Pr tube thoracostomy w/connection to drainage open at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,227.24
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.
$2,922.00
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.
$187.20 with Centene vs $3,489.13 with Greater Omaha Packing — 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 | $187.20 | ↓ -85% |
| Medica | Commercial|ACO | $284.45 | ↓ -77% |
| ELAP | Commercial|All Plans | $349.44 | ↓ -72% |
| United | Medicaid|Community Plan | $574.08 | ↓ -53% |
| United | Commercial|All Plans | $586.56 | ↓ -52% |
| Creighton University Employees | Commercial|All Plans | $681.01 | ↓ -45% |
| QuikTrip | Commercial|All Plans | $748.80 | ↓ -39% |
| Midlands Choice | Commercial|Premier | $863.72 | ↓ -30% |
| Medica | Commercial|Open Access | $863.72 | ↓ -30% |
| PHCS | Commercial|All Plans | $886.08 | ↓ -28% |
| Midlands Choice | Commercial|Standard | $936.00 | ↓ -24% |
| MultiPlan | Commercial|All Plans | $1,060.80 | ↓ -14% |
| Medica | Commercial|CHI Health | $1,422.00 | ↑ +16% |
| Centene | Medicaid|IA Total Care | $1,474.89 | ↑ +20% |
| Amerigroup | Medicaid|All Plans | $1,474.89 | ↑ +20% |
| IAMolina | Medicaid|All Plans | $1,503.81 | ↑ +23% |
| Humana | Medicare|All Plans | $1,513.92 | ↑ +23% |
| Medica | Medicare|All Plans | $1,513.92 | ↑ +23% |
| United | Medicare|All Plans | $1,513.92 | ↑ +23% |
| PACE | Medicare|All Plans | $1,513.92 | ↑ +23% |
| BCBS - NE | Medicare|All Plans | $1,513.92 | ↑ +23% |
| Todays Options | Medicare|All Plans | $1,544.20 | ↑ +26% |
| Centene | Medicare|All Plans | $1,559.34 | ↑ +27% |
| Great Plains | Medicare|All Plans | $1,589.62 | ↑ +30% |
| Amerigroup | Medicare|All Plans | $1,589.62 | ↑ +30% |
| Medica | Commercial|All Other Plans | $1,938.00 | ↑ +58% |
| Millard Public Schools | Commercial|Narrow Network | $3,034.03 | ↑ +147% |
| Greater Omaha Packing | Commercial|Narrow Network | $3,034.03 | ↑ +147% |
| One World | Commercial|Narrow Network | $3,034.03 | ↑ +147% |
| AMPS | Commercial|All Plans | $3,360.90 | ↑ +174% |
| One World | Commercial|Broad Network | $3,489.13 | ↑ +184% |
| Millard Public Schools | Commercial|Broad Network | $3,489.13 | ↑ +184% |
| Timpte | Commercial|Broad Network | $3,489.13 | ↑ +184% |
| Greater Omaha Packing | Commercial|Broad Network | $3,489.13 | ↑ +184% |
Visitor-reported prices
Comments
Pr tube thoracostomy w/connection to drainage open at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,093.80 | $852.15 – $1,486.98 |
| MercyOne Dubuque Medical Center | Dubuque | $1,066.00 | $390.20 – $3,145.30 |
| MercyOne New Hampton Medical Center | New Hampton | $656.00 | $7.11 – $52.48 |
| MercyOne Clinton Medical Center | Clinton | $1,887.60 | $547.89 – $3,368.62 |
| MercyOne Elkader Medical Center | Elkader | $656.00 | $7.11 – $52.48 |
| MercyOne West Des Moines Medical Center | West Des Moines | $2,813.00 | $7.11 – $3,056.08 |
| MercyOne Des Moines Medical Center | Des Moines | $1,828.45 | $7.11 – $3,056.08 |
| MercyOne Centerville Medical Center | Centerville | $656.00 | $7.11 – $52.48 |