Ghs tx distal phalangeal fx with manipulation 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

$283.08

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.

$674.00

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.

$101.10 with Centene vs $12,765.09 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 $101.10 ↓ -64%
ELAP Commercial|All Plans $188.72 ↓ -33%
Centene Medicaid|IA Total Care $227.76 ↓ -20%
Amerigroup Medicaid|All Plans $227.76 ↓ -20%
IAMolina Medicaid|All Plans $232.22 ↓ -18%
Humana Medicare|All Plans $233.78 ↓ -17%
Medica Medicare|All Plans $233.78 ↓ -17%
United Medicare|All Plans $233.78 ↓ -17%
PACE Medicare|All Plans $233.78 ↓ -17%
BCBS - NE Medicare|All Plans $233.78 ↓ -17%
Todays Options Medicare|All Plans $238.46 ↓ -16%
Centene Medicare|All Plans $240.79 ↓ -15%
Amerigroup Medicare|All Plans $245.47 ↓ -13%
Great Plains Medicare|All Plans $245.47 ↓ -13%
United Medicaid|Community Plan $310.04 ↑ +10%
United Commercial|All Plans $316.78 ↑ +12%
Medica Commercial|Open Access $350.48 ↑ +24%
Midlands Choice Commercial|Premier $350.48 ↑ +24%
QuikTrip Commercial|All Plans $404.40 ↑ +43%
PHCS Commercial|All Plans $478.54 ↑ +69%
Midlands Choice Commercial|Standard $505.50 ↑ +79%
AMPS Commercial|All Plans $518.99 ↑ +83%
Medica Commercial|ACO $531.85 ↑ +88%
MultiPlan Commercial|All Plans $572.90 ↑ +102%
Creighton University Employees Commercial|All Plans $701.00 ↑ +148%
Medica Commercial|CHI Health $953.00 ↑ +237%
Medica Commercial|All Other Plans $1,302.00 ↑ +360%
Millard Public Schools Commercial|Narrow Network $11,100.08 ↑ +3821%
Greater Omaha Packing Commercial|Narrow Network $11,100.08 ↑ +3821%
One World Commercial|Narrow Network $11,100.08 ↑ +3821%
Timpte Commercial|Broad Network $12,765.09 ↑ +4409%
One World Commercial|Broad Network $12,765.09 ↑ +4409%
Millard Public Schools Commercial|Broad Network $12,765.09 ↑ +4409%
Greater Omaha Packing Commercial|Broad Network $12,765.09 ↑ +4409%

Visitor-reported prices

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Ghs tx distal phalangeal fx with manipulation at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $562.80 $229.62 – $321.47
MercyOne Genesis Davenport Medical Center Davenport $591.00 $229.62 – $321.47
MercyOne Genesis DeWitt Medical Center DeWitt $591.00 $258.40 – $554.80
UnityPoint Health - Allen Hospital Waterloo $779.20 $198.83 – $560.20
UnityPoint Health - Finley Hospital Dubuque $779.20 $98.30 – $596.28
UnityPoint Health - Grinnell Regional Medical Center Grinnell $779.20 $188.11 – $560.20
UnityPoint Health - Iowa Lutheran Hospital Des Moines $779.20 $142.13 – $560.20
UnityPoint Health - Jones Regional Medical Center Anamosa $779.20 $170.19 – $415.85

All Iowa hospitals for this procedure →