Hzv zoster vacc recombinant adjuvanted im inj 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

$384.33

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.

$915.05

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.

$107.49 with Centene vs $609.11 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 →

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 $107.49 ↓ -72%
Wellmark Commercial|HMO $197.90 ↓ -49%
Wellmark Commercial|PPO $197.90 ↓ -49%
ELAP Commercial|All Plans $200.65 ↓ -48%
Amerigroup Medicaid|All Plans $203.92 ↓ -47%
Centene Medicaid|IA Total Care $203.92 ↓ -47%
IAMolina Medicaid|All Plans $207.92 ↓ -46%
United Medicaid|Community Plan $329.64 ↓ -14%
Medica Commercial|Open Access $372.64 ↓ -3%
Medica Commercial|CHI Health $388.40 ↑ +1%
Medica Commercial|ACO $396.71 ↑ +3%
Medica Commercial|All Other Plans $406.72 ↑ +6%
QuikTrip Commercial|All Plans $429.96 ↑ +12%
PHCS Commercial|All Plans $508.79 ↑ +32%
United Commercial|All Plans $530.29 ↑ +38%
Midlands Choice Commercial|Premier $537.45 ↑ +40%
Midlands Choice Commercial|Standard $537.45 ↑ +40%
MultiPlan Commercial|All Plans $609.11 ↑ +58%

Visitor-reported prices

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Hzv zoster vacc recombinant adjuvanted im inj at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $337.28 not published
MercyOne Dubuque Medical Center Dubuque $177.45 $54.60 – $273.00
MercyOne New Hampton Medical Center New Hampton $442.00 $102.93 – $442.00
MercyOne Dyersville Medical Center Dyersville $169.00 $98.28 – $292.66
MercyOne Clinton Medical Center Clinton $1,079.35 $54.60 – $273.00
MercyOne Oelwein Medical Center Oelwein $169.00 $99.37 – $260.00
MercyOne Cedar Falls Medical Center Cedar Falls $177.45 $54.60 – $776.84
MercyOne Elkader Medical Center Elkader $442.00 $132.87 – $442.00

All Iowa hospitals for this procedure →