Consultation/report referred slides prepared elsewhere at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$115.50
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.
$275.00
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.
$37.27 with Amerigroup vs $264.00 with One World — 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 |
|---|---|---|---|
| Amerigroup | Medicaid|All Plans | $37.27 | ↓ -68% |
| Centene | Medicaid|IA Total Care | $37.27 | ↓ -68% |
| IAMolina | Medicaid|All Plans | $38.00 | ↓ -67% |
| Humana | Medicare|All Plans | $38.25 | ↓ -67% |
| Medica | Medicare|All Plans | $38.25 | ↓ -67% |
| United | Medicare|All Plans | $38.25 | ↓ -67% |
| PACE | Medicare|All Plans | $38.25 | ↓ -67% |
| BCBS - NE | Medicare|All Plans | $38.25 | ↓ -67% |
| Todays Options | Medicare|All Plans | $39.02 | ↓ -66% |
| Centene | Medicare|All Plans | $39.40 | ↓ -66% |
| Centene | Medicaid|NE Total Care | $39.60 | ↓ -66% |
| Amerigroup | Medicare|All Plans | $40.16 | ↓ -65% |
| Great Plains | Medicare|All Plans | $40.16 | ↓ -65% |
| ELAP | Commercial|All Plans | $73.92 | ↓ -36% |
| AMPS | Commercial|All Plans | $84.92 | ↓ -26% |
| United | Medicaid|Community Plan | $121.44 | ↑ +5% |
| Midlands Choice | Commercial|Premier | $137.28 | ↑ +19% |
| Medica | Commercial|Open Access | $137.28 | ↑ +19% |
| QuikTrip | Commercial|All Plans | $158.40 | ↑ +37% |
| Medica | Commercial|ACO | $159.79 | ↑ +38% |
| Medica | Commercial|All Other Plans | $169.79 | ↑ +47% |
| Creighton University Employees | Commercial|All Plans | $171.60 | ↑ +49% |
| PHCS | Commercial|All Plans | $187.44 | ↑ +62% |
| Medica | Commercial|CHI Health | $188.84 | ↑ +63% |
| United | Commercial|All Plans | $198.00 | ↑ +71% |
| Midlands Choice | Commercial|Standard | $198.00 | ↑ +71% |
| MultiPlan | Commercial|All Plans | $224.40 | ↑ +94% |
| Millard Public Schools | Commercial|Broad Network | $264.00 | ↑ +129% |
| Millard Public Schools | Commercial|Narrow Network | $264.00 | ↑ +129% |
| One World | Commercial|Broad Network | $264.00 | ↑ +129% |
| Timpte | Commercial|Broad Network | $264.00 | ↑ +129% |
| Greater Omaha Packing | Commercial|Broad Network | $264.00 | ↑ +129% |
| Greater Omaha Packing | Commercial|Narrow Network | $264.00 | ↑ +129% |
| One World | Commercial|Narrow Network | $264.00 | ↑ +129% |
Visitor-reported prices
Comments
Consultation/report referred slides prepared elsewhere at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $416.65 | $33.51 – $641.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $213.85 | $33.96 – $329.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $300.00 | $33.96 – $300.00 |
| MercyOne Des Moines Medical Center | Des Moines | $195.00 | $33.96 – $300.00 |
| MercyOne Centerville Medical Center | Centerville | $410.00 | $112.50 – $410.00 |
| MercyOne Newton Medical Center | Newton | $266.50 | $35.35 – $410.00 |
| MercyOne North Iowa Medical Center | Mason City | $266.50 | $33.96 – $410.00 |
| MercyOne Waterloo Medical Center | Waterloo | $213.85 | $33.96 – $329.00 |