Clsd tx/patellar fx without manip 27520 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

$446.39

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.

$911.00

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.

$188.30 with United vs $527.24 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 $188.30 ↓ -58%
Humana Medicare|All Plans $188.30 ↓ -58%
Medica Medicare|All Plans $188.30 ↓ -58%
PACE Medicare|All Plans $188.30 ↓ -58%
Centene Medicare|All Plans $192.07 ↓ -57%
Amerigroup Medicare|All Plans $197.72 ↓ -56%
Great Plains Medicare|All Plans $197.72 ↓ -56%
United Medicaid|Community Plan $231.34 ↓ -48%
Total Care Medicaid|All Plans $235.97 ↓ -47%
Amerigroup Medicaid|All Plans $235.97 ↓ -47%
IAMolina Medicaid|All Plans $240.60 ↓ -46%
Wellmark Commercial|PPO $306.66 ↓ -31%
Wellmark Commercial|HMO $306.66 ↓ -31%
AMPS Commercial|All Plans $418.03 ↓ -6%
BCBS - NE Commercial|BluePrint $485.55 ↑ +9%
Medica Commercial|CHI Health $489.58 ↑ +10%
Medica Commercial|All Other Plans $489.58 ↑ +10%
BCBS - NE Commercial|All Other Plans $511.10 ↑ +14%
Midlands Choice Commercial|Premier $516.48 ↑ +16%
United Commercial|All Plans $516.48 ↑ +16%
Medica Commercial|ACO $516.48 ↑ +16%
Medica Commercial|Open Access $516.48 ↑ +16%
Timpte Commercial|Broad Network $516.48 ↑ +16%
Midlands Choice Commercial|Standard $516.48 ↑ +16%
QuikTrip Commercial|All Plans $516.48 ↑ +16%
Greater Omaha Packing Commercial|Broad Network $516.48 ↑ +16%
Greater Omaha Packing Commercial|Narrow Network $516.48 ↑ +16%
Millard Public Schools Commercial|Broad Network $516.48 ↑ +16%
Millard Public Schools Commercial|Narrow Network $516.48 ↑ +16%
One World Commercial|Broad Network $516.48 ↑ +16%
One World Commercial|Narrow Network $516.48 ↑ +16%
PHCS Commercial|All Plans $527.24 ↑ +18%
MultiPlan Commercial|All Plans $527.24 ↑ +18%

Visitor-reported prices

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Clsd tx/patellar fx without manip 27520 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $576.00 not published
MercyOne Centerville Medical Center Centerville $3,707.00 $678.04 – $2,471.00
MercyOne North Iowa Medical Center Mason City $234.00 $61.44 – $534.40
MercyOne Genesis Davenport Medical Center Davenport $604.80 not published
MercyOne Genesis DeWitt Medical Center DeWitt $604.80 $735.84 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $1,579.20 $198.83 – $611.60
UnityPoint Health - Finley Hospital Dubuque $1,579.20 $105.83 – $611.60
UnityPoint Health - Grinnell Regional Medical Center Grinnell $1,579.20 $228.37 – $745.50

All Iowa hospitals for this procedure →