Cosyntropin 0.25 mg solution for injection 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

$52.82

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.

$125.76

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.

$14.93 with Centene vs $84.58 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 $14.93 ↓ -72%
ELAP Commercial|All Plans $27.86 ↓ -47%
Wellmark Commercial|PPO $28.59 ↓ -46%
Wellmark Commercial|HMO $28.59 ↓ -46%
United Medicaid|Community Plan $45.77 ↓ -13%
BCBS - NE Commercial|BluePrint $46.13 ↓ -13%
Medica Commercial|CHI Health $50.21 ↓ -5%
Medica Commercial|Open Access $51.74 ↓ -2%
Medica Commercial|All Other Plans $52.58 ↓ -0%
United Commercial|All Plans $55.16 ↑ +4%
Medica Commercial|ACO $56.93 ↑ +8%
QuikTrip Commercial|All Plans $59.70 ↑ +13%
BCBS - NE Commercial|All Other Plans $61.50 ↑ +16%
One World Commercial|Narrow Network $64.26 ↑ +22%
Millard Public Schools Commercial|Narrow Network $64.26 ↑ +22%
Greater Omaha Packing Commercial|Narrow Network $64.26 ↑ +22%
PHCS Commercial|All Plans $70.65 ↑ +34%
Timpte Commercial|Broad Network $73.90 ↑ +40%
Greater Omaha Packing Commercial|Broad Network $73.90 ↑ +40%
Millard Public Schools Commercial|Broad Network $73.90 ↑ +40%
One World Commercial|Broad Network $73.90 ↑ +40%
Midlands Choice Commercial|Premier $74.63 ↑ +41%
Midlands Choice Commercial|Standard $74.63 ↑ +41%
MultiPlan Commercial|All Plans $84.58 ↑ +60%

Visitor-reported prices

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Cosyntropin 0.25 mg solution for injection at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $295.78 not published
MercyOne Dubuque Medical Center Dubuque $101.75 $28.02 – $101.75
MercyOne New Hampton Medical Center New Hampton $101.75 $28.02 – $101.75
MercyOne Dyersville Medical Center Dyersville $101.75 $28.02 – $114.53
MercyOne Clinton Medical Center Clinton $101.75 $28.02 – $101.75
MercyOne Oelwein Medical Center Oelwein $101.75 $28.02 – $101.75
MercyOne Cedar Falls Medical Center Cedar Falls $101.75 $23.91 – $101.75
MercyOne Elkader Medical Center Elkader $101.75 $28.02 – $106.35

All Iowa hospitals for this procedure →