Evaluation of speech fluency 92521 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

$1,091.23

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.

$2,227.00

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.

$112.70 with United vs $315.56 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 $112.70 ↓ -90%
Humana Medicare|All Plans $112.70 ↓ -90%
Medica Medicare|All Plans $112.70 ↓ -90%
PACE Medicare|All Plans $112.70 ↓ -90%
Centene Medicare|All Plans $114.96 ↓ -89%
Amerigroup Medicare|All Plans $118.34 ↓ -89%
Great Plains Medicare|All Plans $118.34 ↓ -89%
United Medicaid|Community Plan $138.46 ↓ -87%
Total Care Medicaid|All Plans $141.23 ↓ -87%
Amerigroup Medicaid|All Plans $141.23 ↓ -87%
IAMolina Medicaid|All Plans $144.00 ↓ -87%
Wellmark Commercial|PPO $183.54 ↓ -83%
Wellmark Commercial|HMO $183.54 ↓ -83%
AMPS Commercial|All Plans $250.20 ↓ -77%
BCBS - NE Commercial|BluePrint $290.61 ↓ -73%
Medica Commercial|CHI Health $293.02 ↓ -73%
Medica Commercial|All Other Plans $293.02 ↓ -73%
BCBS - NE Commercial|All Other Plans $305.90 ↓ -72%
Midlands Choice Commercial|Premier $309.12 ↓ -72%
United Commercial|All Plans $309.12 ↓ -72%
Medica Commercial|ACO $309.12 ↓ -72%
Medica Commercial|Open Access $309.12 ↓ -72%
Timpte Commercial|Broad Network $309.12 ↓ -72%
Midlands Choice Commercial|Standard $309.12 ↓ -72%
QuikTrip Commercial|All Plans $309.12 ↓ -72%
Greater Omaha Packing Commercial|Broad Network $309.12 ↓ -72%
Greater Omaha Packing Commercial|Narrow Network $309.12 ↓ -72%
Millard Public Schools Commercial|Broad Network $309.12 ↓ -72%
Millard Public Schools Commercial|Narrow Network $309.12 ↓ -72%
One World Commercial|Broad Network $309.12 ↓ -72%
One World Commercial|Narrow Network $309.12 ↓ -72%
PHCS Commercial|All Plans $315.56 ↓ -71%
MultiPlan Commercial|All Plans $315.56 ↓ -71%

Visitor-reported prices

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Evaluation of speech fluency 92521 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $202.80 not published
MercyOne Dubuque Medical Center Dubuque $176.80 $97.10 – $272.00
MercyOne Clinton Medical Center Clinton $186.55 $81.22 – $287.00
MercyOne Des Moines Medical Center Des Moines $250.25 $77.39 – $385.00
MercyOne Newton Medical Center Newton $185.90 $105.80 – $286.00
MercyOne Genesis Davenport Medical Center Davenport $225.60 not published
MercyOne Genesis DeWitt Medical Center DeWitt $225.60 $47.60 – $102.20
MercyOne Waterloo Medical Center Waterloo $288.60 $104.34 – $444.00

All Iowa hospitals for this procedure →