Vaccine hepatitis a (hepa) adult im 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

$142.98

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.

$340.41

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.

$21.26 with Centene vs $151.08 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 $21.26 ↓ -85%
ELAP Commercial|All Plans $39.68 ↓ -72%
BCBS - NE Commercial|BluePrint $59.77 ↓ -58%
United Medicaid|Community Plan $65.19 ↓ -54%
Wellmark Commercial|HMO $70.54 ↓ -51%
Wellmark Commercial|PPO $70.54 ↓ -51%
Medica Commercial|Open Access $73.69 ↓ -48%
BCBS - NE Commercial|All Other Plans $79.69 ↓ -44%
QuikTrip Commercial|All Plans $85.02 ↓ -41%
PHCS Commercial|All Plans $100.61 ↓ -30%
Midlands Choice Commercial|Premier $106.28 ↓ -26%
Midlands Choice Commercial|Standard $106.28 ↓ -26%
United Commercial|All Plans $118.16 ↓ -17%
MultiPlan Commercial|All Plans $120.45 ↓ -16%
Medica Commercial|ACO $141.70 ↓ -1%
Medica Commercial|CHI Health $144.27 ↑ +1%
Medica Commercial|All Other Plans $151.08 ↑ +6%

Visitor-reported prices

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Vaccine hepatitis a (hepa) adult im at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $152.29 not published
MercyOne Dubuque Medical Center Dubuque $142.35 $72.68 – $219.00
MercyOne New Hampton Medical Center New Hampton $157.00 $58.92 – $209.00
MercyOne Dyersville Medical Center Dyersville $135.85 $72.68 – $235.25
MercyOne Clinton Medical Center Clinton $412.25 $61.98 – $219.00
MercyOne Oelwein Medical Center Oelwein $135.85 $72.68 – $209.00
MercyOne Cedar Falls Medical Center Cedar Falls $142.35 $51.47 – $256.85
MercyOne Elkader Medical Center Elkader $135.85 $72.68 – $218.45

All Iowa hospitals for this procedure →