Consult comp w/report rfrd material 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

$336.00

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.

$800.00

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.

$120.00 with Centene vs $754.76 with Millard Public Schools — 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 $120.00 ↓ -64%
Amerigroup Medicaid|All Plans $162.70 ↓ -52%
Centene Medicaid|IA Total Care $162.70 ↓ -52%
IAMolina Medicaid|All Plans $165.89 ↓ -51%
Humana Medicare|All Plans $167.00 ↓ -50%
Medica Medicare|All Plans $167.00 ↓ -50%
United Medicare|All Plans $167.00 ↓ -50%
PACE Medicare|All Plans $167.00 ↓ -50%
BCBS - NE Medicare|All Plans $167.00 ↓ -50%
Todays Options Medicare|All Plans $170.34 ↓ -49%
Centene Medicare|All Plans $172.01 ↓ -49%
Amerigroup Medicare|All Plans $175.35 ↓ -48%
Great Plains Medicare|All Plans $175.35 ↓ -48%
ELAP Commercial|All Plans $224.00 ↓ -33%
Medica Commercial|ACO $258.38 ↓ -23%
Medica Commercial|All Other Plans $273.56 ↓ -19%
Medica Commercial|CHI Health $305.13 ↓ -9%
United Medicaid|Community Plan $368.00 ↑ +10%
AMPS Commercial|All Plans $370.74 ↑ +10%
Medica Commercial|Open Access $416.00 ↑ +24%
Midlands Choice Commercial|Premier $416.00 ↑ +24%
QuikTrip Commercial|All Plans $480.00 ↑ +43%
Creighton University Employees Commercial|All Plans $520.00 ↑ +55%
PHCS Commercial|All Plans $568.00 ↑ +69%
Midlands Choice Commercial|Standard $600.00 ↑ +79%
United Commercial|All Plans $600.00 ↑ +79%
Greater Omaha Packing Commercial|Narrow Network $656.31 ↑ +95%
One World Commercial|Narrow Network $656.31 ↑ +95%
Millard Public Schools Commercial|Narrow Network $656.31 ↑ +95%
MultiPlan Commercial|All Plans $680.00 ↑ +102%
Greater Omaha Packing Commercial|Broad Network $754.76 ↑ +125%
One World Commercial|Broad Network $754.76 ↑ +125%
Timpte Commercial|Broad Network $754.76 ↑ +125%
Millard Public Schools Commercial|Broad Network $754.76 ↑ +125%

Visitor-reported prices

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Consult comp w/report rfrd material at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $357.60 $164.03 – $229.64
MercyOne Dubuque Medical Center Dubuque $479.00 $87.48 – $387.00
MercyOne Des Moines Medical Center Des Moines $387.00 $87.48 – $387.00
MercyOne North Iowa Medical Center Mason City $286.00 $112.64 – $440.00
MercyOne Genesis Davenport Medical Center Davenport $398.40 $164.03 – $229.64
MercyOne Waterloo Medical Center Waterloo $230.75 $83.43 – $355.00
UnityPoint Health - Allen Hospital Waterloo $365.60 $91.98 – $244.10
UnityPoint Health - Finley Hospital Dubuque $365.60 $71.87 – $244.10

All Iowa hospitals for this procedure →