Tx closed tib shaft fx without manip at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$342.30
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.
?
What you pay up front if you don't use insurance.
$815.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$122.25 with Centene vs $3,259.25 with Timpte — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $122.25 | ↓ -64% |
| Centene | Medicaid|IA Total Care | $227.76 | ↓ -33% |
| Amerigroup | Medicaid|All Plans | $227.76 | ↓ -33% |
| ELAP | Commercial|All Plans | $228.20 | ↓ -33% |
| IAMolina | Medicaid|All Plans | $232.22 | ↓ -32% |
| Humana | Medicare|All Plans | $233.78 | ↓ -32% |
| Medica | Medicare|All Plans | $233.78 | ↓ -32% |
| United | Medicare|All Plans | $233.78 | ↓ -32% |
| PACE | Medicare|All Plans | $233.78 | ↓ -32% |
| BCBS - NE | Medicare|All Plans | $233.78 | ↓ -32% |
| Todays Options | Medicare|All Plans | $238.46 | ↓ -30% |
| Centene | Medicare|All Plans | $240.79 | ↓ -30% |
| Amerigroup | Medicare|All Plans | $245.47 | ↓ -28% |
| Great Plains | Medicare|All Plans | $245.47 | ↓ -28% |
| United | Medicaid|Community Plan | $374.90 | ↑ +10% |
| United | Commercial|All Plans | $383.05 | ↑ +12% |
| Midlands Choice | Commercial|Premier | $423.80 | ↑ +24% |
| Medica | Commercial|Open Access | $423.80 | ↑ +24% |
| QuikTrip | Commercial|All Plans | $489.00 | ↑ +43% |
| AMPS | Commercial|All Plans | $518.99 | ↑ +52% |
| PHCS | Commercial|All Plans | $578.65 | ↑ +69% |
| Midlands Choice | Commercial|Standard | $611.25 | ↑ +79% |
| Medica | Commercial|ACO | $627.86 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $692.75 | ↑ +102% |
| Creighton University Employees | Commercial|All Plans | $701.00 | ↑ +105% |
| Medica | Commercial|CHI Health | $953.00 | ↑ +178% |
| Medica | Commercial|All Other Plans | $1,302.00 | ↑ +280% |
| One World | Commercial|Narrow Network | $2,834.13 | ↑ +728% |
| Greater Omaha Packing | Commercial|Narrow Network | $2,834.13 | ↑ +728% |
| Millard Public Schools | Commercial|Narrow Network | $2,834.13 | ↑ +728% |
| One World | Commercial|Broad Network | $3,259.25 | ↑ +852% |
| Millard Public Schools | Commercial|Broad Network | $3,259.25 | ↑ +852% |
| Greater Omaha Packing | Commercial|Broad Network | $3,259.25 | ↑ +852% |
| Timpte | Commercial|Broad Network | $3,259.25 | ↑ +852% |
Visitor-reported prices
Comments
Tx closed tib shaft fx without manip at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $617.40 | not published |
| MercyOne Clinton Medical Center | Clinton | $1,137.00 | $97.72 – $1,027.00 |
| MercyOne North Iowa Medical Center | Mason City | $321.75 | $84.48 – $534.40 |
| MercyOne Genesis Davenport Medical Center | Davenport | $648.00 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $648.00 | $788.40 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $1,137.00 | $97.72 – $3,576.15 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,692.80 | $99.46 – $653.30 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,692.80 | $114.61 – $653.30 |