Coombs indirect titer reference at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$157.08
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.
$374.00
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.
$10.08 with Medica vs $370.74 with AMPS — 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $10.08 | ↓ -94% |
| Medica | Commercial|CHI Health | $10.65 | ↓ -93% |
| Medica | Commercial|All Other Plans | $11.15 | ↓ -93% |
| Creighton University Employees | Commercial|All Plans | $16.68 | ↓ -89% |
| United | Commercial|All Plans | $21.77 | ↓ -86% |
| Millard Public Schools | Commercial|Narrow Network | $35.39 | ↓ -77% |
| One World | Commercial|Narrow Network | $35.39 | ↓ -77% |
| Greater Omaha Packing | Commercial|Narrow Network | $35.39 | ↓ -77% |
| Timpte | Commercial|Broad Network | $40.70 | ↓ -74% |
| Millard Public Schools | Commercial|Broad Network | $40.70 | ↓ -74% |
| Greater Omaha Packing | Commercial|Broad Network | $40.70 | ↓ -74% |
| One World | Commercial|Broad Network | $40.70 | ↓ -74% |
| Centene | Medicaid|NE Total Care | $55.05 | ↓ -65% |
| ELAP | Commercial|All Plans | $102.76 | ↓ -35% |
| Amerigroup | Medicaid|All Plans | $162.70 | ↑ +4% |
| Centene | Medicaid|IA Total Care | $162.70 | ↑ +4% |
| IAMolina | Medicaid|All Plans | $165.89 | ↑ +6% |
| Humana | Medicare|All Plans | $167.00 | ↑ +6% |
| Medica | Medicare|All Plans | $167.00 | ↑ +6% |
| United | Medicare|All Plans | $167.00 | ↑ +6% |
| PACE | Medicare|All Plans | $167.00 | ↑ +6% |
| BCBS - NE | Medicare|All Plans | $167.00 | ↑ +6% |
| United | Medicaid|Community Plan | $168.82 | ↑ +7% |
| Todays Options | Medicare|All Plans | $170.34 | ↑ +8% |
| Centene | Medicare|All Plans | $172.01 | ↑ +10% |
| Great Plains | Medicare|All Plans | $175.35 | ↑ +12% |
| Amerigroup | Medicare|All Plans | $175.35 | ↑ +12% |
| Medica | Commercial|Open Access | $190.84 | ↑ +21% |
| Midlands Choice | Commercial|Premier | $190.84 | ↑ +21% |
| QuikTrip | Commercial|All Plans | $220.20 | ↑ +40% |
| PHCS | Commercial|All Plans | $260.57 | ↑ +66% |
| Midlands Choice | Commercial|Standard | $275.25 | ↑ +75% |
| MultiPlan | Commercial|All Plans | $311.95 | ↑ +99% |
| AMPS | Commercial|All Plans | $370.74 | ↑ +136% |
Visitor-reported prices
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Coombs indirect titer reference at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $143.40 | $107.25 – $164.03 |
| MercyOne Dubuque Medical Center | Dubuque | $263.90 | $5.18 – $340.41 |
| MercyOne New Hampton Medical Center | New Hampton | $136.50 | $68.49 – $173.00 |
| MercyOne Dyersville Medical Center | Dyersville | $112.45 | $65.39 – $194.73 |
| MercyOne Clinton Medical Center | Clinton | $98.15 | $5.18 – $364.58 |
| MercyOne Oelwein Medical Center | Oelwein | $112.45 | $66.12 – $173.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $136.50 | $5.18 – $329.20 |
| MercyOne Elkader Medical Center | Elkader | $112.45 | $89.04 – $180.82 |