Heart image spect at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$511.56
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.
$1,218.00
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.
$182.70 with Centene vs $1,035.30 with MultiPlan — 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 | $182.70 | ↓ -64% |
| Medica | Commercial|ACO | $296.56 | ↓ -42% |
| ELAP | Commercial|All Plans | $341.04 | ↓ -33% |
| Amerigroup | Medicaid|All Plans | $381.51 | ↓ -25% |
| Centene | Medicaid|IA Total Care | $381.51 | ↓ -25% |
| IAMolina | Medicaid|All Plans | $388.99 | ↓ -24% |
| Humana | Medicare|All Plans | $391.61 | ↓ -23% |
| Medica | Medicare|All Plans | $391.61 | ↓ -23% |
| United | Medicare|All Plans | $391.61 | ↓ -23% |
| PACE | Medicare|All Plans | $391.61 | ↓ -23% |
| BCBS - NE | Medicare|All Plans | $391.61 | ↓ -23% |
| Todays Options | Medicare|All Plans | $399.44 | ↓ -22% |
| Centene | Medicare|All Plans | $403.36 | ↓ -21% |
| Amerigroup | Medicare|All Plans | $411.19 | ↓ -20% |
| Great Plains | Medicare|All Plans | $411.19 | ↓ -20% |
| Medica | Commercial|CHI Health | $411.36 | ↓ -20% |
| Medica | Commercial|All Other Plans | $430.77 | ↓ -16% |
| Creighton University Employees | Commercial|All Plans | $459.25 | ↓ -10% |
| United | Medicaid|Community Plan | $560.28 | ↑ +10% |
| United | Commercial|All Plans | $568.62 | ↑ +11% |
| Medica | Commercial|Open Access | $633.36 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $633.36 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $730.80 | ↑ +43% |
| Greater Omaha Packing | Commercial|Narrow Network | $792.60 | ↑ +55% |
| One World | Commercial|Narrow Network | $792.60 | ↑ +55% |
| Millard Public Schools | Commercial|Narrow Network | $792.60 | ↑ +55% |
| PHCS | Commercial|All Plans | $864.78 | ↑ +69% |
| AMPS | Commercial|All Plans | $869.37 | ↑ +70% |
| Timpte | Commercial|Broad Network | $911.50 | ↑ +78% |
| Millard Public Schools | Commercial|Broad Network | $911.50 | ↑ +78% |
| One World | Commercial|Broad Network | $911.50 | ↑ +78% |
| Greater Omaha Packing | Commercial|Broad Network | $911.50 | ↑ +78% |
| Midlands Choice | Commercial|Standard | $913.50 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $1,035.30 | ↑ +102% |
Visitor-reported prices
Comments
Heart image spect at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $2,269.15 | $358.66 – $3,491.00 |
| MercyOne North Iowa Medical Center | Mason City | $2,382.90 | $386.82 – $3,666.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $524.80 | $51.19 – $333.07 |
| UnityPoint Health - Finley Hospital | Dubuque | $524.80 | $51.19 – $353.30 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $524.80 | $51.19 – $399.81 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $524.80 | $51.19 – $387.14 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $524.80 | $51.19 – $116.63 |
| UnityPoint Health - Marshalltown | Marshalltown | $524.80 | $51.19 – $391.02 |