Assay of osteocalcin 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

$85.75

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.

$175.00

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.

$29.85 with United vs $171.50 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 $29.85 ↓ -65%
Humana Medicare|All Plans $29.85 ↓ -65%
Medica Medicare|All Plans $29.85 ↓ -65%
PACE Medicare|All Plans $29.85 ↓ -65%
Centene Medicare|All Plans $30.45 ↓ -64%
Amerigroup Medicare|All Plans $31.34 ↓ -63%
Great Plains Medicare|All Plans $31.35 ↓ -63%
AMPS Commercial|All Plans $66.27 ↓ -23%
United Medicaid|Community Plan $75.25 ↓ -12%
Total Care Medicaid|All Plans $76.76 ↓ -10%
Amerigroup Medicaid|All Plans $76.76 ↓ -10%
IAMolina Medicaid|All Plans $78.26 ↓ -9%
Wellmark Commercial|PPO $99.75 ↑ +16%
Wellmark Commercial|HMO $99.75 ↑ +16%
BCBS - NE Commercial|BluePrint $157.94 ↑ +84%
Medica Commercial|All Other Plans $159.25 ↑ +86%
Medica Commercial|CHI Health $159.25 ↑ +86%
BCBS - NE Commercial|All Other Plans $166.25 ↑ +94%
Midlands Choice Commercial|Standard $168.00 ↑ +96%
Midlands Choice Commercial|Premier $168.00 ↑ +96%
Medica Commercial|ACO $168.00 ↑ +96%
Medica Commercial|Open Access $168.00 ↑ +96%
Timpte Commercial|Broad Network $168.00 ↑ +96%
United Commercial|All Plans $168.00 ↑ +96%
QuikTrip Commercial|All Plans $168.00 ↑ +96%
Greater Omaha Packing Commercial|Broad Network $168.00 ↑ +96%
Greater Omaha Packing Commercial|Narrow Network $168.00 ↑ +96%
Millard Public Schools Commercial|Broad Network $168.00 ↑ +96%
Millard Public Schools Commercial|Narrow Network $168.00 ↑ +96%
One World Commercial|Broad Network $168.00 ↑ +96%
One World Commercial|Narrow Network $168.00 ↑ +96%
PHCS Commercial|All Plans $171.50 ↑ +100%
MultiPlan Commercial|All Plans $171.50 ↑ +100%

Visitor-reported prices

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Assay of osteocalcin at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $183.95 $28.93 – $283.00
MercyOne Des Moines Medical Center Des Moines $183.95 $28.93 – $283.00
MercyOne North Iowa Medical Center Mason City $183.95 $28.93 – $283.00
MercyOne Waterloo Medical Center Waterloo $167.05 $28.93 – $257.00
UnityPoint Health - Allen Hospital Waterloo $109.28 $17.91 – $71.99
UnityPoint Health - Finley Hospital Dubuque $109.28 $3.50 – $109.28
UnityPoint Health - Grinnell Regional Medical Center Grinnell $109.28 $17.91 – $55.05
UnityPoint Health - Iowa Lutheran Hospital Des Moines $109.28 $17.91 – $46.43

All Iowa hospitals for this procedure →