ER Visit (level 3) 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

$367.50

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.

$750.00

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.

$50.50 with United vs $197.96 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 $50.50 ↓ -86%
Humana Medicare|All Plans $50.50 ↓ -86%
Medica Medicare|All Plans $50.50 ↓ -86%
PACE Medicare|All Plans $50.50 ↓ -86%
Centene Medicare|All Plans $51.51 ↓ -86%
Amerigroup Medicare|All Plans $53.03 ↓ -86%
Great Plains Medicare|All Plans $53.03 ↓ -86%
United Medicaid|Community Plan $86.86 ↓ -76%
Total Care Medicaid|All Plans $88.60 ↓ -76%
Amerigroup Medicaid|All Plans $88.60 ↓ -76%
IAMolina Medicaid|All Plans $90.34 ↓ -75%
AMPS Commercial|All Plans $112.11 ↓ -69%
Wellmark Commercial|PPO $115.14 ↓ -69%
Wellmark Commercial|HMO $115.14 ↓ -69%
BCBS - NE Commercial|BluePrint $182.31 ↓ -50%
Medica Commercial|All Other Plans $183.82 ↓ -50%
Medica Commercial|CHI Health $183.82 ↓ -50%
BCBS - NE Commercial|All Other Plans $191.90 ↓ -48%
Midlands Choice Commercial|Premier $193.92 ↓ -47%
United Commercial|All Plans $193.92 ↓ -47%
Medica Commercial|ACO $193.92 ↓ -47%
Medica Commercial|Open Access $193.92 ↓ -47%
Timpte Commercial|Broad Network $193.92 ↓ -47%
Midlands Choice Commercial|Standard $193.92 ↓ -47%
QuikTrip Commercial|All Plans $193.92 ↓ -47%
Greater Omaha Packing Commercial|Broad Network $193.92 ↓ -47%
Greater Omaha Packing Commercial|Narrow Network $193.92 ↓ -47%
Millard Public Schools Commercial|Broad Network $193.92 ↓ -47%
Millard Public Schools Commercial|Narrow Network $193.92 ↓ -47%
One World Commercial|Broad Network $193.92 ↓ -47%
One World Commercial|Narrow Network $193.92 ↓ -47%
PHCS Commercial|All Plans $197.96 ↓ -46%
MultiPlan Commercial|All Plans $197.96 ↓ -46%

Visitor-reported prices

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ER Visit (level 3) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $370.80 $239.20 – $265.04
MercyOne Dubuque Medical Center Dubuque $1,172.31 $1.20 – $825.00
MercyOne New Hampton Medical Center New Hampton $972.92 $39.71 – $156.00
MercyOne Dyersville Medical Center Dyersville $602.55 $44.30 – $175.59
MercyOne Clinton Medical Center Clinton $1,092.55 $44.30 – $931.00
MercyOne Oelwein Medical Center Oelwein $602.55 $44.30 – $156.00
MercyOne Cedar Falls Medical Center Cedar Falls $1,785.00 $44.30 – $1,219.53
MercyOne Elkader Medical Center Elkader $1,772.00 $9.09 – $163.05

All Iowa hospitals for this procedure →