Exchange nephrostomy cath 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

$1,371.30

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.

$3,265.00

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.

$186.50 with Medica vs $4,432.01 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 →

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
Medica Commercial|ACO $186.50 ↓ -86%
Centene Medicaid|NE Total Care $429.60 ↓ -69%
ELAP Commercial|All Plans $801.92 ↓ -42%
Creighton University Employees Commercial|All Plans $1,174.24 ↓ -14%
United Medicaid|Community Plan $1,317.44 ↓ -4%
United Commercial|All Plans $1,346.08 ↓ -2%
Medica Commercial|CHI Health $1,422.00 ↑ +4%
Medica Commercial|Open Access $1,489.28 ↑ +9%
Midlands Choice Commercial|Premier $1,489.28 ↑ +9%
QuikTrip Commercial|All Plans $1,718.40 ↑ +25%
Medica Commercial|All Other Plans $1,938.00 ↑ +41%
Centene Medicaid|IA Total Care $1,944.92 ↑ +42%
Amerigroup Medicaid|All Plans $1,944.92 ↑ +42%
IAMolina Medicaid|All Plans $1,983.05 ↑ +45%
Humana Medicare|All Plans $1,996.40 ↑ +46%
Medica Medicare|All Plans $1,996.40 ↑ +46%
United Medicare|All Plans $1,996.40 ↑ +46%
PACE Medicare|All Plans $1,996.40 ↑ +46%
BCBS - NE Medicare|All Plans $1,996.40 ↑ +46%
PHCS Commercial|All Plans $2,033.44 ↑ +48%
Todays Options Medicare|All Plans $2,036.33 ↑ +48%
Centene Medicare|All Plans $2,056.29 ↑ +50%
Great Plains Medicare|All Plans $2,096.22 ↑ +53%
Amerigroup Medicare|All Plans $2,096.22 ↑ +53%
Midlands Choice Commercial|Standard $2,148.00 ↑ +57%
MultiPlan Commercial|All Plans $2,434.40 ↑ +78%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +107%
One World Commercial|Narrow Network $2,834.13 ↑ +107%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +107%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +138%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +138%
One World Commercial|Broad Network $3,259.25 ↑ +138%
Timpte Commercial|Broad Network $3,259.25 ↑ +138%
AMPS Commercial|All Plans $4,432.01 ↑ +223%

Visitor-reported prices

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Exchange nephrostomy cath at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $3,212.40 $1,960.87 – $2,319.85
MercyOne Dubuque Medical Center Dubuque $3,507.06 $1,139.90 – $4,176.77
MercyOne Des Moines Medical Center Des Moines $7,411.95 $1,528.00 – $7,602.00
MercyOne North Iowa Medical Center Mason City $2,470.65 $648.70 – $4,528.77
MercyOne Genesis Davenport Medical Center Davenport $3,710.40 $1,960.87 – $2,679.95
MercyOne Waterloo Medical Center Waterloo $5,863.65 $1,413.06 – $6,013.00
UnityPoint Health - Allen Hospital Waterloo $2,752.00 $89.29 – $1,697.96
UnityPoint Health - Finley Hospital Dubuque $3,694.55 $89.29 – $3,694.54

All Iowa hospitals for this procedure →