Fludarabine 50 mg intravenous solution 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

$522.19

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.

$1,243.30

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.

$25.14 with Centene vs $277.70 with United — 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 $25.14 ↓ -95%
ELAP Commercial|All Plans $46.92 ↓ -91%
United Medicare|All Plans $69.83 ↓ -87%
Medica Medicare|All Plans $69.83 ↓ -87%
PACE Medicare|All Plans $69.83 ↓ -87%
BCBS - NE Medicare|All Plans $69.83 ↓ -87%
Humana Medicare|All Plans $69.83 ↓ -87%
Todays Options Medicare|All Plans $71.23 ↓ -86%
Centene Medicare|All Plans $71.92 ↓ -86%
Amerigroup Medicare|All Plans $73.32 ↓ -86%
Great Plains Medicare|All Plans $73.32 ↓ -86%
United Medicaid|Community Plan $77.08 ↓ -85%
Medica Commercial|Open Access $87.13 ↓ -83%
QuikTrip Commercial|All Plans $100.53 ↓ -81%
Amerigroup Medicaid|All Plans $105.63 ↓ -80%
Centene Medicaid|IA Total Care $105.63 ↓ -80%
IAMolina Medicaid|All Plans $107.70 ↓ -79%
PHCS Commercial|All Plans $118.97 ↓ -77%
BCBS - NE Commercial|BluePrint $125.67 ↓ -76%
Midlands Choice Commercial|Standard $125.67 ↓ -76%
Midlands Choice Commercial|Premier $125.67 ↓ -76%
MultiPlan Commercial|All Plans $142.42 ↓ -73%
AMPS Commercial|All Plans $155.02 ↓ -70%
BCBS - NE Commercial|All Other Plans $167.55 ↓ -68%
Wellmark Commercial|HMO $167.55 ↓ -68%
Wellmark Commercial|PPO $167.55 ↓ -68%
Greater Omaha Packing Commercial|Narrow Network $167.55 ↓ -68%
One World Commercial|Broad Network $167.55 ↓ -68%
One World Commercial|Narrow Network $167.55 ↓ -68%
Timpte Commercial|Broad Network $167.55 ↓ -68%
Greater Omaha Packing Commercial|Broad Network $167.55 ↓ -68%
Medica Commercial|ACO $167.55 ↓ -68%
Millard Public Schools Commercial|Broad Network $167.55 ↓ -68%
Millard Public Schools Commercial|Narrow Network $167.55 ↓ -68%
Medica Commercial|CHI Health $217.11 ↓ -58%
Medica Commercial|All Other Plans $227.36 ↓ -56%
United Commercial|All Plans $277.70 ↓ -47%

Visitor-reported prices

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Fludarabine 50 mg intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $522.96 $71.65 – $100.31
MercyOne Dubuque Medical Center Dubuque $434.65 $59.53 – $434.65
MercyOne New Hampton Medical Center New Hampton $434.65 $78.41 – $434.65
MercyOne Dyersville Medical Center Dyersville $434.65 $78.41 – $489.24
MercyOne Clinton Medical Center Clinton $434.65 $78.41 – $434.65
MercyOne Oelwein Medical Center Oelwein $434.65 $78.41 – $434.65
MercyOne Cedar Falls Medical Center Cedar Falls $434.65 $72.63 – $434.65
MercyOne Elkader Medical Center Elkader $434.65 $78.41 – $454.30

All Iowa hospitals for this procedure →