Contrast x-ray of wrist 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

$395.22

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.

$941.00

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.

$141.15 with Centene vs $799.85 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
Centene Medicaid|NE Total Care $141.15 ↓ -64%
Medica Commercial|ACO $204.52 ↓ -48%
Creighton University Employees Commercial|All Plans $205.68 ↓ -48%
United Commercial|All Plans $254.66 ↓ -36%
Medica Commercial|CHI Health $260.56 ↓ -34%
ELAP Commercial|All Plans $263.48 ↓ -33%
Medica Commercial|All Other Plans $272.85 ↓ -31%
Centene Medicaid|IA Total Care $339.07 ↓ -14%
Amerigroup Medicaid|All Plans $339.07 ↓ -14%
IAMolina Medicaid|All Plans $345.72 ↓ -13%
Humana Medicare|All Plans $348.04 ↓ -12%
Medica Medicare|All Plans $348.04 ↓ -12%
United Medicare|All Plans $348.04 ↓ -12%
PACE Medicare|All Plans $348.04 ↓ -12%
BCBS - NE Medicare|All Plans $348.04 ↓ -12%
Todays Options Medicare|All Plans $355.00 ↓ -10%
One World Commercial|Narrow Network $358.25 ↓ -9%
Millard Public Schools Commercial|Narrow Network $358.25 ↓ -9%
Greater Omaha Packing Commercial|Narrow Network $358.25 ↓ -9%
Centene Medicare|All Plans $358.48 ↓ -9%
Amerigroup Medicare|All Plans $365.44 ↓ -8%
Great Plains Medicare|All Plans $365.44 ↓ -8%
Timpte Commercial|Broad Network $411.98 ↑ +4%
Millard Public Schools Commercial|Broad Network $411.98 ↑ +4%
One World Commercial|Broad Network $411.98 ↑ +4%
Greater Omaha Packing Commercial|Broad Network $411.98 ↑ +4%
United Medicaid|Community Plan $432.86 ↑ +10%
Medica Commercial|Open Access $489.32 ↑ +24%
Midlands Choice Commercial|Premier $489.32 ↑ +24%
QuikTrip Commercial|All Plans $564.60 ↑ +43%
PHCS Commercial|All Plans $668.11 ↑ +69%
Midlands Choice Commercial|Standard $705.75 ↑ +79%
AMPS Commercial|All Plans $772.65 ↑ +95%
MultiPlan Commercial|All Plans $799.85 ↑ +102%

Visitor-reported prices

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Contrast x-ray of wrist at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $369.60 $341.85 – $478.59
MercyOne Clinton Medical Center Clinton $1,357.20 $321.26 – $1,392.00
MercyOne Cedar Falls Medical Center Cedar Falls $950.95 $229.13 – $975.00
MercyOne West Des Moines Medical Center West Des Moines $2,558.00 $329.29 – $1,705.00
MercyOne North Iowa Medical Center Mason City $1,482.00 $337.57 – $1,520.00
MercyOne Genesis Davenport Medical Center Davenport $412.20 $341.85 – $478.59
MercyOne Waterloo Medical Center Waterloo $998.40 $240.64 – $1,024.00
UnityPoint Health - Allen Hospital Waterloo $602.68 $24.85 – $397.02

All Iowa hospitals for this procedure →