Pessary 3.5 in 7 vag sil rng fold 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

$50.82

Cash price

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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.

$121.00

Gross charge

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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.

$18.15 with Centene vs $145.00 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 →

Payer
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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
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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 $18.15 ↓ -64%
ELAP Commercial|All Plans $33.88 ↓ -33%
One World Commercial|Narrow Network $35.09 ↓ -31%
Greater Omaha Packing Commercial|Narrow Network $35.09 ↓ -31%
Millard Public Schools Commercial|Narrow Network $35.09 ↓ -31%
Greater Omaha Packing Commercial|Broad Network $39.93 ↓ -21%
Timpte Commercial|Broad Network $39.93 ↓ -21%
One World Commercial|Broad Network $39.93 ↓ -21%
Millard Public Schools Commercial|Broad Network $39.93 ↓ -21%
United Medicaid|Community Plan $55.66 ↑ +10%
QuikTrip Commercial|All Plans $72.60 ↑ +43%
PHCS Commercial|All Plans $85.91 ↑ +69%
United Commercial|All Plans $89.54 ↑ +76%
Medica Commercial|Open Access $90.75 ↑ +79%
Midlands Choice Commercial|Standard $90.75 ↑ +79%
Midlands Choice Commercial|Premier $90.75 ↑ +79%
MultiPlan Commercial|All Plans $102.85 ↑ +102%
Medica Commercial|ACO $121.00 ↑ +138%
Medica Commercial|CHI Health $138.47 ↑ +172%
Medica Commercial|All Other Plans $145.00 ↑ +185%

Visitor-reported prices

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Pessary 3.5 in 7 vag sil rng fold at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $84.60 not published
MercyOne Dubuque Medical Center Dubuque $96.38 $39.70 – $111.21
MercyOne New Hampton Medical Center New Hampton $114.40 $52.26 – $132.00
MercyOne Dyersville Medical Center Dyersville $96.38 $42.04 – $125.18
MercyOne Clinton Medical Center Clinton $96.38 $31.47 – $111.21
MercyOne Oelwein Medical Center Oelwein $96.38 $42.50 – $111.21
MercyOne Cedar Falls Medical Center Cedar Falls $96.38 $26.13 – $111.21
MercyOne Elkader Medical Center Elkader $96.38 $57.24 – $116.24

All Iowa hospitals for this procedure →