Acyclovir 400 mg tablet at CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
$39.40
Cash price 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.
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What you pay up front if you don't use insurance.
$80.40
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$16.38 with United vs $45.87 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 →
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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 ?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 ?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 |
|---|---|---|---|
| United | Medicare|All Plans | $16.38 | ↓ -58% |
| Humana | Medicare|All Plans | $16.38 | ↓ -58% |
| Medica | Medicare|All Plans | $16.38 | ↓ -58% |
| PACE | Medicare|All Plans | $16.38 | ↓ -58% |
| Centene | Medicare|All Plans | $16.71 | ↓ -58% |
| Amerigroup | Medicare|All Plans | $17.20 | ↓ -56% |
| Great Plains | Medicare|All Plans | $17.20 | ↓ -56% |
| United | Medicaid|Community Plan | $20.13 | ↓ -49% |
| Total Care | Medicaid|All Plans | $20.53 | ↓ -48% |
| Amerigroup | Medicaid|All Plans | $20.53 | ↓ -48% |
| IAMolina | Medicaid|All Plans | $20.93 | ↓ -47% |
| Wellmark | Commercial|PPO | $23.40 | ↓ -41% |
| Wellmark | Commercial|HMO | $23.40 | ↓ -41% |
| AMPS | Commercial|All Plans | $36.37 | ↓ -8% |
| BCBS - NE | Commercial|BluePrint | $42.24 | ↑ +7% |
| Medica | Commercial|CHI Health | $42.59 | ↑ +8% |
| Medica | Commercial|All Other Plans | $42.59 | ↑ +8% |
| BCBS - NE | Commercial|All Other Plans | $44.46 | ↑ +13% |
| Midlands Choice | Commercial|Premier | $44.93 | ↑ +14% |
| United | Commercial|All Plans | $44.93 | ↑ +14% |
| Medica | Commercial|ACO | $44.93 | ↑ +14% |
| Medica | Commercial|Open Access | $44.93 | ↑ +14% |
| Timpte | Commercial|Broad Network | $44.93 | ↑ +14% |
| Midlands Choice | Commercial|Standard | $44.93 | ↑ +14% |
| QuikTrip | Commercial|All Plans | $44.93 | ↑ +14% |
| Greater Omaha Packing | Commercial|Broad Network | $44.93 | ↑ +14% |
| Greater Omaha Packing | Commercial|Narrow Network | $44.93 | ↑ +14% |
| Millard Public Schools | Commercial|Broad Network | $44.93 | ↑ +14% |
| Millard Public Schools | Commercial|Narrow Network | $44.93 | ↑ +14% |
| One World | Commercial|Broad Network | $44.93 | ↑ +14% |
| One World | Commercial|Narrow Network | $44.93 | ↑ +14% |
| PHCS | Commercial|All Plans | $45.87 | ↑ +16% |
| MultiPlan | Commercial|All Plans | $45.87 | ↑ +16% |
Visitor-reported prices
Comments
Acyclovir 400 mg tablet at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $64.85 | $0.19 – $1.00 |
| MercyOne Dyersville Medical Center | Dyersville | $64.85 | $0.38 – $1.13 |
| MercyOne Clinton Medical Center | Clinton | $64.85 | $0.19 – $1.00 |
| MercyOne Des Moines Medical Center | Des Moines | $64.85 | $0.16 – $1.00 |
| MercyOne Waterloo Medical Center | Waterloo | $80.45 | $0.20 – $1.00 |
| Sanford Sheldon Medical Center | Sheldon | $417.63 | $0.43 – $1.35 |
| CHI Health Mercy Corning | Corning | $38.60 | $20.13 – $45.87 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $33.77 | $7.02 – $39.78 |