Ankle X-ray at CHI Health Missouri Valley

631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 16, 2026

$215.11

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.

$439.00

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.

$23.10 with United vs $64.68 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
United Medicare|All Plans $23.10 ↓ -89%
Humana Medicare|All Plans $23.10 ↓ -89%
Medica Medicare|All Plans $23.10 ↓ -89%
PACE Medicare|All Plans $23.10 ↓ -89%
Centene Medicare|All Plans $23.57 ↓ -89%
Amerigroup Medicare|All Plans $24.26 ↓ -89%
Great Plains Medicare|All Plans $24.26 ↓ -89%
United Medicaid|Community Plan $28.38 ↓ -87%
Total Care Medicaid|All Plans $28.95 ↓ -87%
Amerigroup Medicaid|All Plans $28.95 ↓ -87%
IAMolina Medicaid|All Plans $29.52 ↓ -86%
Wellmark Commercial|PPO $37.62 ↓ -83%
Wellmark Commercial|HMO $37.62 ↓ -83%
AMPS Commercial|All Plans $51.29 ↓ -76%
BCBS - NE Commercial|BluePrint $59.57 ↓ -72%
Medica Commercial|CHI Health $60.06 ↓ -72%
Medica Commercial|All Other Plans $60.06 ↓ -72%
BCBS - NE Commercial|All Other Plans $62.70 ↓ -71%
Midlands Choice Commercial|Premier $63.36 ↓ -71%
United Commercial|All Plans $63.36 ↓ -71%
Medica Commercial|ACO $63.36 ↓ -71%
Medica Commercial|Open Access $63.36 ↓ -71%
Timpte Commercial|Broad Network $63.36 ↓ -71%
Midlands Choice Commercial|Standard $63.36 ↓ -71%
QuikTrip Commercial|All Plans $63.36 ↓ -71%
Greater Omaha Packing Commercial|Broad Network $63.36 ↓ -71%
Greater Omaha Packing Commercial|Narrow Network $63.36 ↓ -71%
Millard Public Schools Commercial|Broad Network $63.36 ↓ -71%
Millard Public Schools Commercial|Narrow Network $63.36 ↓ -71%
One World Commercial|Broad Network $63.36 ↓ -71%
One World Commercial|Narrow Network $63.36 ↓ -71%
PHCS Commercial|All Plans $64.68 ↓ -70%
MultiPlan Commercial|All Plans $64.68 ↓ -70%

Visitor-reported prices

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Ankle X-ray at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $256.80 $84.28 – $118.00
MercyOne New Hampton Medical Center New Hampton $407.55 $165.49 – $418.00
MercyOne Dyersville Medical Center Dyersville $407.55 $158.00 – $470.50
MercyOne Clinton Medical Center Clinton $401.05 $80.14 – $412.00
MercyOne Oelwein Medical Center Oelwein $407.55 $159.76 – $418.00
MercyOne Cedar Falls Medical Center Cedar Falls $455.65 $81.99 – $467.00
MercyOne Elkader Medical Center Elkader $407.55 $215.14 – $436.89
MercyOne West Des Moines Medical Center West Des Moines $972.00 $82.14 – $648.00

All Iowa hospitals for this procedure →