Appl mltpln uni ext fixj sys 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

not published by hospital

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.

not published by hospital

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.

$2,121.02 with Medica vs $27,837.67 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 $2,121.02
Medica Commercial|CHI Health $4,801.00
Medica Commercial|All Other Plans $6,546.00
Millard Public Schools Commercial|Narrow Network $8,042.03
Greater Omaha Packing Commercial|Narrow Network $8,042.03
One World Commercial|Narrow Network $8,042.03
Timpte Commercial|Broad Network $9,248.33
Greater Omaha Packing Commercial|Broad Network $9,248.33
One World Commercial|Broad Network $9,248.33
Millard Public Schools Commercial|Broad Network $9,248.33
Centene Medicaid|IA Total Care $12,216.18
Amerigroup Medicaid|All Plans $12,216.18
IAMolina Medicaid|All Plans $12,455.72
United Medicare|All Plans $12,539.49
Medica Medicare|All Plans $12,539.49
PACE Medicare|All Plans $12,539.49
Humana Medicare|All Plans $12,539.49
BCBS - NE Medicare|All Plans $12,539.49
Todays Options Medicare|All Plans $12,790.28
Centene Medicare|All Plans $12,915.67
Great Plains Medicare|All Plans $13,166.46
Amerigroup Medicare|All Plans $13,166.46
AMPS Commercial|All Plans $27,837.67
United Medicaid|Community Plan not published by hospital
United Commercial|All Plans not published by hospital
Midlands Choice Commercial|Standard not published by hospital
Midlands Choice Commercial|Premier not published by hospital
Medica Commercial|Open Access not published by hospital
QuikTrip Commercial|All Plans not published by hospital
MultiPlan Commercial|All Plans not published by hospital
Centene Medicaid|NE Total Care not published by hospital
PHCS Commercial|All Plans not published by hospital
ELAP Commercial|All Plans not published by hospital

Visitor-reported prices

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Appl mltpln uni ext fixj sys at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Clinton Medical Center Clinton $3,871.00 $20.28 – $405.28
MercyOne Genesis Davenport Medical Center Davenport $1,563.00 not published
MercyOne Genesis DeWitt Medical Center DeWitt $1,563.00 $928.00 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $2,767.20 $1,020.55 – $10,664.99
UnityPoint Health - Finley Hospital Dubuque $2,767.20 $1,020.55 – $11,312.88
UnityPoint Health - Grinnell Regional Medical Center Grinnell $2,767.20 $1,020.55 – $12,802.03
UnityPoint Health - Iowa Lutheran Hospital Des Moines $2,767.20 $1,020.55 – $12,396.56
UnityPoint Health - Jones Regional Medical Center Anamosa $2,767.20 $1,020.55 – $2,709.57

All Iowa hospitals for this procedure →