Stent/tib/peroneal/unilat/initial 37230 at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$10,139.64
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.
$24,142.00
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.
$1,223.75 with Medica vs $38,849.78 with AMPS — 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 | $1,223.75 | ↓ -88% |
| Centene | Medicaid|NE Total Care | $3,621.30 | ↓ -64% |
| ELAP | Commercial|All Plans | $6,759.76 | ↓ -33% |
| Millard Public Schools | Commercial|Narrow Network | $9,185.68 | ↓ -9% |
| One World | Commercial|Narrow Network | $9,185.68 | ↓ -9% |
| Greater Omaha Packing | Commercial|Narrow Network | $9,185.68 | ↓ -9% |
| Creighton University Employees | Commercial|All Plans | $9,898.22 | ↓ -2% |
| Millard Public Schools | Commercial|Broad Network | $10,563.53 | ↑ +4% |
| Timpte | Commercial|Broad Network | $10,563.53 | ↑ +4% |
| Greater Omaha Packing | Commercial|Broad Network | $10,563.53 | ↑ +4% |
| One World | Commercial|Broad Network | $10,563.53 | ↑ +4% |
| United | Medicaid|Community Plan | $11,105.32 | ↑ +10% |
| United | Commercial|All Plans | $11,346.74 | ↑ +12% |
| Medica | Commercial|Open Access | $12,553.84 | ↑ +24% |
| Medica | Commercial|CHI Health | $13,706.00 | ↑ +35% |
| QuikTrip | Commercial|All Plans | $14,485.20 | ↑ +43% |
| Centene | Medicaid|IA Total Care | $17,048.71 | ↑ +68% |
| Amerigroup | Medicaid|All Plans | $17,048.71 | ↑ +68% |
| PHCS | Commercial|All Plans | $17,140.82 | ↑ +69% |
| IAMolina | Medicaid|All Plans | $17,383.00 | ↑ +71% |
| Humana | Medicare|All Plans | $17,499.90 | ↑ +73% |
| Medica | Medicare|All Plans | $17,499.90 | ↑ +73% |
| United | Medicare|All Plans | $17,499.90 | ↑ +73% |
| PACE | Medicare|All Plans | $17,499.90 | ↑ +73% |
| BCBS - NE | Medicare|All Plans | $17,499.90 | ↑ +73% |
| Todays Options | Medicare|All Plans | $17,849.90 | ↑ +76% |
| Centene | Medicare|All Plans | $18,024.90 | ↑ +78% |
| Midlands Choice | Commercial|Premier | $18,106.50 | ↑ +79% |
| Midlands Choice | Commercial|Standard | $18,106.50 | ↑ +79% |
| Great Plains | Medicare|All Plans | $18,374.90 | ↑ +81% |
| Amerigroup | Medicare|All Plans | $18,374.90 | ↑ +81% |
| Medica | Commercial|All Other Plans | $18,690.00 | ↑ +84% |
| MultiPlan | Commercial|All Plans | $20,520.70 | ↑ +102% |
| AMPS | Commercial|All Plans | $38,849.78 | ↑ +283% |
Visitor-reported prices
Comments
Stent/tib/peroneal/unilat/initial 37230 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $18,950.40 | $17,188.53 – $20,529.60 |
| MercyOne Des Moines Medical Center | Des Moines | $2,235.00 | $232.55 – $1,820.36 |
| MercyOne Genesis Davenport Medical Center | Davenport | $21,091.80 | $17,188.53 – $22,849.45 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $1,173.60 | $928.00 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $49,374.40 | $592.65 – $14,883.88 |
| UnityPoint Health - Finley Hospital | Dubuque | $49,374.40 | $592.65 – $28,538.61 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $49,374.40 | $592.65 – $17,866.30 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $49,374.40 | $592.65 – $17,300.43 |