Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr 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

$56.87

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.

$135.40

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.

$1.28 with BCBS - NE vs $113.48 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
BCBS - NE Commercial|BluePrint $1.28 ↓ -98%
Wellmark Commercial|HMO $1.51 ↓ -97%
Wellmark Commercial|PPO $1.51 ↓ -97%
BCBS - NE Commercial|All Other Plans $1.71 ↓ -97%
United Commercial|All Plans $2.49 ↓ -96%
Millard Public Schools Commercial|Narrow Network $2.91 ↓ -95%
Greater Omaha Packing Commercial|Narrow Network $2.91 ↓ -95%
One World Commercial|Narrow Network $2.91 ↓ -95%
Medica Commercial|CHI Health $3.10 ↓ -95%
Medica Commercial|ACO $3.17 ↓ -94%
Medica Commercial|All Other Plans $3.25 ↓ -94%
Timpte Commercial|Broad Network $3.34 ↓ -94%
Greater Omaha Packing Commercial|Broad Network $3.34 ↓ -94%
Millard Public Schools Commercial|Broad Network $3.34 ↓ -94%
One World Commercial|Broad Network $3.34 ↓ -94%
Centene Medicaid|NE Total Care $20.03 ↓ -65%
ELAP Commercial|All Plans $37.38 ↓ -34%
United Medicaid|Community Plan $61.41 ↑ +8%
Medica Commercial|Open Access $69.42 ↑ +22%
QuikTrip Commercial|All Plans $80.10 ↑ +41%
PHCS Commercial|All Plans $94.79 ↑ +67%
Midlands Choice Commercial|Standard $100.13 ↑ +76%
Midlands Choice Commercial|Premier $100.13 ↑ +76%
MultiPlan Commercial|All Plans $113.48 ↑ +100%

Visitor-reported prices

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Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $83.25 $18.12 – $83.25
MercyOne New Hampton Medical Center New Hampton $83.25 $18.12 – $83.25
MercyOne Dyersville Medical Center Dyersville $83.25 $18.12 – $93.71
MercyOne Clinton Medical Center Clinton $83.25 $18.12 – $83.25
MercyOne Oelwein Medical Center Oelwein $83.25 $18.12 – $83.25
MercyOne Cedar Falls Medical Center Cedar Falls $83.25 $18.12 – $83.25
MercyOne Elkader Medical Center Elkader $83.25 $18.12 – $87.01
MercyOne West Des Moines Medical Center West Des Moines $83.25 $16.73 – $83.25

All Iowa hospitals for this procedure →