53/100
#1,153 nationally
Chi Health Mercy Council Bluffs
800 Mercy Drive, Council Bluffs, IA 51503 · (712) 328-5000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Chi Health Mercy Council Bluffs billed $4.20 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 4.2x
- volume-weighted across all its priced work
- Procedures priced
- 35
- inpatient and outpatient combined
- Rank in IA
- #20
- lower markup ranks higher
- CMS quality stars
- 5/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 58% of U.S. hospitals.
Better than 48% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 47% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
223 | $14,303 | $2,070 | +22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
151 | $52,057 | $14,880 | -20% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
113 | $37,043 | $11,025 | about average |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
59 | $38,705 | $9,546 | -11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
45 | $18,344 | $2,467 | -6% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
40 | $54,402 | $11,333 | -13% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
39 | $10,122 | $1,414 | about average |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
32 | $38,199 | $5,200 | +9% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
31 | $28,864 | $8,106 | -26% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
28 | $32,347 | $11,242 | -39% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$46,181 | $4,663 | +68% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$32,382 | $2,917 | +59% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$33,183 | $2,941 | +31% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$14,303 | $2,070 | +22% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$59,283 | $14,322 | +19% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$38,199 | $5,200 | +9% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$20,185 | $2,872 | +6% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$37,043 | $11,025 | about average |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$23,272 | $8,174 | -43% |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$27,542 | $9,335 | -42% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$32,347 | $11,242 | -39% |
|
Hip or Thigh Bone Surgery (severe)
MS-DRG 480 · Inpatient stay |
$74,341 | $20,550 | -37% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$30,786 | $10,324 | -36% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$8,713 | $1,836 | -33% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$48,212 | $13,429 | -32% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$31,750 | $9,940 | -32% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.