Assay of osteocalcin 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

$85.68

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.

$204.00

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.

$28.93 with Amerigroup vs $204.00 with Greater Omaha Packing — 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
Amerigroup Medicaid|All Plans $28.93 ↓ -66%
Centene Medicaid|IA Total Care $28.93 ↓ -66%
IAMolina Medicaid|All Plans $29.49 ↓ -66%
Humana Medicare|All Plans $29.85 ↓ -65%
Medica Medicare|All Plans $29.85 ↓ -65%
United Medicare|All Plans $29.85 ↓ -65%
PACE Medicare|All Plans $29.85 ↓ -65%
BCBS - NE Medicare|All Plans $29.85 ↓ -65%
Todays Options Medicare|All Plans $30.45 ↓ -64%
Centene Medicaid|NE Total Care $30.60 ↓ -64%
Centene Medicare|All Plans $30.75 ↓ -64%
Great Plains Medicare|All Plans $31.34 ↓ -63%
Amerigroup Medicare|All Plans $31.34 ↓ -63%
ELAP Commercial|All Plans $57.12 ↓ -33%
Medica Commercial|ACO $57.37 ↓ -33%
Medica Commercial|CHI Health $61.37 ↓ -28%
Medica Commercial|All Other Plans $64.27 ↓ -25%
AMPS Commercial|All Plans $66.27 ↓ -23%
United Medicaid|Community Plan $93.84 ↑ +10%
Creighton University Employees Commercial|All Plans $96.20 ↑ +12%
Medica Commercial|Open Access $106.08 ↑ +24%
Midlands Choice Commercial|Premier $106.08 ↑ +24%
QuikTrip Commercial|All Plans $122.40 ↑ +43%
United Commercial|All Plans $125.52 ↑ +46%
PHCS Commercial|All Plans $144.84 ↑ +69%
Midlands Choice Commercial|Standard $153.00 ↑ +79%
MultiPlan Commercial|All Plans $173.40 ↑ +102%
Millard Public Schools Commercial|Broad Network $204.00 ↑ +138%
Millard Public Schools Commercial|Narrow Network $204.00 ↑ +138%
One World Commercial|Broad Network $204.00 ↑ +138%
One World Commercial|Narrow Network $204.00 ↑ +138%
Greater Omaha Packing Commercial|Broad Network $204.00 ↑ +138%
Timpte Commercial|Broad Network $204.00 ↑ +138%
Greater Omaha Packing Commercial|Narrow Network $204.00 ↑ +138%

Visitor-reported prices

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Assay of osteocalcin at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $183.95 $28.93 – $283.00
MercyOne Des Moines Medical Center Des Moines $183.95 $28.93 – $283.00
MercyOne North Iowa Medical Center Mason City $183.95 $28.93 – $283.00
MercyOne Waterloo Medical Center Waterloo $167.05 $28.93 – $257.00
UnityPoint Health - Allen Hospital Waterloo $109.28 $17.91 – $71.99
UnityPoint Health - Finley Hospital Dubuque $109.28 $3.50 – $109.28
UnityPoint Health - Grinnell Regional Medical Center Grinnell $109.28 $17.91 – $55.05
UnityPoint Health - Iowa Lutheran Hospital Des Moines $109.28 $17.91 – $46.43

All Iowa hospitals for this procedure →