Coombs indirect titer reference 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

$163.17

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.

$333.00

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.

$5.18 with United vs $309.68 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 $5.18 ↓ -97%
Humana Medicare|All Plans $5.18 ↓ -97%
Medica Medicare|All Plans $5.18 ↓ -97%
PACE Medicare|All Plans $5.18 ↓ -97%
Centene Medicare|All Plans $5.28 ↓ -97%
Amerigroup Medicare|All Plans $5.44 ↓ -97%
Great Plains Medicare|All Plans $5.44 ↓ -97%
AMPS Commercial|All Plans $11.50 ↓ -93%
United Medicaid|Community Plan $135.88 ↓ -17%
Total Care Medicaid|All Plans $138.60 ↓ -15%
Amerigroup Medicaid|All Plans $138.60 ↓ -15%
IAMolina Medicaid|All Plans $141.32 ↓ -13%
Wellmark Commercial|PPO $180.12 ↑ +10%
Wellmark Commercial|HMO $180.12 ↑ +10%
BCBS - NE Commercial|BluePrint $285.19 ↑ +75%
Medica Commercial|All Other Plans $287.56 ↑ +76%
Medica Commercial|CHI Health $287.56 ↑ +76%
BCBS - NE Commercial|All Other Plans $300.20 ↑ +84%
Midlands Choice Commercial|Standard $303.36 ↑ +86%
Midlands Choice Commercial|Premier $303.36 ↑ +86%
Medica Commercial|ACO $303.36 ↑ +86%
Medica Commercial|Open Access $303.36 ↑ +86%
Timpte Commercial|Broad Network $303.36 ↑ +86%
United Commercial|All Plans $303.36 ↑ +86%
QuikTrip Commercial|All Plans $303.36 ↑ +86%
Greater Omaha Packing Commercial|Broad Network $303.36 ↑ +86%
Greater Omaha Packing Commercial|Narrow Network $303.36 ↑ +86%
Millard Public Schools Commercial|Broad Network $303.36 ↑ +86%
Millard Public Schools Commercial|Narrow Network $303.36 ↑ +86%
One World Commercial|Broad Network $303.36 ↑ +86%
One World Commercial|Narrow Network $303.36 ↑ +86%
PHCS Commercial|All Plans $309.68 ↑ +90%
MultiPlan Commercial|All Plans $309.68 ↑ +90%

Visitor-reported prices

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Coombs indirect titer reference at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $143.40 $107.25 – $164.03
MercyOne Dubuque Medical Center Dubuque $263.90 $5.18 – $340.41
MercyOne New Hampton Medical Center New Hampton $136.50 $68.49 – $173.00
MercyOne Dyersville Medical Center Dyersville $112.45 $65.39 – $194.73
MercyOne Clinton Medical Center Clinton $98.15 $5.18 – $364.58
MercyOne Oelwein Medical Center Oelwein $112.45 $66.12 – $173.00
MercyOne Cedar Falls Medical Center Cedar Falls $136.50 $5.18 – $329.20
MercyOne Elkader Medical Center Elkader $112.45 $89.04 – $180.82

All Iowa hospitals for this procedure →