Dornhoffer fixed part w/window 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

$11,529.06

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.

$27,450.13

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.

$2,191.62 with Centene vs $46,666.15 with Medica — 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 $2,191.62 ↓ -81%
ELAP Commercial|All Plans $4,091.01 ↓ -65%
One World Commercial|Narrow Network $4,237.12 ↓ -63%
Greater Omaha Packing Commercial|Narrow Network $4,237.12 ↓ -63%
Millard Public Schools Commercial|Narrow Network $4,237.12 ↓ -63%
Greater Omaha Packing Commercial|Broad Network $4,821.55 ↓ -58%
Timpte Commercial|Broad Network $4,821.55 ↓ -58%
One World Commercial|Broad Network $4,821.55 ↓ -58%
Millard Public Schools Commercial|Broad Network $4,821.55 ↓ -58%
United Medicaid|Community Plan $6,720.95 ↓ -42%
QuikTrip Commercial|All Plans $8,766.45 ↓ -24%
PHCS Commercial|All Plans $10,373.63 ↓ -10%
United Commercial|All Plans $10,811.95 ↓ -6%
Medica Commercial|Open Access $10,958.06 ↓ -5%
Midlands Choice Commercial|Standard $10,958.06 ↓ -5%
Midlands Choice Commercial|Premier $10,958.06 ↓ -5%
MultiPlan Commercial|All Plans $12,419.13 ↑ +8%
Medica Commercial|ACO $14,610.74 ↑ +27%
Medica Commercial|CHI Health $44,563.68 ↑ +287%
Medica Commercial|All Other Plans $46,666.15 ↑ +305%

Visitor-reported prices

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Dornhoffer fixed part w/window at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $20,628.52 $489.77 – $1,371.90
MercyOne New Hampton Medical Center New Hampton $24,000.60 $676.50 – $1,708.77
MercyOne Dyersville Medical Center Dyersville $20,628.52 $518.58 – $1,544.21
MercyOne Clinton Medical Center Clinton $20,628.52 $388.25 – $1,371.90
MercyOne Oelwein Medical Center Oelwein $20,628.52 $524.34 – $1,371.90
MercyOne Cedar Falls Medical Center Cedar Falls $20,628.52 $322.40 – $1,371.90
MercyOne Elkader Medical Center Elkader $20,628.52 $706.12 – $1,433.91
MercyOne West Des Moines Medical Center West Des Moines $74,450.39 $0.96 – $64,012.49

All Iowa hospitals for this procedure →