Avulsion nail plate partial/complete simple single nail plate 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

$180.32

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.

$368.00

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.

$81.75 with United vs $320.46 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 $81.75 ↓ -55%
Humana Medicare|All Plans $81.75 ↓ -55%
Medica Medicare|All Plans $81.75 ↓ -55%
PACE Medicare|All Plans $81.75 ↓ -55%
Centene Medicare|All Plans $83.39 ↓ -54%
Amerigroup Medicare|All Plans $85.84 ↓ -52%
Great Plains Medicare|All Plans $85.84 ↓ -52%
United Medicaid|Community Plan $140.61 ↓ -22%
Total Care Medicaid|All Plans $143.43 ↓ -20%
Amerigroup Medicaid|All Plans $143.43 ↓ -20%
IAMolina Medicaid|All Plans $146.24 ↓ -19%
AMPS Commercial|All Plans $181.49 ↑ +1%
Wellmark Commercial|PPO $186.39 ↑ +3%
Wellmark Commercial|HMO $186.39 ↑ +3%
BCBS - NE Commercial|BluePrint $295.12 ↑ +64%
Medica Commercial|All Other Plans $297.57 ↑ +65%
Medica Commercial|CHI Health $297.57 ↑ +65%
BCBS - NE Commercial|All Other Plans $310.65 ↑ +72%
Midlands Choice Commercial|Premier $313.92 ↑ +74%
United Commercial|All Plans $313.92 ↑ +74%
Medica Commercial|ACO $313.92 ↑ +74%
Medica Commercial|Open Access $313.92 ↑ +74%
Timpte Commercial|Broad Network $313.92 ↑ +74%
Midlands Choice Commercial|Standard $313.92 ↑ +74%
QuikTrip Commercial|All Plans $313.92 ↑ +74%
Greater Omaha Packing Commercial|Broad Network $313.92 ↑ +74%
Greater Omaha Packing Commercial|Narrow Network $313.92 ↑ +74%
Millard Public Schools Commercial|Broad Network $313.92 ↑ +74%
Millard Public Schools Commercial|Narrow Network $313.92 ↑ +74%
One World Commercial|Broad Network $313.92 ↑ +74%
One World Commercial|Narrow Network $313.92 ↑ +74%
PHCS Commercial|All Plans $320.46 ↑ +78%
MultiPlan Commercial|All Plans $320.46 ↑ +78%

Visitor-reported prices

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Avulsion nail plate partial/complete simple single nail plate at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $200.40 $190.20 – $217.10
MercyOne New Hampton Medical Center New Hampton $225.00 $15.55 – $306.00
MercyOne Clinton Medical Center Clinton $312.00 $15.55 – $429.35
MercyOne Oelwein Medical Center Oelwein $225.00 $15.55 – $130.85
MercyOne Elkader Medical Center Elkader $480.00 $15.55 – $501.70
MercyOne North Iowa Medical Center Mason City $405.00 $13.70 – $434.67
MercyOne Genesis Davenport Medical Center Davenport $242.40 $190.20 – $250.90
MercyOne Genesis DeWitt Medical Center DeWitt $242.40 $137.36 – $226.30

All Iowa hospitals for this procedure →