Insert cath pleura with image 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

$858.48

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.

$2,044.00

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.

$147.30 with Centene vs $3,489.13 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 $147.30 ↓ -83%
ELAP Commercial|All Plans $274.96 ↓ -68%
Medica Commercial|ACO $280.29 ↓ -67%
Creighton University Employees Commercial|All Plans $402.62 ↓ -53%
United Medicaid|Community Plan $451.72 ↓ -47%
United Commercial|All Plans $461.54 ↓ -46%
Medica Commercial|Open Access $510.64 ↓ -41%
Midlands Choice Commercial|Premier $510.64 ↓ -41%
QuikTrip Commercial|All Plans $589.20 ↓ -31%
PHCS Commercial|All Plans $697.22 ↓ -19%
Midlands Choice Commercial|Standard $736.50 ↓ -14%
MultiPlan Commercial|All Plans $834.70 ↓ -3%
Medica Commercial|CHI Health $1,422.00 ↑ +66%
Amerigroup Medicaid|All Plans $1,474.89 ↑ +72%
Centene Medicaid|IA Total Care $1,474.89 ↑ +72%
IAMolina Medicaid|All Plans $1,503.81 ↑ +75%
Humana Medicare|All Plans $1,513.92 ↑ +76%
Medica Medicare|All Plans $1,513.92 ↑ +76%
United Medicare|All Plans $1,513.92 ↑ +76%
PACE Medicare|All Plans $1,513.92 ↑ +76%
BCBS - NE Medicare|All Plans $1,513.92 ↑ +76%
Todays Options Medicare|All Plans $1,544.20 ↑ +80%
Centene Medicare|All Plans $1,559.34 ↑ +82%
Great Plains Medicare|All Plans $1,589.62 ↑ +85%
Amerigroup Medicare|All Plans $1,589.62 ↑ +85%
Medica Commercial|All Other Plans $1,938.00 ↑ +126%
Millard Public Schools Commercial|Narrow Network $3,034.03 ↑ +253%
Greater Omaha Packing Commercial|Narrow Network $3,034.03 ↑ +253%
One World Commercial|Narrow Network $3,034.03 ↑ +253%
AMPS Commercial|All Plans $3,360.90 ↑ +291%
One World Commercial|Broad Network $3,489.13 ↑ +306%
Millard Public Schools Commercial|Broad Network $3,489.13 ↑ +306%
Timpte Commercial|Broad Network $3,489.13 ↑ +306%
Greater Omaha Packing Commercial|Broad Network $3,489.13 ↑ +306%

Visitor-reported prices

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Insert cath pleura with image at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,644.60 $1,486.98 – $1,781.65
MercyOne West Des Moines Medical Center West Des Moines $7,884.00 $11.93 – $5,256.00
MercyOne Des Moines Medical Center Des Moines $5,124.60 $11.93 – $5,256.00
MercyOne North Iowa Medical Center Mason City $3,018.60 $792.58 – $3,410.37
MercyOne Genesis Davenport Medical Center Davenport $1,899.60 $1,486.98 – $2,057.90
MercyOne Genesis DeWitt Medical Center DeWitt $314.40 $382.52 – $2,679.00
MercyOne Waterloo Medical Center Waterloo $3,096.60 $11.93 – $4,235.59
UnityPoint Health - Allen Hospital Waterloo $3,022.40 $133.85 – $1,287.61

All Iowa hospitals for this procedure →