Diagnostic Mammogram (one breast) at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$100.38
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.
$239.00
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.
$32.55 with Centene vs $308.16 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 | $32.55 | ↓ -68% |
| ELAP | Commercial|All Plans | $60.76 | ↓ -39% |
| United | Medicaid|Community Plan | $99.82 | ↓ -1% |
| Medica | Commercial|Open Access | $112.84 | ↑ +12% |
| Midlands Choice | Commercial|Premier | $112.84 | ↑ +12% |
| Centene | Medicaid|IA Total Care | $113.47 | ↑ +13% |
| Amerigroup | Medicaid|All Plans | $113.47 | ↑ +13% |
| IAMolina | Medicaid|All Plans | $115.70 | ↑ +15% |
| QuikTrip | Commercial|All Plans | $130.20 | ↑ +30% |
| PHCS | Commercial|All Plans | $154.07 | ↑ +53% |
| Midlands Choice | Commercial|Standard | $162.75 | ↑ +62% |
| Medica | Commercial|ACO | $164.79 | ↑ +64% |
| MultiPlan | Commercial|All Plans | $184.45 | ↑ +84% |
| Creighton University Employees | Commercial|All Plans | $217.00 | ↑ +116% |
| Medica | Commercial|CHI Health | $241.85 | ↑ +141% |
| Medica | Commercial|All Other Plans | $253.26 | ↑ +152% |
| United | Commercial|All Plans | $308.16 | ↑ +207% |
Visitor-reported prices
Comments
Diagnostic Mammogram (one breast) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $211.80 | $164.52 – $164.52 |
| MercyOne Dubuque Medical Center | Dubuque | $312.65 | $77.11 – $481.00 |
| MercyOne New Hampton Medical Center | New Hampton | $297.05 | $112.74 – $457.00 |
| MercyOne Dyersville Medical Center | Dyersville | $297.05 | $112.74 – $514.40 |
| MercyOne Clinton Medical Center | Clinton | $364.00 | $77.11 – $560.00 |
| MercyOne Oelwein Medical Center | Oelwein | $297.05 | $112.74 – $457.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $204.10 | $73.79 – $481.75 |
| MercyOne Elkader Medical Center | Elkader | $297.05 | $112.74 – $477.66 |