MRI w/cont, breast, bi at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,426.32
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.
$3,396.00
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.
$251.70 with Centene vs $1,570.00 with Medica — 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $251.70 | ↓ -82% |
| Humana | Medicare|All Plans | $348.04 | ↓ -76% |
| Medica | Medicare|All Plans | $348.04 | ↓ -76% |
| United | Medicare|All Plans | $348.04 | ↓ -76% |
| PACE | Medicare|All Plans | $348.04 | ↓ -76% |
| BCBS - NE | Medicare|All Plans | $348.04 | ↓ -76% |
| Todays Options | Medicare|All Plans | $355.00 | ↓ -75% |
| Centene | Medicare|All Plans | $358.48 | ↓ -75% |
| Great Plains | Medicare|All Plans | $365.44 | ↓ -74% |
| Amerigroup | Medicare|All Plans | $365.44 | ↓ -74% |
| ELAP | Commercial|All Plans | $469.84 | ↓ -67% |
| United | Medicaid|Community Plan | $771.88 | ↓ -46% |
| AMPS | Commercial|All Plans | $772.65 | ↓ -46% |
| Medica | Commercial|Open Access | $872.56 | ↓ -39% |
| Midlands Choice | Commercial|Premier | $872.56 | ↓ -39% |
| QuikTrip | Commercial|All Plans | $1,006.80 | ↓ -29% |
| Medica | Commercial|CHI Health | $1,152.00 | ↓ -19% |
| PHCS | Commercial|All Plans | $1,191.38 | ↓ -16% |
| United | Commercial|All Plans | $1,258.50 | ↓ -12% |
| Creighton University Employees | Commercial|All Plans | $1,258.50 | ↓ -12% |
| Midlands Choice | Commercial|Standard | $1,258.50 | ↓ -12% |
| MultiPlan | Commercial|All Plans | $1,426.30 | ↓ -0% |
| Medica | Commercial|ACO | $1,561.00 | ↑ +9% |
| Medica | Commercial|All Other Plans | $1,570.00 | ↑ +10% |
Visitor-reported prices
Comments
MRI w/cont, breast, bi at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $1,779.08 | $335.86 – $1,438.82 |
| UnityPoint Health - Finley Hospital | Dubuque | $625.60 | $348.73 – $719.44 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $625.60 | $339.99 – $349.99 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $625.60 | $339.99 – $461.63 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $625.60 | not published |
| UnityPoint Health - Marshalltown | Marshalltown | $1,779.08 | $335.86 – $1,774.62 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $625.60 | $203.32 – $533.20 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $625.60 | $335.86 – $526.84 |