2,278.58 | 1 |
| Osteoplasty humerus CPT 24420 | not published | not published | $1,990.51 – $1,990.51 | 1 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,377.87 – $2,940.55 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $375.36 – $638.72 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,331.70 – $2,911.88 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,249.79 – $3,118.25 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $1,552.30 – $1,552.30 | 1 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $943.78 – $2,053.32 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $1,285.41 – $1,285.41 | 1 |
| Ot evaluation high complexity patient/family CPT 97167 | $101.22 | $241.00 | $36.15 – $204.85 | 15 |
| Ot evaluation low complexity patient/family CPT 97165 | $91.98 | $219.00 | $32.85 – $186.15 | 15 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $101.22 | $241.00 | $36.15 – $204.85 | 15 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,404.84 – $4,935.00 | 4 |
| Oth resp proc, group HCPCS G0239 | $67.62 | $161.00 | $23.73 – $136.85 | 9 |
| Oth resp proc, indiv HCPCS G0238 | $106.26 | $253.00 | $19.13 – $215.05 | 9 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $55.02 | $131.00 | $19.65 – $158.00 | 15 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $57.54 | $137.00 | $20.55 – $158.00 | 11 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $59.22 | $141.00 | $21.15 – $158.00 | 15 |
| Otoplasty 69300 CPT 69300 | not published | not published | $893.78 – $893.78 | 1 |
| Ot re-evaluation patient/family CPT 97168 | $63.42 | $151.00 | $22.65 – $158.00 | 15 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $57.12 | $136.00 | $20.40 – $158.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $69.30 | $165.00 | $24.75 – $165.00 | 15 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $69.30 | $165.00 | $24.75 – $165.00 | 15 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $56.70 | $135.00 | $20.25 – $158.00 | 15 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $48.30 | $115.00 | $17.25 – $158.00 | 15 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $52.50 | $125.00 | $18.75 – $158.00 | 15 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,942.61 – $1,980.70 | 3 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $1,433.10 – $1,433.10 | 1 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $211.26 | $503.00 | $0.80 – $84.58 | 14 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $5,306.96 | $12,635.60 | $0.08 – $84.58 | 14 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $103.70 | $246.90 | $0.45 – $84.58 | 10 |
| P-32 chromic phos ther per mci HCPCS A9564 | $200.76 | $478.00 | $71.70 – $406.30 | 9 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $17,640.00 | $42,000.00 | $2,625.00 – $14,875.00 | 12 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $248.33 | $591.25 | $0.12 – $84.58 | 14 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,034.76 | $7,225.60 | $10.77 – $3,459.46 | 16 |
| Palifermin injection HCPCS J2425 | $5,926.16 | $14,109.89 | $21.34 – $11,993.41 | 16 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $6,907.72 | $16,446.94 | $1,187.79 – $6,920.19 | 11 |
| Palonosetron hcl HCPCS J2469 | $43.57 | $103.73 | $0.80 – $84.58 | 14 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $120.02 | $285.75 | $9.91 – $84.58 | 14 |
| Pancreatectomy CPT 48146 | not published | not published | $1,412.61 – $1,440.31 | 3 |
| Pancreatectomy CPT 48152 | not published | not published | $2,232.68 – $2,276.46 | 3 |
| Pancreatectomy CPT 48154 | not published | not published | $2,238.48 – $2,282.37 | 3 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,398.78 – $2,445.82 | 3 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $1,194.93 – $1,218.36 | 3 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $904.41 – $922.15 | 3 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $14,683.79 | $34,961.40 | $129.12 – $7,429.30 | 16 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $41.79 | $99.50 | $14.93 – $84.58 | 8 |
| Papaverin hcl injection HCPCS J2440 | $79.50 | $189.28 | $1.09 – $84.58 | 10 |
| Parathormone (pth) intact CPT 83970 | $210.84 | $502.00 | $40.00 – $426.70 | 21 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,259.37 – $1,284.07 | 3 |
| Parathyrd planar w/spect&ct CPT 78072 | $276.78 | $659.00 | $98.85 – $659.00 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.