Blood smear microscopic w manual differential wbc count 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

$60.90

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.

$145.00

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.

$3.68 with Amerigroup vs $58.65 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
Amerigroup Medicaid|All Plans $3.68 ↓ -94%
Centene Medicaid|IA Total Care $3.68 ↓ -94%
IAMolina Medicaid|All Plans $3.75 ↓ -94%
Humana Medicare|All Plans $3.80 ↓ -94%
Medica Medicare|All Plans $3.80 ↓ -94%
United Medicare|All Plans $3.80 ↓ -94%
PACE Medicare|All Plans $3.80 ↓ -94%
BCBS - NE Medicare|All Plans $3.80 ↓ -94%
Todays Options Medicare|All Plans $3.88 ↓ -94%
Centene Medicare|All Plans $3.91 ↓ -94%
Amerigroup Medicare|All Plans $3.99 ↓ -93%
Great Plains Medicare|All Plans $3.99 ↓ -93%
Medica Commercial|ACO $7.56 ↓ -88%
Medica Commercial|CHI Health $7.81 ↓ -87%
Medica Commercial|All Other Plans $8.18 ↓ -87%
AMPS Commercial|All Plans $8.44 ↓ -86%
Centene Medicaid|NE Total Care $10.35 ↓ -83%
Creighton University Employees Commercial|All Plans $11.07 ↓ -82%
United Commercial|All Plans $14.44 ↓ -76%
ELAP Commercial|All Plans $19.32 ↓ -68%
Greater Omaha Packing Commercial|Narrow Network $23.53 ↓ -61%
One World Commercial|Narrow Network $23.53 ↓ -61%
Millard Public Schools Commercial|Narrow Network $23.53 ↓ -61%
Timpte Commercial|Broad Network $27.06 ↓ -56%
Millard Public Schools Commercial|Broad Network $27.06 ↓ -56%
Greater Omaha Packing Commercial|Broad Network $27.06 ↓ -56%
One World Commercial|Broad Network $27.06 ↓ -56%
United Medicaid|Community Plan $31.74 ↓ -48%
Medica Commercial|Open Access $35.88 ↓ -41%
Midlands Choice Commercial|Premier $35.88 ↓ -41%
QuikTrip Commercial|All Plans $41.40 ↓ -32%
PHCS Commercial|All Plans $48.99 ↓ -20%
Midlands Choice Commercial|Standard $51.75 ↓ -15%
MultiPlan Commercial|All Plans $58.65 ↓ -4%

Visitor-reported prices

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Blood smear microscopic w manual differential wbc count at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $36.00 $3.80 – $3.80
MercyOne Dubuque Medical Center Dubuque $39.00 $3.68 – $60.00
MercyOne New Hampton Medical Center New Hampton $38.35 $23.36 – $59.00
MercyOne Dyersville Medical Center Dyersville $38.35 $22.30 – $66.41
MercyOne Clinton Medical Center Clinton $57.20 $3.68 – $88.00
MercyOne Oelwein Medical Center Oelwein $38.35 $22.55 – $59.00
MercyOne Cedar Falls Medical Center Cedar Falls $39.00 $3.68 – $60.00
MercyOne Elkader Medical Center Elkader $38.35 $30.37 – $61.67

All Iowa hospitals for this procedure →