Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) 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

$219.52

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.

$448.00

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.

$97.65 with United vs $273.42 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 $97.65 ↓ -56%
Humana Medicare|All Plans $97.65 ↓ -56%
Medica Medicare|All Plans $97.65 ↓ -56%
PACE Medicare|All Plans $97.65 ↓ -56%
Centene Medicare|All Plans $99.61 ↓ -55%
Amerigroup Medicare|All Plans $102.54 ↓ -53%
Great Plains Medicare|All Plans $102.54 ↓ -53%
United Medicaid|Community Plan $119.97 ↓ -45%
Total Care Medicaid|All Plans $122.37 ↓ -44%
Amerigroup Medicaid|All Plans $122.37 ↓ -44%
IAMolina Medicaid|All Plans $124.77 ↓ -43%
Wellmark Commercial|PPO $159.03 ↓ -28%
Wellmark Commercial|HMO $159.03 ↓ -28%
AMPS Commercial|All Plans $216.79 ↓ -1%
BCBS - NE Commercial|BluePrint $251.80 ↑ +15%
Medica Commercial|CHI Health $253.89 ↑ +16%
Medica Commercial|All Other Plans $253.89 ↑ +16%
BCBS - NE Commercial|All Other Plans $265.05 ↑ +21%
Midlands Choice Commercial|Premier $267.84 ↑ +22%
United Commercial|All Plans $267.84 ↑ +22%
Medica Commercial|ACO $267.84 ↑ +22%
Medica Commercial|Open Access $267.84 ↑ +22%
Timpte Commercial|Broad Network $267.84 ↑ +22%
Midlands Choice Commercial|Standard $267.84 ↑ +22%
QuikTrip Commercial|All Plans $267.84 ↑ +22%
Greater Omaha Packing Commercial|Broad Network $267.84 ↑ +22%
Greater Omaha Packing Commercial|Narrow Network $267.84 ↑ +22%
Millard Public Schools Commercial|Broad Network $267.84 ↑ +22%
Millard Public Schools Commercial|Narrow Network $267.84 ↑ +22%
One World Commercial|Broad Network $267.84 ↑ +22%
One World Commercial|Narrow Network $267.84 ↑ +22%
PHCS Commercial|All Plans $273.42 ↑ +25%
MultiPlan Commercial|All Plans $273.42 ↑ +25%

Visitor-reported prices

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Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $621.00 $282.56 – $395.59
MercyOne Dubuque Medical Center Dubuque $1,514.50 $275.38 – $1,553.00
MercyOne Clinton Medical Center Clinton $2,039.05 $15.98 – $2,091.00
MercyOne Cedar Falls Medical Center Cedar Falls $2,550.25 $289.18 – $3,576.15
MercyOne Des Moines Medical Center Des Moines $1,936.90 $88.83 – $1,247.00
MercyOne Centerville Medical Center Centerville $3,632.00 $15.98 – $178.00
MercyOne Newton Medical Center Newton $2,360.80 $290.55 – $2,421.00
MercyOne North Iowa Medical Center Mason City $2,166.40 $18.85 – $1,172.00

All Iowa hospitals for this procedure →