Consult comp w/report rfrd material at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$336.00
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.
$800.00
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.
$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 →
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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 | $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
Comments
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 |