Chest X-ray 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

$204.12

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.

$486.00

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.

$16.20 with Centene vs $190.50 with AMPS — 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 $16.20 ↓ -92%
ELAP Commercial|All Plans $30.24 ↓ -85%
Medica Commercial|ACO $43.72 ↓ -79%
United Medicaid|Community Plan $49.68 ↓ -76%
Midlands Choice Commercial|Premier $56.16 ↓ -72%
Medica Commercial|Open Access $56.16 ↓ -72%
Medica Commercial|CHI Health $64.68 ↓ -68%
QuikTrip Commercial|All Plans $64.80 ↓ -68%
Medica Commercial|All Other Plans $67.73 ↓ -67%
PHCS Commercial|All Plans $76.68 ↓ -62%
Midlands Choice Commercial|Standard $81.00 ↓ -60%
United Commercial|All Plans $81.00 ↓ -60%
Creighton University Employees Commercial|All Plans $81.00 ↓ -60%
Centene Medicaid|IA Total Care $83.59 ↓ -59%
Amerigroup Medicaid|All Plans $83.59 ↓ -59%
IAMolina Medicaid|All Plans $85.23 ↓ -58%
Humana Medicare|All Plans $85.81 ↓ -58%
Medica Medicare|All Plans $85.81 ↓ -58%
United Medicare|All Plans $85.81 ↓ -58%
PACE Medicare|All Plans $85.81 ↓ -58%
BCBS - NE Medicare|All Plans $85.81 ↓ -58%
Todays Options Medicare|All Plans $87.53 ↓ -57%
Centene Medicare|All Plans $88.38 ↓ -57%
Amerigroup Medicare|All Plans $90.10 ↓ -56%
Great Plains Medicare|All Plans $90.10 ↓ -56%
MultiPlan Commercial|All Plans $91.80 ↓ -55%
AMPS Commercial|All Plans $190.50 ↓ -7%

Visitor-reported prices

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Chest X-ray at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $184.80 $84.28 – $118.00
MercyOne New Hampton Medical Center New Hampton $206.70 $125.90 – $318.00
MercyOne Dyersville Medical Center Dyersville $206.70 $120.20 – $357.94
MercyOne Clinton Medical Center Clinton $398.45 $9.09 – $417.00
MercyOne Oelwein Medical Center Oelwein $206.70 $121.54 – $318.00
MercyOne Cedar Falls Medical Center Cedar Falls $163.80 $59.22 – $252.00
MercyOne Elkader Medical Center Elkader $206.70 $163.67 – $332.37
MercyOne West Des Moines Medical Center West Des Moines $545.00 $82.14 – $545.00

All Iowa hospitals for this procedure →