Rmvl pm gen w/rplc pm gen sgl lead sys at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$5,686.38
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.
$13,539.00
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.
$611.42 with Medica vs $18,690.00 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 →
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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 | $611.42 | ↓ -89% |
| Centene | Medicaid|NE Total Care | $1,780.95 | ↓ -69% |
| ELAP | Commercial|All Plans | $3,324.44 | ↓ -42% |
| Creighton University Employees | Commercial|All Plans | $4,867.93 | ↓ -14% |
| United | Medicaid|Community Plan | $5,461.58 | ↓ -4% |
| United | Commercial|All Plans | $5,580.31 | ↓ -2% |
| Medica | Commercial|Open Access | $6,173.96 | ↑ +9% |
| QuikTrip | Commercial|All Plans | $7,123.80 | ↑ +25% |
| Amerigroup | Medicaid|All Plans | $7,857.49 | ↑ +38% |
| Centene | Medicaid|IA Total Care | $7,857.49 | ↑ +38% |
| IAMolina | Medicaid|All Plans | $8,011.56 | ↑ +41% |
| Greater Omaha Packing | Commercial|Narrow Network | $8,042.03 | ↑ +41% |
| One World | Commercial|Narrow Network | $8,042.03 | ↑ +41% |
| Millard Public Schools | Commercial|Narrow Network | $8,042.03 | ↑ +41% |
| Humana | Medicare|All Plans | $8,065.44 | ↑ +42% |
| Medica | Medicare|All Plans | $8,065.44 | ↑ +42% |
| United | Medicare|All Plans | $8,065.44 | ↑ +42% |
| PACE | Medicare|All Plans | $8,065.44 | ↑ +42% |
| BCBS - NE | Medicare|All Plans | $8,065.44 | ↑ +42% |
| Todays Options | Medicare|All Plans | $8,226.75 | ↑ +45% |
| Centene | Medicare|All Plans | $8,307.40 | ↑ +46% |
| PHCS | Commercial|All Plans | $8,429.83 | ↑ +48% |
| Great Plains | Medicare|All Plans | $8,468.71 | ↑ +49% |
| Amerigroup | Medicare|All Plans | $8,468.71 | ↑ +49% |
| Midlands Choice | Commercial|Standard | $8,904.75 | ↑ +57% |
| Midlands Choice | Commercial|Premier | $8,904.75 | ↑ +57% |
| Greater Omaha Packing | Commercial|Broad Network | $9,248.33 | ↑ +63% |
| Millard Public Schools | Commercial|Broad Network | $9,248.33 | ↑ +63% |
| One World | Commercial|Broad Network | $9,248.33 | ↑ +63% |
| Timpte | Commercial|Broad Network | $9,248.33 | ↑ +63% |
| MultiPlan | Commercial|All Plans | $10,092.05 | ↑ +77% |
| Medica | Commercial|CHI Health | $13,706.00 | ↑ +141% |
| AMPS | Commercial|All Plans | $17,905.28 | ↑ +215% |
| Medica | Commercial|All Other Plans | $18,690.00 | ↑ +229% |
Visitor-reported prices
Comments
Rmvl pm gen w/rplc pm gen sgl lead sys at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $9,155.40 | $7,921.93 – $9,918.35 |
| MercyOne Dubuque Medical Center | Dubuque | $11,430.25 | $6,277.85 – $17,585.00 |
| MercyOne West Des Moines Medical Center | West Des Moines | $18,126.00 | $3,643.33 – $18,126.00 |
| MercyOne Des Moines Medical Center | Des Moines | $11,781.90 | $96.28 – $18,126.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $10,190.40 | $7,921.93 – $11,039.60 |
| MercyOne Waterloo Medical Center | Waterloo | $11,430.25 | $4,132.48 – $17,585.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $18,258.89 | $294.17 – $12,028.04 |
| UnityPoint Health - Finley Hospital | Dubuque | $14,246.82 | $294.17 – $14,246.82 |