Wrist X-ray 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

$217.14

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.

$517.00

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.

$62.01 with Medica vs $439.45 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
Medica Commercial|ACO $62.01 ↓ -71%
Creighton University Employees Commercial|All Plans $70.44 ↓ -68%
Centene Medicaid|NE Total Care $77.55 ↓ -64%
Medica Commercial|CHI Health $78.37 ↓ -64%
Medica Commercial|All Other Plans $82.07 ↓ -62%
Centene Medicaid|IA Total Care $83.59 ↓ -62%
Amerigroup Medicaid|All Plans $83.59 ↓ -62%
IAMolina Medicaid|All Plans $85.23 ↓ -61%
PACE Medicare|All Plans $85.81 ↓ -60%
Humana Medicare|All Plans $85.81 ↓ -60%
Medica Medicare|All Plans $85.81 ↓ -60%
United Medicare|All Plans $85.81 ↓ -60%
BCBS - NE Medicare|All Plans $85.81 ↓ -60%
United Commercial|All Plans $87.22 ↓ -60%
Todays Options Medicare|All Plans $87.53 ↓ -60%
Centene Medicare|All Plans $88.38 ↓ -59%
Amerigroup Medicare|All Plans $90.10 ↓ -59%
Great Plains Medicare|All Plans $90.10 ↓ -59%
Millard Public Schools Commercial|Narrow Network $118.74 ↓ -45%
Greater Omaha Packing Commercial|Narrow Network $118.74 ↓ -45%
One World Commercial|Narrow Network $118.74 ↓ -45%
One World Commercial|Broad Network $136.56 ↓ -37%
Timpte Commercial|Broad Network $136.56 ↓ -37%
Greater Omaha Packing Commercial|Broad Network $136.56 ↓ -37%
Millard Public Schools Commercial|Broad Network $136.56 ↓ -37%
ELAP Commercial|All Plans $144.76 ↓ -33%
AMPS Commercial|All Plans $190.50 ↓ -12%
United Medicaid|Community Plan $237.82 ↑ +10%
Medica Commercial|Open Access $268.84 ↑ +24%
Midlands Choice Commercial|Premier $268.84 ↑ +24%
QuikTrip Commercial|All Plans $310.20 ↑ +43%
PHCS Commercial|All Plans $367.07 ↑ +69%
Midlands Choice Commercial|Standard $387.75 ↑ +79%
MultiPlan Commercial|All Plans $439.45 ↑ +102%

Visitor-reported prices

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Wrist X-ray at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $242.40 $84.28 – $118.00
MercyOne New Hampton Medical Center New Hampton $413.40 $167.86 – $424.00
MercyOne Dyersville Medical Center Dyersville $413.40 $160.27 – $477.25
MercyOne Clinton Medical Center Clinton $915.20 $80.14 – $389.00
MercyOne Oelwein Medical Center Oelwein $413.40 $162.05 – $424.00
MercyOne Cedar Falls Medical Center Cedar Falls $455.65 $81.99 – $467.00
MercyOne Elkader Medical Center Elkader $413.40 $218.23 – $443.16
MercyOne West Des Moines Medical Center West Des Moines $897.00 $82.14 – $597.00

All Iowa hospitals for this procedure →