Insitu hybridization manual 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

$391.44

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.

$932.00

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.

$139.80 with Centene vs $792.20 with MultiPlan — 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 $139.80 ↓ -64%
Medica Commercial|ACO $202.19 ↓ -48%
ELAP Commercial|All Plans $260.96 ↓ -33%
Medica Commercial|CHI Health $273.69 ↓ -30%
Medica Commercial|All Other Plans $286.61 ↓ -27%
One World Commercial|Narrow Network $309.03 ↓ -21%
Millard Public Schools Commercial|Narrow Network $309.03 ↓ -21%
Greater Omaha Packing Commercial|Narrow Network $309.03 ↓ -21%
Centene Medicaid|IA Total Care $341.53 ↓ -13%
Amerigroup Medicaid|All Plans $341.53 ↓ -13%
IAMolina Medicaid|All Plans $348.22 ↓ -11%
Humana Medicare|All Plans $350.57 ↓ -10%
Medica Medicare|All Plans $350.57 ↓ -10%
United Medicare|All Plans $350.57 ↓ -10%
PACE Medicare|All Plans $350.57 ↓ -10%
BCBS - NE Medicare|All Plans $350.57 ↓ -10%
Greater Omaha Packing Commercial|Broad Network $355.38 ↓ -9%
Timpte Commercial|Broad Network $355.38 ↓ -9%
One World Commercial|Broad Network $355.38 ↓ -9%
Millard Public Schools Commercial|Broad Network $355.38 ↓ -9%
Todays Options Medicare|All Plans $357.58 ↓ -9%
Centene Medicare|All Plans $361.09 ↓ -8%
Amerigroup Medicare|All Plans $368.10 ↓ -6%
Great Plains Medicare|All Plans $368.10 ↓ -6%
United Medicaid|Community Plan $428.72 ↑ +10%
Medica Commercial|Open Access $484.64 ↑ +24%
Midlands Choice Commercial|Premier $484.64 ↑ +24%
QuikTrip Commercial|All Plans $559.20 ↑ +43%
Creighton University Employees Commercial|All Plans $605.80 ↑ +55%
PHCS Commercial|All Plans $661.72 ↑ +69%
Midlands Choice Commercial|Standard $699.00 ↑ +79%
United Commercial|All Plans $699.00 ↑ +79%
AMPS Commercial|All Plans $778.27 ↑ +99%
MultiPlan Commercial|All Plans $792.20 ↑ +102%

Visitor-reported prices

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Insitu hybridization manual at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne North Iowa Medical Center Mason City $174.85 $68.86 – $324.11
UnityPoint Health - Allen Hospital Waterloo $328.79 $38.65 – $298.16
UnityPoint Health - Finley Hospital Dubuque $328.79 $38.65 – $328.78
UnityPoint Health - Grinnell Regional Medical Center Grinnell $328.79 $38.65 – $357.91
UnityPoint Health - Iowa Lutheran Hospital Des Moines $328.79 $38.65 – $346.57
UnityPoint Health - Jones Regional Medical Center Anamosa $328.79 $38.65 – $364.54
UnityPoint Health - Marshalltown Marshalltown $328.79 $38.65 – $350.04
UnityPoint Health - St. Lukes Downtown Sioux City $328.79 $35.88 – $318.57

All Iowa hospitals for this procedure →