CHI Health Creighton University Medical Center - Bergan Mercy
7500 Mercy Road, Omaha, NE · Chihealth · · NPI 1508941097
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 |
|---|---|---|---|---|
| Hysterosalpingography s&i CPT 74740 | $592.62 | $1,411.00 | $142.72 – $1,199.35 | 13 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $457.36 – $457.36 | 1 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $430.21 – $430.21 | 1 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $282.22 – $282.22 | 1 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $527.92 – $527.92 | 1 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $412.23 – $412.23 | 1 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $664.73 – $664.73 | 1 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $581.07 – $581.07 | 1 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,539.78 – $1,539.78 | 1 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $384.33 | $915.05 | $121.83 – $609.11 | 10 |
| I-123 iobenguane diag HCPCS A9582 | $3,684.24 | $8,772.00 | $17.29 – $7,456.20 | 10 |
| I-123 ioflupane diag HCPCS A9584 | $8,179.08 | $19,474.00 | $2,290.23 – $16,552.90 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $53.34 | $127.00 | $21.59 – $107.95 | 8 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $198.66 | $473.00 | $80.41 – $402.05 | 8 |
| I131 iodide cap, rx HCPCS A9517 | $29.82 | $71.00 | $12.07 – $60.35 | 8 |
| I131 serum albumin, dx HCPCS A9524 | $1,165.50 | $2,775.00 | $185.55 – $2,358.75 | 8 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $116.34 | $277.00 | $34.01 – $276.12 | 21 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $204.54 | $487.00 | $17.53 – $413.95 | 21 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $460.96 | $1,097.51 | $24.38 – $253.57 | 13 |
| Ibuprofen injection HCPCS J1741 | $2,827.21 | $6,731.43 | $4.90 – $1,034.94 | 12 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $573.18 | $1,364.70 | $69.51 – $347.53 | 11 |
| Icatibant injection HCPCS J1744 | $2,098.81 | $4,997.15 | $105.03 – $4,247.58 | 10 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $33,818.40 | $80,520.00 | $10.14 – $50.66 | 12 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $26,901.00 | $64,050.00 | $975.38 – $4,876.88 | 12 |
| Icd crtp serena MRI HCPCS C2621 | $9,187.50 | $21,875.00 | $11.90 – $59.50 | 12 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,454.60 | $20,130.00 | $306.00 – $1,530.00 | 12 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $410.86 – $1,739.14 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $729.10 – $729.10 | 1 |
| Idarubicin hcl injection HCPCS J9211 | $632.69 | $1,506.40 | $28.17 – $140.81 | 13 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $184.59 – $184.59 | 1 |
| Idet 1 or more levels CPT 22527 | not published | not published | $289.23 – $289.23 | 1 |
| Idet single level CPT 22526 | not published | not published | $625.19 – $625.19 | 1 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,308.99 – $1,308.99 | 1 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $822.19 – $822.19 | 1 |
| I&d lacrimal gland CPT 68400 | not published | not published | $250.57 – $250.57 | 1 |
| I&d lacrimal sac CPT 68420 | not published | not published | $317.10 – $317.10 | 1 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,591.80 | $3,790.00 | $402.26 – $3,221.50 | 8 |
| Idursulfase injection HCPCS J1743 | $6,585.25 | $15,679.16 | $462.68 – $13,327.29 | 15 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $1,494.36 | $3,558.00 | $602.22 – $3,024.30 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $342.15 – $342.15 | 1 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $200.95 | $478.45 | $22.59 – $112.93 | 13 |
| Igh gene rearrange amp meth CPT 81261 | $456.54 | $1,087.00 | $184.79 – $1,087.00 | 20 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $219.66 | $523.00 | $88.91 – $444.55 | 13 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $219.66 | $523.00 | $88.91 – $444.55 | 13 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $219.66 | $523.00 | $79.90 – $399.50 | 13 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $732.24 – $746.60 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,434.85 – $4,859.59 | 4 |
| Iliac/fem angio cath insert HCPCS G0278 | $892.92 | $2,126.00 | $24.13 – $1,807.10 | 9 |
| Iliac revasc add-on 37222 CPT 37222 | $2,869.86 | $6,833.00 | $326.38 – $5,808.05 | 9 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $846.86 – $1,613.66 | 4 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $21,379.10 | $50,902.60 | $2,163.37 – $10,816.81 | 8 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $70.30 | $167.37 | $3.71 – $22.70 | 10 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $83.12 | $197.90 | $7.87 – $48.10 | 10 |
| Immobilizer shldr sling med HCPCS L3660 | $45.60 | $108.57 | $12.19 – $74.53 | 10 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,415.06 – $1,415.06 | 1 |
| Immune complex assay CPT 86332 | $227.22 | $541.00 | $23.61 – $459.85 | 21 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,896.80 | $14,040.00 | $36.67 – $397.80 | 15 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,764.32 | $6,581.70 | $67.84 – $4,760.00 | 15 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $4,725.00 | $11,250.00 | $38.84 – $621.61 | 15 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $110.04 | $262.00 | $20.17 – $222.70 | 21 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $237.30 | $565.00 | $20.17 – $480.25 | 21 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $47.04 | $112.00 | $11.61 – $95.20 | 21 |
| Immunodiffusion nes CPT 86329 | $216.30 | $515.00 | $13.62 – $437.75 | 21 |
| Immunofixation electrophoresis serum CPT 86334 | $173.46 | $413.00 | $21.64 – $316.20 | 21 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $212.52 | $506.00 | $55.25 – $276.25 | 9 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $144.06 | $343.00 | $58.31 – $343.00 | 13 |
| Immunoglobulin assay CPT 86023 | $179.34 | $427.00 | $12.08 – $362.95 | 21 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,558.82 – $1,589.38 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,019.51 – $2,174.34 | 4 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,300.13 – $1,325.63 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,273.23 – $1,298.19 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $3,090.15 | $7,357.50 | $174.25 – $871.25 | 12 |
| Implant cochlear device CPT 69930 | not published | not published | $2,297.53 – $2,297.53 | 1 |
| Implant cochlear osia osi300 HCPCS L8690 | $1,315.20 | $3,131.42 | $236.60 – $1,182.98 | 12 |
| Implant eye drug system CPT 67027 | not published | not published | $1,612.13 – $1,612.13 | 1 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $103.99 – $103.99 | 1 |
| Implant nerve end CPT 64787 | not published | not published | $430.90 – $430.90 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $249.46 – $482.98 | 4 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $422.59 – $852.31 | 4 |
| Implant neuroelectrode CPT 61863 | not published | not published | $867.63 – $884.64 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,321.00 – $1,346.90 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,515.53 – $1,515.53 | 1 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $793.88 – $793.88 | 1 |
| Implant neuroelectrodes CPT 64555 | $4,966.50 | $11,825.00 | $617.13 – $10,051.25 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $571.14 – $571.14 | 1 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $830.44 – $1,747.10 | 4 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,206.83 – $1,230.50 | 3 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,588.25 – $1,588.25 | 1 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $1,182.85 – $1,206.05 | 3 |
| Implant single ventricular device 33975 CPT 33975 | $14,352.24 | $34,172.00 | $1,284.21 – $29,046.20 | 11 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,640.96 – $1,640.96 | 1 |
| Implant spine infusion pump CPT 62361 | not published | not published | $783.28 – $783.28 | 1 |
| Implant spine infusion pump CPT 62362 | not published | not published | $712.80 – $712.80 | 1 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,217.59 – $1,241.47 | 3 |
| Implant ureter in bowel CPT 50800 | not published | not published | $948.59 – $1,744.01 | 4 |
| Implant ureth bulk agent HCPCS L8606 | $962.96 | $2,292.75 | $63.46 – $336.27 | 12 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $789.39 – $789.39 | 1 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $392.57 – $392.57 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $742.71 – $742.71 | 1 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $937.82 – $937.82 | 1 |
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.