Bx skin punch ea sep/ addl les at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$254.52
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.
?
What you pay up front if you don't use insurance.
$606.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$47.96 with Medica vs $3,259.25 with One World — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $47.96 | ↓ -81% |
| Centene | Medicaid|NE Total Care | $90.90 | ↓ -64% |
| ELAP | Commercial|All Plans | $169.68 | ↓ -33% |
| United | Medicaid|Community Plan | $278.76 | ↑ +10% |
| United | Commercial|All Plans | $284.82 | ↑ +12% |
| Medica | Commercial|Open Access | $315.12 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $315.12 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $363.60 | ↑ +43% |
| Creighton University Employees | Commercial|All Plans | $393.90 | ↑ +55% |
| PHCS | Commercial|All Plans | $430.26 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $454.50 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $515.10 | ↑ +102% |
| Medica | Commercial|CHI Health | $953.00 | ↑ +274% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +412% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +1014% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +1014% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +1014% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +1181% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +1181% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +1181% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +1181% |
Visitor-reported prices
Comments
Bx skin punch ea sep/ addl les at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $128.40 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $159.00 | $13.63 – $170.00 |
| MercyOne Elkader Medical Center | Elkader | $196.00 | $13.63 – $113.75 |
| MercyOne Des Moines Medical Center | Des Moines | $195.65 | $13.63 – $301.00 |
| MercyOne North Iowa Medical Center | Mason City | $191.10 | $16.19 – $294.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $148.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $70.20 | $85.41 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $1,797.40 | $13.63 – $3,576.15 |