Leuprolide 30 mg (4 month) intramuscular syringe kit 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

$2,040.57

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.

$4,858.50

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.

$67.92 with Centene vs $470.86 with IAMolina — 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 $67.92 ↓ -97%
ELAP Commercial|All Plans $126.77 ↓ -94%
Humana Medicare|All Plans $151.47 ↓ -93%
BCBS - NE Medicare|All Plans $151.47 ↓ -93%
United Medicare|All Plans $151.47 ↓ -93%
PACE Medicare|All Plans $151.47 ↓ -93%
Medica Medicare|All Plans $151.47 ↓ -93%
Todays Options Medicare|All Plans $154.50 ↓ -92%
Centene Medicare|All Plans $156.01 ↓ -92%
Amerigroup Medicare|All Plans $159.04 ↓ -92%
Great Plains Medicare|All Plans $159.04 ↓ -92%
Wellmark Commercial|HMO $203.18 ↓ -90%
Wellmark Commercial|PPO $203.18 ↓ -90%
United Medicaid|Community Plan $208.27 ↓ -90%
Medica Commercial|Open Access $235.43 ↓ -88%
QuikTrip Commercial|All Plans $271.65 ↓ -87%
United Commercial|All Plans $298.30 ↓ -85%
PHCS Commercial|All Plans $321.46 ↓ -84%
AMPS Commercial|All Plans $336.26 ↓ -84%
Midlands Choice Commercial|Premier $339.57 ↓ -83%
BCBS - NE Commercial|BluePrint $339.57 ↓ -83%
Midlands Choice Commercial|Standard $339.57 ↓ -83%
Millard Public Schools Commercial|Narrow Network $347.50 ↓ -83%
One World Commercial|Narrow Network $347.50 ↓ -83%
Greater Omaha Packing Commercial|Narrow Network $347.50 ↓ -83%
Medica Commercial|ACO $380.73 ↓ -81%
MultiPlan Commercial|All Plans $384.84 ↓ -81%
Medica Commercial|CHI Health $387.21 ↓ -81%
Greater Omaha Packing Commercial|Broad Network $399.63 ↓ -80%
Millard Public Schools Commercial|Broad Network $399.63 ↓ -80%
One World Commercial|Broad Network $399.63 ↓ -80%
Timpte Commercial|Broad Network $399.63 ↓ -80%
Medica Commercial|All Other Plans $405.47 ↓ -80%
BCBS - NE Commercial|All Other Plans $452.75 ↓ -78%
Centene Medicaid|IA Total Care $461.81 ↓ -77%
Amerigroup Medicaid|All Plans $461.81 ↓ -77%
IAMolina Medicaid|All Plans $470.86 ↓ -77%

Visitor-reported prices

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Leuprolide 30 mg (4 month) intramuscular syringe kit at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $20,730.28 $155.42 – $217.59
MercyOne Dubuque Medical Center Dubuque $37,312.35 $125.18 – $473.02
MercyOne New Hampton Medical Center New Hampton $37,312.35 $138.82 – $350.65
MercyOne Dyersville Medical Center Dyersville $37,312.35 $132.55 – $394.69
MercyOne Clinton Medical Center Clinton $37,312.35 $99.23 – $527.00
MercyOne Oelwein Medical Center Oelwein $37,312.35 $134.02 – $350.65
MercyOne Cedar Falls Medical Center Cedar Falls $37,312.35 $82.40 – $473.02
MercyOne Elkader Medical Center Elkader $37,312.35 $170.08 – $366.50

All Iowa hospitals for this procedure →