Avelumab 20 mg/ml intravenous solution 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

$4,228.31

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.

$10,067.40

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.

$77.08 with BCBS - NE vs $8,557.29 with MultiPlan — 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
BCBS - NE Commercial|BluePrint $77.08 ↓ -98%
Centene Medicaid|IA Total Care $94.26 ↓ -98%
Amerigroup Medicaid|All Plans $94.26 ↓ -98%
IAMolina Medicaid|All Plans $96.11 ↓ -98%
PACE Medicare|All Plans $97.75 ↓ -98%
Medica Medicare|All Plans $97.75 ↓ -98%
Humana Medicare|All Plans $97.75 ↓ -98%
United Medicare|All Plans $97.75 ↓ -98%
BCBS - NE Medicare|All Plans $97.75 ↓ -98%
Todays Options Medicare|All Plans $99.70 ↓ -98%
Centene Medicare|All Plans $100.68 ↓ -98%
Wellmark Commercial|HMO $101.26 ↓ -98%
Wellmark Commercial|PPO $101.26 ↓ -98%
Amerigroup Medicare|All Plans $102.64 ↓ -98%
Great Plains Medicare|All Plans $102.64 ↓ -98%
BCBS - NE Commercial|All Other Plans $102.77 ↓ -98%
United Commercial|All Plans $159.97 ↓ -96%
Medica Commercial|CHI Health $183.68 ↓ -96%
One World Commercial|Narrow Network $186.34 ↓ -96%
Greater Omaha Packing Commercial|Narrow Network $186.34 ↓ -96%
Millard Public Schools Commercial|Narrow Network $186.34 ↓ -96%
Medica Commercial|All Other Plans $192.35 ↓ -95%
Medica Commercial|ACO $193.98 ↓ -95%
One World Commercial|Broad Network $214.29 ↓ -95%
Timpte Commercial|Broad Network $214.29 ↓ -95%
Greater Omaha Packing Commercial|Broad Network $214.29 ↓ -95%
Millard Public Schools Commercial|Broad Network $214.29 ↓ -95%
AMPS Commercial|All Plans $217.00 ↓ -95%
Centene Medicaid|NE Total Care $1,510.11 ↓ -64%
ELAP Commercial|All Plans $2,818.88 ↓ -33%
United Medicaid|Community Plan $4,631.01 ↑ +10%
Medica Commercial|Open Access $5,235.05 ↑ +24%
QuikTrip Commercial|All Plans $6,040.44 ↑ +43%
PHCS Commercial|All Plans $7,147.86 ↑ +69%
Midlands Choice Commercial|Standard $7,550.55 ↑ +79%
Midlands Choice Commercial|Premier $7,550.55 ↑ +79%
MultiPlan Commercial|All Plans $8,557.29 ↑ +102%

Visitor-reported prices

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Avelumab 20 mg/ml intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $2,357.01 $100.30 – $140.42
MercyOne Dubuque Medical Center Dubuque $6,470.55 $94.26 – $6,470.55
MercyOne New Hampton Medical Center New Hampton $6,470.55 $2,195.20 – $6,470.55
MercyOne Dyersville Medical Center Dyersville $6,470.55 $2,195.20 – $7,283.25
MercyOne Clinton Medical Center Clinton $6,470.55 $94.26 – $6,470.55
MercyOne Oelwein Medical Center Oelwein $6,470.55 $2,195.20 – $6,470.55
MercyOne Cedar Falls Medical Center Cedar Falls $6,470.55 $94.26 – $6,470.55
MercyOne Elkader Medical Center Elkader $6,470.55 $2,195.20 – $6,763.02

All Iowa hospitals for this procedure →