Anti-thymocyte glob (equine)(1:1000) intradermal test dose 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

$9,768.24

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.

$23,257.70

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.

$3,381.52 with BCBS - NE vs $19,769.05 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
BCBS - NE Commercial|BluePrint $3,381.52 ↓ -65%
Centene Medicaid|NE Total Care $3,488.66 ↓ -64%
Amerigroup Medicaid|All Plans $3,578.61 ↓ -63%
Centene Medicaid|IA Total Care $3,578.61 ↓ -63%
Wellmark Commercial|PPO $3,614.80 ↓ -63%
Wellmark Commercial|HMO $3,614.80 ↓ -63%
IAMolina Medicaid|All Plans $3,648.78 ↓ -63%
BCBS - NE Commercial|All Other Plans $4,508.69 ↓ -54%
Humana Medicare|All Plans $4,885.58 ↓ -50%
Medica Medicare|All Plans $4,885.58 ↓ -50%
United Medicare|All Plans $4,885.58 ↓ -50%
PACE Medicare|All Plans $4,885.58 ↓ -50%
BCBS - NE Medicare|All Plans $4,885.58 ↓ -50%
Todays Options Medicare|All Plans $4,983.29 ↓ -49%
Centene Medicare|All Plans $5,032.15 ↓ -48%
Amerigroup Medicare|All Plans $5,129.86 ↓ -47%
Great Plains Medicare|All Plans $5,129.86 ↓ -47%
Medica Commercial|CHI Health $6,173.82 ↓ -37%
Medica Commercial|All Other Plans $6,465.09 ↓ -34%
ELAP Commercial|All Plans $6,512.16 ↓ -33%
United Commercial|All Plans $7,186.95 ↓ -26%
Medica Commercial|ACO $7,542.07 ↓ -23%
Greater Omaha Packing Commercial|Narrow Network $8,372.15 ↓ -14%
One World Commercial|Narrow Network $8,372.15 ↓ -14%
Millard Public Schools Commercial|Narrow Network $8,372.15 ↓ -14%
Millard Public Schools Commercial|Broad Network $9,627.91 ↓ -1%
Timpte Commercial|Broad Network $9,627.91 ↓ -1%
One World Commercial|Broad Network $9,627.91 ↓ -1%
Greater Omaha Packing Commercial|Broad Network $9,627.91 ↓ -1%
United Medicaid|Community Plan $10,698.55 ↑ +10%
AMPS Commercial|All Plans $10,845.99 ↑ +11%
Medica Commercial|Open Access $12,094.01 ↑ +24%
QuikTrip Commercial|All Plans $13,954.62 ↑ +43%
PHCS Commercial|All Plans $16,512.97 ↑ +69%
Midlands Choice Commercial|Standard $17,443.28 ↑ +79%
Midlands Choice Commercial|Premier $17,443.28 ↑ +79%
MultiPlan Commercial|All Plans $19,769.05 ↑ +102%

Visitor-reported prices

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Anti-thymocyte glob (equine)(1:1000) intradermal test dose at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $6,148.03 $5,013.11 – $7,018.35
MercyOne Dubuque Medical Center Dubuque $14,664.50 $4,376.29 – $14,664.50
MercyOne New Hampton Medical Center New Hampton $14,664.50 $5,013.11 – $14,664.50
MercyOne Dyersville Medical Center Dyersville $14,664.50 $5,013.11 – $16,506.36
MercyOne Clinton Medical Center Clinton $14,664.50 $4,150.05 – $14,664.50
MercyOne Oelwein Medical Center Oelwein $14,664.50 $5,013.11 – $14,664.50
MercyOne Cedar Falls Medical Center Cedar Falls $14,664.50 $3,446.16 – $14,664.50
MercyOne Elkader Medical Center Elkader $14,664.50 $5,013.11 – $15,327.34

All Iowa hospitals for this procedure →