Quant diff pulm perf and vent w/imaging at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,231.02
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.
$2,931.00
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.
$439.65 with Centene vs $2,491.35 with MultiPlan — 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 | $439.65 | ↓ -64% |
| Medica | Commercial|ACO | $446.84 | ↓ -64% |
| Amerigroup | Medicaid|All Plans | $511.05 | ↓ -58% |
| Centene | Medicaid|IA Total Care | $511.05 | ↓ -58% |
| IAMolina | Medicaid|All Plans | $521.07 | ↓ -58% |
| Humana | Medicare|All Plans | $524.58 | ↓ -57% |
| Medica | Medicare|All Plans | $524.58 | ↓ -57% |
| United | Medicare|All Plans | $524.58 | ↓ -57% |
| PACE | Medicare|All Plans | $524.58 | ↓ -57% |
| BCBS - NE | Medicare|All Plans | $524.58 | ↓ -57% |
| Todays Options | Medicare|All Plans | $535.07 | ↓ -57% |
| Medica | Commercial|CHI Health | $538.45 | ↓ -56% |
| Centene | Medicare|All Plans | $540.32 | ↓ -56% |
| Great Plains | Medicare|All Plans | $550.81 | ↓ -55% |
| Amerigroup | Medicare|All Plans | $550.81 | ↓ -55% |
| Medica | Commercial|All Other Plans | $563.85 | ↓ -54% |
| Creighton University Employees | Commercial|All Plans | $729.72 | ↓ -41% |
| ELAP | Commercial|All Plans | $820.68 | ↓ -33% |
| United | Commercial|All Plans | $903.51 | ↓ -27% |
| AMPS | Commercial|All Plans | $1,164.57 | ↓ -5% |
| Millard Public Schools | Commercial|Narrow Network | $1,261.70 | ↑ +2% |
| Greater Omaha Packing | Commercial|Narrow Network | $1,261.70 | ↑ +2% |
| One World | Commercial|Narrow Network | $1,261.70 | ↑ +2% |
| United | Medicaid|Community Plan | $1,348.26 | ↑ +10% |
| One World | Commercial|Broad Network | $1,450.96 | ↑ +18% |
| Timpte | Commercial|Broad Network | $1,450.96 | ↑ +18% |
| Greater Omaha Packing | Commercial|Broad Network | $1,450.96 | ↑ +18% |
| Millard Public Schools | Commercial|Broad Network | $1,450.96 | ↑ +18% |
| Midlands Choice | Commercial|Premier | $1,524.12 | ↑ +24% |
| Medica | Commercial|Open Access | $1,524.12 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $1,758.60 | ↑ +43% |
| PHCS | Commercial|All Plans | $2,081.01 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $2,198.25 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $2,491.35 | ↑ +102% |
Visitor-reported prices
Comments
Quant diff pulm perf and vent w/imaging at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $803.40 | $515.24 – $721.34 |
| MercyOne Des Moines Medical Center | Des Moines | $1,660.75 | $512.50 – $2,555.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $877.80 | $515.24 – $721.34 |
| MercyOne Waterloo Medical Center | Waterloo | $1,296.10 | $468.59 – $1,994.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $562.40 | $35.62 – $446.16 |
| UnityPoint Health - Finley Hospital | Dubuque | $562.40 | $35.62 – $473.26 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $562.40 | $35.62 – $535.56 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,919.83 | $35.62 – $705.54 |