Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm 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

$3,430.00

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.

$7,000.00

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.

$143.23 with Wellmark vs $1,568.49 with PHCS — 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
Wellmark Commercial|PPO $143.23 ↓ -96%
Wellmark Commercial|HMO $143.23 ↓ -96%
United Medicare|All Plans $560.18 ↓ -84%
Medica Medicare|All Plans $560.18 ↓ -84%
PACE Medicare|All Plans $560.18 ↓ -84%
Humana Medicare|All Plans $560.18 ↓ -84%
Centene Medicare|All Plans $571.38 ↓ -83%
Amerigroup Medicare|All Plans $588.19 ↓ -83%
Great Plains Medicare|All Plans $588.19 ↓ -83%
United Medicaid|Community Plan $688.22 ↓ -80%
Amerigroup Medicaid|All Plans $701.98 ↓ -80%
Total Care Medicaid|All Plans $701.98 ↓ -80%
IAMolina Medicaid|All Plans $715.75 ↓ -79%
AMPS Commercial|All Plans $1,243.59 ↓ -64%
BCBS - NE Commercial|BluePrint $1,444.46 ↓ -58%
Medica Commercial|CHI Health $1,456.46 ↓ -58%
Medica Commercial|All Other Plans $1,456.46 ↓ -58%
BCBS - NE Commercial|All Other Plans $1,520.48 ↓ -56%
Midlands Choice Commercial|Premier $1,536.48 ↓ -55%
QuikTrip Commercial|All Plans $1,536.48 ↓ -55%
Medica Commercial|Open Access $1,536.48 ↓ -55%
One World Commercial|Narrow Network $1,536.48 ↓ -55%
Timpte Commercial|Broad Network $1,536.48 ↓ -55%
Medica Commercial|ACO $1,536.48 ↓ -55%
United Commercial|All Plans $1,536.48 ↓ -55%
Greater Omaha Packing Commercial|Broad Network $1,536.48 ↓ -55%
Greater Omaha Packing Commercial|Narrow Network $1,536.48 ↓ -55%
Midlands Choice Commercial|Standard $1,536.48 ↓ -55%
Millard Public Schools Commercial|Broad Network $1,536.48 ↓ -55%
Millard Public Schools Commercial|Narrow Network $1,536.48 ↓ -55%
One World Commercial|Broad Network $1,536.48 ↓ -55%
MultiPlan Commercial|All Plans $1,568.49 ↓ -54%
PHCS Commercial|All Plans $1,568.49 ↓ -54%

Visitor-reported prices

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Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $2,767.80 not published
MercyOne Dubuque Medical Center Dubuque $414.05 $59.28 – $305.89
MercyOne New Hampton Medical Center New Hampton $515.72 $125.78 – $317.70
MercyOne Dyersville Medical Center Dyersville $414.05 $115.63 – $344.31
MercyOne Clinton Medical Center Clinton $414.05 $59.28 – $305.89
MercyOne Oelwein Medical Center Oelwein $3,657.34 $116.91 – $305.89
MercyOne Cedar Falls Medical Center Cedar Falls $414.05 $53.04 – $305.89
MercyOne Elkader Medical Center Elkader $414.05 $157.44 – $319.72

All Iowa hospitals for this procedure →