Device hemospray 7frx220cm endo hemostat min access 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

$1,916.46

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.

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What you pay up front if you don't use insurance.

$4,563.00

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.

$658.13 with Centene vs $3,729.38 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 $658.13 ↓ -66%
ELAP Commercial|All Plans $1,228.50 ↓ -36%
Millard Public Schools Commercial|Narrow Network $1,272.38 ↓ -34%
Wellmark Commercial|PPO $1,272.38 ↓ -34%
Wellmark Commercial|HMO $1,272.38 ↓ -34%
Greater Omaha Packing Commercial|Narrow Network $1,272.38 ↓ -34%
One World Commercial|Narrow Network $1,272.38 ↓ -34%
Timpte Commercial|Broad Network $1,447.88 ↓ -24%
Greater Omaha Packing Commercial|Broad Network $1,447.88 ↓ -24%
Millard Public Schools Commercial|Broad Network $1,447.88 ↓ -24%
One World Commercial|Broad Network $1,447.88 ↓ -24%
United Medicaid|Community Plan $2,018.25 ↑ +5%
QuikTrip Commercial|All Plans $2,632.50 ↑ +37%
PHCS Commercial|All Plans $3,115.13 ↑ +63%
United Commercial|All Plans $3,246.75 ↑ +69%
Medica Commercial|Open Access $3,290.63 ↑ +72%
Midlands Choice Commercial|Premier $3,290.63 ↑ +72%
Midlands Choice Commercial|Standard $3,290.63 ↑ +72%
MultiPlan Commercial|All Plans $3,729.38 ↑ +95%

Visitor-reported prices

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Device hemospray 7frx220cm endo hemostat min access at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $2,599.67 $1,164.80 – $3,262.75
MercyOne New Hampton Medical Center New Hampton $2,470.00 $978.95 – $2,472.72
MercyOne Dyersville Medical Center Dyersville $2,599.67 $1,233.32 – $3,672.55
MercyOne Clinton Medical Center Clinton $2,599.67 $923.36 – $3,262.75
MercyOne Oelwein Medical Center Oelwein $2,599.67 $1,247.02 – $3,262.75
MercyOne Cedar Falls Medical Center Cedar Falls $2,599.67 $766.75 – $3,262.75
MercyOne Elkader Medical Center Elkader $2,599.67 $1,679.34 – $3,410.23
MercyOne West Des Moines Medical Center West Des Moines $3,999.50 $655.81 – $3,262.75

All Iowa hospitals for this procedure →