Chemo adm cns w/lmbr punct at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$492.24
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.
$1,172.00
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.
$131.18 with Medica vs $996.20 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|All Other Plans | $131.18 | ↓ -73% |
| Medica | Commercial|ACO | $145.34 | ↓ -70% |
| Centene | Medicaid|NE Total Care | $175.80 | ↓ -64% |
| Amerigroup | Medicaid|All Plans | $314.91 | ↓ -36% |
| Centene | Medicaid|IA Total Care | $314.91 | ↓ -36% |
| Medica | Commercial|CHI Health | $316.58 | ↓ -36% |
| IAMolina | Medicaid|All Plans | $321.09 | ↓ -35% |
| Humana | Medicare|All Plans | $323.25 | ↓ -34% |
| Medica | Medicare|All Plans | $323.25 | ↓ -34% |
| United | Medicare|All Plans | $323.25 | ↓ -34% |
| PACE | Medicare|All Plans | $323.25 | ↓ -34% |
| BCBS - NE | Medicare|All Plans | $323.25 | ↓ -34% |
| ELAP | Commercial|All Plans | $328.16 | ↓ -33% |
| Todays Options | Medicare|All Plans | $329.71 | ↓ -33% |
| Centene | Medicare|All Plans | $332.95 | ↓ -32% |
| Great Plains | Medicare|All Plans | $339.41 | ↓ -31% |
| Amerigroup | Medicare|All Plans | $339.41 | ↓ -31% |
| United | Medicaid|Community Plan | $539.12 | ↑ +10% |
| One World | Commercial|Narrow Network | $550.84 | ↑ +12% |
| Greater Omaha Packing | Commercial|Narrow Network | $550.84 | ↑ +12% |
| Millard Public Schools | Commercial|Narrow Network | $550.84 | ↑ +12% |
| Medica | Commercial|Open Access | $609.44 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $609.44 | ↑ +24% |
| Millard Public Schools | Commercial|Broad Network | $632.88 | ↑ +29% |
| Timpte | Commercial|Broad Network | $632.88 | ↑ +29% |
| Greater Omaha Packing | Commercial|Broad Network | $632.88 | ↑ +29% |
| One World | Commercial|Broad Network | $632.88 | ↑ +29% |
| QuikTrip | Commercial|All Plans | $703.20 | ↑ +43% |
| AMPS | Commercial|All Plans | $717.62 | ↑ +46% |
| Creighton University Employees | Commercial|All Plans | $761.80 | ↑ +55% |
| PHCS | Commercial|All Plans | $832.12 | ↑ +69% |
| United | Commercial|All Plans | $867.28 | ↑ +76% |
| Midlands Choice | Commercial|Standard | $879.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $996.20 | ↑ +102% |
Visitor-reported prices
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Chemo adm cns w/lmbr punct at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $447.60 | $317.50 – $444.50 |
| MercyOne Des Moines Medical Center | Des Moines | $1,583.40 | $311.77 – $2,436.00 |
| MercyOne North Iowa Medical Center | Mason City | $481.00 | $189.44 – $773.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $489.00 | $317.50 – $444.50 |
| UnityPoint Health - Allen Hospital | Waterloo | $625.88 | $69.72 – $412.29 |
| UnityPoint Health - Finley Hospital | Dubuque | $400.80 | $69.72 – $460.92 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $400.80 | $69.72 – $330.02 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,137.24 | $69.72 – $417.94 |