Foam drg >16<=48 sq in w/bdr at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$37.30
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.
$88.80
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.
$3.16 with Centene vs $28.63 with Medica — 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $3.16 | ↓ -92% |
| ELAP | Commercial|All Plans | $5.89 | ↓ -84% |
| United | Medicaid|Community Plan | $9.68 | ↓ -74% |
| QuikTrip | Commercial|All Plans | $12.62 | ↓ -66% |
| PHCS | Commercial|All Plans | $14.94 | ↓ -60% |
| United | Commercial|All Plans | $15.57 | ↓ -58% |
| Midlands Choice | Commercial|Premier | $15.78 | ↓ -58% |
| Medica | Commercial|Open Access | $15.78 | ↓ -58% |
| Midlands Choice | Commercial|Standard | $15.78 | ↓ -58% |
| MultiPlan | Commercial|All Plans | $17.88 | ↓ -52% |
| Medica | Commercial|ACO | $21.03 | ↓ -44% |
| Medica | Commercial|CHI Health | $27.34 | ↓ -27% |
| Medica | Commercial|All Other Plans | $28.63 | ↓ -23% |
Visitor-reported prices
Comments
Foam drg >16<=48 sq in w/bdr at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Mercy Corning | Corning | $42.63 | $9.05 – $20.61 |
| CHI Health Missouri Valley | Missouri Valley | $43.52 | $7.37 – $20.61 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $6.80 – $33.44 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $6.80 – $33.44 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | not published | $6.80 – $33.44 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | not published | $6.80 – $33.44 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | not published | $6.80 – $33.44 |
| UnityPoint Health - Marshalltown | Marshalltown | not published | $6.80 – $33.44 |