Brain image w/flow < 4 views 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

$620.76

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.

$1,478.00

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.

$221.70 with Centene vs $1,256.30 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
Centene Medicaid|NE Total Care $221.70 ↓ -64%
Medica Commercial|ACO $333.14 ↓ -46%
Centene Medicaid|IA Total Care $381.51 ↓ -39%
Amerigroup Medicaid|All Plans $381.51 ↓ -39%
Medica Commercial|CHI Health $386.51 ↓ -38%
IAMolina Medicaid|All Plans $388.99 ↓ -37%
Humana Medicare|All Plans $391.61 ↓ -37%
Medica Medicare|All Plans $391.61 ↓ -37%
United Medicare|All Plans $391.61 ↓ -37%
PACE Medicare|All Plans $391.61 ↓ -37%
BCBS - NE Medicare|All Plans $391.61 ↓ -37%
Todays Options Medicare|All Plans $399.44 ↓ -36%
Centene Medicare|All Plans $403.36 ↓ -35%
Medica Commercial|All Other Plans $404.74 ↓ -35%
Great Plains Medicare|All Plans $411.19 ↓ -34%
Amerigroup Medicare|All Plans $411.19 ↓ -34%
ELAP Commercial|All Plans $413.84 ↓ -33%
Creighton University Employees Commercial|All Plans $523.10 ↓ -16%
United Commercial|All Plans $647.68 ↑ +4%
United Medicaid|Community Plan $679.88 ↑ +10%
Medica Commercial|Open Access $768.56 ↑ +24%
Midlands Choice Commercial|Premier $768.56 ↑ +24%
AMPS Commercial|All Plans $869.37 ↑ +40%
QuikTrip Commercial|All Plans $886.80 ↑ +43%
Millard Public Schools Commercial|Narrow Network $902.50 ↑ +45%
One World Commercial|Narrow Network $902.50 ↑ +45%
Greater Omaha Packing Commercial|Narrow Network $902.50 ↑ +45%
Timpte Commercial|Broad Network $1,037.88 ↑ +67%
Greater Omaha Packing Commercial|Broad Network $1,037.88 ↑ +67%
Millard Public Schools Commercial|Broad Network $1,037.88 ↑ +67%
One World Commercial|Broad Network $1,037.88 ↑ +67%
PHCS Commercial|All Plans $1,049.38 ↑ +69%
Midlands Choice Commercial|Standard $1,108.50 ↑ +79%
MultiPlan Commercial|All Plans $1,256.30 ↑ +102%

Visitor-reported prices

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Brain image w/flow < 4 views at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Waterloo Medical Center Waterloo $1,226.55 $443.45 – $1,887.00
UnityPoint Health - Allen Hospital Waterloo $474.40 $21.81 – $333.07
UnityPoint Health - Finley Hospital Dubuque $474.40 $21.81 – $353.30
UnityPoint Health - Grinnell Regional Medical Center Grinnell $2,647.19 $21.81 – $1,333.52
UnityPoint Health - Iowa Lutheran Hospital Des Moines $782.13 $21.81 – $387.14
UnityPoint Health - Jones Regional Medical Center Anamosa $474.40 $21.81 – $49.68
UnityPoint Health - Marshalltown Marshalltown $474.40 $21.81 – $391.02
UnityPoint Health - St. Lukes Downtown Sioux City $1,497.39 $18.72 – $1,081.86

All Iowa hospitals for this procedure →