Puncture arterial withdrawal blood for diagnosis 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

$107.52

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.

$256.00

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.

$28.50 with Centene vs $1,302.00 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 $28.50 ↓ -73%
Medica Commercial|ACO $28.73 ↓ -73%
ELAP Commercial|All Plans $53.20 ↓ -51%
United Medicaid|Community Plan $87.40 ↓ -19%
United Commercial|All Plans $89.30 ↓ -17%
QuikTrip Commercial|All Plans $114.00 ↑ +6%
Amerigroup Medicaid|All Plans $122.39 ↑ +14%
Centene Medicaid|IA Total Care $122.39 ↑ +14%
Medica Commercial|Open Access $124.28 ↑ +16%
IAMolina Medicaid|All Plans $124.79 ↑ +16%
Humana Medicare|All Plans $125.62 ↑ +17%
Medica Medicare|All Plans $125.62 ↑ +17%
United Medicare|All Plans $125.62 ↑ +17%
PACE Medicare|All Plans $125.62 ↑ +17%
BCBS - NE Medicare|All Plans $125.62 ↑ +17%
Todays Options Medicare|All Plans $128.13 ↑ +19%
Centene Medicare|All Plans $129.39 ↑ +20%
Amerigroup Medicare|All Plans $131.90 ↑ +23%
Great Plains Medicare|All Plans $131.90 ↑ +23%
Midlands Choice Commercial|Premier $133.12 ↑ +24%
PHCS Commercial|All Plans $134.90 ↑ +25%
Midlands Choice Commercial|Standard $142.50 ↑ +33%
Creighton University Employees Commercial|All Plans $155.35 ↑ +44%
MultiPlan Commercial|All Plans $161.50 ↑ +50%
AMPS Commercial|All Plans $278.88 ↑ +159%
Medica Commercial|CHI Health $953.00 ↑ +786%
Medica Commercial|All Other Plans $1,302.00 ↑ +1111%

Visitor-reported prices

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Puncture arterial withdrawal blood for diagnosis at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $57.60 $14.30 – $123.39
MercyOne New Hampton Medical Center New Hampton $113.75 $69.28 – $175.00
MercyOne Oelwein Medical Center Oelwein $113.75 $66.89 – $175.00
MercyOne Cedar Falls Medical Center Cedar Falls $100.10 $36.19 – $257.09
MercyOne Elkader Medical Center Elkader $113.75 $90.07 – $182.91
MercyOne West Des Moines Medical Center West Des Moines $231.00 $46.43 – $258.30
MercyOne Centerville Medical Center Centerville $175.00 $48.02 – $175.00
MercyOne Newton Medical Center Newton $494.00 $9.09 – $258.30

All Iowa hospitals for this procedure →