Bld prd mix 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

$80.22

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.

$191.00

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.

$28.65 with Centene vs $370.74 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 →

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 $28.65 ↓ -64%
ELAP Commercial|All Plans $53.48 ↓ -33%
Medica Commercial|ACO $59.26 ↓ -26%
Medica Commercial|CHI Health $59.79 ↓ -25%
Medica Commercial|All Other Plans $62.61 ↓ -22%
Creighton University Employees Commercial|All Plans $75.90 ↓ -5%
United Medicaid|Community Plan $87.86 ↑ +10%
United Commercial|All Plans $99.04 ↑ +23%
Medica Commercial|Open Access $99.32 ↑ +24%
Midlands Choice Commercial|Premier $99.32 ↑ +24%
QuikTrip Commercial|All Plans $114.60 ↑ +43%
PHCS Commercial|All Plans $135.61 ↑ +69%
Midlands Choice Commercial|Standard $143.25 ↑ +79%
MultiPlan Commercial|All Plans $162.35 ↑ +102%
Amerigroup Medicaid|All Plans $162.70 ↑ +103%
Centene Medicaid|IA Total Care $162.70 ↑ +103%
IAMolina Medicaid|All Plans $165.89 ↑ +107%
Humana Medicare|All Plans $167.00 ↑ +108%
Medica Medicare|All Plans $167.00 ↑ +108%
United Medicare|All Plans $167.00 ↑ +108%
PACE Medicare|All Plans $167.00 ↑ +108%
BCBS - NE Medicare|All Plans $167.00 ↑ +108%
Todays Options Medicare|All Plans $170.34 ↑ +112%
Centene Medicare|All Plans $172.01 ↑ +114%
Amerigroup Medicare|All Plans $175.35 ↑ +119%
Great Plains Medicare|All Plans $175.35 ↑ +119%
AMPS Commercial|All Plans $370.74 ↑ +362%

Visitor-reported prices

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Bld prd mix at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $57.60 $50.05 – $164.03
MercyOne Des Moines Medical Center Des Moines $279.50 $86.43 – $430.00
MercyOne Genesis Davenport Medical Center Davenport $64.80 $70.20 – $164.03
MercyOne Genesis DeWitt Medical Center DeWitt $48.60 $27.54 – $59.13
UnityPoint Health - Allen Hospital Waterloo $164.99 $18.46 – $165.89
UnityPoint Health - Finley Hospital Dubuque $164.99 $18.46 – $190.30
UnityPoint Health - Grinnell Regional Medical Center Grinnell $164.99 $18.46 – $170.50
UnityPoint Health - Iowa Lutheran Hospital Des Moines $164.99 $18.46 – $167.93

All Iowa hospitals for this procedure →