Lacosamide 200 mg/20 ml intravenous solution at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$190.31
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.
$453.10
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.
$0.20 with Wellmark vs $84.58 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 →
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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 |
|---|---|---|---|
| Wellmark | Commercial|PPO | $0.20 | ↓ -100% |
| Wellmark | Commercial|HMO | $0.20 | ↓ -100% |
| Centene | Medicaid|NE Total Care | $14.93 | ↓ -92% |
| ELAP | Commercial|All Plans | $27.86 | ↓ -85% |
| United | Medicaid|Community Plan | $45.77 | ↓ -76% |
| Medica | Commercial|CHI Health | $49.75 | ↓ -74% |
| Medica | Commercial|All Other Plans | $49.75 | ↓ -74% |
| Medica | Commercial|Open Access | $51.74 | ↓ -73% |
| QuikTrip | Commercial|All Plans | $59.70 | ↓ -69% |
| PHCS | Commercial|All Plans | $70.65 | ↓ -63% |
| United | Commercial|All Plans | $73.63 | ↓ -61% |
| Midlands Choice | Commercial|Standard | $74.63 | ↓ -61% |
| Midlands Choice | Commercial|Premier | $74.63 | ↓ -61% |
| MultiPlan | Commercial|All Plans | $84.58 | ↓ -56% |
Visitor-reported prices
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Lacosamide 200 mg/20 ml intravenous solution at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $356.60 | $127.31 – $356.60 |
| MercyOne Dyersville Medical Center | Dyersville | $356.60 | $134.79 – $401.39 |
| MercyOne Oelwein Medical Center | Oelwein | $53.80 | $20.56 – $53.80 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $53.80 | $12.64 – $53.80 |
| MercyOne West Des Moines Medical Center | West Des Moines | $53.80 | $10.81 – $53.80 |
| MercyOne Des Moines Medical Center | Des Moines | $55.60 | $11.18 – $55.60 |
| MercyOne North Iowa Medical Center | Mason City | $55.60 | $14.23 – $55.60 |
| MercyOne Waterloo Medical Center | Waterloo | $53.80 | $12.64 – $53.80 |