Brace back pinnacle tlso 464 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

$755.54

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.

$1,798.90

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.

$269.84 with Centene vs $3,651.98 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 $269.84 ↓ -64%
ELAP Commercial|All Plans $503.70 ↓ -33%
United Medicaid|Community Plan $827.50 ↑ +10%
QuikTrip Commercial|All Plans $1,079.34 ↑ +43%
Centene Medicaid|IA Total Care $1,248.71 ↑ +65%
Amerigroup Medicaid|All Plans $1,248.71 ↑ +65%
IAMolina Medicaid|All Plans $1,273.20 ↑ +69%
PHCS Commercial|All Plans $1,277.22 ↑ +69%
United Commercial|All Plans $1,331.19 ↑ +76%
Medica Commercial|Open Access $1,349.18 ↑ +79%
Midlands Choice Commercial|Standard $1,349.18 ↑ +79%
Midlands Choice Commercial|Premier $1,349.18 ↑ +79%
MultiPlan Commercial|All Plans $1,529.07 ↑ +102%
Medica Commercial|ACO $1,798.90 ↑ +138%
Medica Commercial|CHI Health $3,487.45 ↑ +362%
Medica Commercial|All Other Plans $3,651.98 ↑ +383%

Visitor-reported prices

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Brace back pinnacle tlso 464 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $405.55 $222.74 – $623.93
MercyOne New Hampton Medical Center New Hampton $505.14 $307.67 – $777.14
MercyOne Dyersville Medical Center Dyersville $405.55 $235.85 – $702.30
MercyOne Clinton Medical Center Clinton $405.55 $176.57 – $623.93
MercyOne Oelwein Medical Center Oelwein $405.76 $238.58 – $624.24
MercyOne Cedar Falls Medical Center Cedar Falls $406.05 $146.80 – $624.69
MercyOne Elkader Medical Center Elkader $405.55 $321.14 – $652.13
MercyOne West Des Moines Medical Center West Des Moines $624.24 $125.47 – $624.24

All Iowa hospitals for this procedure →