Established Patient Office Visit (level 2) 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

$77.42

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.

$158.00

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.

$28.70 with United vs $80.36 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 $28.70 ↓ -63%
Humana Medicare|All Plans $28.70 ↓ -63%
Medica Medicare|All Plans $28.70 ↓ -63%
PACE Medicare|All Plans $28.70 ↓ -63%
Centene Medicare|All Plans $29.28 ↓ -62%
Amerigroup Medicare|All Plans $30.14 ↓ -61%
Great Plains Medicare|All Plans $30.14 ↓ -61%
United Medicaid|Community Plan $35.26 ↓ -54%
Total Care Medicaid|All Plans $35.97 ↓ -54%
Amerigroup Medicaid|All Plans $35.97 ↓ -54%
IAMolina Medicaid|All Plans $36.68 ↓ -53%
Wellmark Commercial|PPO $46.74 ↓ -40%
Wellmark Commercial|HMO $46.74 ↓ -40%
AMPS Commercial|All Plans $63.72 ↓ -18%
BCBS - NE Commercial|BluePrint $74.01 ↓ -4%
Medica Commercial|CHI Health $74.62 ↓ -4%
Medica Commercial|All Other Plans $74.62 ↓ -4%
BCBS - NE Commercial|All Other Plans $77.90 ↑ +1%
Midlands Choice Commercial|Premier $78.72 ↑ +2%
United Commercial|All Plans $78.72 ↑ +2%
Medica Commercial|ACO $78.72 ↑ +2%
Medica Commercial|Open Access $78.72 ↑ +2%
Timpte Commercial|Broad Network $78.72 ↑ +2%
Midlands Choice Commercial|Standard $78.72 ↑ +2%
QuikTrip Commercial|All Plans $78.72 ↑ +2%
Greater Omaha Packing Commercial|Broad Network $78.72 ↑ +2%
Greater Omaha Packing Commercial|Narrow Network $78.72 ↑ +2%
Millard Public Schools Commercial|Broad Network $78.72 ↑ +2%
Millard Public Schools Commercial|Narrow Network $78.72 ↑ +2%
One World Commercial|Broad Network $78.72 ↑ +2%
One World Commercial|Narrow Network $78.72 ↑ +2%
PHCS Commercial|All Plans $80.36 ↑ +4%
MultiPlan Commercial|All Plans $80.36 ↑ +4%

Visitor-reported prices

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Established Patient Office Visit (level 2) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $69.60 not published
MercyOne Dubuque Medical Center Dubuque $76.00 $1.91 – $12.00
MercyOne New Hampton Medical Center New Hampton $304.20 $8.04 – $114.00
MercyOne Dyersville Medical Center Dyersville $74.10 $8.04 – $128.32
MercyOne Clinton Medical Center Clinton $76.00 $8.04 – $76.00
MercyOne Oelwein Medical Center Oelwein $76.00 $1.91 – $114.00
MercyOne Cedar Falls Medical Center Cedar Falls $76.00 $1.91 – $12.00
MercyOne Elkader Medical Center Elkader $120.00 $8.04 – $120.00

All Iowa hospitals for this procedure →