Dilate biliary duct/ampulla at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,196.16
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.
$2,848.00
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.
$251.43 with Medica vs $3,259.25 with Millard Public Schools — 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $251.43 | ↓ -79% |
| Centene | Medicaid|NE Total Care | $427.20 | ↓ -64% |
| ELAP | Commercial|All Plans | $797.44 | ↓ -33% |
| Medica | Commercial|CHI Health | $953.00 | ↓ -20% |
| Creighton University Employees | Commercial|All Plans | $1,167.68 | ↓ -2% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +9% |
| United | Medicaid|Community Plan | $1,310.08 | ↑ +10% |
| United | Commercial|All Plans | $1,338.56 | ↑ +12% |
| Medica | Commercial|Open Access | $1,480.96 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $1,480.96 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $1,708.80 | ↑ +43% |
| PHCS | Commercial|All Plans | $2,022.08 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $2,136.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $2,420.80 | ↑ +102% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +137% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +137% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +137% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +172% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +172% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +172% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +172% |
Visitor-reported prices
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Dilate biliary duct/ampulla at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Des Moines Medical Center | Des Moines | $3,833.70 | $1,185.50 – $5,898.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,273.60 | $120.69 – $320.99 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,273.60 | $120.69 – $1,464.64 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,273.60 | $120.69 – $320.99 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $4,826.09 | $120.69 – $1,773.59 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $1,924.05 | $120.69 – $2,133.29 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,273.60 | $120.69 – $320.99 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $3,249.14 | $120.69 – $2,347.50 |