Eval/fit voice prosthesis iii, st 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

$148.26

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.

$353.00

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.

$52.95 with Centene vs $300.05 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
Centene Medicaid|NE Total Care $52.95 ↓ -64%
Centene Medicaid|IA Total Care $91.16 ↓ -39%
Amerigroup Medicaid|All Plans $91.16 ↓ -39%
IAMolina Medicaid|All Plans $92.94 ↓ -37%
ELAP Commercial|All Plans $98.84 ↓ -33%
Creighton University Employees Commercial|All Plans $158.00 ↑ +7%
United Medicaid|Community Plan $162.38 ↑ +10%
United Commercial|All Plans $190.00 ↑ +28%
QuikTrip Commercial|All Plans $211.80 ↑ +43%
Midlands Choice Commercial|Premier $211.80 ↑ +43%
Medica Commercial|Open Access $211.80 ↑ +43%
Medica Commercial|All Other Plans $217.30 ↑ +47%
Medica Commercial|ACO $243.01 ↑ +64%
Medica Commercial|CHI Health $244.15 ↑ +65%
PHCS Commercial|All Plans $250.63 ↑ +69%
Midlands Choice Commercial|Standard $264.75 ↑ +79%
MultiPlan Commercial|All Plans $300.05 ↑ +102%

Visitor-reported prices

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Eval/fit voice prosthesis iii, st at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $202.80 $155.22 – $155.22
MercyOne Dubuque Medical Center Dubuque $469.30 $91.16 – $722.00
MercyOne Des Moines Medical Center Des Moines $423.80 $91.16 – $652.00
MercyOne Centerville Medical Center Centerville $344.00 $94.39 – $344.00
MercyOne Newton Medical Center Newton $223.60 $91.16 – $344.00
MercyOne Genesis Davenport Medical Center Davenport $225.60 not published
MercyOne Genesis DeWitt Medical Center DeWitt $225.60 $47.60 – $102.20
MercyOne Waterloo Medical Center Waterloo $616.85 $91.16 – $949.00

All Iowa hospitals for this procedure →