Etoposide 20 mg/ml intravenous solution 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

$327.18

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.

$779.00

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.

$1.15 with Wellmark vs $84.58 with MultiPlan — 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
Wellmark Commercial|HMO $1.15 ↓ -100%
Wellmark Commercial|PPO $1.15 ↓ -100%
United Commercial|All Plans $1.62 ↓ -100%
Medica Commercial|CHI Health $1.83 ↓ -99%
Millard Public Schools Commercial|Narrow Network $1.88 ↓ -99%
Greater Omaha Packing Commercial|Narrow Network $1.88 ↓ -99%
One World Commercial|Narrow Network $1.88 ↓ -99%
Medica Commercial|All Other Plans $1.92 ↓ -99%
Medica Commercial|ACO $2.08 ↓ -99%
Timpte Commercial|Broad Network $2.16 ↓ -99%
Greater Omaha Packing Commercial|Broad Network $2.16 ↓ -99%
Millard Public Schools Commercial|Broad Network $2.16 ↓ -99%
One World Commercial|Broad Network $2.16 ↓ -99%
BCBS - NE Commercial|BluePrint $2.40 ↓ -99%
BCBS - NE Commercial|All Other Plans $3.20 ↓ -99%
Centene Medicaid|NE Total Care $14.93 ↓ -95%
ELAP Commercial|All Plans $27.86 ↓ -91%
United Medicaid|Community Plan $45.77 ↓ -86%
Medica Commercial|Open Access $51.74 ↓ -84%
QuikTrip Commercial|All Plans $59.70 ↓ -82%
PHCS Commercial|All Plans $70.65 ↓ -78%
Midlands Choice Commercial|Standard $74.63 ↓ -77%
Midlands Choice Commercial|Premier $74.63 ↓ -77%
MultiPlan Commercial|All Plans $84.58 ↓ -74%

Visitor-reported prices

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Etoposide 20 mg/ml intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $234.83 not published
MercyOne Dubuque Medical Center Dubuque $174.75 $62.39 – $174.75
MercyOne New Hampton Medical Center New Hampton $174.75 $69.18 – $174.75
MercyOne Dyersville Medical Center Dyersville $174.75 $66.06 – $196.70
MercyOne Clinton Medical Center Clinton $174.75 $14.30 – $57.25
MercyOne Oelwein Medical Center Oelwein $174.75 $66.79 – $174.75
MercyOne Cedar Falls Medical Center Cedar Falls $174.75 $41.07 – $174.75
MercyOne Elkader Medical Center Elkader $174.75 $71.50 – $182.65

All Iowa hospitals for this procedure →