Established Patient Office Visit (level 4) 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

$232.26

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.

$474.00

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.

$33.95 with United vs $95.06 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 $33.95 ↓ -85%
Humana Medicare|All Plans $33.95 ↓ -85%
Medica Medicare|All Plans $33.95 ↓ -85%
PACE Medicare|All Plans $33.95 ↓ -85%
Centene Medicare|All Plans $34.63 ↓ -85%
Amerigroup Medicare|All Plans $35.65 ↓ -85%
Great Plains Medicare|All Plans $35.65 ↓ -85%
United Medicaid|Community Plan $41.71 ↓ -82%
Total Care Medicaid|All Plans $42.55 ↓ -82%
Amerigroup Medicaid|All Plans $42.55 ↓ -82%
IAMolina Medicaid|All Plans $43.38 ↓ -81%
Wellmark Commercial|PPO $55.29 ↓ -76%
Wellmark Commercial|HMO $55.29 ↓ -76%
AMPS Commercial|All Plans $75.37 ↓ -68%
BCBS - NE Commercial|BluePrint $87.55 ↓ -62%
Medica Commercial|CHI Health $88.27 ↓ -62%
Medica Commercial|All Other Plans $88.27 ↓ -62%
BCBS - NE Commercial|All Other Plans $92.15 ↓ -60%
Midlands Choice Commercial|Premier $93.12 ↓ -60%
United Commercial|All Plans $93.12 ↓ -60%
Medica Commercial|ACO $93.12 ↓ -60%
Medica Commercial|Open Access $93.12 ↓ -60%
Timpte Commercial|Broad Network $93.12 ↓ -60%
Midlands Choice Commercial|Standard $93.12 ↓ -60%
QuikTrip Commercial|All Plans $93.12 ↓ -60%
Greater Omaha Packing Commercial|Broad Network $93.12 ↓ -60%
Greater Omaha Packing Commercial|Narrow Network $93.12 ↓ -60%
Millard Public Schools Commercial|Broad Network $93.12 ↓ -60%
Millard Public Schools Commercial|Narrow Network $93.12 ↓ -60%
One World Commercial|Broad Network $93.12 ↓ -60%
One World Commercial|Narrow Network $93.12 ↓ -60%
PHCS Commercial|All Plans $95.06 ↓ -59%
MultiPlan Commercial|All Plans $95.06 ↓ -59%

Visitor-reported prices

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Established Patient Office Visit (level 4) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $134.40 not published
MercyOne Dubuque Medical Center Dubuque $209.00 $5.10 – $33.12
MercyOne New Hampton Medical Center New Hampton $659.10 $42.60 – $258.00
MercyOne Dyersville Medical Center Dyersville $167.70 $88.83 – $290.40
MercyOne Clinton Medical Center Clinton $209.00 $49.07 – $209.00
MercyOne Oelwein Medical Center Oelwein $209.00 $5.10 – $258.00
MercyOne Cedar Falls Medical Center Cedar Falls $209.00 $5.10 – $33.12
MercyOne Elkader Medical Center Elkader $272.00 $56.78 – $272.00

All Iowa hospitals for this procedure →