System sealant biosentry tract at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$439.78
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.
$1,047.09
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.
$141.75 with Centene vs $803.25 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $141.75 | ↓ -68% |
| ELAP | Commercial|All Plans | $264.60 | ↓ -40% |
| One World | Commercial|Narrow Network | $274.05 | ↓ -38% |
| Millard Public Schools | Commercial|Narrow Network | $274.05 | ↓ -38% |
| Greater Omaha Packing | Commercial|Narrow Network | $274.05 | ↓ -38% |
| Timpte | Commercial|Broad Network | $311.85 | ↓ -29% |
| Greater Omaha Packing | Commercial|Broad Network | $311.85 | ↓ -29% |
| Millard Public Schools | Commercial|Broad Network | $311.85 | ↓ -29% |
| One World | Commercial|Broad Network | $311.85 | ↓ -29% |
| United | Medicaid|Community Plan | $434.70 | ↓ -1% |
| QuikTrip | Commercial|All Plans | $567.00 | ↑ +29% |
| PHCS | Commercial|All Plans | $670.95 | ↑ +53% |
| United | Commercial|All Plans | $699.30 | ↑ +59% |
| Medica | Commercial|Open Access | $708.75 | ↑ +61% |
| Midlands Choice | Commercial|Premier | $708.75 | ↑ +61% |
| Midlands Choice | Commercial|Standard | $708.75 | ↑ +61% |
| MultiPlan | Commercial|All Plans | $803.25 | ↑ +83% |
Visitor-reported prices
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System sealant biosentry tract at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $652.35 | $358.29 – $1,003.62 |
| MercyOne New Hampton Medical Center | New Hampton | $812.54 | $494.90 – $1,250.06 |
| MercyOne Dyersville Medical Center | Dyersville | $652.35 | $379.37 – $1,129.67 |
| MercyOne Clinton Medical Center | Clinton | $652.35 | $284.02 – $1,003.62 |
| MercyOne Oelwein Medical Center | Oelwein | $652.35 | $383.58 – $1,003.62 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $652.35 | $235.85 – $1,003.62 |
| MercyOne Elkader Medical Center | Elkader | $652.35 | $516.56 – $1,048.98 |
| MercyOne West Des Moines Medical Center | West Des Moines | $1,003.62 | $201.73 – $1,003.62 |