Bx skin incisnl ea sep/add l les 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

$134.82

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.

$321.00

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.

$48.15 with Centene vs $3,259.25 with One World — 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 $48.15 ↓ -64%
Medica Commercial|ACO $57.52 ↓ -57%
ELAP Commercial|All Plans $89.88 ↓ -33%
United Medicaid|Community Plan $147.66 ↑ +10%
United Commercial|All Plans $150.87 ↑ +12%
Medica Commercial|Open Access $166.92 ↑ +24%
Midlands Choice Commercial|Premier $166.92 ↑ +24%
QuikTrip Commercial|All Plans $192.60 ↑ +43%
Creighton University Employees Commercial|All Plans $208.65 ↑ +55%
PHCS Commercial|All Plans $227.91 ↑ +69%
Midlands Choice Commercial|Standard $240.75 ↑ +79%
MultiPlan Commercial|All Plans $272.85 ↑ +102%
Medica Commercial|CHI Health $953.00 ↑ +607%
Medica Commercial|All Other Plans $1,302.00 ↑ +866%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +2002%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +2002%
One World Commercial|Narrow Network $2,834.13 ↑ +2002%
Timpte Commercial|Broad Network $3,259.25 ↑ +2317%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +2317%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +2317%
One World Commercial|Broad Network $3,259.25 ↑ +2317%

Visitor-reported prices

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Bx skin incisnl ea sep/add l les at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $79.80 not published
MercyOne New Hampton Medical Center New Hampton $200.85 $23.39 – $193.00
MercyOne Genesis Davenport Medical Center Davenport $451.20 not published
MercyOne Genesis DeWitt Medical Center DeWitt $84.00 $102.20 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $332.64 $27.51 – $219.13
UnityPoint Health - Finley Hospital Dubuque $581.07 $27.51 – $581.06
UnityPoint Health - Grinnell Regional Medical Center Grinnell $176.80 $27.51 – $73.41
UnityPoint Health - Iowa Lutheran Hospital Des Moines $279.68 $27.51 – $102.78

All Iowa hospitals for this procedure →