Puncture aspiration abscess/hematoma/bulla/cyst at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$256.20
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.
$610.00
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.
$91.50 with Centene vs $3,259.25 with Timpte — 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 | $91.50 | ↓ -64% |
| ELAP | Commercial|All Plans | $170.80 | ↓ -33% |
| Medica | Commercial|ACO | $183.88 | ↓ -28% |
| United | Medicaid|Community Plan | $280.60 | ↑ +10% |
| United | Commercial|All Plans | $286.70 | ↑ +12% |
| Medica | Commercial|Open Access | $317.20 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $366.00 | ↑ +43% |
| Amerigroup | Medicaid|All Plans | $379.33 | ↑ +48% |
| Centene | Medicaid|IA Total Care | $379.33 | ↑ +48% |
| IAMolina | Medicaid|All Plans | $386.77 | ↑ +51% |
| Medica | Medicare|All Plans | $389.37 | ↑ +52% |
| PACE | Medicare|All Plans | $389.37 | ↑ +52% |
| United | Medicare|All Plans | $389.37 | ↑ +52% |
| Humana | Medicare|All Plans | $389.37 | ↑ +52% |
| BCBS - NE | Medicare|All Plans | $389.37 | ↑ +52% |
| Todays Options | Medicare|All Plans | $397.16 | ↑ +55% |
| Centene | Medicare|All Plans | $401.05 | ↑ +57% |
| Great Plains | Medicare|All Plans | $408.84 | ↑ +60% |
| Amerigroup | Medicare|All Plans | $408.84 | ↑ +60% |
| PHCS | Commercial|All Plans | $433.10 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $457.50 | ↑ +79% |
| Midlands Choice | Commercial|Premier | $457.50 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $518.50 | ↑ +102% |
| AMPS | Commercial|All Plans | $864.40 | ↑ +237% |
| Medica | Commercial|CHI Health | $953.00 | ↑ +272% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +408% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +1006% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +1006% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +1006% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +1172% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +1172% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +1172% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +1172% |
Visitor-reported prices
Comments
Puncture aspiration abscess/hematoma/bulla/cyst at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $232.20 | $128.70 – $382.44 |
| MercyOne Dubuque Medical Center | Dubuque | $885.30 | $364.70 – $1,362.00 |
| MercyOne New Hampton Medical Center | New Hampton | $382.85 | $18.97 – $430.00 |
| MercyOne Clinton Medical Center | Clinton | $566.15 | $18.97 – $871.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $2,038.00 | $383.70 – $2,038.00 |
| MercyOne Centerville Medical Center | Centerville | $430.00 | $18.97 – $215.00 |
| MercyOne North Iowa Medical Center | Mason City | $746.20 | $18.97 – $1,148.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $243.60 | $250.90 – $382.44 |