Clsd tx clav dislc without manip 23520 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

$330.26

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.

$674.00

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.

$168.50 with United vs $630.14 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 $168.50 ↓ -49%
Humana Medicare|All Plans $168.50 ↓ -49%
Medica Medicare|All Plans $168.50 ↓ -49%
PACE Medicare|All Plans $168.50 ↓ -49%
Centene Medicare|All Plans $171.87 ↓ -48%
Amerigroup Medicare|All Plans $176.93 ↓ -46%
Great Plains Medicare|All Plans $176.93 ↓ -46%
United Medicaid|Community Plan $276.49 ↓ -16%
Total Care Medicaid|All Plans $282.02 ↓ -15%
Amerigroup Medicaid|All Plans $282.02 ↓ -15%
IAMolina Medicaid|All Plans $287.55 ↓ -13%
Wellmark Commercial|PPO $366.51 ↑ +11%
Wellmark Commercial|HMO $366.51 ↑ +11%
AMPS Commercial|All Plans $374.07 ↑ +13%
BCBS - NE Commercial|BluePrint $580.31 ↑ +76%
Medica Commercial|CHI Health $585.13 ↑ +77%
Medica Commercial|All Other Plans $585.13 ↑ +77%
BCBS - NE Commercial|All Other Plans $610.85 ↑ +85%
Midlands Choice Commercial|Premier $617.28 ↑ +87%
United Commercial|All Plans $617.28 ↑ +87%
Medica Commercial|ACO $617.28 ↑ +87%
Medica Commercial|Open Access $617.28 ↑ +87%
Timpte Commercial|Broad Network $617.28 ↑ +87%
Midlands Choice Commercial|Standard $617.28 ↑ +87%
QuikTrip Commercial|All Plans $617.28 ↑ +87%
Greater Omaha Packing Commercial|Broad Network $617.28 ↑ +87%
Greater Omaha Packing Commercial|Narrow Network $617.28 ↑ +87%
Millard Public Schools Commercial|Broad Network $617.28 ↑ +87%
Millard Public Schools Commercial|Narrow Network $617.28 ↑ +87%
One World Commercial|Broad Network $617.28 ↑ +87%
One World Commercial|Narrow Network $617.28 ↑ +87%
PHCS Commercial|All Plans $630.14 ↑ +91%
MultiPlan Commercial|All Plans $630.14 ↑ +91%

Visitor-reported prices

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Clsd tx clav dislc without manip 23520 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $407.40 not published
MercyOne Genesis Davenport Medical Center Davenport $427.80 not published
MercyOne Genesis DeWitt Medical Center DeWitt $427.80 $520.49 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $1,158.40 $224.25 – $1,326.54
UnityPoint Health - Finley Hospital Dubuque $1,158.40 $224.25 – $1,407.13
UnityPoint Health - Grinnell Regional Medical Center Grinnell $1,158.40 $224.25 – $1,592.36
UnityPoint Health - Iowa Lutheran Hospital Des Moines $1,158.40 $224.25 – $1,541.92
UnityPoint Health - Jones Regional Medical Center Anamosa $1,158.40 $224.25 – $592.86

All Iowa hospitals for this procedure →