Creat artery-vein fistula autograft 36825 at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$3,376.80
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.
$8,040.00
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.
$1,206.00 with Centene vs $12,807.00 with Medica — 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $1,206.00 | ↓ -64% |
| Medica | Commercial|ACO | $1,402.53 | ↓ -58% |
| ELAP | Commercial|All Plans | $2,251.20 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $3,296.40 | ↓ -2% |
| United | Medicaid|Community Plan | $3,698.40 | ↑ +10% |
| United | Commercial|All Plans | $3,778.80 | ↑ +12% |
| Medica | Commercial|Open Access | $4,180.80 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $4,824.00 | ↑ +43% |
| Centene | Medicaid|IA Total Care | $5,132.35 | ↑ +52% |
| Amerigroup | Medicaid|All Plans | $5,132.35 | ↑ +52% |
| IAMolina | Medicaid|All Plans | $5,232.99 | ↑ +55% |
| Humana | Medicare|All Plans | $5,268.18 | ↑ +56% |
| Medica | Medicare|All Plans | $5,268.18 | ↑ +56% |
| United | Medicare|All Plans | $5,268.18 | ↑ +56% |
| PACE | Medicare|All Plans | $5,268.18 | ↑ +56% |
| BCBS - NE | Medicare|All Plans | $5,268.18 | ↑ +56% |
| Todays Options | Medicare|All Plans | $5,373.54 | ↑ +59% |
| Centene | Medicare|All Plans | $5,426.23 | ↑ +61% |
| Amerigroup | Medicare|All Plans | $5,531.59 | ↑ +64% |
| Great Plains | Medicare|All Plans | $5,531.59 | ↑ +64% |
| PHCS | Commercial|All Plans | $5,708.40 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $6,030.00 | ↑ +79% |
| Midlands Choice | Commercial|Premier | $6,030.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $6,834.00 | ↑ +102% |
| One World | Commercial|Narrow Network | $9,185.68 | ↑ +172% |
| Millard Public Schools | Commercial|Narrow Network | $9,185.68 | ↑ +172% |
| Greater Omaha Packing | Commercial|Narrow Network | $9,185.68 | ↑ +172% |
| Medica | Commercial|CHI Health | $9,391.00 | ↑ +178% |
| Timpte | Commercial|Broad Network | $10,563.53 | ↑ +213% |
| Greater Omaha Packing | Commercial|Broad Network | $10,563.53 | ↑ +213% |
| Millard Public Schools | Commercial|Broad Network | $10,563.53 | ↑ +213% |
| One World | Commercial|Broad Network | $10,563.53 | ↑ +213% |
| AMPS | Commercial|All Plans | $11,695.36 | ↑ +246% |
| Medica | Commercial|All Other Plans | $12,807.00 | ↑ +279% |
Visitor-reported prices
Comments
Creat artery-vein fistula autograft 36825 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,470.00 | not published |
| MercyOne Des Moines Medical Center | Des Moines | $35,140.50 | $9.09 – $10,802.96 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,543.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,543.80 | $928.00 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,941.60 | $676.80 – $4,480.65 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,941.60 | $676.80 – $4,752.85 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,941.60 | $676.80 – $5,378.48 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,941.60 | $676.80 – $5,208.13 |