Ghs windowing of cast 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

$96.60

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.

$230.00

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.

$34.50 with Centene vs $1,302.00 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 →

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 $34.50 ↓ -64%
ELAP Commercial|All Plans $64.40 ↓ -33%
Medica Commercial|ACO $83.29 ↓ -14%
United Medicaid|Community Plan $105.80 ↑ +10%
United Commercial|All Plans $108.10 ↑ +12%
Midlands Choice Commercial|Premier $119.60 ↑ +24%
Medica Commercial|Open Access $119.60 ↑ +24%
QuikTrip Commercial|All Plans $138.00 ↑ +43%
Creighton University Employees Commercial|All Plans $149.50 ↑ +55%
Amerigroup Medicaid|All Plans $149.82 ↑ +55%
Centene Medicaid|IA Total Care $149.82 ↑ +55%
IAMolina Medicaid|All Plans $152.76 ↑ +58%
Humana Medicare|All Plans $153.78 ↑ +59%
Medica Medicare|All Plans $153.78 ↑ +59%
United Medicare|All Plans $153.78 ↑ +59%
PACE Medicare|All Plans $153.78 ↑ +59%
BCBS - NE Medicare|All Plans $153.78 ↑ +59%
Todays Options Medicare|All Plans $156.86 ↑ +62%
Centene Medicare|All Plans $158.39 ↑ +64%
Great Plains Medicare|All Plans $161.47 ↑ +67%
Amerigroup Medicare|All Plans $161.47 ↑ +67%
PHCS Commercial|All Plans $163.30 ↑ +69%
Midlands Choice Commercial|Standard $172.50 ↑ +79%
MultiPlan Commercial|All Plans $195.50 ↑ +102%
AMPS Commercial|All Plans $341.39 ↑ +253%
Medica Commercial|CHI Health $953.00 ↑ +887%
Medica Commercial|All Other Plans $1,302.00 ↑ +1248%

Visitor-reported prices

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Ghs windowing of cast at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $125.40 $135.85 – $151.04
MercyOne Genesis Davenport Medical Center Davenport $151.20 $151.04 – $163.80
MercyOne Genesis DeWitt Medical Center DeWitt $151.20 $85.68 – $150.38
UnityPoint Health - Allen Hospital Waterloo $152.00 $39.77 – $130.79
UnityPoint Health - Finley Hospital Dubuque $152.00 $39.77 – $174.80
UnityPoint Health - Grinnell Regional Medical Center Grinnell $152.00 $39.77 – $157.00
UnityPoint Health - Iowa Lutheran Hospital Des Moines $152.00 $39.77 – $152.03
UnityPoint Health - Jones Regional Medical Center Anamosa $152.00 $39.77 – $106.69

All Iowa hospitals for this procedure →