Repair achilles tendon at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$3,459.12
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.
$8,236.00
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.
$701.00 with Creighton University Employees vs $15,455.62 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 |
|---|---|---|---|
| Creighton University Employees | Commercial|All Plans | $701.00 | ↓ -80% |
| Centene | Medicaid|NE Total Care | $1,235.40 | ↓ -64% |
| Medica | Commercial|ACO | $1,249.61 | ↓ -64% |
| ELAP | Commercial|All Plans | $2,306.08 | ↓ -33% |
| United | Medicaid|Community Plan | $3,788.56 | ↑ +10% |
| United | Commercial|All Plans | $3,870.92 | ↑ +12% |
| Medica | Commercial|Open Access | $4,282.72 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $4,282.72 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $4,941.60 | ↑ +43% |
| PHCS | Commercial|All Plans | $5,847.56 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $6,177.00 | ↑ +79% |
| Medica | Commercial|CHI Health | $6,209.00 | ↑ +79% |
| Centene | Medicaid|IA Total Care | $6,782.49 | ↑ +96% |
| Amerigroup | Medicaid|All Plans | $6,782.49 | ↑ +96% |
| IAMolina | Medicaid|All Plans | $6,915.48 | ↑ +100% |
| Humana | Medicare|All Plans | $6,961.99 | ↑ +101% |
| Medica | Medicare|All Plans | $6,961.99 | ↑ +101% |
| United | Medicare|All Plans | $6,961.99 | ↑ +101% |
| PACE | Medicare|All Plans | $6,961.99 | ↑ +101% |
| BCBS - NE | Medicare|All Plans | $6,961.99 | ↑ +101% |
| MultiPlan | Commercial|All Plans | $7,000.60 | ↑ +102% |
| Todays Options | Medicare|All Plans | $7,101.23 | ↑ +105% |
| Centene | Medicare|All Plans | $7,170.85 | ↑ +107% |
| Great Plains | Medicare|All Plans | $7,310.09 | ↑ +111% |
| Amerigroup | Medicare|All Plans | $7,310.09 | ↑ +111% |
| Millard Public Schools | Commercial|Narrow Network | $8,042.03 | ↑ +132% |
| Greater Omaha Packing | Commercial|Narrow Network | $8,042.03 | ↑ +132% |
| One World | Commercial|Narrow Network | $8,042.03 | ↑ +132% |
| Medica | Commercial|All Other Plans | $8,467.00 | ↑ +145% |
| Millard Public Schools | Commercial|Broad Network | $9,248.33 | ↑ +167% |
| One World | Commercial|Broad Network | $9,248.33 | ↑ +167% |
| Timpte | Commercial|Broad Network | $9,248.33 | ↑ +167% |
| Greater Omaha Packing | Commercial|Broad Network | $9,248.33 | ↑ +167% |
| AMPS | Commercial|All Plans | $15,455.62 | ↑ +347% |
Visitor-reported prices
Comments
Repair achilles tendon at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $34,236.41 | $1.92 – $14,498.57 |
| MercyOne West Des Moines Medical Center | West Des Moines | $27,420.84 | $0.96 – $14,087.30 |
| MercyOne Des Moines Medical Center | Des Moines | $27,415.85 | $1.92 – $14,087.30 |
| MercyOne Centerville Medical Center | Centerville | $33,813.01 | $2.88 – $235.52 |
| MercyOne Waterloo Medical Center | Waterloo | $49,423.32 | $1.92 – $14,021.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $3,264.00 | $600.35 – $5,921.26 |
| UnityPoint Health - Finley Hospital | Dubuque | $3,264.00 | $600.35 – $6,280.98 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $5,383.10 | $600.35 – $7,107.76 |