Lead acuity x4 spiral l 86cm 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

$3,307.50

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.

$6,750.00

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.

$199.50 with United vs $558.60 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 $199.50 ↓ -94%
Humana Medicare|All Plans $199.50 ↓ -94%
Medica Medicare|All Plans $199.50 ↓ -94%
PACE Medicare|All Plans $199.50 ↓ -94%
Centene Medicare|All Plans $203.49 ↓ -94%
Amerigroup Medicare|All Plans $209.48 ↓ -94%
Great Plains Medicare|All Plans $209.48 ↓ -94%
United Medicaid|Community Plan $245.10 ↓ -93%
Total Care Medicaid|All Plans $250.01 ↓ -92%
Amerigroup Medicaid|All Plans $250.01 ↓ -92%
IAMolina Medicaid|All Plans $254.91 ↓ -92%
Wellmark Commercial|PPO $324.90 ↓ -90%
Wellmark Commercial|HMO $324.90 ↓ -90%
AMPS Commercial|All Plans $442.89 ↓ -87%
BCBS - NE Commercial|BluePrint $514.43 ↓ -84%
Medica Commercial|CHI Health $518.70 ↓ -84%
Medica Commercial|All Other Plans $518.70 ↓ -84%
BCBS - NE Commercial|All Other Plans $541.50 ↓ -84%
Midlands Choice Commercial|Premier $547.20 ↓ -83%
United Commercial|All Plans $547.20 ↓ -83%
Medica Commercial|ACO $547.20 ↓ -83%
Medica Commercial|Open Access $547.20 ↓ -83%
Timpte Commercial|Broad Network $547.20 ↓ -83%
Midlands Choice Commercial|Standard $547.20 ↓ -83%
QuikTrip Commercial|All Plans $547.20 ↓ -83%
Greater Omaha Packing Commercial|Broad Network $547.20 ↓ -83%
Greater Omaha Packing Commercial|Narrow Network $547.20 ↓ -83%
Millard Public Schools Commercial|Broad Network $547.20 ↓ -83%
Millard Public Schools Commercial|Narrow Network $547.20 ↓ -83%
One World Commercial|Broad Network $547.20 ↓ -83%
One World Commercial|Narrow Network $547.20 ↓ -83%
PHCS Commercial|All Plans $558.60 ↓ -83%
MultiPlan Commercial|All Plans $558.60 ↓ -83%

Visitor-reported prices

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Lead acuity x4 spiral l 86cm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $4,582.80 not published
MercyOne Dubuque Medical Center Dubuque $2,873.32 $36.08 – $101.07
MercyOne New Hampton Medical Center New Hampton $2,730.00 $47.49 – $119.96
MercyOne Dyersville Medical Center Dyersville $2,873.32 $56.02 – $113.76
MercyOne Clinton Medical Center Clinton $2,873.32 $28.60 – $101.07
MercyOne Oelwein Medical Center Oelwein $2,873.32 $38.63 – $101.07
MercyOne Cedar Falls Medical Center Cedar Falls $2,873.32 $23.75 – $101.07
MercyOne Elkader Medical Center Elkader $2,873.32 $52.02 – $105.64

All Iowa hospitals for this procedure →