Tc-99m non-heu per study dose 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

$4.20

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.

$10.00

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.

$1.50 with Centene vs $21.64 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 →

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 $1.50 ↓ -64%
ELAP Commercial|All Plans $2.80 ↓ -33%
United Medicaid|Community Plan $4.60 ↑ +10%
Medica Commercial|CHI Health $5.00 ↑ +19%
Medica Commercial|All Other Plans $5.00 ↑ +19%
Medica Commercial|Open Access $5.20 ↑ +24%
QuikTrip Commercial|All Plans $6.00 ↑ +43%
PHCS Commercial|All Plans $7.10 ↑ +69%
Midlands Choice Commercial|Premier $7.50 ↑ +79%
Midlands Choice Commercial|Standard $7.50 ↑ +79%
MultiPlan Commercial|All Plans $8.50 ↑ +102%
Humana Medicare|All Plans $9.75 ↑ +132%
Medica Medicare|All Plans $9.75 ↑ +132%
United Medicare|All Plans $9.75 ↑ +132%
PACE Medicare|All Plans $9.75 ↑ +132%
BCBS - NE Medicare|All Plans $9.75 ↑ +132%
Todays Options Medicare|All Plans $9.95 ↑ +137%
Centene Medicare|All Plans $10.04 ↑ +139%
Amerigroup Medicare|All Plans $10.24 ↑ +144%
Great Plains Medicare|All Plans $10.24 ↑ +144%
United Commercial|All Plans $16.50 ↑ +293%
AMPS Commercial|All Plans $21.64 ↑ +415%

Visitor-reported prices

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Tc-99m non-heu per study dose at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne New Hampton Medical Center New Hampton $1.00 $0.40 – $1.00
MercyOne Dyersville Medical Center Dyersville $1.00 $0.38 – $1.13
MercyOne Clinton Medical Center Clinton $1.00 $0.19 – $10.60
MercyOne Oelwein Medical Center Oelwein $1.00 $0.38 – $1.00
MercyOne Cedar Falls Medical Center Cedar Falls $1.00 $0.17 – $7.32
MercyOne Elkader Medical Center Elkader $1.00 $0.51 – $1.05
MercyOne West Des Moines Medical Center West Des Moines $1.00 $0.16 – $14.50
MercyOne Des Moines Medical Center Des Moines $1.00 $0.16 – $14.50

All Iowa hospitals for this procedure →