Aqueous shunt eye w/graft 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.
?
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.
?
The hospital's undiscounted list price — almost no one pays this.
$2,169.26 with Medica vs $12,082.08 with Millard Public Schools — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $2,169.26 | — |
| Centene | Medicaid|IA Total Care | $4,898.81 | — |
| Amerigroup | Medicaid|All Plans | $4,898.81 | — |
| IAMolina | Medicaid|All Plans | $4,994.86 | — |
| PACE | Medicare|All Plans | $5,028.45 | — |
| Medica | Medicare|All Plans | $5,028.45 | — |
| Humana | Medicare|All Plans | $5,028.45 | — |
| BCBS - NE | Medicare|All Plans | $5,028.45 | — |
| United | Medicare|All Plans | $5,028.45 | — |
| Todays Options | Medicare|All Plans | $5,129.02 | — |
| Centene | Medicare|All Plans | $5,179.30 | — |
| Great Plains | Medicare|All Plans | $5,279.87 | — |
| Amerigroup | Medicare|All Plans | $5,279.87 | — |
| Medica | Commercial|CHI Health | $6,209.00 | — |
| Medica | Commercial|All Other Plans | $8,467.00 | — |
| Greater Omaha Packing | Commercial|Narrow Network | $10,506.16 | — |
| One World | Commercial|Narrow Network | $10,506.16 | — |
| Millard Public Schools | Commercial|Narrow Network | $10,506.16 | — |
| AMPS | Commercial|All Plans | $11,163.16 | — |
| Greater Omaha Packing | Commercial|Broad Network | $12,082.08 | — |
| One World | Commercial|Broad Network | $12,082.08 | — |
| Timpte | Commercial|Broad Network | $12,082.08 | — |
| Millard Public Schools | Commercial|Broad Network | $12,082.08 | — |
| MultiPlan | Commercial|All Plans | not published by hospital | — |
| United | Commercial|All Plans | not published by hospital | — |
| Midlands Choice | Commercial|Premier | not published by hospital | — |
| United | Medicaid|Community Plan | not published by hospital | — |
| PHCS | Commercial|All Plans | not published by hospital | — |
| Medica | Commercial|Open Access | not published by hospital | — |
| Centene | Medicaid|NE Total Care | not published by hospital | — |
| ELAP | Commercial|All Plans | not published by hospital | — |
| QuikTrip | Commercial|All Plans | not published by hospital | — |
| Midlands Choice | Commercial|Standard | not published by hospital | — |
Visitor-reported prices
Comments
Aqueous shunt eye w/graft at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Cedar Falls Medical Center | Cedar Falls | $35,746.24 | $0.96 – $10,282.33 |
| UnityPoint Health - Allen Hospital | Waterloo | $5,656.00 | $1,021.82 – $4,276.76 |
| UnityPoint Health - Finley Hospital | Dubuque | $5,656.00 | $1,021.82 – $4,536.57 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $5,656.00 | $1,021.82 – $5,133.73 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $5,656.00 | $1,021.82 – $4,971.13 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $5,656.00 | $1,021.82 – $2,747.07 |
| UnityPoint Health - Marshalltown | Marshalltown | $5,656.00 | $1,021.82 – $5,020.89 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $5,656.00 | $919.10 – $4,569.55 |