Oth resp proc, group at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$67.62
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.
$161.00
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.
$23.73 with Medica vs $136.85 with MultiPlan — 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 |
|---|---|---|---|
| Medica | Commercial|CHI Health | $23.73 | ↓ -65% |
| Centene | Medicaid|NE Total Care | $24.15 | ↓ -64% |
| Medica | Commercial|ACO | $24.17 | ↓ -64% |
| Medica | Commercial|All Other Plans | $24.85 | ↓ -63% |
| Amerigroup | Medicaid|All Plans | $37.27 | ↓ -45% |
| Centene | Medicaid|IA Total Care | $37.27 | ↓ -45% |
| IAMolina | Medicaid|All Plans | $38.00 | ↓ -44% |
| Medica | Medicare|All Plans | $38.25 | ↓ -43% |
| Humana | Medicare|All Plans | $38.25 | ↓ -43% |
| United | Medicare|All Plans | $38.25 | ↓ -43% |
| PACE | Medicare|All Plans | $38.25 | ↓ -43% |
| BCBS - NE | Medicare|All Plans | $38.25 | ↓ -43% |
| Todays Options | Medicare|All Plans | $39.02 | ↓ -42% |
| Centene | Medicare|All Plans | $39.40 | ↓ -42% |
| Great Plains | Medicare|All Plans | $40.16 | ↓ -41% |
| Amerigroup | Medicare|All Plans | $40.16 | ↓ -41% |
| ELAP | Commercial|All Plans | $45.08 | ↓ -33% |
| United | Medicaid|Community Plan | $74.06 | ↑ +10% |
| AMPS | Commercial|All Plans | $84.92 | ↑ +26% |
| QuikTrip | Commercial|All Plans | $96.60 | ↑ +43% |
| Medica | Commercial|Open Access | $96.60 | ↑ +43% |
| Creighton University Employees | Commercial|All Plans | $104.65 | ↑ +55% |
| PHCS | Commercial|All Plans | $114.31 | ↑ +69% |
| United | Commercial|All Plans | $119.14 | ↑ +76% |
| Midlands Choice | Commercial|Premier | $120.75 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $120.75 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $136.85 | ↑ +102% |
Visitor-reported prices
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Oth resp proc, group at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $139.80 | $37.57 – $52.60 |
| MercyOne Dubuque Medical Center | Dubuque | $146.25 | $33.51 – $225.00 |
| MercyOne Des Moines Medical Center | Des Moines | $253.50 | $35.25 – $390.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $124.20 | $37.57 – $52.60 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $108.60 | $61.54 – $132.13 |
| UnityPoint Health - Allen Hospital | Waterloo | $228.75 | $11.67 – $150.69 |
| UnityPoint Health - Finley Hospital | Dubuque | $191.87 | $11.67 – $191.86 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $158.07 | $11.67 – $79.62 |