Fem/popl revasc w/stent at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$11,362.26
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.
$27,053.00
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.
$911.74 with Medica vs $24,535.60 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 | $911.74 | ↓ -92% |
| Centene | Medicaid|NE Total Care | $4,057.95 | ↓ -64% |
| ELAP | Commercial|All Plans | $7,574.84 | ↓ -33% |
| One World | Commercial|Narrow Network | $9,185.68 | ↓ -19% |
| Greater Omaha Packing | Commercial|Narrow Network | $9,185.68 | ↓ -19% |
| Millard Public Schools | Commercial|Narrow Network | $9,185.68 | ↓ -19% |
| Millard Public Schools | Commercial|Broad Network | $10,563.53 | ↓ -7% |
| One World | Commercial|Broad Network | $10,563.53 | ↓ -7% |
| Timpte | Commercial|Broad Network | $10,563.53 | ↓ -7% |
| Greater Omaha Packing | Commercial|Broad Network | $10,563.53 | ↓ -7% |
| Amerigroup | Medicaid|All Plans | $10,767.11 | ↓ -5% |
| Centene | Medicaid|IA Total Care | $10,767.11 | ↓ -5% |
| IAMolina | Medicaid|All Plans | $10,978.23 | ↓ -3% |
| Humana | Medicare|All Plans | $11,052.07 | ↓ -3% |
| Medica | Medicare|All Plans | $11,052.07 | ↓ -3% |
| United | Medicare|All Plans | $11,052.07 | ↓ -3% |
| PACE | Medicare|All Plans | $11,052.07 | ↓ -3% |
| BCBS - NE | Medicare|All Plans | $11,052.07 | ↓ -3% |
| Creighton University Employees | Commercial|All Plans | $11,091.73 | ↓ -2% |
| Todays Options | Medicare|All Plans | $11,273.11 | ↓ -1% |
| Centene | Medicare|All Plans | $11,383.63 | ↑ +0% |
| Great Plains | Medicare|All Plans | $11,604.67 | ↑ +2% |
| Amerigroup | Medicare|All Plans | $11,604.67 | ↑ +2% |
| United | Medicaid|Community Plan | $12,444.38 | ↑ +10% |
| United | Commercial|All Plans | $12,714.91 | ↑ +12% |
| Medica | Commercial|CHI Health | $13,706.00 | ↑ +21% |
| Medica | Commercial|Open Access | $14,067.56 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $16,231.80 | ↑ +43% |
| Medica | Commercial|All Other Plans | $18,690.00 | ↑ +64% |
| PHCS | Commercial|All Plans | $19,207.63 | ↑ +69% |
| Midlands Choice | Commercial|Premier | $20,289.75 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $20,289.75 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $22,995.05 | ↑ +102% |
| AMPS | Commercial|All Plans | $24,535.60 | ↑ +116% |
Visitor-reported prices
Comments
Fem/popl revasc w/stent at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,478.20 | $10,855.42 – $13,518.05 |
| MercyOne Dubuque Medical Center | Dubuque | $31,217.55 | $6,205.09 – $32,018.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $97,392.00 | $10,596.25 – $64,928.00 |
| MercyOne Des Moines Medical Center | Des Moines | $63,304.80 | $9.09 – $64,928.00 |
| MercyOne North Iowa Medical Center | Mason City | $55,547.42 | $9.09 – $32,375.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,888.80 | $10,855.42 – $15,046.20 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $874.80 | $928.00 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $17,579.90 | $3,606.20 – $18,031.00 |