Bivalirudin 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

$342.96

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.

$699.90

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.

$0.25 with Wellmark vs $162.68 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
Wellmark Commercial|PPO $0.25 ↓ -100%
Wellmark Commercial|HMO $0.25 ↓ -100%
Medica Medicare|All Plans $58.10 ↓ -83%
PACE Medicare|All Plans $58.10 ↓ -83%
United Medicare|All Plans $58.10 ↓ -83%
Humana Medicare|All Plans $58.10 ↓ -83%
Centene Medicare|All Plans $59.27 ↓ -83%
Great Plains Medicare|All Plans $61.01 ↓ -82%
Amerigroup Medicare|All Plans $61.01 ↓ -82%
United Medicaid|Community Plan $71.38 ↓ -79%
Total Care Medicaid|All Plans $72.81 ↓ -79%
Amerigroup Medicaid|All Plans $72.81 ↓ -79%
IAMolina Medicaid|All Plans $74.24 ↓ -78%
AMPS Commercial|All Plans $128.99 ↓ -62%
BCBS - NE Commercial|BluePrint $149.82 ↓ -56%
Medica Commercial|All Other Plans $151.06 ↓ -56%
Medica Commercial|CHI Health $151.06 ↓ -56%
BCBS - NE Commercial|All Other Plans $157.70 ↓ -54%
United Commercial|All Plans $159.36 ↓ -54%
Midlands Choice Commercial|Premier $159.36 ↓ -54%
Medica Commercial|ACO $159.36 ↓ -54%
Medica Commercial|Open Access $159.36 ↓ -54%
Timpte Commercial|Broad Network $159.36 ↓ -54%
Midlands Choice Commercial|Standard $159.36 ↓ -54%
QuikTrip Commercial|All Plans $159.36 ↓ -54%
Greater Omaha Packing Commercial|Broad Network $159.36 ↓ -54%
Greater Omaha Packing Commercial|Narrow Network $159.36 ↓ -54%
Millard Public Schools Commercial|Broad Network $159.36 ↓ -54%
Millard Public Schools Commercial|Narrow Network $159.36 ↓ -54%
One World Commercial|Broad Network $159.36 ↓ -54%
One World Commercial|Narrow Network $159.36 ↓ -54%
PHCS Commercial|All Plans $162.68 ↓ -53%
MultiPlan Commercial|All Plans $162.68 ↓ -53%

Visitor-reported prices

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Bivalirudin at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $1,754.67 not published
MercyOne Dubuque Medical Center Dubuque $481.40 $171.86 – $481.40
MercyOne Dyersville Medical Center Dyersville $481.40 $181.97 – $541.86
MercyOne Clinton Medical Center Clinton $275.95 $78.09 – $275.95
MercyOne West Des Moines Medical Center West Des Moines $413.95 $83.20 – $413.95
MercyOne Des Moines Medical Center Des Moines $481.40 $96.76 – $481.40
MercyOne North Iowa Medical Center Mason City $275.95 $70.64 – $275.95
MercyOne Genesis Davenport Medical Center Davenport $1,754.67 not published

All Iowa hospitals for this procedure →