Inj, abilify maintena, 1 mg at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$5,355.30
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.
$12,750.70
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.
$5.96 with BCBS - NE vs $8,128.60 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 |
|---|---|---|---|
| BCBS - NE | Commercial|BluePrint | $5.96 | ↓ -100% |
| Wellmark | Commercial|PPO | $6.81 | ↓ -100% |
| Wellmark | Commercial|HMO | $6.81 | ↓ -100% |
| Amerigroup | Medicaid|All Plans | $7.03 | ↓ -100% |
| Centene | Medicaid|IA Total Care | $7.03 | ↓ -100% |
| Humana | Medicare|All Plans | $7.05 | ↓ -100% |
| Medica | Medicare|All Plans | $7.05 | ↓ -100% |
| United | Medicare|All Plans | $7.05 | ↓ -100% |
| PACE | Medicare|All Plans | $7.05 | ↓ -100% |
| BCBS - NE | Medicare|All Plans | $7.05 | ↓ -100% |
| IAMolina | Medicaid|All Plans | $7.17 | ↓ -100% |
| Todays Options | Medicare|All Plans | $7.19 | ↓ -100% |
| Centene | Medicare|All Plans | $7.26 | ↓ -100% |
| Amerigroup | Medicare|All Plans | $7.40 | ↓ -100% |
| Great Plains | Medicare|All Plans | $7.40 | ↓ -100% |
| BCBS - NE | Commercial|All Other Plans | $7.94 | ↓ -100% |
| United | Commercial|All Plans | $11.67 | ↓ -100% |
| Medica | Commercial|CHI Health | $13.20 | ↓ -100% |
| Millard Public Schools | Commercial|Narrow Network | $13.59 | ↓ -100% |
| Greater Omaha Packing | Commercial|Narrow Network | $13.59 | ↓ -100% |
| One World | Commercial|Narrow Network | $13.59 | ↓ -100% |
| Medica | Commercial|All Other Plans | $13.82 | ↓ -100% |
| Medica | Commercial|ACO | $14.30 | ↓ -100% |
| One World | Commercial|Broad Network | $15.63 | ↓ -100% |
| Timpte | Commercial|Broad Network | $15.63 | ↓ -100% |
| Greater Omaha Packing | Commercial|Broad Network | $15.63 | ↓ -100% |
| Millard Public Schools | Commercial|Broad Network | $15.63 | ↓ -100% |
| AMPS | Commercial|All Plans | $15.65 | ↓ -100% |
| Centene | Medicaid|NE Total Care | $1,434.46 | ↓ -73% |
| ELAP | Commercial|All Plans | $2,677.66 | ↓ -50% |
| United | Medicaid|Community Plan | $4,399.01 | ↓ -18% |
| Medica | Commercial|Open Access | $4,972.79 | ↓ -7% |
| QuikTrip | Commercial|All Plans | $5,737.83 | ↑ +7% |
| PHCS | Commercial|All Plans | $6,789.77 | ↑ +27% |
| Midlands Choice | Commercial|Premier | $7,172.29 | ↑ +34% |
| Midlands Choice | Commercial|Standard | $7,172.29 | ↑ +34% |
| MultiPlan | Commercial|All Plans | $8,128.60 | ↑ +52% |
Visitor-reported prices
Comments
Inj, abilify maintena, 1 mg at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Cedar Falls Medical Center | Cedar Falls | $13,357.55 | $7.03 – $13,357.55 |
| MercyOne Elkader Medical Center | Elkader | $10,183.70 | $2,172.00 – $10,644.00 |
| MercyOne Des Moines Medical Center | Des Moines | $13,758.25 | $7.03 – $10,183.70 |
| MercyOne North Iowa Medical Center | Mason City | $13,758.25 | $7.03 – $10,318.70 |
| MercyOne Genesis Davenport Medical Center | Davenport | $5,156.77 | $6.93 – $10.14 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $5,156.77 | $2,922.17 – $6,274.07 |
| MercyOne Waterloo Medical Center | Waterloo | $13,758.25 | $7.03 – $12,286.12 |
| CHI Health Mercy Corning | Corning | $6,120.34 | $6.81 – $9,371.79 |