How many shoppable procedure prices are published for CHI Health Bergan Mercy?

CHI Health Bergan Mercy in Omaha, NE currently has 120 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do CHI Health Bergan Mercy's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, CHI Health Bergan Mercy's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is CHI Health Bergan Mercy's CMS Care Compare overall star rating?

CMS Care Compare assigns CHI Health Bergan Mercy an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 389 Beds · urban Updated: 2026-02-28

CHI Health Bergan Mercy

7500 Mercy Rd, Omaha, NE 68124 · 120 Priced Procedures · 59% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.37×vs. Fair Market Price

Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness100

Price Logic68

Peer Alignment76

Clean Billing77

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.37× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

CHI Health Bergan Mercy maintains elevated commercial insurance contracts (1.37× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 67% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#24 of 60 in NE · 38th State Percentile#2,400 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 59% patient recommendation (59/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (33.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.37× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.48× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.85×) jump +25% above the median procedure ratio (Q50 1.48×)
Unnegotiated chargemaster list prices average 13.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.89× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+25% Upper Tail

Q25 0.97× · Q50 1.48× · Q75 1.85×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.0× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 59/100Elevated

Procedure Prices at CHI Health Bergan Mercy

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 120 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$51,876	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$30,589	$19,087	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$30,413	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$29,395	$19,432	1.5×
Total hip replacement CPT Code: `27130`	—	$12,539	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$12,539	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,165	$8,223	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,970	$6,109	1.0×
Breast lump removal CPT Code: `19120`	—	$3,844	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,611	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,320	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	—	$3,320	$3,446	1.0×
Rabies immune globulin HCPCS Code: `90375`	$3,060	$3,060	$322	9.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,334	$2,540	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,991	$2,122	$1,021	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$1,925	$1,955	$987	2.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,895	$2,680	0.7×
C-section delivery (full package) CPT Code: `59510`	—	$1,895	$2,975	0.6×
Trauma team activation HCPCS Code: `G0390`	$1,393	$1,741	$1,453	1.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,207	$1,256	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,481	$1,164	$583	2.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,452	$1,141	$272	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$933	$981	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,051	$830	$448	1.9×
Blood transfusion CPT Code: `36430`	$726	$839	$498	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,864	$754	$511	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$491	$709	$855	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,454	$589	$343	1.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,425	$577	$338	1.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,559	$512	$303	1.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,258	$509	$369	1.4×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,105	$447	$258	1.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$935	$379	$168	2.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$915	$370	$169	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$916	$371	$242	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	$332	$332	$151	2.2×
CT scan, pelvis CPT Code: `72192`	$848	$343	$163	2.1×
CT scan, chest (no contrast) CPT Code: `71250`	$755	$342	$167	2.0×
CT scan, sinuses CPT Code: `70486`	$809	$327	$166	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	$221	$316	$110	unverified
Neurobehavioral status check CPT Code: `96116`	$186	$286	$231	1.2×
Care planning with family CPT Code: `90887`	$177	$253	$107	2.4×
CT scan, head (no contrast) CPT Code: `70450`	$674	$273	$160	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$368	$236	$132	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$525	$237	$134	1.8×
Ultrasound, pelvis CPT Code: `76856`	$472	$222	$130	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$320	$205	$126	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	$159	$220	$185	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$162	$176	$86	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$128	$197	$148	1.3×
X-ray, chest (single view) CPT Code: `71045`	$141	$171	$92	1.9×
Screening mammogram (both breasts) CPT Code: `77067`	$128	$183	$123	1.5×
X-ray, lower back CPT Code: `72110`	$352	$142	$112	1.3×
Family therapy session CPT Code: `90847`	$202	$164	$173	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$92	$157	$166	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$102	$180	$201	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$91	$142	$123	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$109	$160	$181	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$59	$100	$34	2.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$74	$106	$38	2.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$57	$96	$35	2.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$57	$97	$40	2.4×
Occupational therapy (self-care training) CPT Code: `97535`	$53	$89	$38	2.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$74	$110	$87	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$48	$82	$38	2.2×
Orthotic fitting and training CPT Code: `97760`	$58	$83	$51	1.6×
X-ray, chest (two views) CPT Code: `71046`	$145	$107	$93	1.2×
X-ray, ankle CPT Code: `73610`	$229	$93	$93	1.0×
X-ray, foot CPT Code: `73630`	$189	$90	$92	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$212	$90	$93	1.0×
X-ray, hand CPT Code: `73130`	$223	$90	$93	1.0×
X-ray, shoulder CPT Code: `73030`	$215	$88	$92	1.0×
Group therapy session CPT Code: `90853`	$72	$95	$100	0.9×
X-ray, pelvis CPT Code: `72170`	$168	$104	$110	0.9×
X-ray, hip CPT Code: `73502`	$66	$87	$93	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$105	$105	$14	unverified
Typhoid vaccine HCPCS Code: `90675`	$576	$596	$347	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$282	$344	$203	1.7×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$364	$313	$111	2.8×
Blood test, vitamin D CPT Code: `82306`	$233	$233	$31	7.5×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$205	$205	$11	18.6×
Blood test, basic metabolic panel CPT Code: `80048`	$165	$165	$9	unverified
Culture, blood CPT Code: `87040`	$180	$180	$11	unverified
Blood test, lipase CPT Code: `83690`	$96	$96	$7	13.7×
Drug screening test HCPCS Code: `G0480`	$96	$119	$116	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$92	$92	$8	11.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$102	$102	$14	7.3×
Blood test, vitamin B12 CPT Code: `82607`	$113	$113	$16	7.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$113	$113	$18	6.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$89	$121	$56	2.2×
Blood test, liver function panel CPT Code: `80076`	$134	$134	$9	unverified
Blood test, amylase CPT Code: `82150`	$87	$87	$7	12.4×
Culture, bacterial CPT Code: `87070`	$81	$81	$9	9.0×
Hepatitis C antibody test CPT Code: `86803`	$92	$92	$15	6.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$93	$93	$19	4.9×
Pneumococcal vaccine HCPCS Code: `90732`	$231	$116	$140	0.8×
Blood test, clotting time (PTT) CPT Code: `85730`	$67	$67	$6	11.2×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$81	$81	$27	3.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$55	$55	$5	11.0×
Blood test, sodium CPT Code: `84295`	$54	$54	$5	10.8×
Speech therapy (group session) CPT Code: `92508`	$79	$79	$27	2.9×
Physical therapy (gait training) CPT Code: `97116`	$45	$76	$33	2.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$188	$79	$64	1.2×
Blood test, hemoglobin CPT Code: `85018`	$29	$29	$3	9.7×
Blood test, potassium CPT Code: `84132`	$46	$46	$5	9.2×
Blood test, magnesium CPT Code: `83735`	$63	$63	$7	9.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$81	$81	$10	8.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$59	$83	$39	2.1×
Blood test, calcium CPT Code: `82310`	$87	$87	$5	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$98	$98	$20	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$51	$5	10.2×
Blood antibody screen CPT Code: `86850`	$77	$53	$46	1.2×
Hepatitis B vaccine HCPCS Code: `90744`	$60	$37	$37	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$60	$60	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$4	$4	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$66	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$19	$15	$25	0.6×
Prosthetic fitting and training CPT Code: `97761`	$16	$27	$45	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$21	$27	$86	0.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$38	$38	$4	unverified

Showing top 25 high-impact procedures of 120 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 33.0%

Audit a Bill or Quote at CHI Health Bergan Mercy (Zero PHI Required)

CMS CCN: 280060

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $51,876

1. Amount on Your Bill or Quote ($) Pre-filled with CHI Health Bergan Mercy’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $41,086 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $41,086

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (33.0% of gross = $41,086).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask CHI Health Bergan Mercy's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$93,727 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($124,502) is $93,727 above the denoised Fair BaseRate ($30,775) and 5.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 470484764

Filing Period: 194603

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (33.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite59/100

Would Recommend59%

Rated 9 or 10 (HCAHPS)63%

Median ER Wait160 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (616 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI Health Bergan Mercy.

Price Index: 0.96× regional baseline

Quality: 44/100 CMS composite

Median Household Income$79,081U.S. Census ACS

Local Uninsured Share8.7%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 84/100 · Corroborated CMS CCN 280060 EIN 470484764

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 280060) ↗ Verify IRS Form 990 (EIN 470484764) ↗ CMS HCRIS Cost Reports ↗

Published MRF File470484764-1508941097_alegent-health-bergan-mercy-health-system_standardcharges.json

Publication / Vintage2026-02-28 · 132.18 MB

Validated Rate Rows3,290 (CMS v3.0.0)

File Integrity Digest8548d954ce47a06bde41…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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