Clsd tx trimall ankle fx w/manip 27818 at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,152.48
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.
$2,744.00
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.
$411.60 with Centene vs $3,462.53 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 →
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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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $411.60 | ↓ -64% |
| Creighton University Employees | Commercial|All Plans | $701.00 | ↓ -39% |
| ELAP | Commercial|All Plans | $768.32 | ↓ -33% |
| Medica | Commercial|ACO | $842.60 | ↓ -27% |
| United | Medicaid|Community Plan | $1,262.24 | ↑ +10% |
| United | Commercial|All Plans | $1,289.68 | ↑ +12% |
| Medica | Commercial|CHI Health | $1,422.00 | ↑ +23% |
| Medica | Commercial|Open Access | $1,426.88 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $1,426.88 | ↑ +24% |
| Centene | Medicaid|IA Total Care | $1,519.48 | ↑ +32% |
| Amerigroup | Medicaid|All Plans | $1,519.48 | ↑ +32% |
| IAMolina | Medicaid|All Plans | $1,549.28 | ↑ +34% |
| PACE | Medicare|All Plans | $1,559.70 | ↑ +35% |
| Humana | Medicare|All Plans | $1,559.70 | ↑ +35% |
| Medica | Medicare|All Plans | $1,559.70 | ↑ +35% |
| United | Medicare|All Plans | $1,559.70 | ↑ +35% |
| BCBS - NE | Medicare|All Plans | $1,559.70 | ↑ +35% |
| Todays Options | Medicare|All Plans | $1,590.89 | ↑ +38% |
| Centene | Medicare|All Plans | $1,606.49 | ↑ +39% |
| Amerigroup | Medicare|All Plans | $1,637.68 | ↑ +42% |
| Great Plains | Medicare|All Plans | $1,637.68 | ↑ +42% |
| QuikTrip | Commercial|All Plans | $1,646.40 | ↑ +43% |
| Medica | Commercial|All Other Plans | $1,938.00 | ↑ +68% |
| PHCS | Commercial|All Plans | $1,948.24 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $2,058.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $2,332.40 | ↑ +102% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +146% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +146% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +146% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +183% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +183% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +183% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +183% |
| AMPS | Commercial|All Plans | $3,462.53 | ↑ +200% |
Visitor-reported prices
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Clsd tx trimall ankle fx w/manip 27818 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $873.60 | $274.95 – $1,531.94 |
| MercyOne Genesis Davenport Medical Center | Davenport | $917.40 | $332.15 – $1,531.94 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $917.40 | $173.74 – $373.03 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,387.20 | $208.17 – $1,326.54 |
| UnityPoint Health - Finley Hospital | Dubuque | $2,387.20 | $148.49 – $1,407.13 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $2,387.20 | $404.82 – $1,592.36 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $2,387.20 | $404.82 – $1,541.92 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $2,901.50 | $404.82 – $3,217.03 |