Consultation pathology during surgery frozen section first tissue block 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

$225.96

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.

$538.00

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.

$77.76 with Medica vs $457.30 with MultiPlan — 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
Medica Commercial|ACO $77.76 ↓ -66%
Centene Medicaid|NE Total Care $80.70 ↓ -64%
ELAP Commercial|All Plans $150.64 ↓ -33%
Amerigroup Medicaid|All Plans $162.70 ↓ -28%
Centene Medicaid|IA Total Care $162.70 ↓ -28%
IAMolina Medicaid|All Plans $165.89 ↓ -27%
Humana Medicare|All Plans $167.00 ↓ -26%
Medica Medicare|All Plans $167.00 ↓ -26%
United Medicare|All Plans $167.00 ↓ -26%
PACE Medicare|All Plans $167.00 ↓ -26%
BCBS - NE Medicare|All Plans $167.00 ↓ -26%
Todays Options Medicare|All Plans $170.34 ↓ -25%
Centene Medicare|All Plans $172.01 ↓ -24%
Amerigroup Medicare|All Plans $175.35 ↓ -22%
Great Plains Medicare|All Plans $175.35 ↓ -22%
Millard Public Schools Commercial|Narrow Network $177.82 ↓ -21%
Greater Omaha Packing Commercial|Narrow Network $177.82 ↓ -21%
One World Commercial|Narrow Network $177.82 ↓ -21%
Medica Commercial|CHI Health $198.61 ↓ -12%
One World Commercial|Broad Network $204.49 ↓ -10%
Timpte Commercial|Broad Network $204.49 ↓ -10%
Greater Omaha Packing Commercial|Broad Network $204.49 ↓ -10%
Millard Public Schools Commercial|Broad Network $204.49 ↓ -10%
Medica Commercial|All Other Plans $207.98 ↓ -8%
United Medicaid|Community Plan $247.48 ↑ +10%
Midlands Choice Commercial|Premier $279.76 ↑ +24%
Medica Commercial|Open Access $279.76 ↑ +24%
QuikTrip Commercial|All Plans $322.80 ↑ +43%
Creighton University Employees Commercial|All Plans $349.70 ↑ +55%
AMPS Commercial|All Plans $370.74 ↑ +64%
PHCS Commercial|All Plans $381.98 ↑ +69%
Midlands Choice Commercial|Standard $403.50 ↑ +79%
United Commercial|All Plans $403.50 ↑ +79%
MultiPlan Commercial|All Plans $457.30 ↑ +102%

Visitor-reported prices

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Consultation pathology during surgery frozen section first tissue block at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $66.00 $57.20 – $164.03
MercyOne Dubuque Medical Center Dubuque $203.45 $33.03 – $340.41
MercyOne Dyersville Medical Center Dyersville $173.00 $33.03 – $221.74
MercyOne Clinton Medical Center Clinton $203.45 $88.58 – $364.58
MercyOne Cedar Falls Medical Center Cedar Falls $274.95 $92.09 – $329.20
MercyOne Elkader Medical Center Elkader $128.05 $92.09 – $205.90
MercyOne West Des Moines Medical Center West Des Moines $333.00 $35.88 – $333.00
MercyOne Des Moines Medical Center Des Moines $216.45 $35.88 – $333.00

All Iowa hospitals for this procedure →