Inj, spesolimab-sbzo, 1 mg at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$53,689.66
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.
$127,832.52
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.
$19,174.88 with Centene vs $108,657.65 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 | $19,174.88 | ↓ -64% |
| ELAP | Commercial|All Plans | $35,793.11 | ↓ -33% |
| United | Medicaid|Community Plan | $58,802.96 | ↑ +10% |
| Medica | Commercial|CHI Health | $63,916.26 | ↑ +19% |
| Medica | Commercial|All Other Plans | $63,916.26 | ↑ +19% |
| Medica | Commercial|Open Access | $66,472.92 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $76,699.52 | ↑ +43% |
| PHCS | Commercial|All Plans | $90,761.09 | ↑ +69% |
| United | Commercial|All Plans | $94,596.07 | ↑ +76% |
| Midlands Choice | Commercial|Standard | $95,874.39 | ↑ +79% |
| Midlands Choice | Commercial|Premier | $95,874.39 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $108,657.65 | ↑ +102% |
Visitor-reported prices
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Inj, spesolimab-sbzo, 1 mg at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| CHI Health Mercy Corning | Corning | $61,359.61 | $54,967.99 – $125,275.87 |
| CHI Health Missouri Valley | Missouri Valley | $62,637.94 | $44,741.39 – $125,275.87 |
| MercyOne Genesis Davenport West Medical Center | Davenport | not published | $65.73 – $92.02 |
| MercyOne Genesis Davenport Medical Center | Davenport | not published | $62.92 – $92.02 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $59.08 – $78.29 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $59.08 – $202.49 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | not published | $59.08 – $78.29 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | not published | $59.08 – $78.29 |