Electrophysiology evaluation at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$5,082.84
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.
$12,102.00
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.
$515.11 with Medica vs $16,417.03 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 →
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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 |
|---|---|---|---|
| Medica | Commercial|ACO | $515.11 | ↓ -90% |
| Centene | Medicaid|NE Total Care | $1,653.00 | ↓ -67% |
| ELAP | Commercial|All Plans | $3,085.60 | ↓ -39% |
| Creighton University Employees | Commercial|All Plans | $4,518.20 | ↓ -11% |
| United | Medicaid|Community Plan | $5,069.20 | ↓ -0% |
| United | Commercial|All Plans | $5,179.40 | ↑ +2% |
| Medica | Commercial|Open Access | $5,730.40 | ↑ +13% |
| QuikTrip | Commercial|All Plans | $6,612.00 | ↑ +30% |
| Centene | Medicaid|IA Total Care | $7,204.39 | ↑ +42% |
| Amerigroup | Medicaid|All Plans | $7,204.39 | ↑ +42% |
| IAMolina | Medicaid|All Plans | $7,345.66 | ↑ +45% |
| Humana | Medicare|All Plans | $7,395.06 | ↑ +45% |
| Medica | Medicare|All Plans | $7,395.06 | ↑ +45% |
| United | Medicare|All Plans | $7,395.06 | ↑ +45% |
| PACE | Medicare|All Plans | $7,395.06 | ↑ +45% |
| BCBS - NE | Medicare|All Plans | $7,395.06 | ↑ +45% |
| Todays Options | Medicare|All Plans | $7,542.96 | ↑ +48% |
| Centene | Medicare|All Plans | $7,616.91 | ↑ +50% |
| Amerigroup | Medicare|All Plans | $7,764.81 | ↑ +53% |
| Great Plains | Medicare|All Plans | $7,764.81 | ↑ +53% |
| PHCS | Commercial|All Plans | $7,824.20 | ↑ +54% |
| Midlands Choice | Commercial|Premier | $8,265.00 | ↑ +63% |
| Midlands Choice | Commercial|Standard | $8,265.00 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $9,367.00 | ↑ +84% |
| Medica | Commercial|CHI Health | $9,391.00 | ↑ +85% |
| Millard Public Schools | Commercial|Narrow Network | $12,557.99 | ↑ +147% |
| One World | Commercial|Narrow Network | $12,557.99 | ↑ +147% |
| Greater Omaha Packing | Commercial|Narrow Network | $12,557.99 | ↑ +147% |
| Medica | Commercial|All Other Plans | $12,807.00 | ↑ +152% |
| Timpte | Commercial|Broad Network | $14,441.69 | ↑ +184% |
| Greater Omaha Packing | Commercial|Broad Network | $14,441.69 | ↑ +184% |
| Millard Public Schools | Commercial|Broad Network | $14,441.69 | ↑ +184% |
| One World | Commercial|Broad Network | $14,441.69 | ↑ +184% |
| AMPS | Commercial|All Plans | $16,417.03 | ↑ +223% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $4,637.40 | $5,023.85 – $7,263.48 |
| MercyOne Des Moines Medical Center | Des Moines | $13,134.55 | $4,061.61 – $20,207.00 |
| MercyOne North Iowa Medical Center | Mason City | $9,224.80 | $3,633.15 – $16,897.80 |
| MercyOne Genesis Davenport Medical Center | Davenport | $5,161.80 | $5,591.95 – $7,263.48 |
| MercyOne Waterloo Medical Center | Waterloo | $1,181.00 | $119.82 – $1,084.29 |
| UnityPoint Health - Allen Hospital | Waterloo | $4,648.60 | $316.69 – $6,289.59 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,744.80 | $316.69 – $6,671.68 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,744.80 | $316.69 – $7,549.89 |