Vaccine tdap >=7 years im at CHI Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA · Chihealth · · NPI 1265517759
$99.75
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.
$237.48
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.
$25.58 with Centene vs $144.91 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 |
|---|---|---|---|
| Centene | Medicaid|NE Total Care | $25.58 | ↓ -74% |
| BCBS - NE | Commercial|BluePrint | $32.51 | ↓ -67% |
| Wellmark | Commercial|PPO | $39.09 | ↓ -61% |
| Wellmark | Commercial|HMO | $39.09 | ↓ -61% |
| BCBS - NE | Commercial|All Other Plans | $43.35 | ↓ -57% |
| ELAP | Commercial|All Plans | $47.74 | ↓ -52% |
| United | Commercial|All Plans | $63.74 | ↓ -36% |
| Medica | Commercial|CHI Health | $77.10 | ↓ -23% |
| United | Medicaid|Community Plan | $78.43 | ↓ -21% |
| Medica | Commercial|ACO | $80.45 | ↓ -19% |
| Medica | Commercial|All Other Plans | $80.74 | ↓ -19% |
| Medica | Commercial|Open Access | $88.65 | ↓ -11% |
| QuikTrip | Commercial|All Plans | $102.29 | ↑ +3% |
| PHCS | Commercial|All Plans | $121.05 | ↑ +21% |
| Midlands Choice | Commercial|Premier | $127.86 | ↑ +28% |
| Midlands Choice | Commercial|Standard | $127.86 | ↑ +28% |
| MultiPlan | Commercial|All Plans | $144.91 | ↑ +45% |
Visitor-reported prices
Comments
Vaccine tdap >=7 years im at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $96.27 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $231.55 | $29.27 – $85.00 |
| MercyOne New Hampton Medical Center | New Hampton | $231.55 | $33.38 – $178.00 |
| MercyOne Dyersville Medical Center | Dyersville | $231.55 | $39.71 – $200.36 |
| MercyOne Clinton Medical Center | Clinton | $231.55 | $23.21 – $82.00 |
| MercyOne Oelwein Medical Center | Oelwein | $115.70 | $39.71 – $178.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $235.85 | $19.27 – $140.34 |
| MercyOne Elkader Medical Center | Elkader | $231.55 | $33.38 – $186.05 |