Ins mark abd/pel for right perq 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

$901.74

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.

$2,147.00

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.

$322.05 with Centene vs $3,259.25 with Greater Omaha Packing — 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 $322.05 ↓ -64%
Medica Commercial|ACO $349.06 ↓ -61%
ELAP Commercial|All Plans $601.16 ↓ -33%
United Medicaid|Community Plan $987.62 ↑ +10%
United Commercial|All Plans $1,009.09 ↑ +12%
Medica Commercial|Open Access $1,116.44 ↑ +24%
Midlands Choice Commercial|Premier $1,116.44 ↑ +24%
QuikTrip Commercial|All Plans $1,288.20 ↑ +43%
Centene Medicaid|IA Total Care $1,299.07 ↑ +44%
Amerigroup Medicaid|All Plans $1,299.07 ↑ +44%
IAMolina Medicaid|All Plans $1,324.54 ↑ +47%
BCBS - NE Medicare|All Plans $1,333.45 ↑ +48%
Humana Medicare|All Plans $1,333.45 ↑ +48%
Medica Medicare|All Plans $1,333.45 ↑ +48%
PACE Medicare|All Plans $1,333.45 ↑ +48%
United Medicare|All Plans $1,333.45 ↑ +48%
Todays Options Medicare|All Plans $1,360.12 ↑ +51%
Centene Medicare|All Plans $1,373.45 ↑ +52%
Great Plains Medicare|All Plans $1,400.12 ↑ +55%
Amerigroup Medicare|All Plans $1,400.12 ↑ +55%
PHCS Commercial|All Plans $1,524.37 ↑ +69%
Midlands Choice Commercial|Standard $1,610.25 ↑ +79%
Medica Commercial|CHI Health $1,701.00 ↑ +89%
MultiPlan Commercial|All Plans $1,824.95 ↑ +102%
Medica Commercial|All Other Plans $2,322.00 ↑ +158%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +214%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +214%
One World Commercial|Narrow Network $2,834.13 ↑ +214%
AMPS Commercial|All Plans $2,960.26 ↑ +228%
One World Commercial|Broad Network $3,259.25 ↑ +261%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +261%
Timpte Commercial|Broad Network $3,259.25 ↑ +261%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +261%

Visitor-reported prices

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Ins mark abd/pel for right perq at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Des Moines Medical Center Des Moines $3,578.90 $1,106.71 – $5,506.00
MercyOne North Iowa Medical Center Mason City $1,674.40 $659.46 – $2,998.69
UnityPoint Health - Allen Hospital Waterloo $1,204.80 $168.35 – $1,134.12
UnityPoint Health - Finley Hospital Dubuque $1,204.80 $168.35 – $1,385.52
UnityPoint Health - Grinnell Regional Medical Center Grinnell $1,204.80 $168.35 – $1,361.37
UnityPoint Health - Iowa Lutheran Hospital Des Moines $2,469.61 $168.35 – $1,318.25
UnityPoint Health - Jones Regional Medical Center Anamosa $1,204.80 $168.35 – $444.46
UnityPoint Health - Marshalltown Marshalltown $1,204.80 $168.35 – $1,331.45

All Iowa hospitals for this procedure →