CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $57.33 | $117.00 | $29.28 – $114.66 | 20 |
| 17-hydroxypregnenolone CPT 84143 | $51.45 | $105.00 | $22.81 – $102.90 | 20 |
| 17-ketosteroids CPT 83586 | $208.74 | $426.00 | $12.80 – $417.48 | 20 |
| 1st psyc collab care mgmt CPT 99492 | $54.39 | $111.00 | $38.85 – $108.78 | 20 |
| 3d recon without postprocess indpndt CPT 76376 | $314.09 | $641.00 | $224.35 – $628.18 | 20 |
| 5' nucleotidase - sendout CPT 83915 | $41.16 | $84.00 | $11.15 – $82.32 | 20 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $88.20 | $180.00 | $63.00 – $176.40 | 20 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $3,578.70 | $7,303.45 | $42.84 – $4,757.02 | 20 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $9.80 | $20.00 | $8.60 – $26.66 | 20 |
| Abd aorta w/runoff s&i CPT 75630 | $1,634.64 | $3,336.00 | $1,167.60 – $3,269.28 | 20 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,140.32 | $4,368.00 | $1,528.80 – $4,280.64 | 20 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,725.29 | $3,521.00 | $1,232.35 – $3,450.58 | 20 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,596.42 | $3,258.00 | $1,140.30 – $3,192.84 | 20 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,467.15 | $5,035.00 | $1,762.25 – $4,934.30 | 20 |
| Abdominal MRI (with contrast) CPT 74182 | $2,146.20 | $4,380.00 | $1,533.00 – $4,292.40 | 20 |
| Abdominal MRI (without contrast) CPT 74181 | $1,702.26 | $3,474.00 | $1,215.90 – $3,404.52 | 20 |
| Abdominal paracentesis w/image guidance CPT 49083 | $640.43 | $1,307.00 | $212.75 – $833.98 | 20 |
| Abdominal Ultrasound (complete) CPT 76700 | $563.01 | $1,149.00 | $402.15 – $1,126.02 | 20 |
| Abdominal Ultrasound (limited) CPT 76705 | $298.41 | $609.00 | $213.15 – $596.82 | 20 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $512.54 | $1,046.00 | $152.25 – $596.82 | 20 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $3,515.75 | $7,175.00 | $2,511.25 – $7,031.50 | 20 |
| Ablate pulm tumor perq crybl CPT 32994 | $4,314.45 | $8,805.00 | $3,081.75 – $8,628.90 | 20 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $166.60 | $340.00 | $17.15 – $48.02 | 20 |
| Ablation cryo abd perit om CPT 49999 | $1,381.31 | $2,819.00 | $986.65 – $2,762.62 | 20 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,258.01 | $6,649.00 | $2,327.15 – $6,516.02 | 20 |
| Ablation of upper extremity nerves rf CPT 64999 | $38.22 | $78.00 | $27.30 – $76.44 | 20 |
| Abscess drain retroperitoneal surg code CPT 49406 | $966.28 | $1,972.00 | $690.20 – $1,932.56 | 20 |
| Abscess imaging ltd area CPT 78805 | $761.46 | $1,554.00 | $543.90 – $1,522.92 | 20 |
| Abscess imaging whole body CPT 78806 | $972.16 | $1,984.00 | $694.40 – $1,944.32 | 20 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $108.29 | $221.00 | $0.05 – $97.51 | 20 |
| Acetaminophen level CPT 80143 | $255.29 | $521.00 | $18.64 – $510.58 | 20 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $93.28 | $190.35 | $26.23 – $97.51 | 20 |
| Acetone qualitative CPT 82009 | $28.91 | $59.00 | $4.52 – $57.82 | 20 |
| Acetylcholine receptor modulating antibody CPT 86043 | $99.47 | $203.00 | $71.05 – $198.94 | 20 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $463.79 | $946.50 | $0.77 – $4.17 | 20 |
| Acne surgery 10040 CPT 10040 | $55.86 | $114.00 | $39.90 – $111.72 | 20 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $85.75 | $175.00 | $61.25 – $171.50 | 20 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $181.79 | $371.00 | $129.85 – $363.58 | 20 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $17.64 | $36.00 | $12.60 – $35.28 | 20 |
| Actigraphy testing CPT 95803 | $171.01 | $349.00 | $122.15 – $342.02 | 20 |
| Acute hepatitis panel CPT 80074 | $376.81 | $769.00 | $47.63 – $126.42 | 20 |
| Acyclovir 400 mg tablet HCPCS J8499 | $39.40 | $80.40 | $16.38 – $45.87 | 20 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $48.76 | $99.50 | $0.06 – $97.51 | 20 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,369.09 | $4,834.86 | $173.25 – $485.10 | 20 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $215.14 | $439.05 | $0.56 – $97.51 | 20 |
| Adenovirus ag ia CPT 87301 | $77.91 | $159.00 | $11.98 – $155.82 | 20 |
| Adenovirus antibody,serum - quest CPT 86603 | $80.85 | $165.00 | $12.87 – $161.70 | 20 |
| Adh-sendout CPT 84588 | $88.69 | $181.00 | $33.94 – $177.38 | 20 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $801.38 | $1,635.45 | $0.22 – $23.67 | 20 |
| Admin ecg contrast agent CPT 93352 | $62.23 | $127.00 | $44.45 – $124.46 | 20 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $186.69 | $381.00 | $120.40 – $337.12 | 20 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $243.53 | $497.00 | $156.45 – $438.06 | 20 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $186.69 | $381.00 | $120.40 – $337.12 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $111.23 | $227.00 | $76.30 – $213.64 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $111.23 | $227.00 | $76.30 – $213.64 | 20 |
| Administration immunization 1 vaccine CPT 90471 | $58.31 | $119.00 | $6.65 – $18.62 | 20 |
| Administration immunization each additional vaccine CPT 90472 | $142.59 | $291.00 | $101.85 – $285.18 | 20 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $15,255.64 | $31,133.95 | $42.07 – $19,069.58 | 20 |
| Adrenal cortex & medulla img CPT 78075 | $1,312.22 | $2,678.00 | $937.30 – $2,624.44 | 20 |
| Adrenalin epinephrine inject HCPCS J0171 | $48.76 | $99.50 | $0.81 – $97.51 | 20 |
| _afb id by dna probe rflx ast CPT 87149 | $114.66 | $234.00 | $20.05 – $229.32 | 20 |
| #afb mycobacteria suscep. #1 CPT 87190 | $32.34 | $66.00 | $7.31 – $64.68 | 20 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $469.42 | $958.00 | $115.36 – $938.84 | 20 |
| Afo tibial fracture soft HCPCS L2112 | $74.63 | $152.30 | $53.31 – $149.26 | 20 |
| After cataract laser surgery CPT 66821 | $505.68 | $1,032.00 | $240.80 – $674.24 | 20 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $16,887.73 | $34,464.75 | $218.28 – $4,824.25 | 20 |
| Air conduction bilat CPT 92552 | $91.63 | $187.00 | $65.45 – $183.26 | 20 |
| Albumin body fluid quantitative each specimen CPT 82042 | $44.10 | $90.00 | $7.78 – $88.20 | 20 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $157.59 | $321.60 | $53.08 – $202.62 | 20 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $273.42 | $558.00 | $46.90 – $131.32 | 20 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $68.60 | $140.00 | $5.78 – $17.64 | 20 |
| Albumin serum plasma or whole blood CPT 82040 | $53.41 | $109.00 | $4.95 – $15.68 | 20 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $195.51 | $399.00 | $17.27 – $391.02 | 20 |
| Alginate dressing <=16 sq in HCPCS A6196 | $3.78 | $7.70 | $2.70 – $7.55 | 20 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $36.02 | $73.50 | $8.09 – $22.64 | 20 |
| Alginate drsg wound filler HCPCS A6199 | $20.17 | $41.15 | $14.41 – $40.33 | 20 |
| Alkaline phosphatase CPT 84075 | $58.31 | $119.00 | $5.18 – $16.66 | 20 |
| Allergen egg white ige CPT 86003 | $59.29 | $121.00 | $5.22 – $118.58 | 20 |
| Allergy injections; 2 or more 95117 CPT 95117 | $27.44 | $56.00 | $19.60 – $54.88 | 20 |
| Allergy injection; single 95115 CPT 95115 | $172.97 | $353.00 | $11.55 – $32.34 | 20 |
| Allergy Skin Testing CPT 95004 | $275.38 | $562.00 | $196.70 – $550.76 | 20 |
| Allg patch or app # of tests 95044 CPT 95044 | $387.59 | $791.00 | $276.85 – $775.18 | 20 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $2,535.75 | $5,175.00 | $78.27 – $556.11 | 20 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $4,233.60 | $8,640.00 | $0.02 – $0.04 | 20 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $6,758.33 | $13,792.49 | $42.24 – $809.68 | 20 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $5,451.94 | $11,126.40 | $91.01 – $980.00 | 20 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $4,630.50 | $9,450.00 | $278.25 – $779.10 | 20 |
| All tstg perq&iq drugs/biol CPT 95018 | $22.05 | $45.00 | $15.75 – $44.10 | 20 |
| All tstg perq&iq w/venoms CPT 95017 | $22.05 | $45.00 | $15.75 – $44.10 | 20 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $48.76 | $99.50 | $4.91 – $97.51 | 20 |
| Alpha-fetoprotein amniotic CPT 82106 | $84.28 | $172.00 | $17.00 – $168.56 | 20 |
| Alpha-fetoprotein tumor marker CPT 82105 | $102.41 | $209.00 | $16.77 – $49.98 | 20 |
| Alprostadil for injection HCPCS J0270 | $294.81 | $601.65 | $6.56 – $488.40 | 20 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $20,806.26 | $42,461.75 | $88.82 – $731.28 | 20 |
| Alt/sgpt CPT 84460 | $74.97 | $153.00 | $5.30 – $16.66 | 20 |
| Aluminum - quest CPT 82108 | $74.97 | $153.00 | $25.48 – $149.94 | 20 |
| Amantadine (symmetrel)-sendout CPT 80375 | $199.43 | $407.00 | $142.45 – $398.86 | 20 |
| Amifostine HCPCS J0207 | $7,333.08 | $14,965.46 | $1,071.41 – $4,899.22 | 20 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $48.76 | $99.50 | $0.86 – $97.51 | 20 |
| Aminolevulinic acid delta CPT 82135 | $150.92 | $308.00 | $16.45 – $301.84 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.