Inj, levothyroxine, freskabi 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

$161.49

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.

$384.50

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.

$48.96 with Centene vs $277.40 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 $48.96 ↓ -70%
ELAP Commercial|All Plans $91.38 ↓ -43%
United Medicaid|Community Plan $150.13 ↓ -7%
Medica Commercial|CHI Health $163.18 ↑ +1%
Medica Commercial|All Other Plans $163.18 ↑ +1%
Medica Commercial|Open Access $169.71 ↑ +5%
QuikTrip Commercial|All Plans $195.81 ↑ +21%
PHCS Commercial|All Plans $231.71 ↑ +43%
United Commercial|All Plans $241.50 ↑ +50%
Midlands Choice Commercial|Standard $244.77 ↑ +52%
Midlands Choice Commercial|Premier $244.77 ↑ +52%
MultiPlan Commercial|All Plans $277.40 ↑ +72%

Visitor-reported prices

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Inj, levothyroxine, freskabi at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $386.42 $7.10 – $9.94
UnityPoint Health - Allen Hospital Waterloo $25.23 $6.40 – $15.25
UnityPoint Health - Iowa Lutheran Hospital Des Moines $23.92 $4.51 – $9.58
UnityPoint Health - St. Lukes Downtown Sioux City $23.56 $6.22 – $15.05
UnityPoint Health - Trinity Bettendorf Bettendorf $22.12 $6.40 – $13.05
UnityPoint Health - Trinity Regional Medical Center Fort Dodge $18.30 $6.40 – $19.44
CHI Health Mercy Corning Corning $184.56 $140.34 – $319.83
CHI Health Missouri Valley Missouri Valley $188.41 $114.23 – $319.83

All Iowa hospitals for this procedure →