Drug of abuse screen urine 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

$83.16

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.

$198.00

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.

$12.21 with Centene vs $168.30 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|IA Total Care $12.21 ↓ -85%
Amerigroup Medicaid|All Plans $12.21 ↓ -85%
IAMolina Medicaid|All Plans $12.45 ↓ -85%
United Medicare|All Plans $12.60 ↓ -85%
PACE Medicare|All Plans $12.60 ↓ -85%
Medica Medicare|All Plans $12.60 ↓ -85%
Humana Medicare|All Plans $12.60 ↓ -85%
BCBS - NE Medicare|All Plans $12.60 ↓ -85%
Todays Options Medicare|All Plans $12.85 ↓ -85%
Centene Medicare|All Plans $12.98 ↓ -84%
Great Plains Medicare|All Plans $13.23 ↓ -84%
Amerigroup Medicare|All Plans $13.23 ↓ -84%
Medica Commercial|ACO $23.96 ↓ -71%
Medica Commercial|CHI Health $25.91 ↓ -69%
Medica Commercial|All Other Plans $27.13 ↓ -67%
AMPS Commercial|All Plans $27.97 ↓ -66%
Centene Medicaid|NE Total Care $29.70 ↓ -64%
Creighton University Employees Commercial|All Plans $35.15 ↓ -58%
United Commercial|All Plans $45.86 ↓ -45%
ELAP Commercial|All Plans $55.44 ↓ -33%
United Medicaid|Community Plan $91.08 ↑ +10%
Midlands Choice Commercial|Premier $102.96 ↑ +24%
Medica Commercial|Open Access $102.96 ↑ +24%
QuikTrip Commercial|All Plans $118.80 ↑ +43%
PHCS Commercial|All Plans $140.58 ↑ +69%
Midlands Choice Commercial|Standard $148.50 ↑ +79%
MultiPlan Commercial|All Plans $168.30 ↑ +102%

Visitor-reported prices

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Drug of abuse screen urine at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $138.60 $12.60 – $12.60
MercyOne Elkader Medical Center Elkader $28.00 $8.98 – $27.49
MercyOne Centerville Medical Center Centerville $168.00 $46.10 – $168.00
MercyOne North Iowa Medical Center Mason City $72.15 $8.98 – $111.00
MercyOne Genesis Davenport Medical Center Davenport $12.60 not published
MercyOne Genesis DeWitt Medical Center DeWitt $12.60 $7.14 – $15.33
MercyOne Waterloo Medical Center Waterloo $113.75 $8.98 – $124.25
UnityPoint Health - Allen Hospital Waterloo $72.14 $7.56 – $47.52

All Iowa hospitals for this procedure →