Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$112.56
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.
$268.00
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.
$40.20 with Centene vs $440.05 with AMPS — 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 | $40.20 | ↓ -64% |
| ELAP | Commercial|All Plans | $75.04 | ↓ -33% |
| Medica | Commercial|CHI Health | $80.08 | ↓ -29% |
| Medica | Commercial|ACO | $81.52 | ↓ -28% |
| Medica | Commercial|All Other Plans | $83.86 | ↓ -25% |
| United | Medicaid|Community Plan | $123.28 | ↑ +10% |
| Medica | Commercial|Open Access | $160.80 | ↑ +43% |
| QuikTrip | Commercial|All Plans | $160.80 | ↑ +43% |
| Creighton University Employees | Commercial|All Plans | $174.20 | ↑ +55% |
| PHCS | Commercial|All Plans | $190.28 | ↑ +69% |
| Amerigroup | Medicaid|All Plans | $193.11 | ↑ +72% |
| Centene | Medicaid|IA Total Care | $193.11 | ↑ +72% |
| IAMolina | Medicaid|All Plans | $196.89 | ↑ +75% |
| Humana | Medicare|All Plans | $198.22 | ↑ +76% |
| Medica | Medicare|All Plans | $198.22 | ↑ +76% |
| United | Medicare|All Plans | $198.22 | ↑ +76% |
| PACE | Medicare|All Plans | $198.22 | ↑ +76% |
| BCBS - NE | Medicare|All Plans | $198.22 | ↑ +76% |
| United | Commercial|All Plans | $198.32 | ↑ +76% |
| Midlands Choice | Commercial|Premier | $201.00 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $201.00 | ↑ +79% |
| Todays Options | Medicare|All Plans | $202.18 | ↑ +80% |
| Centene | Medicare|All Plans | $204.17 | ↑ +81% |
| Great Plains | Medicare|All Plans | $208.13 | ↑ +85% |
| Amerigroup | Medicare|All Plans | $208.13 | ↑ +85% |
| MultiPlan | Commercial|All Plans | $227.80 | ↑ +102% |
| AMPS | Commercial|All Plans | $440.05 | ↑ +291% |
Visitor-reported prices
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Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $217.75 | $119.60 – $437.54 |
| MercyOne Clinton Medical Center | Clinton | $344.50 | $149.99 – $530.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $497.00 | $99.90 – $497.00 |
| MercyOne Des Moines Medical Center | Des Moines | $299.65 | $92.66 – $461.00 |
| MercyOne Centerville Medical Center | Centerville | $378.00 | $103.72 – $378.00 |
| MercyOne North Iowa Medical Center | Mason City | $258.05 | $101.63 – $474.41 |
| MercyOne Waterloo Medical Center | Waterloo | $184.60 | $66.74 – $423.13 |
| UnityPoint Health - Allen Hospital | Waterloo | $118.40 | $12.32 – $168.59 |