Lung Function Test (Spirometry) 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

$173.46

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.

$413.00

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.

$36.14 with Medica vs $351.05 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
Medica Commercial|ACO $36.14 ↓ -79%
Medica Commercial|All Other Plans $45.41 ↓ -74%
Medica Commercial|CHI Health $51.03 ↓ -71%
Centene Medicaid|NE Total Care $61.95 ↓ -64%
ELAP Commercial|All Plans $115.64 ↓ -33%
Amerigroup Medicaid|All Plans $148.54 ↓ -14%
Centene Medicaid|IA Total Care $148.54 ↓ -14%
IAMolina Medicaid|All Plans $151.46 ↓ -13%
BCBS - NE Medicare|All Plans $152.48 ↓ -12%
Humana Medicare|All Plans $152.48 ↓ -12%
United Medicare|All Plans $152.48 ↓ -12%
PACE Medicare|All Plans $152.48 ↓ -12%
Medica Medicare|All Plans $152.48 ↓ -12%
Todays Options Medicare|All Plans $155.53 ↓ -10%
Centene Medicare|All Plans $157.05 ↓ -9%
Great Plains Medicare|All Plans $160.10 ↓ -8%
Amerigroup Medicare|All Plans $160.10 ↓ -8%
United Medicaid|Community Plan $189.98 ↑ +10%
Medica Commercial|Open Access $214.76 ↑ +24%
QuikTrip Commercial|All Plans $247.80 ↑ +43%
Creighton University Employees Commercial|All Plans $268.45 ↑ +55%
PHCS Commercial|All Plans $293.23 ↑ +69%
United Commercial|All Plans $305.62 ↑ +76%
Midlands Choice Commercial|Premier $309.75 ↑ +79%
Midlands Choice Commercial|Standard $309.75 ↑ +79%
AMPS Commercial|All Plans $338.51 ↑ +95%
MultiPlan Commercial|All Plans $351.05 ↑ +102%

Visitor-reported prices

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Lung Function Test (Spirometry) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $126.00 $90.35 – $149.77
MercyOne Dubuque Medical Center Dubuque $223.60 $122.81 – $431.43
MercyOne New Hampton Medical Center New Hampton $221.65 $135.00 – $341.00
MercyOne Oelwein Medical Center Oelwein $221.65 $130.33 – $341.00
MercyOne Cedar Falls Medical Center Cedar Falls $269.10 $97.29 – $791.00
MercyOne West Des Moines Medical Center West Des Moines $402.00 $80.80 – $419.20
MercyOne Des Moines Medical Center Des Moines $1,479.00 $5.06 – $419.20
MercyOne Centerville Medical Center Centerville $341.00 $93.57 – $341.00

All Iowa hospitals for this procedure →