Athrectomy fem/pop/unilateral 37225 at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$6,931.26
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.
$16,503.00
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.
$1,057.79 with Medica vs $38,849.78 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 | $1,057.79 | ↓ -85% |
| Centene | Medicaid|NE Total Care | $2,475.45 | ↓ -64% |
| ELAP | Commercial|All Plans | $4,620.84 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $6,766.23 | ↓ -2% |
| United | Medicaid|Community Plan | $7,591.38 | ↑ +10% |
| United | Commercial|All Plans | $7,756.41 | ↑ +12% |
| Medica | Commercial|Open Access | $8,581.56 | ↑ +24% |
| Millard Public Schools | Commercial|Narrow Network | $9,185.68 | ↑ +33% |
| Greater Omaha Packing | Commercial|Narrow Network | $9,185.68 | ↑ +33% |
| One World | Commercial|Narrow Network | $9,185.68 | ↑ +33% |
| QuikTrip | Commercial|All Plans | $9,901.80 | ↑ +43% |
| Millard Public Schools | Commercial|Broad Network | $10,563.53 | ↑ +52% |
| One World | Commercial|Broad Network | $10,563.53 | ↑ +52% |
| Timpte | Commercial|Broad Network | $10,563.53 | ↑ +52% |
| Greater Omaha Packing | Commercial|Broad Network | $10,563.53 | ↑ +52% |
| PHCS | Commercial|All Plans | $11,717.13 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $12,377.25 | ↑ +79% |
| Midlands Choice | Commercial|Premier | $12,377.25 | ↑ +79% |
| Medica | Commercial|CHI Health | $13,706.00 | ↑ +98% |
| MultiPlan | Commercial|All Plans | $14,027.55 | ↑ +102% |
| Amerigroup | Medicaid|All Plans | $17,048.71 | ↑ +146% |
| Centene | Medicaid|IA Total Care | $17,048.71 | ↑ +146% |
| IAMolina | Medicaid|All Plans | $17,383.00 | ↑ +151% |
| Humana | Medicare|All Plans | $17,499.90 | ↑ +152% |
| Medica | Medicare|All Plans | $17,499.90 | ↑ +152% |
| United | Medicare|All Plans | $17,499.90 | ↑ +152% |
| PACE | Medicare|All Plans | $17,499.90 | ↑ +152% |
| BCBS - NE | Medicare|All Plans | $17,499.90 | ↑ +152% |
| Todays Options | Medicare|All Plans | $17,849.90 | ↑ +158% |
| Centene | Medicare|All Plans | $18,024.90 | ↑ +160% |
| Great Plains | Medicare|All Plans | $18,374.90 | ↑ +165% |
| Amerigroup | Medicare|All Plans | $18,374.90 | ↑ +165% |
| Medica | Commercial|All Other Plans | $18,690.00 | ↑ +170% |
| AMPS | Commercial|All Plans | $38,849.78 | ↑ +461% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,251.40 | $13,272.35 – $17,188.53 |
| MercyOne Dubuque Medical Center | Dubuque | $18,251.35 | $3,627.74 – $18,719.00 |
| MercyOne Clinton Medical Center | Clinton | $29,589.95 | $5,881.44 – $30,348.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $33,115.00 | $3,602.80 – $22,076.00 |
| MercyOne Des Moines Medical Center | Des Moines | $58,330.75 | $9.09 – $9,370.00 |
| MercyOne North Iowa Medical Center | Mason City | $73,534.54 | $4.56 – $49,728.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,636.20 | $14,772.55 – $17,188.53 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $963.00 | $928.00 – $2,679.00 |