Tube trach disp innr can 5 xlt 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

$264.48

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.

$629.70

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.

$4.86 with Centene vs $134.69 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 →

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 $4.86 ↓ -98%
ELAP Commercial|All Plans $9.07 ↓ -97%
United Medicaid|Community Plan $14.89 ↓ -94%
QuikTrip Commercial|All Plans $19.42 ↓ -93%
PHCS Commercial|All Plans $22.98 ↓ -91%
United Commercial|All Plans $23.95 ↓ -91%
Midlands Choice Commercial|Premier $24.27 ↓ -91%
Medica Commercial|Open Access $24.27 ↓ -91%
Midlands Choice Commercial|Standard $24.27 ↓ -91%
MultiPlan Commercial|All Plans $27.51 ↓ -90%
Medica Commercial|ACO $32.36 ↓ -88%
Medica Commercial|CHI Health $128.62 ↓ -51%
Medica Commercial|All Other Plans $134.69 ↓ -49%

Visitor-reported prices

visitor-reported
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Tube trach disp innr can 5 xlt at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $425.24 $1.21 – $3.39
MercyOne New Hampton Medical Center New Hampton $529.67 $5.37 – $13.56
MercyOne Dyersville Medical Center Dyersville $425.24 $1.28 – $3.82
MercyOne Clinton Medical Center Clinton $425.24 $0.96 – $3.39
MercyOne Oelwein Medical Center Oelwein $416.99 $1.30 – $3.39
MercyOne Cedar Falls Medical Center Cedar Falls $416.99 $0.80 – $3.39
MercyOne Elkader Medical Center Elkader $416.99 $1.74 – $3.54
MercyOne West Des Moines Medical Center West Des Moines $641.52 $0.68 – $3.39

All Iowa hospitals for this procedure →