Established Patient Office Visit (level 1) 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

$49.98

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.

$102.00

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.

$22.75 with United vs $63.70 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 $22.75 ↓ -54%
Humana Medicare|All Plans $22.75 ↓ -54%
Medica Medicare|All Plans $22.75 ↓ -54%
PACE Medicare|All Plans $22.75 ↓ -54%
Centene Medicare|All Plans $23.21 ↓ -54%
Amerigroup Medicare|All Plans $23.89 ↓ -52%
Great Plains Medicare|All Plans $23.89 ↓ -52%
United Medicaid|Community Plan $27.95 ↓ -44%
Total Care Medicaid|All Plans $28.51 ↓ -43%
Amerigroup Medicaid|All Plans $28.51 ↓ -43%
IAMolina Medicaid|All Plans $29.07 ↓ -42%
Wellmark Commercial|PPO $37.05 ↓ -26%
Wellmark Commercial|HMO $37.05 ↓ -26%
AMPS Commercial|All Plans $50.51 ↑ +1%
BCBS - NE Commercial|BluePrint $56.34 ↑ +13%
Medica Commercial|CHI Health $59.15 ↑ +18%
Medica Commercial|All Other Plans $59.15 ↑ +18%
BCBS - NE Commercial|All Other Plans $59.30 ↑ +19%
Midlands Choice Commercial|Premier $62.40 ↑ +25%
United Commercial|All Plans $62.40 ↑ +25%
Medica Commercial|ACO $62.40 ↑ +25%
Medica Commercial|Open Access $62.40 ↑ +25%
Timpte Commercial|Broad Network $62.40 ↑ +25%
Midlands Choice Commercial|Standard $62.40 ↑ +25%
QuikTrip Commercial|All Plans $62.40 ↑ +25%
Greater Omaha Packing Commercial|Broad Network $62.40 ↑ +25%
Greater Omaha Packing Commercial|Narrow Network $62.40 ↑ +25%
Millard Public Schools Commercial|Broad Network $62.40 ↑ +25%
Millard Public Schools Commercial|Narrow Network $62.40 ↑ +25%
One World Commercial|Broad Network $62.40 ↑ +25%
One World Commercial|Narrow Network $62.40 ↑ +25%
PHCS Commercial|All Plans $63.70 ↑ +27%
MultiPlan Commercial|All Plans $63.70 ↑ +27%

Visitor-reported prices

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Established Patient Office Visit (level 1) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $34.80 not published
MercyOne Dubuque Medical Center Dubuque $591.50 $7.22 – $222.34
MercyOne New Hampton Medical Center New Hampton $35.10 $7.37 – $54.00
MercyOne Dyersville Medical Center Dyersville $35.10 $20.41 – $60.78
MercyOne Clinton Medical Center Clinton $25.00 $4.90 – $18.00
MercyOne Cedar Falls Medical Center Cedar Falls $25.00 $4.90 – $18.00
MercyOne Elkader Medical Center Elkader $54.00 $6.48 – $56.44
MercyOne Des Moines Medical Center Des Moines $54.00 $4.90 – $25.00

All Iowa hospitals for this procedure →