Revision tips at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$11,752.02
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.
$27,981.00
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.
$694.60 with Medica vs $21,369.00 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 |
|---|---|---|---|
| Medica | Commercial|ACO | $694.60 | ↓ -94% |
| Centene | Medicaid|NE Total Care | $3,771.00 | ↓ -68% |
| Amerigroup | Medicaid|All Plans | $5,413.21 | ↓ -54% |
| Centene | Medicaid|IA Total Care | $5,413.21 | ↓ -54% |
| IAMolina | Medicaid|All Plans | $5,519.35 | ↓ -53% |
| Humana | Medicare|All Plans | $5,556.47 | ↓ -53% |
| Medica | Medicare|All Plans | $5,556.47 | ↓ -53% |
| United | Medicare|All Plans | $5,556.47 | ↓ -53% |
| PACE | Medicare|All Plans | $5,556.47 | ↓ -53% |
| BCBS - NE | Medicare|All Plans | $5,556.47 | ↓ -53% |
| Todays Options | Medicare|All Plans | $5,667.60 | ↓ -52% |
| Centene | Medicare|All Plans | $5,723.16 | ↓ -51% |
| Amerigroup | Medicare|All Plans | $5,834.29 | ↓ -50% |
| Great Plains | Medicare|All Plans | $5,834.29 | ↓ -50% |
| ELAP | Commercial|All Plans | $7,039.20 | ↓ -40% |
| Creighton University Employees | Commercial|All Plans | $10,307.40 | ↓ -12% |
| United | Medicaid|Community Plan | $11,564.40 | ↓ -2% |
| United | Commercial|All Plans | $11,815.80 | ↑ +1% |
| AMPS | Commercial|All Plans | $12,335.36 | ↑ +5% |
| Midlands Choice | Commercial|Premier | $13,072.80 | ↑ +11% |
| Medica | Commercial|Open Access | $13,072.80 | ↑ +11% |
| Medica | Commercial|CHI Health | $13,706.00 | ↑ +17% |
| QuikTrip | Commercial|All Plans | $15,084.00 | ↑ +28% |
| Greater Omaha Packing | Commercial|Narrow Network | $15,749.62 | ↑ +34% |
| One World | Commercial|Narrow Network | $15,749.62 | ↑ +34% |
| Millard Public Schools | Commercial|Narrow Network | $15,749.62 | ↑ +34% |
| PHCS | Commercial|All Plans | $17,849.40 | ↑ +52% |
| One World | Commercial|Broad Network | $18,112.06 | ↑ +54% |
| Timpte | Commercial|Broad Network | $18,112.06 | ↑ +54% |
| Millard Public Schools | Commercial|Broad Network | $18,112.06 | ↑ +54% |
| Greater Omaha Packing | Commercial|Broad Network | $18,112.06 | ↑ +54% |
| Medica | Commercial|All Other Plans | $18,690.00 | ↑ +59% |
| Midlands Choice | Commercial|Standard | $18,855.00 | ↑ +60% |
| MultiPlan | Commercial|All Plans | $21,369.00 | ↑ +82% |
Visitor-reported prices
Comments
Revision tips at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $15,049.60 | $332.33 – $4,725.85 |
| UnityPoint Health - Finley Hospital | Dubuque | $15,049.60 | $332.33 – $17,307.04 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $15,049.60 | $332.33 – $5,672.81 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $15,049.60 | $332.33 – $5,493.14 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $15,049.60 | $332.33 – $886.35 |
| UnityPoint Health - Marshalltown | Marshalltown | $15,049.60 | $332.33 – $5,548.13 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $15,049.60 | $332.33 – $7,293.22 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $15,049.60 | $332.33 – $4,906.16 |