Pretreat rbc w enzyme reference at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$109.20
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.
$260.00
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.
$39.00 with Centene vs $370.74 with AMPS — 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 | $39.00 | ↓ -64% |
| Medica | Commercial|ACO | $42.25 | ↓ -61% |
| Medica | Commercial|CHI Health | $42.62 | ↓ -61% |
| Medica | Commercial|All Other Plans | $44.63 | ↓ -59% |
| Creighton University Employees | Commercial|All Plans | $53.97 | ↓ -51% |
| United | Commercial|All Plans | $70.42 | ↓ -36% |
| ELAP | Commercial|All Plans | $72.80 | ↓ -33% |
| United | Medicaid|Community Plan | $119.60 | ↑ +10% |
| Medica | Commercial|Open Access | $135.20 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $135.20 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $156.00 | ↑ +43% |
| Centene | Medicaid|IA Total Care | $162.70 | ↑ +49% |
| Amerigroup | Medicaid|All Plans | $162.70 | ↑ +49% |
| IAMolina | Medicaid|All Plans | $165.89 | ↑ +52% |
| Humana | Medicare|All Plans | $167.00 | ↑ +53% |
| Medica | Medicare|All Plans | $167.00 | ↑ +53% |
| United | Medicare|All Plans | $167.00 | ↑ +53% |
| PACE | Medicare|All Plans | $167.00 | ↑ +53% |
| BCBS - NE | Medicare|All Plans | $167.00 | ↑ +53% |
| Todays Options | Medicare|All Plans | $170.34 | ↑ +56% |
| Centene | Medicare|All Plans | $172.01 | ↑ +58% |
| Great Plains | Medicare|All Plans | $175.35 | ↑ +61% |
| Amerigroup | Medicare|All Plans | $175.35 | ↑ +61% |
| PHCS | Commercial|All Plans | $184.60 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $195.00 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $221.00 | ↑ +102% |
| AMPS | Commercial|All Plans | $370.74 | ↑ +240% |
Visitor-reported prices
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Pretreat rbc w enzyme reference at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $32.40 | $35.10 – $164.03 |
| MercyOne Dubuque Medical Center | Dubuque | $148.20 | $83.45 – $340.41 |
| MercyOne Dyersville Medical Center | Dyersville | $59.80 | $34.78 – $103.56 |
| MercyOne Clinton Medical Center | Clinton | $148.20 | $64.52 – $364.58 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $75.40 | $27.26 – $329.20 |
| MercyOne Elkader Medical Center | Elkader | $59.80 | $47.35 – $96.16 |
| MercyOne West Des Moines Medical Center | West Des Moines | $228.00 | $45.83 – $330.76 |
| MercyOne Des Moines Medical Center | Des Moines | $75.40 | $23.32 – $330.76 |