Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$636.30
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.
$1,515.00
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.
$94.82 with Medica vs $3,259.25 with Millard Public Schools — 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 | $94.82 | ↓ -85% |
| Centene | Medicaid|NE Total Care | $227.25 | ↓ -64% |
| ELAP | Commercial|All Plans | $424.20 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $621.15 | ↓ -2% |
| United | Medicaid|Community Plan | $696.90 | ↑ +10% |
| United | Commercial|All Plans | $712.05 | ↑ +12% |
| Medica | Commercial|Open Access | $787.80 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $787.80 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $909.00 | ↑ +43% |
| Medica | Commercial|CHI Health | $953.00 | ↑ +50% |
| PHCS | Commercial|All Plans | $1,075.65 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $1,136.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $1,287.75 | ↑ +102% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +105% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +345% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +345% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +345% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +412% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +412% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +412% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +412% |
Visitor-reported prices
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Fine needle aspiration biopsy w/us gdn; ea addtl 10006 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $377.40 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $1,623.70 | $45.05 – $2,498.00 |
| MercyOne Clinton Medical Center | Clinton | $167.00 | $27.48 – $105.00 |
| MercyOne Des Moines Medical Center | Des Moines | $471.25 | $27.48 – $725.00 |
| MercyOne North Iowa Medical Center | Mason City | $3,998.40 | $45.05 – $1,534.15 |
| MercyOne Genesis Davenport Medical Center | Davenport | $436.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $436.20 | $247.18 – $264.99 |
| MercyOne Waterloo Medical Center | Waterloo | $235.30 | $27.48 – $3,576.15 |