Lymph vessel x-ray trunk 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

$2,097.90

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.

$4,995.00

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.

$377.87 with Medica vs $6,809.69 with AMPS — 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 $377.87 ↓ -82%
Medica Commercial|CHI Health $485.75 ↓ -77%
Medica Commercial|All Other Plans $508.67 ↓ -76%
Creighton University Employees Commercial|All Plans $631.09 ↓ -70%
Centene Medicaid|NE Total Care $749.25 ↓ -64%
United Commercial|All Plans $781.39 ↓ -63%
ELAP Commercial|All Plans $1,398.60 ↓ -33%
United Medicaid|Community Plan $2,297.70 ↑ +10%
Medica Commercial|Open Access $2,597.40 ↑ +24%
Midlands Choice Commercial|Premier $2,597.40 ↑ +24%
Centene Medicaid|IA Total Care $2,988.33 ↑ +42%
Amerigroup Medicaid|All Plans $2,988.33 ↑ +42%
QuikTrip Commercial|All Plans $2,997.00 ↑ +43%
IAMolina Medicaid|All Plans $3,046.93 ↑ +45%
Humana Medicare|All Plans $3,067.43 ↑ +46%
Medica Medicare|All Plans $3,067.43 ↑ +46%
United Medicare|All Plans $3,067.43 ↑ +46%
PACE Medicare|All Plans $3,067.43 ↑ +46%
BCBS - NE Medicare|All Plans $3,067.43 ↑ +46%
Todays Options Medicare|All Plans $3,128.78 ↑ +49%
Centene Medicare|All Plans $3,159.45 ↑ +51%
Great Plains Medicare|All Plans $3,220.80 ↑ +54%
Amerigroup Medicare|All Plans $3,220.80 ↑ +54%
PHCS Commercial|All Plans $3,546.45 ↑ +69%
Midlands Choice Commercial|Standard $3,746.25 ↑ +79%
MultiPlan Commercial|All Plans $4,245.75 ↑ +102%
AMPS Commercial|All Plans $6,809.69 ↑ +225%

Visitor-reported prices

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Lymph vessel x-ray trunk at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,437.60 $1,557.40 – $3,012.85
MercyOne Genesis Davenport Medical Center Davenport $1,570.20 $1,701.05 – $3,012.85
UnityPoint Health - Allen Hospital Waterloo $4,714.40 $48.04 – $2,608.88
UnityPoint Health - Finley Hospital Dubuque $4,714.40 $48.04 – $2,767.37
UnityPoint Health - Grinnell Regional Medical Center Grinnell $4,714.40 $48.04 – $3,131.65
UnityPoint Health - Iowa Lutheran Hospital Des Moines $4,714.40 $48.04 – $3,032.46
UnityPoint Health - Jones Regional Medical Center Anamosa $4,714.40 $48.04 – $109.69
UnityPoint Health - Marshalltown Marshalltown $4,714.40 $48.04 – $3,062.82

All Iowa hospitals for this procedure →