Sm-153 lexidron ther at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$20,913.90
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.
$49,795.00
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.
$4,205.14 with Humana vs $42,325.75 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 |
|---|---|---|---|
| Humana | Medicare|All Plans | $4,205.14 | ↓ -80% |
| Medica | Medicare|All Plans | $4,205.14 | ↓ -80% |
| United | Medicare|All Plans | $4,205.14 | ↓ -80% |
| PACE | Medicare|All Plans | $4,205.14 | ↓ -80% |
| BCBS - NE | Medicare|All Plans | $4,205.14 | ↓ -80% |
| Todays Options | Medicare|All Plans | $4,289.24 | ↓ -79% |
| Centene | Medicare|All Plans | $4,331.29 | ↓ -79% |
| Great Plains | Medicare|All Plans | $4,415.40 | ↓ -79% |
| Amerigroup | Medicare|All Plans | $4,415.40 | ↓ -79% |
| United | Commercial|All Plans | $7,119.60 | ↓ -66% |
| Centene | Medicaid|NE Total Care | $7,469.25 | ↓ -64% |
| AMPS | Commercial|All Plans | $9,335.41 | ↓ -55% |
| ELAP | Commercial|All Plans | $13,942.60 | ↓ -33% |
| Wellmark | Commercial|PPO | $16,282.88 | ↓ -22% |
| Wellmark | Commercial|HMO | $16,282.88 | ↓ -22% |
| United | Medicaid|Community Plan | $22,905.70 | ↑ +10% |
| Medica | Commercial|Open Access | $25,893.40 | ↑ +24% |
| Midlands Choice | Commercial|Premier | $25,893.40 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $29,877.00 | ↑ +43% |
| PHCS | Commercial|All Plans | $35,354.45 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $37,346.25 | ↑ +79% |
| Medica | Commercial|CHI Health | $38,164.48 | ↑ +82% |
| Medica | Commercial|ACO | $38,981.23 | ↑ +86% |
| Medica | Commercial|All Other Plans | $39,965.04 | ↑ +91% |
| MultiPlan | Commercial|All Plans | $42,325.75 | ↑ +102% |
Visitor-reported prices
Comments
Sm-153 lexidron ther at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $4,258.80 | $4,314.91 – $4,613.70 |
| MercyOne Dubuque Medical Center | Dubuque | $57,456.00 | $4,314.91 – $57,456.00 |
| MercyOne New Hampton Medical Center | New Hampton | $57,456.00 | $4,314.91 – $57,456.00 |
| MercyOne Dyersville Medical Center | Dyersville | $57,456.00 | $4,314.91 – $64,672.47 |
| MercyOne Clinton Medical Center | Clinton | $57,456.00 | $4,314.91 – $57,456.00 |
| MercyOne Oelwein Medical Center | Oelwein | $57,456.00 | $4,314.91 – $57,456.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $57,456.00 | $4,314.91 – $57,456.00 |
| MercyOne Elkader Medical Center | Elkader | $57,456.00 | $4,314.91 – $60,053.01 |