Nctrnl pen tmscn&/rgdity tst 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

$442.68

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.

Full explanation →

What you pay up front if you don't use insurance.

$1,054.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$27.32 with Medica vs $3,259.25 with Timpte — same scan, same building. Share

Negotiated rates by payer
?

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
Medica Commercial|ACO $27.32 ↓ -94%
Centene Medicaid|NE Total Care $158.10 ↓ -64%
Amerigroup Medicaid|All Plans $230.91 ↓ -48%
Centene Medicaid|IA Total Care $230.91 ↓ -48%
IAMolina Medicaid|All Plans $235.44 ↓ -47%
Humana Medicare|All Plans $237.02 ↓ -46%
Medica Medicare|All Plans $237.02 ↓ -46%
United Medicare|All Plans $237.02 ↓ -46%
PACE Medicare|All Plans $237.02 ↓ -46%
BCBS - NE Medicare|All Plans $237.02 ↓ -46%
Todays Options Medicare|All Plans $241.76 ↓ -45%
Centene Medicare|All Plans $244.13 ↓ -45%
Amerigroup Medicare|All Plans $248.87 ↓ -44%
Great Plains Medicare|All Plans $248.87 ↓ -44%
ELAP Commercial|All Plans $295.12 ↓ -33%
United Medicaid|Community Plan $484.84 ↑ +10%
United Commercial|All Plans $495.38 ↑ +12%
AMPS Commercial|All Plans $526.18 ↑ +19%
Medica Commercial|Open Access $548.08 ↑ +24%
QuikTrip Commercial|All Plans $632.40 ↑ +43%
Creighton University Employees Commercial|All Plans $685.10 ↑ +55%
PHCS Commercial|All Plans $748.34 ↑ +69%
Midlands Choice Commercial|Premier $790.50 ↑ +79%
Midlands Choice Commercial|Standard $790.50 ↑ +79%
MultiPlan Commercial|All Plans $895.90 ↑ +102%
Medica Commercial|CHI Health $953.00 ↑ +115%
Medica Commercial|All Other Plans $1,302.00 ↑ +194%
Millard Public Schools Commercial|Narrow Network $2,834.13 ↑ +540%
Greater Omaha Packing Commercial|Narrow Network $2,834.13 ↑ +540%
One World Commercial|Narrow Network $2,834.13 ↑ +540%
One World Commercial|Broad Network $3,259.25 ↑ +636%
Millard Public Schools Commercial|Broad Network $3,259.25 ↑ +636%
Greater Omaha Packing Commercial|Broad Network $3,259.25 ↑ +636%
Timpte Commercial|Broad Network $3,259.25 ↑ +636%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Nctrnl pen tmscn&/rgdity tst at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $313.60 $12.85 – $201.59
UnityPoint Health - Finley Hospital Dubuque $313.60 $12.85 – $213.84
UnityPoint Health - Grinnell Regional Medical Center Grinnell $313.60 $12.85 – $241.98
UnityPoint Health - Iowa Lutheran Hospital Des Moines $313.60 $12.85 – $234.32
UnityPoint Health - Jones Regional Medical Center Anamosa $313.60 $12.85 – $34.45
UnityPoint Health - Marshalltown Marshalltown $313.60 $12.85 – $236.67
UnityPoint Health - St. Lukes Downtown Sioux City $313.60 $10.66 – $215.39
UnityPoint Health - Trinity Bettendorf Bettendorf $313.60 $12.85 – $209.28

All Iowa hospitals for this procedure →