Amputation toe interphalangeal joint 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

$1,212.54

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.

$2,887.00

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.

$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 →

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
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

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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

All Iowa hospitals for this procedure →