Epidural/lumbar/sacral/ea add level64484 at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$696.36
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.
$1,658.00
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.
$97.97 with Medica vs $3,259.25 with Millard Public Schools — 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 | $97.97 | ↓ -86% |
| Centene | Medicaid|NE Total Care | $230.85 | ↓ -67% |
| ELAP | Commercial|All Plans | $430.92 | ↓ -38% |
| Creighton University Employees | Commercial|All Plans | $630.99 | ↓ -9% |
| United | Medicaid|Community Plan | $707.94 | ↑ +2% |
| United | Commercial|All Plans | $723.33 | ↑ +4% |
| Medica | Commercial|Open Access | $800.28 | ↑ +15% |
| Midlands Choice | Commercial|Premier | $800.28 | ↑ +15% |
| QuikTrip | Commercial|All Plans | $923.40 | ↑ +33% |
| Medica | Commercial|CHI Health | $953.00 | ↑ +37% |
| PHCS | Commercial|All Plans | $1,092.69 | ↑ +57% |
| Midlands Choice | Commercial|Standard | $1,154.25 | ↑ +66% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +87% |
| MultiPlan | Commercial|All Plans | $1,308.15 | ↑ +88% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +307% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +307% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +307% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +368% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +368% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +368% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +368% |
Visitor-reported prices
Comments
Epidural/lumbar/sacral/ea add level64484 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $490.80 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $410.00 | $27.90 – $161.62 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $1,695.20 | $408.67 – $3,576.15 |
| MercyOne Des Moines Medical Center | Des Moines | $6,992.00 | $277.18 – $1,717.13 |
| MercyOne Centerville Medical Center | Centerville | $5,418.00 | $991.13 – $3,612.00 |
| MercyOne Newton Medical Center | Newton | $3,521.70 | $2,347.80 – $3,612.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $567.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $567.00 | $305.87 – $321.30 |