Tobramycin non-comp unit at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$28.50
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.
$67.84
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.
$5.16 with Centene vs $62.82 with Medica — 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 | $5.16 | ↓ -82% |
| ELAP | Commercial|All Plans | $9.63 | ↓ -66% |
| BCBS - NE | Commercial|BluePrint | $14.47 | ↓ -49% |
| United | Medicaid|Community Plan | $15.82 | ↓ -44% |
| Wellmark | Commercial|HMO | $16.53 | ↓ -42% |
| Wellmark | Commercial|PPO | $16.53 | ↓ -42% |
| Medica | Commercial|Open Access | $17.88 | ↓ -37% |
| BCBS - NE | Commercial|All Other Plans | $19.29 | ↓ -32% |
| QuikTrip | Commercial|All Plans | $20.63 | ↓ -28% |
| PHCS | Commercial|All Plans | $24.41 | ↓ -14% |
| Midlands Choice | Commercial|Standard | $25.79 | ↓ -10% |
| Midlands Choice | Commercial|Premier | $25.79 | ↓ -10% |
| United | Commercial|All Plans | $26.40 | ↓ -7% |
| MultiPlan | Commercial|All Plans | $29.23 | ↑ +3% |
| One World | Commercial|Narrow Network | $30.76 | ↑ +8% |
| Greater Omaha Packing | Commercial|Narrow Network | $30.76 | ↑ +8% |
| Millard Public Schools | Commercial|Narrow Network | $30.76 | ↑ +8% |
| Timpte | Commercial|Broad Network | $34.38 | ↑ +21% |
| Medica | Commercial|ACO | $34.38 | ↑ +21% |
| Greater Omaha Packing | Commercial|Broad Network | $34.38 | ↑ +21% |
| Millard Public Schools | Commercial|Broad Network | $34.38 | ↑ +21% |
| One World | Commercial|Broad Network | $34.38 | ↑ +21% |
| Amerigroup | Medicaid|All Plans | $35.07 | ↑ +23% |
| Centene | Medicaid|IA Total Care | $35.07 | ↑ +23% |
| IAMolina | Medicaid|All Plans | $35.76 | ↑ +25% |
| Medica | Commercial|CHI Health | $59.99 | ↑ +110% |
| Medica | Commercial|All Other Plans | $62.82 | ↑ +120% |
Visitor-reported prices
Comments
Tobramycin non-comp unit at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $12.08 | $5.60 – $17.04 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $17.88 | $0.79 – $17.04 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $12.08 | $0.40 – $17.04 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $12.08 | $3.10 – $17.04 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $7.68 | $0.80 – $17.04 |
| CHI Health Mercy Corning | Corning | $32.57 | $14.79 – $33.70 |
| CHI Health Missouri Valley | Missouri Valley | $33.25 | $12.04 – $33.70 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $14.80 – $111.48 |