Ustekinumab 45 mg/0.5 ml subcutaneous solution at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$29,537.74
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.
$70,327.95
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.
$134.29 with BCBS - NE vs $51,405.50 with MultiPlan — 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 |
|---|---|---|---|
| BCBS - NE | Commercial|BluePrint | $134.29 | ↓ -100% |
| Wellmark | Commercial|PPO | $152.57 | ↓ -99% |
| Wellmark | Commercial|HMO | $152.57 | ↓ -99% |
| Humana | Medicare|All Plans | $153.67 | ↓ -99% |
| Medica | Medicare|All Plans | $153.67 | ↓ -99% |
| United | Medicare|All Plans | $153.67 | ↓ -99% |
| PACE | Medicare|All Plans | $153.67 | ↓ -99% |
| BCBS - NE | Medicare|All Plans | $153.67 | ↓ -99% |
| Todays Options | Medicare|All Plans | $156.74 | ↓ -99% |
| Centene | Medicare|All Plans | $158.28 | ↓ -99% |
| Amerigroup | Medicare|All Plans | $161.35 | ↓ -99% |
| Great Plains | Medicare|All Plans | $161.35 | ↓ -99% |
| BCBS - NE | Commercial|All Other Plans | $179.05 | ↓ -99% |
| United | Commercial|All Plans | $257.20 | ↓ -99% |
| One World | Commercial|Narrow Network | $299.62 | ↓ -99% |
| Millard Public Schools | Commercial|Narrow Network | $299.62 | ↓ -99% |
| Greater Omaha Packing | Commercial|Narrow Network | $299.62 | ↓ -99% |
| Amerigroup | Medicaid|All Plans | $304.37 | ↓ -99% |
| Centene | Medicaid|IA Total Care | $304.37 | ↓ -99% |
| IAMolina | Medicaid|All Plans | $310.34 | ↓ -99% |
| Medica | Commercial|CHI Health | $318.68 | ↓ -99% |
| Medica | Commercial|ACO | $323.32 | ↓ -99% |
| Medica | Commercial|All Other Plans | $333.72 | ↓ -99% |
| AMPS | Commercial|All Plans | $341.15 | ↓ -99% |
| One World | Commercial|Broad Network | $344.56 | ↓ -99% |
| Timpte | Commercial|Broad Network | $344.56 | ↓ -99% |
| Greater Omaha Packing | Commercial|Broad Network | $344.56 | ↓ -99% |
| Millard Public Schools | Commercial|Broad Network | $344.56 | ↓ -99% |
| Centene | Medicaid|NE Total Care | $9,071.56 | ↓ -69% |
| ELAP | Commercial|All Plans | $16,933.58 | ↓ -43% |
| United | Medicaid|Community Plan | $27,819.45 | ↓ -6% |
| Medica | Commercial|Open Access | $31,448.07 | ↑ +6% |
| QuikTrip | Commercial|All Plans | $36,286.23 | ↑ +23% |
| PHCS | Commercial|All Plans | $42,938.71 | ↑ +45% |
| Midlands Choice | Commercial|Standard | $45,357.79 | ↑ +54% |
| Midlands Choice | Commercial|Premier | $45,357.79 | ↑ +54% |
| MultiPlan | Commercial|All Plans | $51,405.50 | ↑ +74% |
Visitor-reported prices
Comments
Ustekinumab 45 mg/0.5 ml subcutaneous solution at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $46,966.91 | $157.68 – $220.75 |
| MercyOne Dubuque Medical Center | Dubuque | $45,913.60 | $3,644.10 – $45,913.60 |
| MercyOne New Hampton Medical Center | New Hampton | $45,913.60 | $3,644.10 – $45,913.60 |
| MercyOne Dyersville Medical Center | Dyersville | $45,913.60 | $3,644.10 – $51,680.35 |
| MercyOne Clinton Medical Center | Clinton | $45,913.60 | $3,644.10 – $45,913.60 |
| MercyOne Oelwein Medical Center | Oelwein | $45,913.60 | $3,644.10 – $45,913.60 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $45,913.60 | $3,644.10 – $45,913.60 |
| MercyOne Elkader Medical Center | Elkader | $45,913.60 | $3,644.10 – $47,988.89 |