Carmustine 100 mg intravenous powder for solution 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

$3,467.81

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.

$7,077.15

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.

$307.42 with Wellmark vs $3,137.08 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 $307.42 ↓ -91%
Wellmark Commercial|HMO $307.42 ↓ -91%
Medica Medicare|All Plans $1,120.39 ↓ -68%
PACE Medicare|All Plans $1,120.39 ↓ -68%
United Medicare|All Plans $1,120.39 ↓ -68%
Humana Medicare|All Plans $1,120.39 ↓ -68%
Centene Medicare|All Plans $1,142.80 ↓ -67%
Great Plains Medicare|All Plans $1,176.41 ↓ -66%
Amerigroup Medicare|All Plans $1,176.41 ↓ -66%
United Medicaid|Community Plan $1,376.48 ↓ -60%
Total Care Medicaid|All Plans $1,404.01 ↓ -60%
Amerigroup Medicaid|All Plans $1,404.01 ↓ -60%
IAMolina Medicaid|All Plans $1,431.54 ↓ -59%
AMPS Commercial|All Plans $2,487.26 ↓ -28%
BCBS - NE Commercial|BluePrint $2,889.00 ↓ -17%
Medica Commercial|All Other Plans $2,913.01 ↓ -16%
Medica Commercial|CHI Health $2,913.01 ↓ -16%
BCBS - NE Commercial|All Other Plans $3,041.05 ↓ -12%
United Commercial|All Plans $3,073.06 ↓ -11%
Midlands Choice Commercial|Premier $3,073.06 ↓ -11%
Medica Commercial|ACO $3,073.06 ↓ -11%
Medica Commercial|Open Access $3,073.06 ↓ -11%
Timpte Commercial|Broad Network $3,073.06 ↓ -11%
Midlands Choice Commercial|Standard $3,073.06 ↓ -11%
QuikTrip Commercial|All Plans $3,073.06 ↓ -11%
Greater Omaha Packing Commercial|Broad Network $3,073.06 ↓ -11%
Greater Omaha Packing Commercial|Narrow Network $3,073.06 ↓ -11%
Millard Public Schools Commercial|Broad Network $3,073.06 ↓ -11%
Millard Public Schools Commercial|Narrow Network $3,073.06 ↓ -11%
One World Commercial|Broad Network $3,073.06 ↓ -11%
One World Commercial|Narrow Network $3,073.06 ↓ -11%
PHCS Commercial|All Plans $3,137.08 ↓ -10%
MultiPlan Commercial|All Plans $3,137.08 ↓ -10%

Visitor-reported prices

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Carmustine 100 mg intravenous powder for solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $336.97 $173.64 – $243.10
MercyOne Dubuque Medical Center Dubuque $3,449.25 $1,231.38 – $3,449.25
MercyOne New Hampton Medical Center New Hampton $3,449.25 $1,365.56 – $3,449.25
MercyOne Dyersville Medical Center Dyersville $3,449.25 $1,303.82 – $3,882.48
MercyOne Clinton Medical Center Clinton $3,449.25 $976.14 – $3,449.25
MercyOne Oelwein Medical Center Oelwein $3,449.25 $1,318.30 – $3,449.25
MercyOne Cedar Falls Medical Center Cedar Falls $3,449.25 $810.57 – $3,449.25
MercyOne Elkader Medical Center Elkader $3,449.25 $1,775.33 – $3,605.16

All Iowa hospitals for this procedure →