Tube trach fen sz 6 uncuffed 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

$107.39

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.

$255.69

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.

$13.83 with Centene vs $135.94 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 $13.83 ↓ -87%
ELAP Commercial|All Plans $25.81 ↓ -76%
One World Commercial|Narrow Network $26.73 ↓ -75%
Greater Omaha Packing Commercial|Narrow Network $26.73 ↓ -75%
Millard Public Schools Commercial|Narrow Network $26.73 ↓ -75%
Greater Omaha Packing Commercial|Broad Network $30.42 ↓ -72%
Timpte Commercial|Broad Network $30.42 ↓ -72%
One World Commercial|Broad Network $30.42 ↓ -72%
Millard Public Schools Commercial|Broad Network $30.42 ↓ -72%
United Medicaid|Community Plan $42.40 ↓ -61%
QuikTrip Commercial|All Plans $55.30 ↓ -49%
PHCS Commercial|All Plans $65.44 ↓ -39%
United Commercial|All Plans $68.20 ↓ -36%
Medica Commercial|Open Access $69.12 ↓ -36%
Midlands Choice Commercial|Standard $69.12 ↓ -36%
Midlands Choice Commercial|Premier $69.12 ↓ -36%
MultiPlan Commercial|All Plans $78.34 ↓ -27%
Medica Commercial|ACO $92.16 ↓ -14%
Medica Commercial|CHI Health $129.82 ↑ +21%
Medica Commercial|All Other Plans $135.94 ↑ +27%

Visitor-reported prices

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Tube trach fen sz 6 uncuffed at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $128.15 $0.39 – $1.10
MercyOne New Hampton Medical Center New Hampton $133.09 $1.74 – $4.40
MercyOne Dyersville Medical Center Dyersville $128.15 $0.42 – $1.24
MercyOne Clinton Medical Center Clinton $128.15 $0.31 – $1.10
MercyOne Oelwein Medical Center Oelwein $128.12 $0.42 – $1.10
MercyOne Cedar Falls Medical Center Cedar Falls $128.12 $0.26 – $1.10
MercyOne Elkader Medical Center Elkader $128.15 $0.57 – $1.15
MercyOne West Des Moines Medical Center West Des Moines $197.11 $0.22 – $1.10

All Iowa hospitals for this procedure →