Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit 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

$14,647.16

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.

$29,892.15

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.

$4.62 with Wellmark vs $27,942.79 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 $4.62 ↓ -100%
Wellmark Commercial|HMO $4.62 ↓ -100%
Medica Medicare|All Plans $9,979.57 ↓ -32%
PACE Medicare|All Plans $9,979.57 ↓ -32%
United Medicare|All Plans $9,979.57 ↓ -32%
Humana Medicare|All Plans $9,979.57 ↓ -32%
Centene Medicare|All Plans $10,179.16 ↓ -31%
Great Plains Medicare|All Plans $10,478.55 ↓ -28%
Amerigroup Medicare|All Plans $10,478.55 ↓ -28%
United Medicaid|Community Plan $12,260.62 ↓ -16%
Total Care Medicaid|All Plans $12,505.83 ↓ -15%
Amerigroup Medicaid|All Plans $12,505.83 ↓ -15%
IAMolina Medicaid|All Plans $12,751.04 ↓ -13%
AMPS Commercial|All Plans $22,154.64 ↑ +51%
BCBS - NE Commercial|BluePrint $25,733.03 ↑ +76%
Medica Commercial|All Other Plans $25,946.88 ↑ +77%
Medica Commercial|CHI Health $25,946.88 ↑ +77%
BCBS - NE Commercial|All Other Plans $27,087.40 ↑ +85%
United Commercial|All Plans $27,372.53 ↑ +87%
Midlands Choice Commercial|Premier $27,372.53 ↑ +87%
Medica Commercial|ACO $27,372.53 ↑ +87%
Medica Commercial|Open Access $27,372.53 ↑ +87%
Timpte Commercial|Broad Network $27,372.53 ↑ +87%
Midlands Choice Commercial|Standard $27,372.53 ↑ +87%
QuikTrip Commercial|All Plans $27,372.53 ↑ +87%
Greater Omaha Packing Commercial|Broad Network $27,372.53 ↑ +87%
Greater Omaha Packing Commercial|Narrow Network $27,372.53 ↑ +87%
Millard Public Schools Commercial|Broad Network $27,372.53 ↑ +87%
Millard Public Schools Commercial|Narrow Network $27,372.53 ↑ +87%
One World Commercial|Broad Network $27,372.53 ↑ +87%
One World Commercial|Narrow Network $27,372.53 ↑ +87%
PHCS Commercial|All Plans $27,942.79 ↑ +91%
MultiPlan Commercial|All Plans $27,942.79 ↑ +91%

Visitor-reported prices

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Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $9,577.89 $4.49 – $6.29
MercyOne Dubuque Medical Center Dubuque $18,898.20 $3.79 – $17,963.25
MercyOne New Hampton Medical Center New Hampton $18,898.20 $1,796.00 – $17,963.25
MercyOne Dyersville Medical Center Dyersville $18,898.20 $1,796.00 – $20,219.43
MercyOne Clinton Medical Center Clinton $18,898.20 $3.79 – $17,963.25
MercyOne Oelwein Medical Center Oelwein $18,898.20 $1,796.00 – $17,963.25
MercyOne Cedar Falls Medical Center Cedar Falls $18,898.20 $3.79 – $17,963.25
MercyOne Elkader Medical Center Elkader $18,898.20 $1,796.00 – $18,775.19

All Iowa hospitals for this procedure →