Skyla, 13.5 mg at CHI Health Mercy Council Bluffs

800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$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.

Full explanation →

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.

Full explanation →

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
?

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

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

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

All Iowa hospitals for this procedure →