Warde 1006955 catecholamines fractionated 24 hour urine 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

$82.74

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.

$197.00

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.

$24.47 with Amerigroup vs $167.45 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
Amerigroup Medicaid|All Plans $24.47 ↓ -70%
Centene Medicaid|IA Total Care $24.47 ↓ -70%
IAMolina Medicaid|All Plans $24.95 ↓ -70%
Humana Medicare|All Plans $25.25 ↓ -69%
Medica Medicare|All Plans $25.25 ↓ -69%
United Medicare|All Plans $25.25 ↓ -69%
PACE Medicare|All Plans $25.25 ↓ -69%
BCBS - NE Medicare|All Plans $25.25 ↓ -69%
Todays Options Medicare|All Plans $25.75 ↓ -69%
Centene Medicare|All Plans $26.01 ↓ -69%
Amerigroup Medicare|All Plans $26.51 ↓ -68%
Great Plains Medicare|All Plans $26.51 ↓ -68%
Centene Medicaid|NE Total Care $29.55 ↓ -64%
Medica Commercial|ACO $48.55 ↓ -41%
Medica Commercial|CHI Health $51.91 ↓ -37%
Medica Commercial|All Other Plans $54.36 ↓ -34%
ELAP Commercial|All Plans $55.16 ↓ -33%
AMPS Commercial|All Plans $56.05 ↓ -32%
Creighton University Employees Commercial|All Plans $81.40 ↓ -2%
United Medicaid|Community Plan $90.62 ↑ +10%
Medica Commercial|Open Access $102.44 ↑ +24%
Midlands Choice Commercial|Premier $102.44 ↑ +24%
United Commercial|All Plans $106.21 ↑ +28%
QuikTrip Commercial|All Plans $118.20 ↑ +43%
Greater Omaha Packing Commercial|Narrow Network $125.33 ↑ +51%
One World Commercial|Narrow Network $125.33 ↑ +51%
Millard Public Schools Commercial|Narrow Network $125.33 ↑ +51%
PHCS Commercial|All Plans $139.87 ↑ +69%
Millard Public Schools Commercial|Broad Network $144.13 ↑ +74%
One World Commercial|Broad Network $144.13 ↑ +74%
Timpte Commercial|Broad Network $144.13 ↑ +74%
Greater Omaha Packing Commercial|Broad Network $144.13 ↑ +74%
Midlands Choice Commercial|Standard $147.75 ↑ +79%
MultiPlan Commercial|All Plans $167.45 ↑ +102%

Visitor-reported prices

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Warde 1006955 catecholamines fractionated 24 hour urine at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $244.80 $25.25 – $25.25
MercyOne Dubuque Medical Center Dubuque $502.45 $24.47 – $773.00
MercyOne New Hampton Medical Center New Hampton $128.05 $77.99 – $197.00
MercyOne Clinton Medical Center Clinton $144.95 $24.47 – $223.00
MercyOne Oelwein Medical Center Oelwein $128.05 $75.29 – $197.00
MercyOne West Des Moines Medical Center West Des Moines $287.00 $24.47 – $287.00
MercyOne Des Moines Medical Center Des Moines $186.55 $24.47 – $287.00
MercyOne Centerville Medical Center Centerville $197.00 $54.06 – $197.00

All Iowa hospitals for this procedure →