ER Visit (level 4) at CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
$576.24
Cash price 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.
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What you pay up front if you don't use insurance.
$1,176.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$85.50 with United vs $335.16 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 →
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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 ?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 ?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 | $85.50 | ↓ -85% |
| Humana | Medicare|All Plans | $85.50 | ↓ -85% |
| Medica | Medicare|All Plans | $85.50 | ↓ -85% |
| PACE | Medicare|All Plans | $85.50 | ↓ -85% |
| Centene | Medicare|All Plans | $87.21 | ↓ -85% |
| Amerigroup | Medicare|All Plans | $89.78 | ↓ -84% |
| Great Plains | Medicare|All Plans | $89.78 | ↓ -84% |
| United | Medicaid|Community Plan | $147.06 | ↓ -74% |
| Total Care | Medicaid|All Plans | $150.01 | ↓ -74% |
| Amerigroup | Medicaid|All Plans | $150.01 | ↓ -74% |
| IAMolina | Medicaid|All Plans | $152.95 | ↓ -73% |
| AMPS | Commercial|All Plans | $189.81 | ↓ -67% |
| Wellmark | Commercial|PPO | $194.94 | ↓ -66% |
| Wellmark | Commercial|HMO | $194.94 | ↓ -66% |
| BCBS - NE | Commercial|BluePrint | $308.66 | ↓ -46% |
| Medica | Commercial|All Other Plans | $311.22 | ↓ -46% |
| Medica | Commercial|CHI Health | $311.22 | ↓ -46% |
| BCBS - NE | Commercial|All Other Plans | $324.90 | ↓ -44% |
| Midlands Choice | Commercial|Premier | $328.32 | ↓ -43% |
| United | Commercial|All Plans | $328.32 | ↓ -43% |
| Medica | Commercial|ACO | $328.32 | ↓ -43% |
| Medica | Commercial|Open Access | $328.32 | ↓ -43% |
| Timpte | Commercial|Broad Network | $328.32 | ↓ -43% |
| Midlands Choice | Commercial|Standard | $328.32 | ↓ -43% |
| QuikTrip | Commercial|All Plans | $328.32 | ↓ -43% |
| Greater Omaha Packing | Commercial|Broad Network | $328.32 | ↓ -43% |
| Greater Omaha Packing | Commercial|Narrow Network | $328.32 | ↓ -43% |
| Millard Public Schools | Commercial|Broad Network | $328.32 | ↓ -43% |
| Millard Public Schools | Commercial|Narrow Network | $328.32 | ↓ -43% |
| One World | Commercial|Broad Network | $328.32 | ↓ -43% |
| One World | Commercial|Narrow Network | $328.32 | ↓ -43% |
| PHCS | Commercial|All Plans | $335.16 | ↓ -42% |
| MultiPlan | Commercial|All Plans | $335.16 | ↓ -42% |
Visitor-reported prices
Comments
ER Visit (level 4) at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $595.20 | $407.60 – $570.64 |
| MercyOne Dubuque Medical Center | Dubuque | $3,524.95 | $4.56 – $1,436.00 |
| MercyOne New Hampton Medical Center | New Hampton | $2,448.55 | $1.92 – $284.00 |
| MercyOne Dyersville Medical Center | Dyersville | $1,987.05 | $0.35 – $319.67 |
| MercyOne Clinton Medical Center | Clinton | $2,785.31 | $9.09 – $1,558.00 |
| MercyOne Oelwein Medical Center | Oelwein | $3,125.00 | $51.31 – $284.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $3,491.30 | $9.09 – $1,656.53 |
| MercyOne Elkader Medical Center | Elkader | $3,580.10 | $1.92 – $296.84 |