Vaccine td preservative free >= 7 years 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

$81.77

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.

$194.69

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.

$16.14 with Centene vs $91.46 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 $16.14 ↓ -80%
Wellmark Commercial|HMO $18.83 ↓ -77%
Wellmark Commercial|PPO $18.83 ↓ -77%
BCBS - NE Commercial|BluePrint $24.57 ↓ -70%
ELAP Commercial|All Plans $30.13 ↓ -63%
BCBS - NE Commercial|All Other Plans $32.76 ↓ -60%
United Medicaid|Community Plan $49.50 ↓ -39%
United Commercial|All Plans $55.24 ↓ -32%
Medica Commercial|Open Access $55.95 ↓ -32%
Medica Commercial|CHI Health $57.12 ↓ -30%
Medica Commercial|All Other Plans $59.81 ↓ -27%
Medica Commercial|ACO $63.71 ↓ -22%
QuikTrip Commercial|All Plans $64.56 ↓ -21%
PHCS Commercial|All Plans $76.39 ↓ -7%
Midlands Choice Commercial|Premier $80.70 ↓ -1%
Midlands Choice Commercial|Standard $80.70 ↓ -1%
MultiPlan Commercial|All Plans $91.46 ↑ +12%

Visitor-reported prices

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Vaccine td preservative free >= 7 years im at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $74.69 not published
MercyOne Dubuque Medical Center Dubuque $211.80 $32.84 – $92.00
MercyOne New Hampton Medical Center New Hampton $211.80 $21.34 – $88.00
MercyOne Dyersville Medical Center Dyersville $211.80 $33.26 – $99.05
MercyOne Clinton Medical Center Clinton $211.80 $26.04 – $92.00
MercyOne Oelwein Medical Center Oelwein $211.80 $33.63 – $88.00
MercyOne Cedar Falls Medical Center Cedar Falls $211.80 $21.62 – $128.53
MercyOne Elkader Medical Center Elkader $211.80 $36.37 – $91.98

All Iowa hospitals for this procedure →