Prq card stent w/angio addl at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$4,502.40
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.
$10,720.00
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.
$1,484.40 with Centene vs $12,807.00 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 →
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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 | $1,484.40 | ↓ -67% |
| ELAP | Commercial|All Plans | $2,770.88 | ↓ -38% |
| One World | Commercial|Broad Network | $3,259.25 | ↓ -28% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↓ -28% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↓ -28% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↓ -28% |
| Creighton University Employees | Commercial|All Plans | $4,057.36 | ↓ -10% |
| United | Medicaid|Community Plan | $4,552.16 | ↑ +1% |
| United | Commercial|All Plans | $4,651.12 | ↑ +3% |
| Medica | Commercial|Open Access | $5,145.92 | ↑ +14% |
| QuikTrip | Commercial|All Plans | $5,937.60 | ↑ +32% |
| PHCS | Commercial|All Plans | $7,026.16 | ↑ +56% |
| Midlands Choice | Commercial|Standard | $7,422.00 | ↑ +65% |
| Midlands Choice | Commercial|Premier | $7,422.00 | ↑ +65% |
| MultiPlan | Commercial|All Plans | $8,411.60 | ↑ +87% |
| Medica | Commercial|CHI Health | $9,391.00 | ↑ +109% |
| Greater Omaha Packing | Commercial|Narrow Network | $11,100.08 | ↑ +147% |
| Millard Public Schools | Commercial|Narrow Network | $11,100.08 | ↑ +147% |
| One World | Commercial|Narrow Network | $11,100.08 | ↑ +147% |
| Medica | Commercial|ACO | $11,162.00 | ↑ +148% |
| Medica | Commercial|All Other Plans | $12,807.00 | ↑ +184% |
Visitor-reported prices
Comments
Prq card stent w/angio addl at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $7,402.80 | not published |
| MercyOne Des Moines Medical Center | Des Moines | $8,816.60 | $206.66 – $13,564.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $8,239.20 | not published |
| MercyOne Waterloo Medical Center | Waterloo | $771.00 | $206.66 – $771.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $14,510.58 | $6,729.28 – $11,735.43 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $12,786.08 | $3,260.45 – $7,831.47 |
| UnityPoint Health - Marshalltown | Marshalltown | $14,510.58 | $6,348.38 – $14,474.30 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $11,028.95 | $3,584.41 – $8,961.02 |