Manipulation chest wall initial demonstration/evaluation 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

$126.84

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.

$302.00

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.

$38.84 with Medica vs $278.88 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|All Other Plans $38.84 ↓ -69%
Medica Commercial|CHI Health $43.63 ↓ -66%
Centene Medicaid|NE Total Care $45.30 ↓ -64%
Medica Commercial|ACO $46.45 ↓ -63%
ELAP Commercial|All Plans $84.56 ↓ -33%
Amerigroup Medicaid|All Plans $122.39 ↓ -4%
Centene Medicaid|IA Total Care $122.39 ↓ -4%
IAMolina Medicaid|All Plans $124.79 ↓ -2%
BCBS - NE Medicare|All Plans $125.62 ↓ -1%
Humana Medicare|All Plans $125.62 ↓ -1%
United Medicare|All Plans $125.62 ↓ -1%
PACE Medicare|All Plans $125.62 ↓ -1%
Medica Medicare|All Plans $125.62 ↓ -1%
Todays Options Medicare|All Plans $128.13 ↑ +1%
Centene Medicare|All Plans $129.39 ↑ +2%
Great Plains Medicare|All Plans $131.90 ↑ +4%
Amerigroup Medicare|All Plans $131.90 ↑ +4%
United Medicaid|Community Plan $138.92 ↑ +10%
Medica Commercial|Open Access $181.20 ↑ +43%
QuikTrip Commercial|All Plans $181.20 ↑ +43%
Creighton University Employees Commercial|All Plans $196.30 ↑ +55%
PHCS Commercial|All Plans $214.42 ↑ +69%
United Commercial|All Plans $223.48 ↑ +76%
Midlands Choice Commercial|Premier $226.50 ↑ +79%
Midlands Choice Commercial|Standard $226.50 ↑ +79%
MultiPlan Commercial|All Plans $256.70 ↑ +102%
AMPS Commercial|All Plans $278.88 ↑ +120%

Visitor-reported prices

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Manipulation chest wall initial demonstration/evaluation at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $129.00 $74.75 – $123.39
MercyOne Dubuque Medical Center Dubuque $117.65 $64.62 – $265.84
MercyOne Dyersville Medical Center Dyersville $178.75 $103.95 – $309.54
MercyOne Clinton Medical Center Clinton $220.35 $95.94 – $339.00
MercyOne Oelwein Medical Center Oelwein $178.75 $105.11 – $275.00
MercyOne Cedar Falls Medical Center Cedar Falls $104.00 $37.60 – $265.00
MercyOne Elkader Medical Center Elkader $178.75 $141.54 – $287.43
MercyOne West Des Moines Medical Center West Des Moines $245.00 $49.25 – $258.30

All Iowa hospitals for this procedure →