System pacing micra av 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

$17,293.50

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.

$41,175.00

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.

$489.38 with Centene vs $2,773.13 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
Centene Medicaid|NE Total Care $489.38 ↓ -97%
ELAP Commercial|All Plans $913.50 ↓ -95%
One World Commercial|Narrow Network $946.13 ↓ -95%
Millard Public Schools Commercial|Narrow Network $946.13 ↓ -95%
Greater Omaha Packing Commercial|Narrow Network $946.13 ↓ -95%
Timpte Commercial|Broad Network $1,076.63 ↓ -94%
Greater Omaha Packing Commercial|Broad Network $1,076.63 ↓ -94%
Millard Public Schools Commercial|Broad Network $1,076.63 ↓ -94%
One World Commercial|Broad Network $1,076.63 ↓ -94%
United Medicaid|Community Plan $1,500.75 ↓ -91%
QuikTrip Commercial|All Plans $1,957.50 ↓ -89%
PHCS Commercial|All Plans $2,316.38 ↓ -87%
United Commercial|All Plans $2,414.25 ↓ -86%
Medica Commercial|Open Access $2,446.88 ↓ -86%
Midlands Choice Commercial|Premier $2,446.88 ↓ -86%
Midlands Choice Commercial|Standard $2,446.88 ↓ -86%
MultiPlan Commercial|All Plans $2,773.13 ↓ -84%

Visitor-reported prices

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System pacing micra av at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $25,312.80 not published
MercyOne Dubuque Medical Center Dubuque $16,760.25 $27.67 – $77.51
MercyOne New Hampton Medical Center New Hampton $19,500.00 $36.42 – $92.00
MercyOne Dyersville Medical Center Dyersville $16,760.25 $42.96 – $87.25
MercyOne Clinton Medical Center Clinton $16,760.25 $21.94 – $77.51
MercyOne Oelwein Medical Center Oelwein $16,760.25 $29.62 – $77.51
MercyOne Cedar Falls Medical Center Cedar Falls $16,760.25 $18.21 – $77.51
MercyOne Elkader Medical Center Elkader $16,760.25 $39.89 – $81.01

All Iowa hospitals for this procedure →