Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$12,102.72
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.
$28,816.00
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.
$928.87 with Medica vs $28,966.00 with Medica — 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 | $928.87 | ↓ -92% |
| Centene | Medicaid|NE Total Care | $3,976.65 | ↓ -67% |
| ELAP | Commercial|All Plans | $7,423.08 | ↓ -39% |
| Amerigroup | Medicaid|All Plans | $9,936.13 | ↓ -18% |
| Centene | Medicaid|IA Total Care | $9,936.13 | ↓ -18% |
| IAMolina | Medicaid|All Plans | $10,130.95 | ↓ -16% |
| Humana | Medicare|All Plans | $10,199.09 | ↓ -16% |
| Medica | Medicare|All Plans | $10,199.09 | ↓ -16% |
| United | Medicare|All Plans | $10,199.09 | ↓ -16% |
| PACE | Medicare|All Plans | $10,199.09 | ↓ -16% |
| BCBS - NE | Medicare|All Plans | $10,199.09 | ↓ -16% |
| Todays Options | Medicare|All Plans | $10,403.07 | ↓ -14% |
| Centene | Medicare|All Plans | $10,505.06 | ↓ -13% |
| Great Plains | Medicare|All Plans | $10,709.04 | ↓ -12% |
| Amerigroup | Medicare|All Plans | $10,709.04 | ↓ -12% |
| Creighton University Employees | Commercial|All Plans | $10,869.51 | ↓ -10% |
| United | Medicaid|Community Plan | $12,195.06 | ↑ +1% |
| United | Commercial|All Plans | $12,460.17 | ↑ +3% |
| One World | Commercial|Narrow Network | $12,557.99 | ↑ +4% |
| Millard Public Schools | Commercial|Narrow Network | $12,557.99 | ↑ +4% |
| Greater Omaha Packing | Commercial|Narrow Network | $12,557.99 | ↑ +4% |
| Medica | Commercial|Open Access | $13,785.72 | ↑ +14% |
| Timpte | Commercial|Broad Network | $14,441.69 | ↑ +19% |
| Greater Omaha Packing | Commercial|Broad Network | $14,441.69 | ↑ +19% |
| Millard Public Schools | Commercial|Broad Network | $14,441.69 | ↑ +19% |
| One World | Commercial|Broad Network | $14,441.69 | ↑ +19% |
| QuikTrip | Commercial|All Plans | $15,906.60 | ↑ +31% |
| PHCS | Commercial|All Plans | $18,822.81 | ↑ +56% |
| Midlands Choice | Commercial|Standard | $19,883.25 | ↑ +64% |
| Midlands Choice | Commercial|Premier | $19,883.25 | ↑ +64% |
| Medica | Commercial|CHI Health | $21,243.00 | ↑ +76% |
| MultiPlan | Commercial|All Plans | $22,534.35 | ↑ +86% |
| AMPS | Commercial|All Plans | $22,641.98 | ↑ +87% |
| Medica | Commercial|All Other Plans | $28,966.00 | ↑ +139% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $12,890.40 | $10,017.62 – $13,964.60 |
| MercyOne Dubuque Medical Center | Dubuque | $18,507.49 | $3.36 – $20,884.03 |
| MercyOne Clinton Medical Center | Clinton | $14,561.95 | $6,340.05 – $22,403.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $16,985.00 | $3,413.99 – $20,291.63 |
| MercyOne Des Moines Medical Center | Des Moines | $31,991.25 | $2.28 – $20,291.63 |
| MercyOne North Iowa Medical Center | Mason City | $37,332.15 | $4.56 – $22,644.02 |
| MercyOne Genesis Davenport Medical Center | Davenport | $14,888.40 | $10,017.62 – $14,024.67 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,269.00 | $928.00 – $2,679.00 |