Pegloticase 8 mg/ml intravenous solution at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$47,464.20
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.
$113,010.00
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.
$2,926.82 with BCBS - NE vs $65,390.50 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 |
|---|---|---|---|
| BCBS - NE | Commercial|BluePrint | $2,926.82 | ↓ -94% |
| Wellmark | Commercial|PPO | $3,391.91 | ↓ -93% |
| Wellmark | Commercial|HMO | $3,391.91 | ↓ -93% |
| Humana | Medicare|All Plans | $3,546.29 | ↓ -93% |
| Medica | Medicare|All Plans | $3,546.29 | ↓ -93% |
| United | Medicare|All Plans | $3,546.29 | ↓ -93% |
| PACE | Medicare|All Plans | $3,546.29 | ↓ -93% |
| BCBS - NE | Medicare|All Plans | $3,546.29 | ↓ -93% |
| Centene | Medicaid|IA Total Care | $3,610.60 | ↓ -92% |
| Amerigroup | Medicaid|All Plans | $3,610.60 | ↓ -92% |
| Todays Options | Medicare|All Plans | $3,617.22 | ↓ -92% |
| Centene | Medicare|All Plans | $3,652.68 | ↓ -92% |
| IAMolina | Medicaid|All Plans | $3,681.39 | ↓ -92% |
| Great Plains | Medicare|All Plans | $3,723.60 | ↓ -92% |
| Amerigroup | Medicare|All Plans | $3,723.60 | ↓ -92% |
| BCBS - NE | Commercial|All Other Plans | $3,902.42 | ↓ -92% |
| United | Commercial|All Plans | $5,857.58 | ↓ -88% |
| Medica | Commercial|CHI Health | $6,568.88 | ↓ -86% |
| Millard Public Schools | Commercial|Narrow Network | $6,823.55 | ↓ -86% |
| One World | Commercial|Narrow Network | $6,823.55 | ↓ -86% |
| Greater Omaha Packing | Commercial|Narrow Network | $6,823.55 | ↓ -86% |
| Medica | Commercial|All Other Plans | $6,878.79 | ↓ -86% |
| Medica | Commercial|ACO | $7,079.27 | ↓ -85% |
| Timpte | Commercial|Broad Network | $7,847.03 | ↓ -83% |
| Millard Public Schools | Commercial|Broad Network | $7,847.03 | ↓ -83% |
| One World | Commercial|Broad Network | $7,847.03 | ↓ -83% |
| Greater Omaha Packing | Commercial|Broad Network | $7,847.03 | ↓ -83% |
| AMPS | Commercial|All Plans | $7,872.76 | ↓ -83% |
| Centene | Medicaid|NE Total Care | $11,539.50 | ↓ -76% |
| ELAP | Commercial|All Plans | $21,540.40 | ↓ -55% |
| United | Medicaid|Community Plan | $35,387.80 | ↓ -25% |
| Medica | Commercial|Open Access | $40,003.60 | ↓ -16% |
| QuikTrip | Commercial|All Plans | $46,158.00 | ↓ -3% |
| PHCS | Commercial|All Plans | $54,620.30 | ↑ +15% |
| Midlands Choice | Commercial|Standard | $57,697.50 | ↑ +22% |
| Midlands Choice | Commercial|Premier | $57,697.50 | ↑ +22% |
| MultiPlan | Commercial|All Plans | $65,390.50 | ↑ +38% |
Visitor-reported prices
Comments
Pegloticase 8 mg/ml intravenous solution at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $95,364.75 | $3,610.60 – $95,364.75 |
| MercyOne New Hampton Medical Center | New Hampton | $95,364.75 | $29,110.88 – $95,364.75 |
| MercyOne Dyersville Medical Center | Dyersville | $95,364.75 | $29,110.88 – $107,342.56 |
| MercyOne Clinton Medical Center | Clinton | $95,364.75 | $3,610.60 – $95,364.75 |
| MercyOne Oelwein Medical Center | Oelwein | $95,364.75 | $29,110.88 – $95,364.75 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $95,364.75 | $3,610.60 – $95,364.75 |
| MercyOne Elkader Medical Center | Elkader | $95,364.75 | $29,110.88 – $99,675.24 |
| MercyOne West Des Moines Medical Center | West Des Moines | $95,364.75 | $3,610.60 – $95,364.75 |