Echo exam of fetal heart at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$80.22
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.
$191.00
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.
$28.65 with Centene vs $230.06 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 →
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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 | $28.65 | ↓ -64% |
| Medica | Commercial|ACO | $42.46 | ↓ -47% |
| ELAP | Commercial|All Plans | $53.48 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $67.62 | ↓ -16% |
| United | Commercial|All Plans | $83.72 | ↑ +4% |
| United | Medicaid|Community Plan | $87.86 | ↑ +10% |
| Medica | Commercial|CHI Health | $95.99 | ↑ +20% |
| Medica | Commercial|Open Access | $99.32 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $99.32 | ↑ +24% |
| Medica | Commercial|All Other Plans | $100.52 | ↑ +25% |
| Centene | Medicaid|IA Total Care | $100.97 | ↑ +26% |
| Amerigroup | Medicaid|All Plans | $100.97 | ↑ +26% |
| IAMolina | Medicaid|All Plans | $102.95 | ↑ +28% |
| Humana | Medicare|All Plans | $103.63 | ↑ +29% |
| Medica | Medicare|All Plans | $103.63 | ↑ +29% |
| United | Medicare|All Plans | $103.63 | ↑ +29% |
| PACE | Medicare|All Plans | $103.63 | ↑ +29% |
| BCBS - NE | Medicare|All Plans | $103.63 | ↑ +29% |
| Todays Options | Medicare|All Plans | $105.70 | ↑ +32% |
| Centene | Medicare|All Plans | $106.74 | ↑ +33% |
| Amerigroup | Medicare|All Plans | $108.81 | ↑ +36% |
| Great Plains | Medicare|All Plans | $108.81 | ↑ +36% |
| QuikTrip | Commercial|All Plans | $114.60 | ↑ +43% |
| Greater Omaha Packing | Commercial|Narrow Network | $115.48 | ↑ +44% |
| Millard Public Schools | Commercial|Narrow Network | $115.48 | ↑ +44% |
| One World | Commercial|Narrow Network | $115.48 | ↑ +44% |
| Greater Omaha Packing | Commercial|Broad Network | $132.80 | ↑ +66% |
| Millard Public Schools | Commercial|Broad Network | $132.80 | ↑ +66% |
| One World | Commercial|Broad Network | $132.80 | ↑ +66% |
| Timpte | Commercial|Broad Network | $132.80 | ↑ +66% |
| PHCS | Commercial|All Plans | $135.61 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $143.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $162.35 | ↑ +102% |
| AMPS | Commercial|All Plans | $230.06 | ↑ +187% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Waterloo Medical Center | Waterloo | $281.45 | $98.49 – $433.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $246.35 | $19.34 – $162.28 |
| UnityPoint Health - Finley Hospital | Dubuque | $222.17 | $19.34 – $222.17 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $112.00 | $19.34 – $105.81 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $455.44 | $19.34 – $167.37 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $112.00 | $19.34 – $51.25 |
| UnityPoint Health - Marshalltown | Marshalltown | $246.35 | $19.34 – $147.81 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $279.84 | $14.82 – $202.18 |