Appl mltpln uni ext fixj sys at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
not published by hospital
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.
not published by hospital
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.
$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 →
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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 | $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
Comments
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 |