Methotrexate therapeutic drug level 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

$138.18

Cash price

?

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.

$282.00

Gross charge

?

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.

$38.57 with United vs $276.36 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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 $38.57 ↓ -72%
Humana Medicare|All Plans $38.57 ↓ -72%
Medica Medicare|All Plans $38.57 ↓ -72%
PACE Medicare|All Plans $38.57 ↓ -72%
Centene Medicare|All Plans $39.34 ↓ -72%
Amerigroup Medicare|All Plans $40.50 ↓ -71%
Great Plains Medicare|All Plans $40.50 ↓ -71%
AMPS Commercial|All Plans $85.63 ↓ -38%
United Medicaid|Community Plan $121.26 ↓ -12%
Total Care Medicaid|All Plans $123.69 ↓ -10%
Amerigroup Medicaid|All Plans $123.69 ↓ -10%
IAMolina Medicaid|All Plans $126.12 ↓ -9%
Wellmark Commercial|PPO $160.74 ↑ +16%
Wellmark Commercial|HMO $160.74 ↑ +16%
BCBS - NE Commercial|BluePrint $254.51 ↑ +84%
Medica Commercial|All Other Plans $256.62 ↑ +86%
Medica Commercial|CHI Health $256.62 ↑ +86%
BCBS - NE Commercial|All Other Plans $267.90 ↑ +94%
Midlands Choice Commercial|Standard $270.72 ↑ +96%
Midlands Choice Commercial|Premier $270.72 ↑ +96%
Medica Commercial|ACO $270.72 ↑ +96%
Medica Commercial|Open Access $270.72 ↑ +96%
Timpte Commercial|Broad Network $270.72 ↑ +96%
United Commercial|All Plans $270.72 ↑ +96%
QuikTrip Commercial|All Plans $270.72 ↑ +96%
Greater Omaha Packing Commercial|Broad Network $270.72 ↑ +96%
Greater Omaha Packing Commercial|Narrow Network $270.72 ↑ +96%
Millard Public Schools Commercial|Broad Network $270.72 ↑ +96%
Millard Public Schools Commercial|Narrow Network $270.72 ↑ +96%
One World Commercial|Broad Network $270.72 ↑ +96%
One World Commercial|Narrow Network $270.72 ↑ +96%
PHCS Commercial|All Plans $276.36 ↑ +100%
MultiPlan Commercial|All Plans $276.36 ↑ +100%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Methotrexate therapeutic drug level at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $56.40 $38.57 – $38.57
MercyOne Dubuque Medical Center Dubuque $128.05 $37.37 – $197.00
MercyOne New Hampton Medical Center New Hampton $128.05 $77.99 – $197.00
MercyOne Dyersville Medical Center Dyersville $128.05 $74.47 – $221.74
MercyOne Clinton Medical Center Clinton $128.05 $37.37 – $197.00
MercyOne Cedar Falls Medical Center Cedar Falls $128.05 $37.37 – $197.00
MercyOne Elkader Medical Center Elkader $128.05 $101.40 – $205.90
MercyOne West Des Moines Medical Center West Des Moines $352.00 $37.37 – $352.00

All Iowa hospitals for this procedure →