Skyla, 13.5 mg at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$1,529.21
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.
$3,640.96
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.
$546.15 with Centene vs $3,094.82 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 | $546.15 | ↓ -64% |
| Amerigroup | Medicaid|All Plans | $947.67 | ↓ -38% |
| Centene | Medicaid|IA Total Care | $947.67 | ↓ -38% |
| Wellmark | Commercial|HMO | $963.22 | ↓ -37% |
| Wellmark | Commercial|PPO | $963.22 | ↓ -37% |
| IAMolina | Medicaid|All Plans | $966.25 | ↓ -37% |
| ELAP | Commercial|All Plans | $1,019.47 | ↓ -33% |
| United | Medicaid|Community Plan | $1,674.85 | ↑ +10% |
| Medica | Commercial|CHI Health | $1,850.15 | ↑ +21% |
| Medica | Commercial|Open Access | $1,893.30 | ↑ +24% |
| United | Commercial|All Plans | $1,907.17 | ↑ +25% |
| Medica | Commercial|All Other Plans | $1,937.44 | ↑ +27% |
| Medica | Commercial|ACO | $1,984.23 | ↑ +30% |
| QuikTrip | Commercial|All Plans | $2,184.58 | ↑ +43% |
| PHCS | Commercial|All Plans | $2,585.09 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $2,730.72 | ↑ +79% |
| Midlands Choice | Commercial|Premier | $2,730.72 | ↑ +79% |
| MultiPlan | Commercial|All Plans | $3,094.82 | ↑ +102% |
Visitor-reported prices
Comments
Skyla, 13.5 mg at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,634.65 | not published |
| MercyOne New Hampton Medical Center | New Hampton | $5,297.60 | $543.47 – $1,358.67 |
| MercyOne Genesis Davenport Medical Center | Davenport | $1,801.20 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,801.20 | $1,020.68 – $2,191.46 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,324.80 | $887.04 – $1,011.38 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,324.80 | $887.04 – $2,746.33 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $1,324.80 | $887.04 – $1,011.38 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $1,324.80 | $887.04 – $1,011.38 |