Ortho ewh rgd without jnt cstm w/fit&adj at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$9.50
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.
$22.60
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.
$3.39 with Centene vs $1,587.43 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 | $3.39 | ↓ -64% |
| ELAP | Commercial|All Plans | $6.33 | ↓ -33% |
| United | Medicaid|Community Plan | $10.40 | ↑ +9% |
| QuikTrip | Commercial|All Plans | $13.56 | ↑ +43% |
| PHCS | Commercial|All Plans | $16.05 | ↑ +69% |
| United | Commercial|All Plans | $16.73 | ↑ +76% |
| Medica | Commercial|Open Access | $16.95 | ↑ +78% |
| Midlands Choice | Commercial|Premier | $16.95 | ↑ +78% |
| Midlands Choice | Commercial|Standard | $16.95 | ↑ +78% |
| MultiPlan | Commercial|All Plans | $19.21 | ↑ +102% |
| Medica | Commercial|ACO | $22.60 | ↑ +138% |
| Amerigroup | Medicaid|All Plans | $23.06 | ↑ +143% |
| Centene | Medicaid|IA Total Care | $23.06 | ↑ +143% |
| IAMolina | Medicaid|All Plans | $23.51 | ↑ +147% |
| Medica | Commercial|CHI Health | $1,515.91 | ↑ +15857% |
| Medica | Commercial|All Other Plans | $1,587.43 | ↑ +16610% |
Visitor-reported prices
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Ortho ewh rgd without jnt cstm w/fit&adj at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $1,071.62 | $386.46 – $1,138.59 |
| UnityPoint Health - Allen Hospital | Waterloo | not published | $386.46 – $983.42 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $386.46 – $983.42 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | not published | $386.46 – $1,009.60 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | not published | $386.46 – $983.42 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | not published | $386.46 – $983.42 |
| UnityPoint Health - Marshalltown | Marshalltown | not published | $386.46 – $1,009.60 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | not published | $386.46 – $983.42 |