Chemodenerv trunk musc 1-5 64646 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

$339.78

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.

$809.00

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.

$121.35 with Centene vs $3,259.25 with Timpte — 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 $121.35 ↓ -64%
Medica Commercial|ACO $209.69 ↓ -38%
ELAP Commercial|All Plans $226.52 ↓ -33%
United Medicaid|Community Plan $372.14 ↑ +10%
United Commercial|All Plans $380.23 ↑ +12%
Medica Commercial|Open Access $420.68 ↑ +24%
QuikTrip Commercial|All Plans $485.40 ↑ +43%
Creighton University Employees Commercial|All Plans $525.85 ↑ +55%
PHCS Commercial|All Plans $574.39 ↑ +69%
Midlands Choice Commercial|Premier $606.75 ↑ +79%
Midlands Choice Commercial|Standard $606.75 ↑ +79%
Amerigroup Medicaid|All Plans $657.50 ↑ +94%
Centene Medicaid|IA Total Care $657.50 ↑ +94%
IAMolina Medicaid|All Plans $670.39 ↑ +97%
Humana Medicare|All Plans $674.90 ↑ +99%
Medica Medicare|All Plans $674.90 ↑ +99%
United Medicare|All Plans $674.90 ↑ +99%
PACE Medicare|All Plans $674.90 ↑ +99%
BCBS - NE Medicare|All Plans $674.90 ↑ +99%
MultiPlan Commercial|All Plans $687.65 ↑ +102%
Todays Options Medicare|All Plans $688.40 ↑ +103%
Centene Medicare|All Plans $695.15 ↑ +105%
Amerigroup Medicare|All Plans $708.64 ↑ +109%
Great Plains Medicare|All Plans $708.64 ↑ +109%
Medica Commercial|CHI Health $1,422.00 ↑ +319%
AMPS Commercial|All Plans $1,498.28 ↑ +341%
Medica Commercial|All Other Plans $1,938.00 ↑ +470%
One World Commercial|Narrow Network $2,834.13 ↑ +734%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +734%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +734%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +859%
One World Commercial|Broad Network $3,259.25 ↑ +859%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +859%
Timpte Commercial|Broad Network $3,259.25 ↑ +859%

Visitor-reported prices

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Chemodenerv trunk musc 1-5 64646 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $712.20 $662.89 – $771.55
MercyOne Des Moines Medical Center Des Moines $348.00 $20.30 – $1,370.41
MercyOne Genesis Davenport Medical Center Davenport $823.20 $662.89 – $810.55
MercyOne Genesis DeWitt Medical Center DeWitt $307.20 $373.76 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $348.00 $33.12 – $3,576.15
UnityPoint Health - Allen Hospital Waterloo $868.26 $101.64 – $574.01
UnityPoint Health - Finley Hospital Dubuque $1,300.98 $101.64 – $1,300.98
UnityPoint Health - Grinnell Regional Medical Center Grinnell $373.60 $101.64 – $689.04

All Iowa hospitals for this procedure →