Supplies, drugs & other prices at CHI Health Creighton University Medical Center - Bergan Mercy

Omaha, NE · every code in this section with a posted price and a Medicare benchmark.

105 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,874.04 $4,462 2.3×
2d tte w or w/o fol w/con,fu (C8924) $953.40 $2,270 2.6×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $2,436.42 $5,801 0.6×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $1,278.90 $3,045 0.6×
Adm tocilizu covid-19 1st (M0249) $200.34 $477 0.4×
Adm tocilizu covid-19 2nd (M0250) $200.34 $477 0.4×
Catheterize for urine spec (P9612) $87.78 $209 9.4×
Covid-19 lab test non-cdc (U0002) $73.50 $175 1.4×
Diab manage trn per indiv (G0108) $53.76 $128 1.0×
Diab manage trn ind/group (G0109) $25.20 $60 1.6×
Direct refer hospital observ (G0379) $273.42 $651 0.4×
Drug test def 1-7 classes (G0480) $96.18 $229 0.8×
Elec stim other than wound (G0283) $105 $250 8.3×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $2,116.38 $5,039 0.6×
Ephys eval ccm-d ld 1st impl (0930T) $173.04 $412 0.1×
Ephys eval ccm-d ld separate (0931T) $173.04 $412 0.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $7,747.32 $18,446 0.6×
Facility svs dental rehab (G0330) $1,226.82 $2,921 0.4×
Fractional abl lsr fenestration first 100 sqcm (0479T) $3,458.70 $8,235 4.5×
Group mnt 2 or more 30 mins (G0271) $26.46 $63 1.6×
Hbot, full body chamber, 30m (G0277) $190.68 $454 1.3×
Inj for sacroiliac jt anesth (G0260) $490.56 $1,168 0.7×
Injection(s), bone substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion,… (0707T) $2,111.76 $5,028 0.6×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $744.66 $1,773 0.8×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $5,933.34 $14,127 0.5×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $5,933.34 $14,127 0.5×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $5,933.34 $14,127 0.7×
Insertion perm ccm-d system pulse generator only (0916T) $15,988.98 $38,069 0.7×
Insertion wrls car stimulator lv pacg compl sys (0515T) $17,624.88 $41,964 0.8×
Insertion/replacement complete iims (0525T)
unusually low: confirm this is the full procedure
$7,916.16 $18,848 0.4×
Insertion/replacement iims implantable mntr only (0527T) $5,933.34 $14,127 0.7×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $5,895.54 $14,037 0.7×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $5,895.54 $14,037 0.7×
Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) $22,838.34 $54,377 0.7×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $20,794.20 $49,510 0.6×
Interrog dev eval iims ip (0529T) $29.40 $70 0.8×
Interrog dev eval impl ccm-d system in person (0927T) $5.04 $12 0.1×
Interrog dev eval wcs ip (0521T) $29.40 $70 1.0×
Mnt subs tx for change dx (G0270) $54.18 $129 1.7×
Mri w/cont, breast, bi (C8906) $1,065.54 $2,537 2.9×
Mri w/cont, breast, uni (C8903) $1,443.12 $3,436 7.9×
Mri w/o fol w/cont, breast, (C8908) $1,677.90 $3,995 4.6×
Mri w/o fol w/cont, brst, un (C8905) $1,443.12 $3,436 4.0×
N-invs det hrt fail aug echo (0932T) $42.84 $102 0.1×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $688.38 $1,639 0.7×
Non-blind interatrial shunt (C9760) $19,588.80 $46,640 0.7×
Non-ophthalmic fva (C9733) $312.48 $744 0.9×
Oral hiv-1/hiv-2 screen (G0435) $89.46 $213 7.5×
Oth resp proc, group (G0239) $67.62 $161 1.7×
Oth resp proc, indiv (G0238) $106.26 $253 3.5×
Pemivibart infusion (M0224) $321.30 $765 0.7×
Perc d-e cor revasc chro sin (C9607) $11,025.42 $26,251 0.6×
Perc d-e cor revasc t cabg s (C9604) $11,083.17 $26,388.50 0.9×
Perc d-e cor stent ather s (C9602) $11,083.17 $26,388.50 0.6×
Perc drug-el cor stent sing (C9600) $11,083.17 $26,388.50 0.9×
Perq Sacral Augmt Bilat Inj (0201T)
unusually low: confirm this is the full procedure
$3,190.53 $7,596.50 0.4×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$3,010.56 $7,168 0.4×
Perq Tcat Ther Rx Dlvr Ntrac Rx Balo 1 Maj C Art (0913T)
unusually low: confirm this is the full procedure
$4,061.40 $9,670 0.3×
Posterior vertebral joint(s) arthroplasty (e.g., facet joint(s) replacement) including facetectomy, laminectomy,… (0202T)
likely a partial charge, not the full procedure
$277.20 $660 0.0×
Prgrmg dev eval iims ip (0528T) $29.40 $70 0.8×
Programming device eval impl ccm-d sys in person (0926T) $5.04 $12 0.1×
Prolonged iv inf, req pump (C8957) $227.22 $541 1.0×
Psa screening (G0103) $98.28 $234 5.1×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $463.68 $1,104 0.7×
Quan CT tiss charac w/o CT (0721T) $463.68 $1,104 0.7×
Quan MRI alys brain with diagnostic MRI (0866T) $166.74 $397 0.7×
Relocation skin pocket implanted ccm-d pg (0925T) $1,303.26 $3,103 0.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T)
likely a partial charge, not the full procedure
$13.44 $32 0.0×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $17,624.88 $41,964 1.6×
Removal complete iims (0530T) $2,508.24 $5,972 0.6×
Removal iims electrode only (0531T) $2,508.24 $5,972 0.6×
Removal iims implt mntr only (0532T) $2,508.24 $5,972 0.6×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $2,508.24 $5,972 0.6×
Removal perm ccm-d system pulse generator only (0919T) $2,592.66 $6,173 0.7×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $440.58 $1,049 0.7×
Revasc intra lithotrip-ather (C9766)
unusually low: confirm this is the full procedure
$7,667.10 $18,255 0.4×
Revasc intra lithotrip-stent (C9765) $20,176.80 $48,040 1.1×
Revasc intravasc lithotripsy (C9764)
unusually low: confirm this is the full procedure
$3,833.76 $9,128 0.3×
Revasc lith-sten-ath tib/per (C9775) $11,900.28 $28,334 0.6×
Revasc lithotr-ather tib/per (C9774) $11,900.28 $28,334 0.6×
Revasc lithotr-stent tib/per (C9773) $11,900.28 $28,334 0.6×
Revasc lithotrip tibi/perone (C9772) $7,440.30 $17,715 0.6×
Revasc lithotrip-stent-ather (C9767) $12,307.68 $29,304 0.6×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $2,592.66 $6,173 0.7×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $2,592.66 $6,173 0.7×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $2,592.66 $6,173 0.7×
Rmvl&Rplcmt Permanent Ccm-D Pulse Generator Only (0923T) $15,988.98 $38,069 0.7×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $17,836.14 $42,467 0.8×
Scr c/v cyto,thinlayer,rescr (G0145) $81.06 $193 3.1×
Screen pap by tech w md supv (P3000) $10.08 $24 0.5×
Tcat Implt Wrls L Atr Prs Snr L-T L Atr Prs Mntr (0933T) $458.22 $1,091 0.1×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $13,224.96 $31,488 0.7×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $12,710.46 $30,263 0.6×
Therapeutic procd strg endur (G0237) $83.16 $198 2.8×
Transcatheter Renal Sympath Denervation Bilat (0339T)
unusually low: confirm this is the full procedure
$2,709 $6,450 0.5×
Transcatheter renal sympath denervation unilat (0338T)
unusually low: confirm this is the full procedure
$2,586.78 $6,159 0.4×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $6,989.01 $16,640.50 0.6×
Trauma respons w/hosp criti (G0390) $1,392.51 $3,315.50 1.0×
Trluml Perip Athrc Renal Art (0234T) $6,989.01 $16,640.50 0.6×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T)
unusually low: confirm this is the full procedure
$4,575.90 $10,895 0.4×
Trluml peripheral atherectomy iliac artery ea (0238T)
unusually low: confirm this is the full procedure
$6,989.01 $16,640.50 0.4×
Tte w or w/o contr, cont ecg (C8930) $2,318.40 $5,520 2.8×
Tte w or w/o fol w/con,stres (C8928) $1,912.68 $4,554 2.3×
Tte w or wo fol wcon,doppler (C8929) $577.92 $1,376 0.7×
Unsched dialysis esrd pt hos (G0257) $442.26 $1,053 0.6×