Vinorelbine 10 mg/ml intravenous solution (wrapper) 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

$70.90

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.

$168.80

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.

$9.30 with Wellmark vs $84.58 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
Wellmark Commercial|HMO $9.30 ↓ -87%
Wellmark Commercial|PPO $9.30 ↓ -87%
United Commercial|All Plans $10.73 ↓ -85%
One World Commercial|Narrow Network $12.50 ↓ -82%
Millard Public Schools Commercial|Narrow Network $12.50 ↓ -82%
Greater Omaha Packing Commercial|Narrow Network $12.50 ↓ -82%
Timpte Commercial|Broad Network $14.37 ↓ -80%
Greater Omaha Packing Commercial|Broad Network $14.37 ↓ -80%
Millard Public Schools Commercial|Broad Network $14.37 ↓ -80%
One World Commercial|Broad Network $14.37 ↓ -80%
Centene Medicaid|NE Total Care $14.93 ↓ -79%
Medica Commercial|ACO $15.58 ↓ -78%
BCBS - NE Commercial|BluePrint $17.41 ↓ -75%
Medica Commercial|CHI Health $19.02 ↓ -73%
Medica Commercial|All Other Plans $19.92 ↓ -72%
BCBS - NE Commercial|All Other Plans $23.21 ↓ -67%
ELAP Commercial|All Plans $27.86 ↓ -61%
United Medicaid|Community Plan $45.77 ↓ -35%
Medica Commercial|Open Access $51.74 ↓ -27%
QuikTrip Commercial|All Plans $59.70 ↓ -16%
PHCS Commercial|All Plans $70.65 ↓ -0%
Midlands Choice Commercial|Standard $74.63 ↑ +5%
Midlands Choice Commercial|Premier $74.63 ↑ +5%
MultiPlan Commercial|All Plans $84.58 ↑ +19%

Visitor-reported prices

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Vinorelbine 10 mg/ml intravenous solution (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $923.51 not published
MercyOne Dubuque Medical Center Dubuque $223.55 $22.17 – $62.10
MercyOne New Hampton Medical Center New Hampton $223.55 $24.59 – $62.10
MercyOne Dyersville Medical Center Dyersville $223.55 $23.47 – $69.90
MercyOne Clinton Medical Center Clinton $223.55 $17.57 – $62.10
MercyOne Oelwein Medical Center Oelwein $223.55 $23.73 – $62.10
MercyOne Cedar Falls Medical Center Cedar Falls $223.55 $14.59 – $62.10
MercyOne Elkader Medical Center Elkader $223.55 $31.96 – $64.91

All Iowa hospitals for this procedure →