Debride/subq tissue/ea add 20sq cm 11045 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

$433.44

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.

$1,032.00

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.

$46.77 with Medica vs $3,259.25 with One World — 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
Medica Commercial|ACO $46.77 ↓ -89%
Centene Medicaid|NE Total Care $154.80 ↓ -64%
ELAP Commercial|All Plans $288.96 ↓ -33%
United Medicaid|Community Plan $474.72 ↑ +10%
United Commercial|All Plans $485.04 ↑ +12%
Medica Commercial|Open Access $536.64 ↑ +24%
QuikTrip Commercial|All Plans $619.20 ↑ +43%
PHCS Commercial|All Plans $732.72 ↑ +69%
Midlands Choice Commercial|Premier $774.00 ↑ +79%
Midlands Choice Commercial|Standard $774.00 ↑ +79%
MultiPlan Commercial|All Plans $877.20 ↑ +102%
Medica Commercial|CHI Health $953.00 ↑ +120%
Medica Commercial|All Other Plans $1,302.00 ↑ +200%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +554%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +554%
One World Commercial|Narrow Network $2,834.13 ↑ +554%
Timpte Commercial|Broad Network $3,259.25 ↑ +652%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +652%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +652%
One World Commercial|Broad Network $3,259.25 ↑ +652%

Visitor-reported prices

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Debride/subq tissue/ea add 20sq cm 11045 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $271.20 not published
MercyOne Clinton Medical Center Clinton $5,358.44 $14.06 – $869.92
MercyOne West Des Moines Medical Center West Des Moines $83.00 $14.06 – $55.00
MercyOne Des Moines Medical Center Des Moines $2,844.00 $14.06 – $789.21
MercyOne Genesis Davenport Medical Center Davenport $327.60 not published
MercyOne Genesis DeWitt Medical Center DeWitt $327.60 $93.44 – $185.64
MercyOne Waterloo Medical Center Waterloo $2,666.00 $14.06 – $3,576.15
UnityPoint Health - Allen Hospital Waterloo $719.57 $22.23 – $474.02

All Iowa hospitals for this procedure →