Chest CT scan (with and without contrast) 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

$1,265.04

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.

$3,012.00

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.

$169.01 with Amerigroup vs $2,560.20 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 →

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
Amerigroup Medicaid|All Plans $169.01 ↓ -87%
Centene Medicaid|IA Total Care $169.01 ↓ -87%
IAMolina Medicaid|All Plans $172.33 ↓ -86%
Humana Medicare|All Plans $173.49 ↓ -86%
Medica Medicare|All Plans $173.49 ↓ -86%
United Medicare|All Plans $173.49 ↓ -86%
PACE Medicare|All Plans $173.49 ↓ -86%
BCBS - NE Medicare|All Plans $173.49 ↓ -86%
Todays Options Medicare|All Plans $176.96 ↓ -86%
Centene Medicare|All Plans $178.69 ↓ -86%
Amerigroup Medicare|All Plans $182.16 ↓ -86%
Great Plains Medicare|All Plans $182.16 ↓ -86%
Medica Commercial|ACO $269.66 ↓ -79%
AMPS Commercial|All Plans $385.15 ↓ -70%
Medica Commercial|CHI Health $392.65 ↓ -69%
Medica Commercial|All Other Plans $411.18 ↓ -67%
Centene Medicaid|NE Total Care $451.80 ↓ -64%
Creighton University Employees Commercial|All Plans $543.77 ↓ -57%
United Commercial|All Plans $673.27 ↓ -47%
ELAP Commercial|All Plans $843.36 ↓ -33%
Greater Omaha Packing Commercial|Narrow Network $940.56 ↓ -26%
One World Commercial|Narrow Network $940.56 ↓ -26%
Millard Public Schools Commercial|Narrow Network $940.56 ↓ -26%
Timpte Commercial|Broad Network $1,081.64 ↓ -14%
Millard Public Schools Commercial|Broad Network $1,081.64 ↓ -14%
Greater Omaha Packing Commercial|Broad Network $1,081.64 ↓ -14%
One World Commercial|Broad Network $1,081.64 ↓ -14%
United Medicaid|Community Plan $1,385.52 ↑ +10%
Medica Commercial|Open Access $1,566.24 ↑ +24%
Midlands Choice Commercial|Premier $1,566.24 ↑ +24%
QuikTrip Commercial|All Plans $1,807.20 ↑ +43%
PHCS Commercial|All Plans $2,138.52 ↑ +69%
Midlands Choice Commercial|Standard $2,259.00 ↑ +79%
MultiPlan Commercial|All Plans $2,560.20 ↑ +102%

Visitor-reported prices

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Chest CT scan (with and without contrast) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,426.80 $170.40 – $238.57
MercyOne New Hampton Medical Center New Hampton $2,252.90 $1,372.19 – $3,466.00
MercyOne Clinton Medical Center Clinton $2,531.10 $161.52 – $3,894.00
MercyOne Cedar Falls Medical Center Cedar Falls $3,527.55 $165.25 – $5,427.00
MercyOne West Des Moines Medical Center West Des Moines $5,747.00 $165.56 – $5,747.00
MercyOne Des Moines Medical Center Des Moines $2,259.40 $165.56 – $3,476.00
MercyOne Newton Medical Center Newton $2,252.90 $166.03 – $3,466.00
MercyOne North Iowa Medical Center Mason City $3,938.00 $169.72 – $3,743.00

All Iowa hospitals for this procedure →