Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$23,644.32
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.
$56,296.00
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.
$1,634.87 with Medica vs $69,365.96 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 | $1,634.87 | ↓ -93% |
| Centene | Medicaid|NE Total Care | $7,431.15 | ↓ -69% |
| One World | Commercial|Narrow Network | $12,557.99 | ↓ -47% |
| Greater Omaha Packing | Commercial|Narrow Network | $12,557.99 | ↓ -47% |
| Millard Public Schools | Commercial|Narrow Network | $12,557.99 | ↓ -47% |
| ELAP | Commercial|All Plans | $13,871.48 | ↓ -41% |
| Timpte | Commercial|Broad Network | $14,441.69 | ↓ -39% |
| One World | Commercial|Broad Network | $14,441.69 | ↓ -39% |
| Millard Public Schools | Commercial|Broad Network | $14,441.69 | ↓ -39% |
| Greater Omaha Packing | Commercial|Broad Network | $14,441.69 | ↓ -39% |
| Creighton University Employees | Commercial|All Plans | $20,311.81 | ↓ -14% |
| United | Medicaid|Community Plan | $22,788.86 | ↓ -4% |
| United | Commercial|All Plans | $23,284.27 | ↓ -2% |
| Medica | Commercial|Open Access | $25,761.32 | ↑ +9% |
| QuikTrip | Commercial|All Plans | $29,724.60 | ↑ +26% |
| Amerigroup | Medicaid|All Plans | $30,440.33 | ↑ +29% |
| Centene | Medicaid|IA Total Care | $30,440.33 | ↑ +29% |
| IAMolina | Medicaid|All Plans | $31,037.20 | ↑ +31% |
| Humana | Medicare|All Plans | $31,245.93 | ↑ +32% |
| Medica | Medicare|All Plans | $31,245.93 | ↑ +32% |
| United | Medicare|All Plans | $31,245.93 | ↑ +32% |
| PACE | Medicare|All Plans | $31,245.93 | ↑ +32% |
| BCBS - NE | Medicare|All Plans | $31,245.93 | ↑ +32% |
| Todays Options | Medicare|All Plans | $31,870.85 | ↑ +35% |
| Centene | Medicare|All Plans | $32,183.31 | ↑ +36% |
| Great Plains | Medicare|All Plans | $32,808.23 | ↑ +39% |
| Amerigroup | Medicare|All Plans | $32,808.23 | ↑ +39% |
| PHCS | Commercial|All Plans | $35,174.11 | ↑ +49% |
| Midlands Choice | Commercial|Premier | $37,155.75 | ↑ +57% |
| Midlands Choice | Commercial|Standard | $37,155.75 | ↑ +57% |
| Medica | Commercial|CHI Health | $37,575.00 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $42,109.85 | ↑ +78% |
| Medica | Commercial|All Other Plans | $51,238.00 | ↑ +117% |
| AMPS | Commercial|All Plans | $69,365.96 | ↑ +193% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $17,187.00 | $18,619.25 – $30,689.99 |
| MercyOne Dubuque Medical Center | Dubuque | $14,580.15 | $8,007.87 – $62,717.78 |
| MercyOne West Des Moines Medical Center | West Des Moines | $24,681.00 | $4,960.88 – $60,938.73 |
| MercyOne Des Moines Medical Center | Des Moines | $78,651.03 | $2.28 – $60,938.73 |
| MercyOne North Iowa Medical Center | Mason City | $88,295.28 | $2.88 – $68,003.30 |
| MercyOne Genesis Davenport Medical Center | Davenport | $19,851.60 | $21,505.90 – $30,689.99 |
| MercyOne Waterloo Medical Center | Waterloo | $65,538.85 | $254.43 – $71,588.59 |
| UnityPoint Health - Allen Hospital | Waterloo | $66,238.36 | $787.44 – $26,575.06 |