Ins/rpl pm gen exist dual lead at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$8,103.90
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.
$19,295.00
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.
$609.69 with Medica vs $22,641.98 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $609.69 | ↓ -92% |
| Centene | Medicaid|NE Total Care | $2,894.25 | ↓ -64% |
| ELAP | Commercial|All Plans | $5,402.60 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $7,910.95 | ↓ -2% |
| One World | Commercial|Narrow Network | $8,042.03 | ↓ -1% |
| Millard Public Schools | Commercial|Narrow Network | $8,042.03 | ↓ -1% |
| Greater Omaha Packing | Commercial|Narrow Network | $8,042.03 | ↓ -1% |
| United | Medicaid|Community Plan | $8,875.70 | ↑ +10% |
| United | Commercial|All Plans | $9,068.65 | ↑ +12% |
| Millard Public Schools | Commercial|Broad Network | $9,248.33 | ↑ +14% |
| Timpte | Commercial|Broad Network | $9,248.33 | ↑ +14% |
| One World | Commercial|Broad Network | $9,248.33 | ↑ +14% |
| Greater Omaha Packing | Commercial|Broad Network | $9,248.33 | ↑ +14% |
| Amerigroup | Medicaid|All Plans | $9,936.13 | ↑ +23% |
| Centene | Medicaid|IA Total Care | $9,936.13 | ↑ +23% |
| Medica | Commercial|Open Access | $10,033.40 | ↑ +24% |
| IAMolina | Medicaid|All Plans | $10,130.95 | ↑ +25% |
| Humana | Medicare|All Plans | $10,199.09 | ↑ +26% |
| Medica | Medicare|All Plans | $10,199.09 | ↑ +26% |
| United | Medicare|All Plans | $10,199.09 | ↑ +26% |
| PACE | Medicare|All Plans | $10,199.09 | ↑ +26% |
| BCBS - NE | Medicare|All Plans | $10,199.09 | ↑ +26% |
| Todays Options | Medicare|All Plans | $10,403.07 | ↑ +28% |
| Centene | Medicare|All Plans | $10,505.06 | ↑ +30% |
| Amerigroup | Medicare|All Plans | $10,709.04 | ↑ +32% |
| Great Plains | Medicare|All Plans | $10,709.04 | ↑ +32% |
| QuikTrip | Commercial|All Plans | $11,577.00 | ↑ +43% |
| PHCS | Commercial|All Plans | $13,699.45 | ↑ +69% |
| Medica | Commercial|CHI Health | $13,706.00 | ↑ +69% |
| Midlands Choice | Commercial|Premier | $14,471.25 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $14,471.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $16,400.75 | ↑ +102% |
| Medica | Commercial|All Other Plans | $18,690.00 | ↑ +131% |
| AMPS | Commercial|All Plans | $22,641.98 | ↑ +179% |
Visitor-reported prices
Comments
Ins/rpl pm gen exist dual lead at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $11,412.00 | $10,017.62 – $12,363.00 |
| MercyOne Dubuque Medical Center | Dubuque | $9,743.50 | $5,351.43 – $20,884.03 |
| MercyOne Des Moines Medical Center | Des Moines | $9,929.40 | $96.81 – $20,291.63 |
| MercyOne North Iowa Medical Center | Mason City | $20,512.05 | $8,078.59 – $31,557.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $13,181.40 | $10,017.62 – $14,024.67 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $859.80 | $928.00 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $17,323.56 | $293.07 – $11,411.89 |
| UnityPoint Health - Finley Hospital | Dubuque | $823.20 | $293.07 – $9,201.42 |