Optx radial shaft fracture at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$2,759.82
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.
$6,571.00
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.
$985.65 with Centene vs $15,455.62 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 →
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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 | $985.65 | ↓ -64% |
| Medica | Commercial|ACO | $1,268.88 | ↓ -54% |
| ELAP | Commercial|All Plans | $1,839.88 | ↓ -33% |
| Creighton University Employees | Commercial|All Plans | $2,694.11 | ↓ -2% |
| United | Medicaid|Community Plan | $3,022.66 | ↑ +10% |
| United | Commercial|All Plans | $3,088.37 | ↑ +12% |
| Medica | Commercial|Open Access | $3,416.92 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $3,942.60 | ↑ +43% |
| PHCS | Commercial|All Plans | $4,665.41 | ↑ +69% |
| Midlands Choice | Commercial|Premier | $4,928.25 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $4,928.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $5,585.35 | ↑ +102% |
| Amerigroup | Medicaid|All Plans | $6,782.49 | ↑ +146% |
| Centene | Medicaid|IA Total Care | $6,782.49 | ↑ +146% |
| IAMolina | Medicaid|All Plans | $6,915.48 | ↑ +151% |
| Humana | Medicare|All Plans | $6,961.99 | ↑ +152% |
| Medica | Medicare|All Plans | $6,961.99 | ↑ +152% |
| United | Medicare|All Plans | $6,961.99 | ↑ +152% |
| PACE | Medicare|All Plans | $6,961.99 | ↑ +152% |
| BCBS - NE | Medicare|All Plans | $6,961.99 | ↑ +152% |
| Todays Options | Medicare|All Plans | $7,101.23 | ↑ +157% |
| Centene | Medicare|All Plans | $7,170.85 | ↑ +160% |
| Amerigroup | Medicare|All Plans | $7,310.09 | ↑ +165% |
| Great Plains | Medicare|All Plans | $7,310.09 | ↑ +165% |
| Greater Omaha Packing | Commercial|Narrow Network | $8,042.03 | ↑ +191% |
| Millard Public Schools | Commercial|Narrow Network | $8,042.03 | ↑ +191% |
| One World | Commercial|Narrow Network | $8,042.03 | ↑ +191% |
| One World | Commercial|Broad Network | $9,248.33 | ↑ +235% |
| Timpte | Commercial|Broad Network | $9,248.33 | ↑ +235% |
| Greater Omaha Packing | Commercial|Broad Network | $9,248.33 | ↑ +235% |
| Millard Public Schools | Commercial|Broad Network | $9,248.33 | ↑ +235% |
| Medica | Commercial|CHI Health | $9,391.00 | ↑ +240% |
| Medica | Commercial|All Other Plans | $12,807.00 | ↑ +364% |
| AMPS | Commercial|All Plans | $15,455.62 | ↑ +460% |
Visitor-reported prices
Comments
Optx radial shaft fracture at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $28,031.80 | $0.96 – $14,498.57 |
| MercyOne Clinton Medical Center | Clinton | $2,320.00 | $32.16 – $245.60 |
| MercyOne Newton Medical Center | Newton | $2,320.00 | $32.16 – $245.60 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,292.80 | $609.83 – $5,921.26 |
| UnityPoint Health - Finley Hospital | Dubuque | $3,292.80 | $609.83 – $6,280.98 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $3,292.80 | $609.83 – $7,107.76 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $3,292.80 | $609.83 – $6,882.64 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $3,292.80 | $609.83 – $1,620.87 |