Application of paste boot 29580 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

$233.94

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.

$557.00

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.

$38.40 with Centene vs $1,302.00 with Medica — 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
Centene Medicaid|NE Total Care $38.40 ↓ -84%
Medica Commercial|ACO $49.37 ↓ -79%
ELAP Commercial|All Plans $71.68 ↓ -69%
United Medicaid|Community Plan $117.76 ↓ -50%
United Commercial|All Plans $120.32 ↓ -49%
Medica Commercial|Open Access $133.12 ↓ -43%
Centene Medicaid|IA Total Care $149.82 ↓ -36%
Amerigroup Medicaid|All Plans $149.82 ↓ -36%
IAMolina Medicaid|All Plans $152.76 ↓ -35%
QuikTrip Commercial|All Plans $153.60 ↓ -34%
Humana Medicare|All Plans $153.78 ↓ -34%
Medica Medicare|All Plans $153.78 ↓ -34%
United Medicare|All Plans $153.78 ↓ -34%
PACE Medicare|All Plans $153.78 ↓ -34%
BCBS - NE Medicare|All Plans $153.78 ↓ -34%
Todays Options Medicare|All Plans $156.86 ↓ -33%
Centene Medicare|All Plans $158.39 ↓ -32%
Amerigroup Medicare|All Plans $161.47 ↓ -31%
Great Plains Medicare|All Plans $161.47 ↓ -31%
PHCS Commercial|All Plans $181.76 ↓ -22%
Midlands Choice Commercial|Premier $192.00 ↓ -18%
Midlands Choice Commercial|Standard $192.00 ↓ -18%
MultiPlan Commercial|All Plans $217.60 ↓ -7%
AMPS Commercial|All Plans $341.39 ↑ +46%
Medica Commercial|CHI Health $953.00 ↑ +307%
Medica Commercial|All Other Plans $1,302.00 ↑ +457%

Visitor-reported prices

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Application of paste boot 29580 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $177.60 $151.04 – $192.40
MercyOne Dyersville Medical Center Dyersville $465.40 $180.31 – $536.91
MercyOne West Des Moines Medical Center West Des Moines $721.00 $96.68 – $481.00
MercyOne Centerville Medical Center Centerville $716.00 $130.89 – $477.00
MercyOne North Iowa Medical Center Mason City $380.90 $8.31 – $391.00
MercyOne Genesis Davenport Medical Center Davenport $205.80 $151.04 – $211.46
MercyOne Genesis DeWitt Medical Center DeWitt $99.60 $121.18 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $619.96 $23.70 – $204.20

All Iowa hospitals for this procedure →