Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe 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

$263.87

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.

$628.26

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.

$0.24 with BCBS - NE vs $333.75 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
BCBS - NE Commercial|BluePrint $0.24 ↓ -100%
United Medicare|All Plans $0.28 ↓ -100%
Humana Medicare|All Plans $0.28 ↓ -100%
BCBS - NE Medicare|All Plans $0.28 ↓ -100%
Medica Medicare|All Plans $0.28 ↓ -100%
PACE Medicare|All Plans $0.28 ↓ -100%
Todays Options Medicare|All Plans $0.29 ↓ -100%
Amerigroup Medicare|All Plans $0.29 ↓ -100%
Wellmark Commercial|PPO $0.29 ↓ -100%
Wellmark Commercial|HMO $0.29 ↓ -100%
Centene Medicare|All Plans $0.29 ↓ -100%
Great Plains Medicare|All Plans $0.29 ↓ -100%
BCBS - NE Commercial|All Other Plans $0.32 ↓ -100%
United Commercial|All Plans $0.48 ↓ -100%
One World Commercial|Narrow Network $0.56 ↓ -100%
Greater Omaha Packing Commercial|Narrow Network $0.56 ↓ -100%
Millard Public Schools Commercial|Narrow Network $0.56 ↓ -100%
Medica Commercial|ACO $0.61 ↓ -100%
AMPS Commercial|All Plans $0.62 ↓ -100%
One World Commercial|Broad Network $0.64 ↓ -100%
Timpte Commercial|Broad Network $0.64 ↓ -100%
Millard Public Schools Commercial|Broad Network $0.64 ↓ -100%
Greater Omaha Packing Commercial|Broad Network $0.64 ↓ -100%
Medica Commercial|CHI Health $0.74 ↓ -100%
Amerigroup Medicaid|All Plans $0.75 ↓ -100%
Centene Medicaid|IA Total Care $0.75 ↓ -100%
IAMolina Medicaid|All Plans $0.77 ↓ -100%
Medica Commercial|All Other Plans $0.78 ↓ -100%
Centene Medicaid|NE Total Care $58.90 ↓ -78%
ELAP Commercial|All Plans $109.94 ↓ -58%
United Medicaid|Community Plan $180.62 ↓ -32%
Medica Commercial|Open Access $204.18 ↓ -23%
QuikTrip Commercial|All Plans $235.59 ↓ -11%
PHCS Commercial|All Plans $278.78 ↑ +6%
Midlands Choice Commercial|Premier $294.48 ↑ +12%
Midlands Choice Commercial|Standard $294.48 ↑ +12%
MultiPlan Commercial|All Plans $333.75 ↑ +26%

Visitor-reported prices

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Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $1,611.50 $0.27 – $1,007.20
MercyOne New Hampton Medical Center New Hampton $1,611.50 $87.00 – $1,007.20
MercyOne Dyersville Medical Center Dyersville $1,611.50 $87.00 – $1,133.70
MercyOne Clinton Medical Center Clinton $1,611.50 $0.27 – $1,007.20
MercyOne Oelwein Medical Center Oelwein $1,611.50 $87.00 – $1,007.20
MercyOne Cedar Falls Medical Center Cedar Falls $1,611.50 $0.27 – $1,007.20
MercyOne Elkader Medical Center Elkader $1,611.50 $87.00 – $1,052.73
MercyOne West Des Moines Medical Center West Des Moines $1,611.50 $0.27 – $1,007.20

All Iowa hospitals for this procedure →