Av fusion direct any site 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

$2,137.80

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.

$5,090.00

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.

$763.50 with Centene vs $9,248.33 with One World — 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 $763.50 ↓ -64%
Medica Commercial|ACO $1,167.05 ↓ -45%
ELAP Commercial|All Plans $1,425.20 ↓ -33%
Creighton University Employees Commercial|All Plans $2,086.90 ↓ -2%
United Medicaid|Community Plan $2,341.40 ↑ +10%
United Commercial|All Plans $2,392.30 ↑ +12%
Medica Commercial|Open Access $2,646.80 ↑ +24%
Midlands Choice Commercial|Premier $2,646.80 ↑ +24%
Amerigroup Medicaid|All Plans $2,988.33 ↑ +40%
Centene Medicaid|IA Total Care $2,988.33 ↑ +40%
IAMolina Medicaid|All Plans $3,046.93 ↑ +43%
QuikTrip Commercial|All Plans $3,054.00 ↑ +43%
Humana Medicare|All Plans $3,067.43 ↑ +43%
Medica Medicare|All Plans $3,067.43 ↑ +43%
United Medicare|All Plans $3,067.43 ↑ +43%
PACE Medicare|All Plans $3,067.43 ↑ +43%
BCBS - NE Medicare|All Plans $3,067.43 ↑ +43%
Todays Options Medicare|All Plans $3,128.78 ↑ +46%
Centene Medicare|All Plans $3,159.45 ↑ +48%
Great Plains Medicare|All Plans $3,220.80 ↑ +51%
Amerigroup Medicare|All Plans $3,220.80 ↑ +51%
PHCS Commercial|All Plans $3,613.90 ↑ +69%
Midlands Choice Commercial|Standard $3,817.50 ↑ +79%
MultiPlan Commercial|All Plans $4,326.50 ↑ +102%
Medica Commercial|CHI Health $4,801.00 ↑ +125%
Medica Commercial|All Other Plans $6,546.00 ↑ +206%
AMPS Commercial|All Plans $6,809.69 ↑ +219%
Greater Omaha Packing Commercial|Narrow Network $8,042.03 ↑ +276%
One World Commercial|Narrow Network $8,042.03 ↑ +276%
Millard Public Schools Commercial|Narrow Network $8,042.03 ↑ +276%
Greater Omaha Packing Commercial|Broad Network $9,248.33 ↑ +333%
Timpte Commercial|Broad Network $9,248.33 ↑ +333%
Millard Public Schools Commercial|Broad Network $9,248.33 ↑ +333%
One World Commercial|Broad Network $9,248.33 ↑ +333%

Visitor-reported prices

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Av fusion direct any site at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,296.60 not published
MercyOne Des Moines Medical Center Des Moines $37,895.30 $9.09 – $6,129.97
MercyOne Genesis Davenport Medical Center Davenport $1,361.40 not published
MercyOne Genesis DeWitt Medical Center DeWitt $1,361.40 $928.00 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $1,622.40 $563.94 – $2,608.88
UnityPoint Health - Finley Hospital Dubuque $1,622.40 $563.94 – $2,767.37
UnityPoint Health - Grinnell Regional Medical Center Grinnell $1,622.40 $563.94 – $3,131.65
UnityPoint Health - Iowa Lutheran Hospital Des Moines $1,622.40 $563.94 – $3,032.46

All Iowa hospitals for this procedure →