Drug test def 1-7 classes 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

$96.18

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.

$229.00

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.

$34.35 with Centene vs $254.03 with AMPS — 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 $34.35 ↓ -64%
ELAP Commercial|All Plans $64.12 ↓ -33%
United Medicaid|Community Plan $105.34 ↑ +10%
Amerigroup Medicaid|All Plans $110.88 ↑ +15%
Centene Medicaid|IA Total Care $110.88 ↑ +15%
IAMolina Medicaid|All Plans $113.06 ↑ +18%
Humana Medicare|All Plans $114.43 ↑ +19%
Medica Medicare|All Plans $114.43 ↑ +19%
United Medicare|All Plans $114.43 ↑ +19%
PACE Medicare|All Plans $114.43 ↑ +19%
BCBS - NE Medicare|All Plans $114.43 ↑ +19%
Todays Options Medicare|All Plans $116.72 ↑ +21%
Centene Medicare|All Plans $117.86 ↑ +23%
Medica Commercial|Open Access $119.08 ↑ +24%
Midlands Choice Commercial|Premier $119.08 ↑ +24%
Amerigroup Medicare|All Plans $120.15 ↑ +25%
Great Plains Medicare|All Plans $120.15 ↑ +25%
QuikTrip Commercial|All Plans $137.40 ↑ +43%
PHCS Commercial|All Plans $162.59 ↑ +69%
United Commercial|All Plans $169.46 ↑ +76%
Midlands Choice Commercial|Standard $171.75 ↑ +79%
MultiPlan Commercial|All Plans $194.65 ↑ +102%
Medica Commercial|ACO $220.06 ↑ +129%
Medica Commercial|CHI Health $235.27 ↑ +145%
Medica Commercial|All Other Plans $246.37 ↑ +156%
AMPS Commercial|All Plans $254.03 ↑ +164%

Visitor-reported prices

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Drug test def 1-7 classes at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Centerville Medical Center Centerville $223.00 $112.14 – $121.30
MercyOne North Iowa Medical Center Mason City $950.00 $9.09 – $230.00
UnityPoint Health - Allen Hospital Waterloo $229.60 $68.66 – $143.44
UnityPoint Health - Finley Hospital Dubuque $229.60 $3.50 – $154.48
UnityPoint Health - Grinnell Regional Medical Center Grinnell $229.60 $49.94 – $120.15
UnityPoint Health - Iowa Lutheran Hospital Des Moines $229.60 $41.40 – $143.44
UnityPoint Health - Jones Regional Medical Center Anamosa $229.60 $62.86 – $140.17
UnityPoint Health - Marshalltown Marshalltown $229.60 $55.31 – $126.11

All Iowa hospitals for this procedure →