Clsd tx bimalleol ank fx without manip 27808 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

$309.54

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.

$737.00

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.

$110.55 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 $110.55 ↓ -64%
ELAP Commercial|All Plans $206.36 ↓ -33%
Centene Medicaid|IA Total Care $227.76 ↓ -26%
Amerigroup Medicaid|All Plans $227.76 ↓ -26%
IAMolina Medicaid|All Plans $232.22 ↓ -25%
Humana Medicare|All Plans $233.78 ↓ -24%
Medica Medicare|All Plans $233.78 ↓ -24%
United Medicare|All Plans $233.78 ↓ -24%
PACE Medicare|All Plans $233.78 ↓ -24%
BCBS - NE Medicare|All Plans $233.78 ↓ -24%
Todays Options Medicare|All Plans $238.46 ↓ -23%
Centene Medicare|All Plans $240.79 ↓ -22%
Amerigroup Medicare|All Plans $245.47 ↓ -21%
Great Plains Medicare|All Plans $245.47 ↓ -21%
United Medicaid|Community Plan $339.02 ↑ +10%
United Commercial|All Plans $346.39 ↑ +12%
Midlands Choice Commercial|Premier $383.24 ↑ +24%
Medica Commercial|Open Access $383.24 ↑ +24%
QuikTrip Commercial|All Plans $442.20 ↑ +43%
AMPS Commercial|All Plans $518.99 ↑ +68%
PHCS Commercial|All Plans $523.27 ↑ +69%
Midlands Choice Commercial|Standard $552.75 ↑ +79%
Medica Commercial|ACO $596.72 ↑ +93%
MultiPlan Commercial|All Plans $626.45 ↑ +102%
Creighton University Employees Commercial|All Plans $701.00 ↑ +126%
Medica Commercial|CHI Health $953.00 ↑ +208%
Medica Commercial|All Other Plans $1,302.00 ↑ +321%
One World Commercial|Narrow Network $2,834.13 ↑ +816%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +816%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +816%
One World Commercial|Broad Network $3,259.25 ↑ +953%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +953%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +953%
Timpte Commercial|Broad Network $3,259.25 ↑ +953%

Visitor-reported prices

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Clsd tx bimalleol ank fx without manip 27808 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $596.40 not published
MercyOne Clinton Medical Center Clinton $1,078.00 $83.46 – $1,033.40
MercyOne Des Moines Medical Center Des Moines $1,078.00 $83.46 – $1,033.40
MercyOne North Iowa Medical Center Mason City $1,078.00 $83.46 – $1,064.89
MercyOne Genesis Davenport Medical Center Davenport $626.40 not published
MercyOne Genesis DeWitt Medical Center DeWitt $626.40 $762.12 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $1,078.00 $83.46 – $1,078.00
UnityPoint Health - Allen Hospital Waterloo $1,635.20 $198.83 – $620.60

All Iowa hospitals for this procedure →