Acetazolamide 500 mg solution for injection at CHI Health Mercy Council Bluffs

800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$79.95

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$190.35

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$14.93 with Centene vs $84.58 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Centene Medicaid|NE Total Care $14.93 ↓ -81%
BCBS - NE Commercial|BluePrint $20.41 ↓ -74%
Wellmark Commercial|HMO $26.23 ↓ -67%
Wellmark Commercial|PPO $26.23 ↓ -67%
BCBS - NE Commercial|All Other Plans $27.22 ↓ -66%
ELAP Commercial|All Plans $27.86 ↓ -65%
United Commercial|All Plans $35.67 ↓ -55%
One World Commercial|Narrow Network $41.55 ↓ -48%
Millard Public Schools Commercial|Narrow Network $41.55 ↓ -48%
Greater Omaha Packing Commercial|Narrow Network $41.55 ↓ -48%
United Medicaid|Community Plan $45.77 ↓ -43%
Timpte Commercial|Broad Network $47.78 ↓ -40%
Greater Omaha Packing Commercial|Broad Network $47.78 ↓ -40%
Millard Public Schools Commercial|Broad Network $47.78 ↓ -40%
One World Commercial|Broad Network $47.78 ↓ -40%
Medica Commercial|CHI Health $49.20 ↓ -38%
Medica Commercial|All Other Plans $51.52 ↓ -36%
Medica Commercial|Open Access $51.74 ↓ -35%
Medica Commercial|ACO $59.05 ↓ -26%
QuikTrip Commercial|All Plans $59.70 ↓ -25%
PHCS Commercial|All Plans $70.65 ↓ -12%
Midlands Choice Commercial|Standard $74.63 ↓ -7%
Midlands Choice Commercial|Premier $74.63 ↓ -7%
MultiPlan Commercial|All Plans $84.58 ↑ +6%

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $77.07 not published
MercyOne Dubuque Medical Center Dubuque $55.20 $17.23 – $55.20
MercyOne Dyersville Medical Center Dyersville $55.20 $17.23 – $62.13
MercyOne Clinton Medical Center Clinton $55.20 $15.62 – $55.20
MercyOne Oelwein Medical Center Oelwein $55.20 $17.23 – $55.20
MercyOne Cedar Falls Medical Center Cedar Falls $55.20 $12.97 – $55.20
MercyOne Elkader Medical Center Elkader $55.20 $17.23 – $57.70
MercyOne West Des Moines Medical Center West Des Moines $184.00 $17.23 – $184.00

All Iowa hospitals for this procedure →