Echo stress at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,205.82
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.
?
What you pay up front if you don't use insurance.
$2,871.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$222.37 with Medica vs $2,440.35 with MultiPlan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $222.37 | ↓ -82% |
| Medica | Commercial|All Other Plans | $319.16 | ↓ -74% |
| Medica | Commercial|CHI Health | $358.57 | ↓ -70% |
| Centene | Medicaid|NE Total Care | $430.65 | ↓ -64% |
| Centene | Medicaid|IA Total Care | $520.58 | ↓ -57% |
| Amerigroup | Medicaid|All Plans | $520.58 | ↓ -57% |
| IAMolina | Medicaid|All Plans | $530.78 | ↓ -56% |
| Humana | Medicare|All Plans | $534.35 | ↓ -56% |
| Medica | Medicare|All Plans | $534.35 | ↓ -56% |
| United | Medicare|All Plans | $534.35 | ↓ -56% |
| PACE | Medicare|All Plans | $534.35 | ↓ -56% |
| BCBS - NE | Medicare|All Plans | $534.35 | ↓ -56% |
| Todays Options | Medicare|All Plans | $545.04 | ↓ -55% |
| Centene | Medicare|All Plans | $550.38 | ↓ -54% |
| Amerigroup | Medicare|All Plans | $561.07 | ↓ -53% |
| Great Plains | Medicare|All Plans | $561.07 | ↓ -53% |
| ELAP | Commercial|All Plans | $803.88 | ↓ -33% |
| AMPS | Commercial|All Plans | $1,186.26 | ↓ -2% |
| United | Medicaid|Community Plan | $1,320.66 | ↑ +10% |
| One World | Commercial|Narrow Network | $1,349.37 | ↑ +12% |
| Greater Omaha Packing | Commercial|Narrow Network | $1,349.37 | ↑ +12% |
| Millard Public Schools | Commercial|Narrow Network | $1,349.37 | ↑ +12% |
| Medica | Commercial|Open Access | $1,492.92 | ↑ +24% |
| Timpte | Commercial|Broad Network | $1,550.34 | ↑ +29% |
| Greater Omaha Packing | Commercial|Broad Network | $1,550.34 | ↑ +29% |
| Millard Public Schools | Commercial|Broad Network | $1,550.34 | ↑ +29% |
| One World | Commercial|Broad Network | $1,550.34 | ↑ +29% |
| QuikTrip | Commercial|All Plans | $1,722.60 | ↑ +43% |
| Creighton University Employees | Commercial|All Plans | $1,866.15 | ↑ +55% |
| PHCS | Commercial|All Plans | $2,038.41 | ↑ +69% |
| United | Commercial|All Plans | $2,124.54 | ↑ +76% |
| Midlands Choice | Commercial|Premier | $2,153.25 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $2,153.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $2,440.35 | ↑ +102% |
Visitor-reported prices
Comments
Echo stress at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $830.40 | $273.65 – $524.84 |
| MercyOne Des Moines Medical Center | Des Moines | $2,176.20 | $43.03 – $3,348.00 |
| MercyOne Newton Medical Center | Newton | $1,406.20 | $43.03 – $1,400.00 |
| MercyOne North Iowa Medical Center | Mason City | $1,209.65 | $476.42 – $1,861.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $924.60 | $524.84 – $734.78 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $924.60 | $418.88 – $899.36 |
| MercyOne Waterloo Medical Center | Waterloo | $1,406.20 | $43.03 – $1,055.83 |
| UnityPoint Health - Allen Hospital | Waterloo | $921.36 | $63.17 – $606.94 |