Vaccine pneumococcal conjugate 13 valent (pcv13) 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

$406.29

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.

$967.35

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.

$140.72 with Centene vs $797.36 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 →

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 $140.72 ↓ -65%
United Medicare|All Plans $197.00 ↓ -52%
Humana Medicare|All Plans $197.00 ↓ -52%
BCBS - NE Medicare|All Plans $197.00 ↓ -52%
Medica Medicare|All Plans $197.00 ↓ -52%
PACE Medicare|All Plans $197.00 ↓ -52%
Todays Options Medicare|All Plans $200.94 ↓ -51%
Centene Medicare|All Plans $202.91 ↓ -50%
Amerigroup Medicare|All Plans $206.85 ↓ -49%
Great Plains Medicare|All Plans $206.85 ↓ -49%
BCBS - NE Commercial|BluePrint $219.05 ↓ -46%
Centene Medicaid|IA Total Care $233.79 ↓ -42%
Amerigroup Medicaid|All Plans $233.79 ↓ -42%
IAMolina Medicaid|All Plans $238.38 ↓ -41%
Wellmark Commercial|HMO $257.99 ↓ -37%
Wellmark Commercial|PPO $257.99 ↓ -37%
ELAP Commercial|All Plans $262.66 ↓ -35%
BCBS - NE Commercial|All Other Plans $292.07 ↓ -28%
United Commercial|All Plans $425.68 ↑ +5%
United Medicaid|Community Plan $431.52 ↑ +6%
AMPS Commercial|All Plans $437.33 ↑ +8%
Medica Commercial|Open Access $487.80 ↑ +20%
Medica Commercial|CHI Health $530.43 ↑ +31%
Medica Commercial|ACO $541.78 ↑ +33%
Medica Commercial|All Other Plans $555.45 ↑ +37%
QuikTrip Commercial|All Plans $562.85 ↑ +39%
PHCS Commercial|All Plans $666.03 ↑ +64%
Midlands Choice Commercial|Standard $703.56 ↑ +73%
Midlands Choice Commercial|Premier $703.56 ↑ +73%
MultiPlan Commercial|All Plans $797.36 ↑ +96%

Visitor-reported prices

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Vaccine pneumococcal conjugate 13 valent (pcv13) im at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $424.69 not published
MercyOne Dubuque Medical Center Dubuque $524.55 $221.44 – $807.00
MercyOne New Hampton Medical Center New Hampton $499.85 $257.99 – $769.00
MercyOne Dyersville Medical Center Dyersville $499.85 $257.99 – $865.59
MercyOne Clinton Medical Center Clinton $524.55 $228.38 – $807.00
MercyOne Oelwein Medical Center Oelwein $499.85 $257.99 – $769.00
MercyOne Cedar Falls Medical Center Cedar Falls $524.55 $189.65 – $911.74
MercyOne Elkader Medical Center Elkader $499.85 $257.99 – $803.76

All Iowa hospitals for this procedure →