Aspirate pleura without imaging 32554 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

$435.96

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.

$1,038.00

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.

$23.85 with Centene vs $3,259.25 with Timpte — 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 $23.85 ↓ -95%
ELAP Commercial|All Plans $44.52 ↓ -90%
United Medicaid|Community Plan $73.14 ↓ -83%
United Commercial|All Plans $74.73 ↓ -83%
QuikTrip Commercial|All Plans $95.40 ↓ -78%
PHCS Commercial|All Plans $112.89 ↓ -74%
Medica Commercial|Open Access $119.25 ↓ -73%
Midlands Choice Commercial|Premier $119.25 ↓ -73%
Midlands Choice Commercial|Standard $119.25 ↓ -73%
MultiPlan Commercial|All Plans $135.15 ↓ -69%
Medica Commercial|ACO $159.00 ↓ -64%
Amerigroup Medicaid|All Plans $587.00 ↑ +35%
Centene Medicaid|IA Total Care $587.00 ↑ +35%
IAMolina Medicaid|All Plans $598.51 ↑ +37%
Humana Medicare|All Plans $602.53 ↑ +38%
Medica Medicare|All Plans $602.53 ↑ +38%
United Medicare|All Plans $602.53 ↑ +38%
PACE Medicare|All Plans $602.53 ↑ +38%
BCBS - NE Medicare|All Plans $602.53 ↑ +38%
Todays Options Medicare|All Plans $614.58 ↑ +41%
Centene Medicare|All Plans $620.61 ↑ +42%
Amerigroup Medicare|All Plans $632.66 ↑ +45%
Great Plains Medicare|All Plans $632.66 ↑ +45%
AMPS Commercial|All Plans $1,337.62 ↑ +207%
Medica Commercial|CHI Health $1,422.00 ↑ +226%
Medica Commercial|All Other Plans $1,938.00 ↑ +345%
One World Commercial|Narrow Network $2,834.13 ↑ +550%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +550%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +550%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +648%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +648%
One World Commercial|Broad Network $3,259.25 ↑ +648%
Timpte Commercial|Broad Network $3,259.25 ↑ +648%

Visitor-reported prices

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Aspirate pleura without imaging 32554 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $851.40 not published
MercyOne Dubuque Medical Center Dubuque $2,080.00 $562.78 – $2,133.00
MercyOne Clinton Medical Center Clinton $995.80 $288.94 – $1,342.40
MercyOne Des Moines Medical Center Des Moines $1,725.10 $355.57 – $1,769.00
MercyOne Centerville Medical Center Centerville $426.00 $77.93 – $284.00
MercyOne Newton Medical Center Newton $1,748.50 $593.78 – $1,793.00
MercyOne Genesis Davenport Medical Center Davenport $1,028.40 not published
MercyOne Genesis DeWitt Medical Center DeWitt $1,028.40 $380.33 – $388.62

All Iowa hospitals for this procedure →