Biopsy of prostate at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,347.36
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.
$3,208.00
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.
$244.59 with Medica vs $4,432.01 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 | $244.59 | ↓ -82% |
| Centene | Medicaid|NE Total Care | $481.20 | ↓ -64% |
| ELAP | Commercial|All Plans | $898.24 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $1,315.28 | ↓ -2% |
| United | Medicaid|Community Plan | $1,475.68 | ↑ +10% |
| United | Commercial|All Plans | $1,507.76 | ↑ +12% |
| Medica | Commercial|Open Access | $1,668.16 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $1,668.16 | ↑ +24% |
| Medica | Commercial|CHI Health | $1,701.00 | ↑ +26% |
| QuikTrip | Commercial|All Plans | $1,924.80 | ↑ +43% |
| Centene | Medicaid|IA Total Care | $1,944.92 | ↑ +44% |
| Amerigroup | Medicaid|All Plans | $1,944.92 | ↑ +44% |
| IAMolina | Medicaid|All Plans | $1,983.05 | ↑ +47% |
| Humana | Medicare|All Plans | $1,996.40 | ↑ +48% |
| Medica | Medicare|All Plans | $1,996.40 | ↑ +48% |
| United | Medicare|All Plans | $1,996.40 | ↑ +48% |
| PACE | Medicare|All Plans | $1,996.40 | ↑ +48% |
| BCBS - NE | Medicare|All Plans | $1,996.40 | ↑ +48% |
| Todays Options | Medicare|All Plans | $2,036.33 | ↑ +51% |
| Centene | Medicare|All Plans | $2,056.29 | ↑ +53% |
| Amerigroup | Medicare|All Plans | $2,096.22 | ↑ +56% |
| Great Plains | Medicare|All Plans | $2,096.22 | ↑ +56% |
| PHCS | Commercial|All Plans | $2,277.68 | ↑ +69% |
| Medica | Commercial|All Other Plans | $2,322.00 | ↑ +72% |
| Midlands Choice | Commercial|Standard | $2,406.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $2,726.80 | ↑ +102% |
| Greater Omaha Packing | Commercial|Narrow Network | $3,034.03 | ↑ +125% |
| Millard Public Schools | Commercial|Narrow Network | $3,034.03 | ↑ +125% |
| One World | Commercial|Narrow Network | $3,034.03 | ↑ +125% |
| One World | Commercial|Broad Network | $3,489.13 | ↑ +159% |
| Timpte | Commercial|Broad Network | $3,489.13 | ↑ +159% |
| Greater Omaha Packing | Commercial|Broad Network | $3,489.13 | ↑ +159% |
| Millard Public Schools | Commercial|Broad Network | $3,489.13 | ↑ +159% |
| AMPS | Commercial|All Plans | $4,432.01 | ↑ +229% |
Visitor-reported prices
Comments
Biopsy of prostate at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $865.80 | $937.95 – $1,960.87 |
| MercyOne Dubuque Medical Center | Dubuque | $9,417.49 | $0.96 – $3.96 |
| MercyOne Clinton Medical Center | Clinton | $14,818.54 | $0.96 – $1,721.00 |
| MercyOne Centerville Medical Center | Centerville | $15,599.17 | $3.92 – $4,280.00 |
| MercyOne North Iowa Medical Center | Mason City | $22,560.46 | $0.96 – $2,050.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,000.20 | $1,083.55 – $1,960.87 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,000.20 | $566.78 – $1,216.91 |
| MercyOne Waterloo Medical Center | Waterloo | $14,602.00 | $26.67 – $4,235.59 |