Kit case 4.2mm spinejack at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$3,542.34
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.
$8,434.13
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.
$27.21 with Centene vs $12,765.09 with Millard Public Schools — 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $27.21 | ↓ -99% |
| ELAP | Commercial|All Plans | $50.79 | ↓ -99% |
| United | Medicaid|Community Plan | $83.44 | ↓ -98% |
| QuikTrip | Commercial|All Plans | $108.83 | ↓ -97% |
| PHCS | Commercial|All Plans | $128.78 | ↓ -96% |
| United | Commercial|All Plans | $134.23 | ↓ -96% |
| Medica | Commercial|Open Access | $136.04 | ↓ -96% |
| Midlands Choice | Commercial|Standard | $136.04 | ↓ -96% |
| Midlands Choice | Commercial|Premier | $136.04 | ↓ -96% |
| MultiPlan | Commercial|All Plans | $154.18 | ↓ -96% |
| Millard Public Schools | Commercial|Narrow Network | $11,100.08 | ↑ +213% |
| Greater Omaha Packing | Commercial|Narrow Network | $11,100.08 | ↑ +213% |
| One World | Commercial|Narrow Network | $11,100.08 | ↑ +213% |
| Greater Omaha Packing | Commercial|Broad Network | $12,765.09 | ↑ +260% |
| One World | Commercial|Broad Network | $12,765.09 | ↑ +260% |
| Timpte | Commercial|Broad Network | $12,765.09 | ↑ +260% |
| Millard Public Schools | Commercial|Broad Network | $12,765.09 | ↑ +260% |
Visitor-reported prices
Comments
Kit case 4.2mm spinejack at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $5,937.40 | $1,046.79 – $2,932.18 |
| MercyOne New Hampton Medical Center | New Hampton | $5,641.23 | $1,102.95 – $2,785.92 |
| MercyOne Dyersville Medical Center | Dyersville | $5,937.40 | $1,108.36 – $3,300.46 |
| MercyOne Clinton Medical Center | Clinton | $5,937.40 | $829.81 – $2,932.18 |
| MercyOne Oelwein Medical Center | Oelwein | $5,934.85 | $1,120.68 – $2,932.18 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $5,937.40 | $689.06 – $2,932.18 |
| MercyOne Elkader Medical Center | Elkader | $5,937.40 | $1,509.19 – $3,064.71 |
| MercyOne West Des Moines Medical Center | West Des Moines | $9,130.54 | $589.37 – $2,932.18 |