Supplies, drugs & other prices at CHI Health Mercy Council Bluffs

Council Bluffs, IA · 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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ProcedurePosted cashPosted gross× 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 2.7×
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×
Electrophysiologic eval ccm-d leads at 1st impl (0930T) $173.04 $412 0.1×
Electrophysiologic eval ccm-d leads separate (0931T) $173.04 $412 0.1×
Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) $2,116.38 $5,039 0.7×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $7,747.32 $18,446 0.7×
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 4.6×
Group mnt 2 or more 30 mins (G0271) $26.46 $63 1.6×
Hbot, full body chamber, 30m (G0277) $190.68 $454 1.4×
Inj for sacroiliac jt anesth (G0260) $490.56 $1,168 0.7×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $744.66 $1,773 0.8×
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 Electrode Only (0526T) $5,933.34 $14,127 0.7×
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 Wcs Lv Eltrd Only (0516T) $5,933.34 $14,127 0.6×
Insj Wcs Lv Pg Compnt (0517T) $5,933.34 $14,127 0.6×
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 Wrls Car Stimulator in Person (0521T) $29.40 $70 1.0×
Mnt subs tx for change dx (G0270) $54.18 $129 1.7×
Mri w/cont, breast, bi (C8906)
range across 2 matching MRF lines
$704.76–$1,426.32 $1,678–$3,396 varies
Mri w/cont, breast, uni (C8903) $1,443.12 $3,436 8.0×
Mri w/o fol w/cont, breast, (C8908) $1,677.90 $3,995 4.7×
Mri w/o fol w/cont, brst, un (C8905) $1,443.12 $3,436 4.0×
N-Invas Detcj Heart Failure Drv Augmnt Alys Echo (0932T) $42.84 $102 0.1×
Njx bone sub matrl into subchondral bone defect (0707T) $2,111.76 $5,028 0.6×
Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) $688.38 $1,639 0.8×
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 1.8×
Oth resp proc, indiv (G0238) $106.26 $253 3.6×
Pemivibart infusion (M0224) $321.30 $765 0.7×
Perc d-e cor revasc chro sin (C9607)
range across 2 matching MRF lines
$10,621.38–$11,429.46 $25,289–$27,213 varies
Perc d-e cor revasc t cabg s (C9604)
range across 2 matching MRF lines
$10,621.38–$11,544.96 $25,289–$27,488 varies
Perc d-e cor stent ather s (C9602)
range across 2 matching MRF lines
$10,621.38–$11,544.96 $25,289–$27,488 varies
Perc drug-el cor stent sing (C9600)
range across 2 matching MRF lines
$10,621.38–$11,544.96 $25,289–$27,488 varies
Perq Sacral Augmt Bilat Inj (0201T)
range across 2 matching MRF lines
$1,800.54–$4,580.52 $4,287–$10,906 varies
Perq Sacral Augmt Unilat Inj (0200T)
range across 2 matching MRF lines
$1,440.60–$4,580.52 $3,430–$10,906 varies
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 complete iims (0530T) $2,508.24 $5,972 0.7×
Removal iims electrode only (0531T) $2,508.24 $5,972 0.7×
Removal iims implt mntr only (0532T) $2,508.24 $5,972 0.7×
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 0.7×
Rmvl & Rplcmt Pg Compnt Wcs (0519T) $17,624.88 $41,964 1.6×
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 Pg Compnt Wcs (0518T) $2,508.24 $5,972 0.7×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $15,988.98 $38,069 0.7×
Rmvl&Rplcmt Pg Wcs New Eltrd (0520T)
likely a partial charge, not the full procedure
$13.44 $32 0.0×
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×
Trauma respons w/hosp criti (G0390)
range across 6 matching MRF lines
$731.22–$4,153.80 $1,741–$9,890 varies
Trluml perip athrc abd aorta (0236T)
range across 2 matching MRF lines
$6,785.52–$7,192.50 $16,156–$17,125 varies
Trluml Perip Athrc Brchiocph (0237T)
range across 2 matching MRF lines
$2,107.98–$7,043.82 $5,019–$16,771 varies
Trluml Perip Athrc Iliac Art (0238T)
range across 2 matching MRF lines
$6,785.52–$7,192.50 $16,156–$17,125 varies
Trluml Peripheral Atherectomy Renal Artery Ea (0234T)
range across 2 matching MRF lines
$6,785.52–$7,192.50 $16,156–$17,125 varies
Tte w or w/o contr, cont ecg (C8930) $2,318.40 $5,520 2.9×
Tte w or w/o fol w/con,stres (C8928)
range across 2 matching MRF lines
$1,506.96–$2,318.40 $3,588–$5,520 varies
Tte w or wo fol wcon,doppler (C8929)
range across 3 matching MRF lines
$533.40–$1,659 $1,270–$3,950 varies
Unsched dialysis esrd pt hos (G0257)
range across 3 matching MRF lines
$238.98–$468.72 $569–$1,116 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.