(both sides) smear without diff wbc count 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

$27.93

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.

$57.00

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.

$3.43 with United vs $55.86 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 $3.43 ↓ -88%
Humana Medicare|All Plans $3.43 ↓ -88%
Medica Medicare|All Plans $3.43 ↓ -88%
PACE Medicare|All Plans $3.43 ↓ -88%
Centene Medicare|All Plans $3.50 ↓ -87%
Amerigroup Medicare|All Plans $3.60 ↓ -87%
Great Plains Medicare|All Plans $3.61 ↓ -87%
AMPS Commercial|All Plans $7.61 ↓ -73%
United Medicaid|Community Plan $24.51 ↓ -12%
Total Care Medicaid|All Plans $25.01 ↓ -10%
Amerigroup Medicaid|All Plans $25.01 ↓ -10%
IAMolina Medicaid|All Plans $25.50 ↓ -9%
Wellmark Commercial|PPO $32.49 ↑ +16%
Wellmark Commercial|HMO $32.49 ↑ +16%
BCBS - NE Commercial|BluePrint $51.45 ↑ +84%
Medica Commercial|All Other Plans $51.87 ↑ +86%
Medica Commercial|CHI Health $51.87 ↑ +86%
BCBS - NE Commercial|All Other Plans $54.15 ↑ +94%
Midlands Choice Commercial|Standard $54.72 ↑ +96%
Midlands Choice Commercial|Premier $54.72 ↑ +96%
Medica Commercial|ACO $54.72 ↑ +96%
Medica Commercial|Open Access $54.72 ↑ +96%
Timpte Commercial|Broad Network $54.72 ↑ +96%
United Commercial|All Plans $54.72 ↑ +96%
QuikTrip Commercial|All Plans $54.72 ↑ +96%
Greater Omaha Packing Commercial|Broad Network $54.72 ↑ +96%
Greater Omaha Packing Commercial|Narrow Network $54.72 ↑ +96%
Millard Public Schools Commercial|Broad Network $54.72 ↑ +96%
Millard Public Schools Commercial|Narrow Network $54.72 ↑ +96%
One World Commercial|Broad Network $54.72 ↑ +96%
One World Commercial|Narrow Network $54.72 ↑ +96%
PHCS Commercial|All Plans $55.86 ↑ +100%
MultiPlan Commercial|All Plans $55.86 ↑ +100%

Visitor-reported prices

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(both sides) smear without diff wbc count at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $33.60 $3.43 – $3.43
MercyOne Genesis Davenport Medical Center Davenport $37.20 not published
UnityPoint Health - Allen Hospital Waterloo $33.57 $2.06 – $22.11
UnityPoint Health - Finley Hospital Dubuque $33.57 $2.06 – $33.57
UnityPoint Health - Grinnell Regional Medical Center Grinnell $33.57 $2.06 – $16.91
UnityPoint Health - Iowa Lutheran Hospital Des Moines $33.57 $2.06 – $12.34
UnityPoint Health - Jones Regional Medical Center Anamosa $33.57 $2.06 – $37.22
UnityPoint Health - Marshalltown Marshalltown $33.57 $2.06 – $20.14

All Iowa hospitals for this procedure →