CT heart w/evaluation of calcium without contrast at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$109.20
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.
$260.00
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.
$39.00 with Centene vs $236.03 with United — 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 | $39.00 | ↓ -64% |
| ELAP | Commercial|All Plans | $72.80 | ↓ -33% |
| United | Medicare|All Plans | $85.81 | ↓ -21% |
| Medica | Medicare|All Plans | $85.81 | ↓ -21% |
| PACE | Medicare|All Plans | $85.81 | ↓ -21% |
| BCBS - NE | Medicare|All Plans | $85.81 | ↓ -21% |
| Humana | Medicare|All Plans | $85.81 | ↓ -21% |
| Todays Options | Medicare|All Plans | $87.53 | ↓ -20% |
| Centene | Medicare|All Plans | $88.38 | ↓ -19% |
| Great Plains | Medicare|All Plans | $90.10 | ↓ -17% |
| Amerigroup | Medicare|All Plans | $90.10 | ↓ -17% |
| United | Medicaid|Community Plan | $119.60 | ↑ +10% |
| Greater Omaha Packing | Commercial|Narrow Network | $133.53 | ↑ +22% |
| Millard Public Schools | Commercial|Narrow Network | $133.53 | ↑ +22% |
| One World | Commercial|Narrow Network | $133.53 | ↑ +22% |
| Medica | Commercial|Open Access | $135.20 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $135.20 | ↑ +24% |
| Medica | Commercial|ACO | $141.67 | ↑ +30% |
| One World | Commercial|Broad Network | $153.55 | ↑ +41% |
| Greater Omaha Packing | Commercial|Broad Network | $153.55 | ↑ +41% |
| Timpte | Commercial|Broad Network | $153.55 | ↑ +41% |
| Millard Public Schools | Commercial|Broad Network | $153.55 | ↑ +41% |
| QuikTrip | Commercial|All Plans | $156.00 | ↑ +43% |
| PHCS | Commercial|All Plans | $184.60 | ↑ +69% |
| AMPS | Commercial|All Plans | $190.50 | ↑ +74% |
| Creighton University Employees | Commercial|All Plans | $190.63 | ↑ +75% |
| Midlands Choice | Commercial|Standard | $195.00 | ↑ +79% |
| Medica | Commercial|CHI Health | $197.83 | ↑ +81% |
| Medica | Commercial|All Other Plans | $207.16 | ↑ +90% |
| MultiPlan | Commercial|All Plans | $221.00 | ↑ +102% |
| United | Commercial|All Plans | $236.03 | ↑ +116% |
Visitor-reported prices
Comments
CT heart w/evaluation of calcium without contrast at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $86.40 | $84.28 – $93.60 |
| MercyOne Clinton Medical Center | Clinton | $71.50 | $31.13 – $195.48 |
| MercyOne Oelwein Medical Center | Oelwein | $65.00 | $38.22 – $100.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $102.70 | $37.13 – $436.66 |
| MercyOne Des Moines Medical Center | Des Moines | $313.00 | $19.90 – $168.95 |
| MercyOne Centerville Medical Center | Centerville | $100.00 | $27.44 – $100.00 |
| MercyOne Newton Medical Center | Newton | $65.00 | $57.00 – $168.95 |
| MercyOne North Iowa Medical Center | Mason City | $68.25 | $26.88 – $195.48 |