Bx breast 1st lesion strtctc at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$2,485.56
Cash price 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.
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What you pay up front if you don't use insurance.
$5,918.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$306.89 with Medica vs $4,573.00 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 →
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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 ?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 ?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 | $306.89 | ↓ -88% |
| Centene | Medicaid|NE Total Care | $807.00 | ↓ -68% |
| ELAP | Commercial|All Plans | $1,506.40 | ↓ -39% |
| Amerigroup | Medicaid|All Plans | $1,538.30 | ↓ -38% |
| Centene | Medicaid|IA Total Care | $1,538.30 | ↓ -38% |
| IAMolina | Medicaid|All Plans | $1,568.47 | ↓ -37% |
| Humana | Medicare|All Plans | $1,579.02 | ↓ -36% |
| Medica | Medicare|All Plans | $1,579.02 | ↓ -36% |
| United | Medicare|All Plans | $1,579.02 | ↓ -36% |
| PACE | Medicare|All Plans | $1,579.02 | ↓ -36% |
| BCBS - NE | Medicare|All Plans | $1,579.02 | ↓ -36% |
| Todays Options | Medicare|All Plans | $1,610.60 | ↓ -35% |
| Centene | Medicare|All Plans | $1,626.39 | ↓ -35% |
| Amerigroup | Medicare|All Plans | $1,657.97 | ↓ -33% |
| Great Plains | Medicare|All Plans | $1,657.97 | ↓ -33% |
| Medica | Commercial|CHI Health | $1,701.00 | ↓ -32% |
| Medica | Commercial|All Other Plans | $2,322.00 | ↓ -7% |
| Creighton University Employees | Commercial|All Plans | $2,426.38 | ↓ -2% |
| United | Medicaid|Community Plan | $2,474.80 | ↓ -0% |
| United | Commercial|All Plans | $2,528.60 | ↑ +2% |
| Midlands Choice | Commercial|Premier | $2,797.60 | ↑ +13% |
| Medica | Commercial|Open Access | $2,797.60 | ↑ +13% |
| Greater Omaha Packing | Commercial|Narrow Network | $3,034.03 | ↑ +22% |
| One World | Commercial|Narrow Network | $3,034.03 | ↑ +22% |
| Millard Public Schools | Commercial|Narrow Network | $3,034.03 | ↑ +22% |
| QuikTrip | Commercial|All Plans | $3,228.00 | ↑ +30% |
| Timpte | Commercial|Broad Network | $3,489.13 | ↑ +40% |
| Greater Omaha Packing | Commercial|Broad Network | $3,489.13 | ↑ +40% |
| Millard Public Schools | Commercial|Broad Network | $3,489.13 | ↑ +40% |
| One World | Commercial|Broad Network | $3,489.13 | ↑ +40% |
| AMPS | Commercial|All Plans | $3,505.42 | ↑ +41% |
| PHCS | Commercial|All Plans | $3,819.80 | ↑ +54% |
| Midlands Choice | Commercial|Standard | $4,035.00 | ↑ +62% |
| MultiPlan | Commercial|All Plans | $4,573.00 | ↑ +84% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $3,988.80 | $1,550.93 – $2,171.30 |
| MercyOne Dubuque Medical Center | Dubuque | $17,216.35 | $2.70 – $3,300.04 |
| MercyOne Clinton Medical Center | Clinton | $8,121.75 | $146.74 – $8,330.00 |
| MercyOne Des Moines Medical Center | Des Moines | $6,938.50 | $126.99 – $4,545.00 |
| MercyOne North Iowa Medical Center | Mason City | $6,832.80 | $146.74 – $7,008.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $4,607.40 | $1,550.93 – $2,171.30 |
| MercyOne Waterloo Medical Center | Waterloo | $4,660.50 | $146.74 – $4,445.40 |
| UnityPoint Health - Allen Hospital | Waterloo | $7,018.44 | $146.74 – $2,311.70 |