Boot j walker l 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

$118.11

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.

$281.20

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.

$16.83 with Centene vs $389.59 with Medica — 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 $16.83 ↓ -86%
ELAP Commercial|All Plans $31.42 ↓ -73%
United Medicaid|Community Plan $51.62 ↓ -56%
QuikTrip Commercial|All Plans $67.32 ↓ -43%
PHCS Commercial|All Plans $79.67 ↓ -33%
United Commercial|All Plans $83.03 ↓ -30%
Medica Commercial|Open Access $84.15 ↓ -29%
Midlands Choice Commercial|Premier $84.15 ↓ -29%
Midlands Choice Commercial|Standard $84.15 ↓ -29%
MultiPlan Commercial|All Plans $95.37 ↓ -19%
Medica Commercial|ACO $112.20 ↓ -5%
Amerigroup Medicaid|All Plans $114.45 ↓ -3%
Centene Medicaid|IA Total Care $114.45 ↓ -3%
IAMolina Medicaid|All Plans $116.69 ↓ -1%
Medica Commercial|CHI Health $372.03 ↑ +215%
Medica Commercial|All Other Plans $389.59 ↑ +230%

Visitor-reported prices

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Boot j walker l at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $84.00 not published
MercyOne Dubuque Medical Center Dubuque $347.24 $12.05 – $62.18
MercyOne New Hampton Medical Center New Hampton $432.50 $30.06 – $75.92
MercyOne Dyersville Medical Center Dyersville $347.24 $24.18 – $71.99
MercyOne Clinton Medical Center Clinton $347.24 $12.40 – $63.66
MercyOne Oelwein Medical Center Oelwein $347.24 $23.77 – $62.18
MercyOne Cedar Falls Medical Center Cedar Falls $347.24 $10.78 – $62.18
MercyOne Elkader Medical Center Elkader $347.24 $32.00 – $64.99

All Iowa hospitals for this procedure →