Amp f/th 1/2 jt/phalanx w/neurect local flap 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

$1,802.64

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.

$4,292.00

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.

$643.80 with Centene vs $10,563.53 with Greater Omaha Packing — 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 $643.80 ↓ -64%
Creighton University Employees Commercial|All Plans $701.00 ↓ -61%
ELAP Commercial|All Plans $1,201.76 ↓ -33%
Medica Commercial|ACO $1,297.32 ↓ -28%
Medica Commercial|CHI Health $1,701.00 ↓ -6%
United Medicaid|Community Plan $1,974.32 ↑ +10%
United Commercial|All Plans $2,017.24 ↑ +12%
Midlands Choice Commercial|Premier $2,231.84 ↑ +24%
Medica Commercial|Open Access $2,231.84 ↑ +24%
Medica Commercial|All Other Plans $2,322.00 ↑ +29%
QuikTrip Commercial|All Plans $2,575.20 ↑ +43%
PHCS Commercial|All Plans $3,047.32 ↑ +69%
Centene Medicaid|IA Total Care $3,080.54 ↑ +71%
Amerigroup Medicaid|All Plans $3,080.54 ↑ +71%
IAMolina Medicaid|All Plans $3,140.95 ↑ +74%
Humana Medicare|All Plans $3,162.07 ↑ +75%
Medica Medicare|All Plans $3,162.07 ↑ +75%
United Medicare|All Plans $3,162.07 ↑ +75%
PACE Medicare|All Plans $3,162.07 ↑ +75%
BCBS - NE Medicare|All Plans $3,162.07 ↑ +75%
Midlands Choice Commercial|Standard $3,219.00 ↑ +79%
Todays Options Medicare|All Plans $3,225.31 ↑ +79%
Centene Medicare|All Plans $3,256.93 ↑ +81%
Amerigroup Medicare|All Plans $3,320.17 ↑ +84%
Great Plains Medicare|All Plans $3,320.17 ↑ +84%
MultiPlan Commercial|All Plans $3,648.20 ↑ +102%
AMPS Commercial|All Plans $7,019.80 ↑ +289%
Millard Public Schools Commercial|Narrow Network $9,185.68 ↑ +410%
Greater Omaha Packing Commercial|Narrow Network $9,185.68 ↑ +410%
One World Commercial|Narrow Network $9,185.68 ↑ +410%
One World Commercial|Broad Network $10,563.53 ↑ +486%
Millard Public Schools Commercial|Broad Network $10,563.53 ↑ +486%
Timpte Commercial|Broad Network $10,563.53 ↑ +486%
Greater Omaha Packing Commercial|Broad Network $10,563.53 ↑ +486%

Visitor-reported prices

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Amp f/th 1/2 jt/phalanx w/neurect local flap at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $5,796.58 $613.78 – $3,818.49
UnityPoint Health - Finley Hospital Dubuque $1,616.00 $613.78 – $2,852.76
UnityPoint Health - Grinnell Regional Medical Center Grinnell $3,887.01 $613.78 – $3,228.27
UnityPoint Health - Iowa Lutheran Hospital Des Moines $2,677.77 $613.78 – $3,126.02
UnityPoint Health - Jones Regional Medical Center Anamosa $1,616.00 $613.78 – $1,648.09
UnityPoint Health - Marshalltown Marshalltown $5,796.58 $613.78 – $3,477.95
UnityPoint Health - St. Lukes Downtown Sioux City $5,813.74 $525.20 – $4,200.42
UnityPoint Health - Trinity Bettendorf Bettendorf $2,785.15 $613.78 – $2,791.99

All Iowa hospitals for this procedure →