Bx bone trocar/ndl deep 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

$1,378.44

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.

$3,282.00

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.

$243.68 with Medica vs $3,505.42 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
Medica Commercial|ACO $243.68 ↓ -82%
Centene Medicaid|NE Total Care $453.00 ↓ -67%
ELAP Commercial|All Plans $845.60 ↓ -39%
Creighton University Employees Commercial|All Plans $1,238.20 ↓ -10%
United Medicaid|Community Plan $1,389.20 ↑ +1%
United Commercial|All Plans $1,419.40 ↑ +3%
Amerigroup Medicaid|All Plans $1,538.30 ↑ +12%
Centene Medicaid|IA Total Care $1,538.30 ↑ +12%
IAMolina Medicaid|All Plans $1,568.47 ↑ +14%
Midlands Choice Commercial|Premier $1,570.40 ↑ +14%
Medica Commercial|Open Access $1,570.40 ↑ +14%
Humana Medicare|All Plans $1,579.02 ↑ +15%
Medica Medicare|All Plans $1,579.02 ↑ +15%
United Medicare|All Plans $1,579.02 ↑ +15%
PACE Medicare|All Plans $1,579.02 ↑ +15%
BCBS - NE Medicare|All Plans $1,579.02 ↑ +15%
Todays Options Medicare|All Plans $1,610.60 ↑ +17%
Centene Medicare|All Plans $1,626.39 ↑ +18%
Amerigroup Medicare|All Plans $1,657.97 ↑ +20%
Great Plains Medicare|All Plans $1,657.97 ↑ +20%
Medica Commercial|CHI Health $1,701.00 ↑ +23%
QuikTrip Commercial|All Plans $1,812.00 ↑ +31%
PHCS Commercial|All Plans $2,144.20 ↑ +56%
Midlands Choice Commercial|Standard $2,265.00 ↑ +64%
Medica Commercial|All Other Plans $2,322.00 ↑ +68%
MultiPlan Commercial|All Plans $2,567.00 ↑ +86%
Millard Public Schools Commercial|Narrow Network $3,034.03 ↑ +120%
Greater Omaha Packing Commercial|Narrow Network $3,034.03 ↑ +120%
One World Commercial|Narrow Network $3,034.03 ↑ +120%
Timpte Commercial|Broad Network $3,489.13 ↑ +153%
Greater Omaha Packing Commercial|Broad Network $3,489.13 ↑ +153%
Millard Public Schools Commercial|Broad Network $3,489.13 ↑ +153%
One World Commercial|Broad Network $3,489.13 ↑ +153%
AMPS Commercial|All Plans $3,505.42 ↑ +154%

Visitor-reported prices

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Bx bone trocar/ndl deep at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,790.40 $1,504.75 – $1,550.93
MercyOne Dubuque Medical Center Dubuque $1,040.00 $571.20 – $3,300.04
MercyOne Clinton Medical Center Clinton $554.00 $12.65 – $275.00
MercyOne Des Moines Medical Center Des Moines $10,371.70 $183.41 – $4,429.00
MercyOne North Iowa Medical Center Mason City $3,693.95 $1,454.85 – $5,683.00
MercyOne Genesis Davenport Medical Center Davenport $2,068.20 $1,550.93 – $1,738.75
MercyOne Waterloo Medical Center Waterloo $5,770.70 $1,555.99 – $8,878.00
UnityPoint Health - Allen Hospital Waterloo $1,425.80 $116.91 – $1,342.97

All Iowa hospitals for this procedure →