Bilateral n block inj occipital 64405 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

$414.12

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.

Full explanation →

What you pay up front if you don't use insurance.

$986.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$95.72 with Medica vs $3,259.25 with Greater Omaha Packing — same scan, same building. Share

Negotiated rates by payer
?

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 $95.72 ↓ -77%
Centene Medicaid|NE Total Care $147.90 ↓ -64%
ELAP Commercial|All Plans $276.08 ↓ -33%
Amerigroup Medicaid|All Plans $280.27 ↓ -32%
Centene Medicaid|IA Total Care $280.27 ↓ -32%
IAMolina Medicaid|All Plans $285.76 ↓ -31%
Humana Medicare|All Plans $287.68 ↓ -31%
Medica Medicare|All Plans $287.68 ↓ -31%
United Medicare|All Plans $287.68 ↓ -31%
PACE Medicare|All Plans $287.68 ↓ -31%
BCBS - NE Medicare|All Plans $287.68 ↓ -31%
Todays Options Medicare|All Plans $293.43 ↓ -29%
Centene Medicare|All Plans $296.31 ↓ -28%
Great Plains Medicare|All Plans $302.06 ↓ -27%
Amerigroup Medicare|All Plans $302.06 ↓ -27%
Creighton University Employees Commercial|All Plans $404.26 ↓ -2%
United Medicaid|Community Plan $453.56 ↑ +10%
United Commercial|All Plans $463.42 ↑ +12%
Medica Commercial|Open Access $512.72 ↑ +24%
Midlands Choice Commercial|Premier $512.72 ↑ +24%
QuikTrip Commercial|All Plans $591.60 ↑ +43%
AMPS Commercial|All Plans $638.65 ↑ +54%
PHCS Commercial|All Plans $700.06 ↑ +69%
Midlands Choice Commercial|Standard $739.50 ↑ +79%
MultiPlan Commercial|All Plans $838.10 ↑ +102%
Medica Commercial|CHI Health $953.00 ↑ +130%
Medica Commercial|All Other Plans $1,302.00 ↑ +214%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +584%
One World Commercial|Narrow Network $2,834.13 ↑ +584%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +584%
One World Commercial|Broad Network $3,259.25 ↑ +687%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +687%
Timpte Commercial|Broad Network $3,259.25 ↑ +687%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +687%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Bilateral n block inj occipital 64405 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $504.00 $282.56 – $364.00
MercyOne Des Moines Medical Center Des Moines $1,601.00 $5.22 – $1,046.00
MercyOne Centerville Medical Center Centerville $2,099.00 $47.32 – $238.00
MercyOne Newton Medical Center Newton $1,364.35 $290.55 – $1,399.00
MercyOne North Iowa Medical Center Mason City $296.40 $77.57 – $665.00
MercyOne Genesis Davenport Medical Center Davenport $582.60 $282.56 – $382.20
MercyOne Genesis DeWitt Medical Center DeWitt $582.60 $219.98 – $222.65
MercyOne Waterloo Medical Center Waterloo $971.10 $234.06 – $3,576.15

All Iowa hospitals for this procedure →