_afb id by dna probe rflx ast 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

$109.20

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.

$260.00

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.

$19.43 with Amerigroup vs $221.00 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
Amerigroup Medicaid|All Plans $19.43 ↓ -82%
Centene Medicaid|IA Total Care $19.43 ↓ -82%
IAMolina Medicaid|All Plans $19.81 ↓ -82%
Humana Medicare|All Plans $20.05 ↓ -82%
Medica Medicare|All Plans $20.05 ↓ -82%
United Medicare|All Plans $20.05 ↓ -82%
PACE Medicare|All Plans $20.05 ↓ -82%
BCBS - NE Medicare|All Plans $20.05 ↓ -82%
Todays Options Medicare|All Plans $20.45 ↓ -81%
Centene Medicare|All Plans $20.65 ↓ -81%
Amerigroup Medicare|All Plans $21.05 ↓ -81%
Great Plains Medicare|All Plans $21.05 ↓ -81%
Medica Commercial|ACO $38.47 ↓ -65%
Centene Medicaid|NE Total Care $39.00 ↓ -64%
Medica Commercial|CHI Health $41.22 ↓ -62%
Medica Commercial|All Other Plans $43.17 ↓ -60%
AMPS Commercial|All Plans $44.51 ↓ -59%
Creighton University Employees Commercial|All Plans $64.64 ↓ -41%
ELAP Commercial|All Plans $72.80 ↓ -33%
United Commercial|All Plans $84.35 ↓ -23%
United Medicaid|Community Plan $119.60 ↑ +10%
Medica Commercial|Open Access $135.20 ↑ +24%
Midlands Choice Commercial|Premier $135.20 ↑ +24%
Millard Public Schools Commercial|Narrow Network $137.20 ↑ +26%
Greater Omaha Packing Commercial|Narrow Network $137.20 ↑ +26%
One World Commercial|Narrow Network $137.20 ↑ +26%
QuikTrip Commercial|All Plans $156.00 ↑ +43%
Timpte Commercial|Broad Network $157.77 ↑ +44%
Greater Omaha Packing Commercial|Broad Network $157.77 ↑ +44%
Millard Public Schools Commercial|Broad Network $157.77 ↑ +44%
One World Commercial|Broad Network $157.77 ↑ +44%
PHCS Commercial|All Plans $184.60 ↑ +69%
Midlands Choice Commercial|Standard $195.00 ↑ +79%
MultiPlan Commercial|All Plans $221.00 ↑ +102%

Visitor-reported prices

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_afb id by dna probe rflx ast at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $99.00 $20.05 – $20.05
MercyOne Genesis Davenport Medical Center Davenport $110.40 not published
MercyOne Genesis DeWitt Medical Center DeWitt $110.40 $38.42 – $82.49
UnityPoint Health - Allen Hospital Waterloo $50.40 $12.03 – $31.19
UnityPoint Health - Finley Hospital Dubuque $50.40 $3.50 – $38.58
UnityPoint Health - Grinnell Regional Medical Center Grinnell $50.40 $12.03 – $26.07
UnityPoint Health - Iowa Lutheran Hospital Des Moines $50.40 $12.03 – $31.19
UnityPoint Health - Jones Regional Medical Center Anamosa $50.40 $12.03 – $42.77

All Iowa hospitals for this procedure →