Ado-trastuzumab emtansine 100 mg intravenous solution 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

$13,076.26

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.

$31,133.95

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.

$32.58 with BCBS - NE vs $16,539.94 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
BCBS - NE Commercial|BluePrint $32.58 ↓ -100%
Centene Medicaid|IA Total Care $38.66 ↓ -100%
Amerigroup Medicaid|All Plans $38.66 ↓ -100%
IAMolina Medicaid|All Plans $39.42 ↓ -100%
PACE Medicare|All Plans $40.79 ↓ -100%
Medica Medicare|All Plans $40.79 ↓ -100%
Humana Medicare|All Plans $40.79 ↓ -100%
United Medicare|All Plans $40.79 ↓ -100%
BCBS - NE Medicare|All Plans $40.79 ↓ -100%
Todays Options Medicare|All Plans $41.61 ↓ -100%
Centene Medicare|All Plans $42.01 ↓ -100%
Wellmark Commercial|PPO $42.07 ↓ -100%
Wellmark Commercial|HMO $42.07 ↓ -100%
Great Plains Medicare|All Plans $42.83 ↓ -100%
Amerigroup Medicare|All Plans $42.83 ↓ -100%
BCBS - NE Commercial|All Other Plans $43.44 ↓ -100%
United Commercial|All Plans $67.60 ↓ -99%
Medica Commercial|CHI Health $74.57 ↓ -99%
Medica Commercial|All Other Plans $78.09 ↓ -99%
One World Commercial|Narrow Network $78.74 ↓ -99%
Millard Public Schools Commercial|Narrow Network $78.74 ↓ -99%
Greater Omaha Packing Commercial|Narrow Network $78.74 ↓ -99%
Medica Commercial|ACO $80.58 ↓ -99%
AMPS Commercial|All Plans $90.55 ↓ -99%
One World Commercial|Broad Network $90.56 ↓ -99%
Timpte Commercial|Broad Network $90.56 ↓ -99%
Greater Omaha Packing Commercial|Broad Network $90.56 ↓ -99%
Millard Public Schools Commercial|Broad Network $90.56 ↓ -99%
Centene Medicaid|NE Total Care $2,918.82 ↓ -78%
ELAP Commercial|All Plans $5,448.45 ↓ -58%
United Medicaid|Community Plan $8,951.03 ↓ -32%
Medica Commercial|Open Access $10,118.55 ↓ -23%
QuikTrip Commercial|All Plans $11,675.25 ↓ -11%
PHCS Commercial|All Plans $13,815.72 ↑ +6%
Midlands Choice Commercial|Standard $14,594.07 ↑ +12%
Midlands Choice Commercial|Premier $14,594.07 ↑ +12%
MultiPlan Commercial|All Plans $16,539.94 ↑ +26%

Visitor-reported prices

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Ado-trastuzumab emtansine 100 mg intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $10,646.11 $41.85 – $58.59
MercyOne Dubuque Medical Center Dubuque $19,916.25 $38.66 – $12,447.70
MercyOne New Hampton Medical Center New Hampton $19,916.25 $4,580.00 – $12,447.70
MercyOne Dyersville Medical Center Dyersville $19,916.25 $4,580.00 – $14,011.13
MercyOne Clinton Medical Center Clinton $19,916.25 $38.66 – $12,447.70
MercyOne Oelwein Medical Center Oelwein $19,916.25 $4,580.00 – $12,447.70
MercyOne Cedar Falls Medical Center Cedar Falls $19,916.25 $38.66 – $12,447.70
MercyOne Elkader Medical Center Elkader $19,916.25 $4,580.00 – $13,010.34

All Iowa hospitals for this procedure →