Anca screen with reflex to titer -quest 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

$734.16

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.

$1,748.00

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.

$14.59 with Amerigroup vs $1,485.80 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 $14.59 ↓ -98%
Centene Medicaid|IA Total Care $14.59 ↓ -98%
IAMolina Medicaid|All Plans $14.87 ↓ -98%
Humana Medicare|All Plans $15.05 ↓ -98%
Medica Medicare|All Plans $15.05 ↓ -98%
United Medicare|All Plans $15.05 ↓ -98%
PACE Medicare|All Plans $15.05 ↓ -98%
BCBS - NE Medicare|All Plans $15.05 ↓ -98%
Todays Options Medicare|All Plans $15.35 ↓ -98%
Centene Medicare|All Plans $15.50 ↓ -98%
Amerigroup Medicare|All Plans $15.80 ↓ -98%
Great Plains Medicare|All Plans $15.80 ↓ -98%
Medica Commercial|ACO $29.00 ↓ -96%
Medica Commercial|CHI Health $30.94 ↓ -96%
Medica Commercial|All Other Plans $32.40 ↓ -96%
AMPS Commercial|All Plans $33.41 ↓ -95%
Creighton University Employees Commercial|All Plans $48.52 ↓ -93%
United Commercial|All Plans $63.32 ↓ -91%
Greater Omaha Packing Commercial|Narrow Network $103.01 ↓ -86%
One World Commercial|Narrow Network $103.01 ↓ -86%
Millard Public Schools Commercial|Narrow Network $103.01 ↓ -86%
One World Commercial|Broad Network $118.46 ↓ -84%
Timpte Commercial|Broad Network $118.46 ↓ -84%
Millard Public Schools Commercial|Broad Network $118.46 ↓ -84%
Greater Omaha Packing Commercial|Broad Network $118.46 ↓ -84%
Centene Medicaid|NE Total Care $262.20 ↓ -64%
ELAP Commercial|All Plans $489.44 ↓ -33%
United Medicaid|Community Plan $804.08 ↑ +10%
Medica Commercial|Open Access $908.96 ↑ +24%
Midlands Choice Commercial|Premier $908.96 ↑ +24%
QuikTrip Commercial|All Plans $1,048.80 ↑ +43%
PHCS Commercial|All Plans $1,241.08 ↑ +69%
Midlands Choice Commercial|Standard $1,311.00 ↑ +79%
MultiPlan Commercial|All Plans $1,485.80 ↑ +102%

Visitor-reported prices

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Anca screen with reflex to titer -quest at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $319.80 $15.05 – $15.05
MercyOne North Iowa Medical Center Mason City $78.00 $14.59 – $120.00
MercyOne Genesis Davenport Medical Center Davenport $336.00 not published
MercyOne Genesis DeWitt Medical Center DeWitt $54.00 $30.26 – $64.97
UnityPoint Health - Allen Hospital Waterloo $48.57 $9.03 – $31.99
UnityPoint Health - Finley Hospital Dubuque $48.57 $3.50 – $48.57
UnityPoint Health - Grinnell Regional Medical Center Grinnell $48.57 $9.03 – $24.47
UnityPoint Health - Iowa Lutheran Hospital Des Moines $48.57 $9.03 – $23.42

All Iowa hospitals for this procedure →