Amputation toe interphalangeal joint at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,212.54
Cash price 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.
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What you pay up front if you don't use insurance.
$2,887.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$328.61 with Medica vs $7,019.80 with AMPS — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Medica | Commercial|ACO | $328.61 | ↓ -73% |
| Centene | Medicaid|NE Total Care | $433.05 | ↓ -64% |
| Creighton University Employees | Commercial|All Plans | $701.00 | ↓ -42% |
| ELAP | Commercial|All Plans | $808.36 | ↓ -33% |
| United | Medicaid|Community Plan | $1,328.02 | ↑ +10% |
| United | Commercial|All Plans | $1,356.89 | ↑ +12% |
| Midlands Choice | Commercial|Premier | $1,501.24 | ↑ +24% |
| Medica | Commercial|Open Access | $1,501.24 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $1,732.20 | ↑ +43% |
| PHCS | Commercial|All Plans | $2,049.77 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $2,165.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $2,453.95 | ↑ +102% |
| Greater Omaha Packing | Commercial|Narrow Network | $3,034.03 | ↑ +150% |
| One World | Commercial|Narrow Network | $3,034.03 | ↑ +150% |
| Millard Public Schools | Commercial|Narrow Network | $3,034.03 | ↑ +150% |
| Centene | Medicaid|IA Total Care | $3,080.54 | ↑ +154% |
| Amerigroup | Medicaid|All Plans | $3,080.54 | ↑ +154% |
| IAMolina | Medicaid|All Plans | $3,140.95 | ↑ +159% |
| Humana | Medicare|All Plans | $3,162.07 | ↑ +161% |
| Medica | Medicare|All Plans | $3,162.07 | ↑ +161% |
| United | Medicare|All Plans | $3,162.07 | ↑ +161% |
| PACE | Medicare|All Plans | $3,162.07 | ↑ +161% |
| BCBS - NE | Medicare|All Plans | $3,162.07 | ↑ +161% |
| Todays Options | Medicare|All Plans | $3,225.31 | ↑ +166% |
| Centene | Medicare|All Plans | $3,256.93 | ↑ +169% |
| Great Plains | Medicare|All Plans | $3,320.17 | ↑ +174% |
| Amerigroup | Medicare|All Plans | $3,320.17 | ↑ +174% |
| Greater Omaha Packing | Commercial|Broad Network | $3,489.13 | ↑ +188% |
| Millard Public Schools | Commercial|Broad Network | $3,489.13 | ↑ +188% |
| One World | Commercial|Broad Network | $3,489.13 | ↑ +188% |
| Timpte | Commercial|Broad Network | $3,489.13 | ↑ +188% |
| Medica | Commercial|CHI Health | $3,725.00 | ↑ +207% |
| Medica | Commercial|All Other Plans | $5,081.00 | ↑ +319% |
| AMPS | Commercial|All Plans | $7,019.80 | ↑ +479% |
Visitor-reported prices
Comments
Amputation toe interphalangeal joint at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,195.60 | $3,105.81 – $3,461.90 |
| MercyOne New Hampton Medical Center | New Hampton | $4,693.79 | $0.50 – $31.45 |
| MercyOne Clinton Medical Center | Clinton | $14,223.27 | $2.28 – $7,001.93 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $20,674.20 | $62.90 – $6,322.47 |
| MercyOne Des Moines Medical Center | Des Moines | $25,001.35 | $31.45 – $6,352.30 |
| MercyOne Centerville Medical Center | Centerville | $9,011.63 | $5.01 – $1,381.00 |
| MercyOne North Iowa Medical Center | Mason City | $28,954.15 | $31.45 – $7,088.72 |
| MercyOne Genesis Davenport Medical Center | Davenport | $3,691.20 | $3,105.81 – $3,998.80 |