Drainage mouth roof lesion 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

$222.46

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.

$454.00

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.

$113.50 with United vs $437.08 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
United Medicare|All Plans $113.50 ↓ -49%
Humana Medicare|All Plans $113.50 ↓ -49%
Medica Medicare|All Plans $113.50 ↓ -49%
PACE Medicare|All Plans $113.50 ↓ -49%
Centene Medicare|All Plans $115.77 ↓ -48%
Amerigroup Medicare|All Plans $119.18 ↓ -46%
Great Plains Medicare|All Plans $119.18 ↓ -46%
United Medicaid|Community Plan $191.78 ↓ -14%
Total Care Medicaid|All Plans $195.62 ↓ -12%
Amerigroup Medicaid|All Plans $195.62 ↓ -12%
IAMolina Medicaid|All Plans $199.46 ↓ -10%
AMPS Commercial|All Plans $251.97 ↑ +13%
Wellmark Commercial|PPO $254.22 ↑ +14%
Wellmark Commercial|HMO $254.22 ↑ +14%
BCBS - NE Commercial|BluePrint $402.52 ↑ +81%
Medica Commercial|All Other Plans $405.86 ↑ +82%
Medica Commercial|CHI Health $405.86 ↑ +82%
BCBS - NE Commercial|All Other Plans $423.70 ↑ +90%
Midlands Choice Commercial|Premier $428.16 ↑ +92%
United Commercial|All Plans $428.16 ↑ +92%
Medica Commercial|ACO $428.16 ↑ +92%
Medica Commercial|Open Access $428.16 ↑ +92%
Timpte Commercial|Broad Network $428.16 ↑ +92%
Midlands Choice Commercial|Standard $428.16 ↑ +92%
QuikTrip Commercial|All Plans $428.16 ↑ +92%
Greater Omaha Packing Commercial|Broad Network $428.16 ↑ +92%
Greater Omaha Packing Commercial|Narrow Network $428.16 ↑ +92%
Millard Public Schools Commercial|Broad Network $428.16 ↑ +92%
Millard Public Schools Commercial|Narrow Network $428.16 ↑ +92%
One World Commercial|Broad Network $428.16 ↑ +92%
One World Commercial|Narrow Network $428.16 ↑ +92%
PHCS Commercial|All Plans $437.08 ↑ +96%
MultiPlan Commercial|All Plans $437.08 ↑ +96%

Visitor-reported prices

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Drainage mouth roof lesion at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne North Iowa Medical Center Mason City $401.00 $20.90 – $401.00
UnityPoint Health - Allen Hospital Waterloo $701.46 $98.99 – $462.08
UnityPoint Health - Finley Hospital Dubuque $386.40 $98.99 – $444.36
UnityPoint Health - Grinnell Regional Medical Center Grinnell $386.40 $98.99 – $264.36
UnityPoint Health - Iowa Lutheran Hospital Des Moines $474.39 $98.99 – $256.76
UnityPoint Health - Jones Regional Medical Center Anamosa $386.40 $98.99 – $264.36
UnityPoint Health - Marshalltown Marshalltown $701.46 $98.99 – $420.87
UnityPoint Health - St. Lukes Downtown Sioux City $618.10 $98.99 – $446.57

All Iowa hospitals for this procedure →