Specimen fat stain 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

$18.48

Cash price

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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.

$44.00

Gross charge

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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.

$5.70 with Amerigroup vs $37.40 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 →

Payer
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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
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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
Amerigroup Medicaid|All Plans $5.70 ↓ -69%
Centene Medicaid|IA Total Care $5.70 ↓ -69%
IAMolina Medicaid|All Plans $5.81 ↓ -69%
Humana Medicare|All Plans $5.88 ↓ -68%
Medica Medicare|All Plans $5.88 ↓ -68%
United Medicare|All Plans $5.88 ↓ -68%
PACE Medicare|All Plans $5.88 ↓ -68%
BCBS - NE Medicare|All Plans $5.88 ↓ -68%
Todays Options Medicare|All Plans $6.00 ↓ -68%
Centene Medicare|All Plans $6.06 ↓ -67%
Amerigroup Medicare|All Plans $6.17 ↓ -67%
Great Plains Medicare|All Plans $6.17 ↓ -67%
Centene Medicaid|NE Total Care $6.60 ↓ -64%
Medica Commercial|ACO $11.34 ↓ -39%
Medica Commercial|CHI Health $12.09 ↓ -35%
ELAP Commercial|All Plans $12.32 ↓ -33%
Medica Commercial|All Other Plans $12.66 ↓ -31%
AMPS Commercial|All Plans $13.05 ↓ -29%
Creighton University Employees Commercial|All Plans $13.93 ↓ -25%
United Commercial|All Plans $18.19 ↓ -2%
United Medicaid|Community Plan $20.24 ↑ +10%
Medica Commercial|Open Access $22.88 ↑ +24%
Midlands Choice Commercial|Premier $22.88 ↑ +24%
QuikTrip Commercial|All Plans $26.40 ↑ +43%
Greater Omaha Packing Commercial|Narrow Network $29.56 ↑ +60%
One World Commercial|Narrow Network $29.56 ↑ +60%
Millard Public Schools Commercial|Narrow Network $29.56 ↑ +60%
PHCS Commercial|All Plans $31.24 ↑ +69%
Midlands Choice Commercial|Standard $33.00 ↑ +79%
One World Commercial|Broad Network $33.99 ↑ +84%
Millard Public Schools Commercial|Broad Network $33.99 ↑ +84%
Greater Omaha Packing Commercial|Broad Network $33.99 ↑ +84%
Timpte Commercial|Broad Network $33.99 ↑ +84%
MultiPlan Commercial|All Plans $37.40 ↑ +102%

Visitor-reported prices

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Specimen fat stain at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo $56.44 $3.53 – $37.17
UnityPoint Health - Finley Hospital Dubuque $56.44 $3.50 – $56.43
UnityPoint Health - Grinnell Regional Medical Center Grinnell $56.44 $3.53 – $28.43
UnityPoint Health - Iowa Lutheran Hospital Des Moines $56.44 $3.53 – $20.74
UnityPoint Health - Jones Regional Medical Center Anamosa $56.44 $3.53 – $62.57
UnityPoint Health - Marshalltown Marshalltown $56.44 $3.53 – $33.86
UnityPoint Health - St. Lukes Downtown Sioux City $56.44 $3.53 – $45.85
UnityPoint Health - Trinity Bettendorf Bettendorf $56.44 $3.53 – $27.65

All Iowa hospitals for this procedure →