Ghs layer closure 7.6 - 12.5 cm - 12054 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

$490.56

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.

$1,168.00

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.

$175.20 with Centene vs $3,489.13 with Greater Omaha Packing — 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 $175.20 ↓ -64%
ELAP Commercial|All Plans $327.04 ↓ -33%
Centene Medicaid|IA Total Care $379.33 ↓ -23%
Amerigroup Medicaid|All Plans $379.33 ↓ -23%
IAMolina Medicaid|All Plans $386.77 ↓ -21%
Humana Medicare|All Plans $389.37 ↓ -21%
Medica Medicare|All Plans $389.37 ↓ -21%
United Medicare|All Plans $389.37 ↓ -21%
PACE Medicare|All Plans $389.37 ↓ -21%
BCBS - NE Medicare|All Plans $389.37 ↓ -21%
Todays Options Medicare|All Plans $397.16 ↓ -19%
Centene Medicare|All Plans $401.05 ↓ -18%
Amerigroup Medicare|All Plans $408.84 ↓ -17%
Great Plains Medicare|All Plans $408.84 ↓ -17%
Medica Commercial|ACO $413.60 ↓ -16%
United Medicaid|Community Plan $537.28 ↑ +10%
United Commercial|All Plans $548.96 ↑ +12%
Midlands Choice Commercial|Premier $607.36 ↑ +24%
Medica Commercial|Open Access $607.36 ↑ +24%
QuikTrip Commercial|All Plans $700.80 ↑ +43%
Creighton University Employees Commercial|All Plans $701.00 ↑ +43%
PHCS Commercial|All Plans $829.28 ↑ +69%
AMPS Commercial|All Plans $864.40 ↑ +76%
Midlands Choice Commercial|Standard $876.00 ↑ +79%
Medica Commercial|CHI Health $953.00 ↑ +94%
MultiPlan Commercial|All Plans $992.80 ↑ +102%
Medica Commercial|All Other Plans $1,302.00 ↑ +165%
Millard Public Schools Commercial|Narrow Network $3,034.03 ↑ +518%
Greater Omaha Packing Commercial|Narrow Network $3,034.03 ↑ +518%
One World Commercial|Narrow Network $3,034.03 ↑ +518%
Timpte Commercial|Broad Network $3,489.13 ↑ +611%
One World Commercial|Broad Network $3,489.13 ↑ +611%
Millard Public Schools Commercial|Broad Network $3,489.13 ↑ +611%
Greater Omaha Packing Commercial|Broad Network $3,489.13 ↑ +611%

Visitor-reported prices

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Ghs layer closure 7.6 - 12.5 cm - 12054 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $659.40 $382.44 – $406.25
MercyOne Des Moines Medical Center Des Moines $722.00 $62.84 – $670.18
MercyOne North Iowa Medical Center Mason City $722.00 $70.61 – $880.71
MercyOne Genesis Davenport Medical Center Davenport $692.40 $382.44 – $490.75
MercyOne Genesis DeWitt Medical Center DeWitt $692.40 $256.70 – $551.15
UnityPoint Health - Allen Hospital Waterloo $920.00 $198.13 – $420.15
UnityPoint Health - Finley Hospital Dubuque $920.00 $131.39 – $420.15
UnityPoint Health - Grinnell Regional Medical Center Grinnell $920.00 $198.13 – $527.93

All Iowa hospitals for this procedure →