Insertion subcutaneous cardiac rhythm monitor 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

$8,344.56

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.

$19,868.00

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.

$156.03 with Medica vs $18,690.00 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 →

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
Medica Commercial|ACO $156.03 ↓ -98%
One World Commercial|Narrow Network $2,834.13 ↓ -66%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↓ -66%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↓ -66%
Centene Medicaid|NE Total Care $2,980.20 ↓ -64%
Timpte Commercial|Broad Network $3,259.25 ↓ -61%
Millard Public Schools Commercial|Broad Network $3,259.25 ↓ -61%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↓ -61%
One World Commercial|Broad Network $3,259.25 ↓ -61%
ELAP Commercial|All Plans $5,563.04 ↓ -33%
Amerigroup Medicaid|All Plans $7,857.49 ↓ -6%
Centene Medicaid|IA Total Care $7,857.49 ↓ -6%
IAMolina Medicaid|All Plans $8,011.56 ↓ -4%
Humana Medicare|All Plans $8,065.44 ↓ -3%
Medica Medicare|All Plans $8,065.44 ↓ -3%
United Medicare|All Plans $8,065.44 ↓ -3%
PACE Medicare|All Plans $8,065.44 ↓ -3%
BCBS - NE Medicare|All Plans $8,065.44 ↓ -3%
Todays Options Medicare|All Plans $8,226.75 ↓ -1%
Centene Medicare|All Plans $8,307.40 ↓ -0%
Great Plains Medicare|All Plans $8,468.71 ↑ +1%
Amerigroup Medicare|All Plans $8,468.71 ↑ +1%
United Medicaid|Community Plan $9,139.28 ↑ +10%
United Commercial|All Plans $9,337.96 ↑ +12%
Medica Commercial|Open Access $10,331.36 ↑ +24%
QuikTrip Commercial|All Plans $11,920.80 ↑ +43%
Creighton University Employees Commercial|All Plans $12,914.20 ↑ +55%
Medica Commercial|CHI Health $13,706.00 ↑ +64%
PHCS Commercial|All Plans $14,106.28 ↑ +69%
Midlands Choice Commercial|Premier $14,901.00 ↑ +79%
Midlands Choice Commercial|Standard $14,901.00 ↑ +79%
MultiPlan Commercial|All Plans $16,887.80 ↑ +102%
AMPS Commercial|All Plans $17,905.28 ↑ +115%
Medica Commercial|All Other Plans $18,690.00 ↑ +124%

Visitor-reported prices

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Insertion subcutaneous cardiac rhythm monitor at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $9,019.20 $7,921.93 – $9,770.80
MercyOne Dubuque Medical Center Dubuque $11,052.53 $2,160.92 – $16,534.97
MercyOne Clinton Medical Center Clinton $20,074.60 $7,620.46 – $30,884.00
MercyOne West Des Moines Medical Center West Des Moines $18,360.00 $3,690.36 – $18,360.00
MercyOne Des Moines Medical Center Des Moines $13,021.00 $24.18 – $18,360.00
MercyOne North Iowa Medical Center Mason City $24,432.80 $3,664.90 – $17,928.45
MercyOne Genesis Davenport Medical Center Davenport $10,417.20 $7,921.93 – $11,090.71
MercyOne Waterloo Medical Center Waterloo $13,021.00 $24.18 – $15,990.49

All Iowa hospitals for this procedure →