Vaccine varicella live subcutaneous 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

$365.17

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.

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What you pay up front if you don't use insurance.

$869.45

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.

$71.12 with Centene vs $402.99 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 $71.12 ↓ -81%
BCBS - NE Commercial|BluePrint $112.67 ↓ -69%
ELAP Commercial|All Plans $132.75 ↓ -64%
BCBS - NE Commercial|All Other Plans $150.23 ↓ -59%
Wellmark Commercial|PPO $174.32 ↓ -52%
Wellmark Commercial|HMO $174.32 ↓ -52%
Amerigroup Medicaid|All Plans $179.96 ↓ -51%
Centene Medicaid|IA Total Care $179.96 ↓ -51%
IAMolina Medicaid|All Plans $183.49 ↓ -50%
United Medicaid|Community Plan $218.09 ↓ -40%
Medica Commercial|Open Access $246.54 ↓ -32%
QuikTrip Commercial|All Plans $284.46 ↓ -22%
Medica Commercial|CHI Health $328.94 ↓ -10%
PHCS Commercial|All Plans $336.62 ↓ -8%
Medica Commercial|All Other Plans $344.46 ↓ -6%
Midlands Choice Commercial|Standard $355.58 ↓ -3%
Midlands Choice Commercial|Premier $355.58 ↓ -3%
United Commercial|All Plans $362.09 ↓ -1%
Medica Commercial|ACO $366.07 ↑ +0%
MultiPlan Commercial|All Plans $402.99 ↑ +10%

Visitor-reported prices

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Vaccine varicella live subcutaneous at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $321.18 not published
MercyOne Dubuque Medical Center Dubuque $960.60 $48.00 – $240.00
MercyOne New Hampton Medical Center New Hampton $408.00 $74.24 – $242.00
MercyOne Dyersville Medical Center Dyersville $960.60 $86.56 – $257.76
MercyOne Clinton Medical Center Clinton $960.60 $48.00 – $242.00
MercyOne Oelwein Medical Center Oelwein $148.85 $87.52 – $229.00
MercyOne Cedar Falls Medical Center Cedar Falls $156.00 $48.00 – $659.20
MercyOne Elkader Medical Center Elkader $148.85 $117.87 – $239.35

All Iowa hospitals for this procedure →