Natalizumab 300 mg/15 ml intravenous solution 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

$20,917.41

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.

$42,688.58

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.

$24.23 with Wellmark vs $19,818.54 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
Wellmark Commercial|PPO $24.23 ↓ -100%
Wellmark Commercial|HMO $24.23 ↓ -100%
Medica Medicare|All Plans $7,078.05 ↓ -66%
PACE Medicare|All Plans $7,078.05 ↓ -66%
United Medicare|All Plans $7,078.05 ↓ -66%
Humana Medicare|All Plans $7,078.05 ↓ -66%
Centene Medicare|All Plans $7,219.62 ↓ -65%
Great Plains Medicare|All Plans $7,431.96 ↓ -64%
Amerigroup Medicare|All Plans $7,431.96 ↓ -64%
United Medicaid|Community Plan $8,695.89 ↓ -58%
Total Care Medicaid|All Plans $8,869.81 ↓ -58%
Amerigroup Medicaid|All Plans $8,869.81 ↓ -58%
IAMolina Medicaid|All Plans $9,043.73 ↓ -57%
AMPS Commercial|All Plans $15,713.28 ↓ -25%
BCBS - NE Commercial|BluePrint $18,251.26 ↓ -13%
Medica Commercial|All Other Plans $18,402.93 ↓ -12%
Medica Commercial|CHI Health $18,402.93 ↓ -12%
BCBS - NE Commercial|All Other Plans $19,211.85 ↓ -8%
United Commercial|All Plans $19,414.08 ↓ -7%
Midlands Choice Commercial|Premier $19,414.08 ↓ -7%
Medica Commercial|ACO $19,414.08 ↓ -7%
Medica Commercial|Open Access $19,414.08 ↓ -7%
Timpte Commercial|Broad Network $19,414.08 ↓ -7%
Midlands Choice Commercial|Standard $19,414.08 ↓ -7%
QuikTrip Commercial|All Plans $19,414.08 ↓ -7%
Greater Omaha Packing Commercial|Broad Network $19,414.08 ↓ -7%
Greater Omaha Packing Commercial|Narrow Network $19,414.08 ↓ -7%
Millard Public Schools Commercial|Broad Network $19,414.08 ↓ -7%
Millard Public Schools Commercial|Narrow Network $19,414.08 ↓ -7%
One World Commercial|Broad Network $19,414.08 ↓ -7%
One World Commercial|Narrow Network $19,414.08 ↓ -7%
PHCS Commercial|All Plans $19,818.54 ↓ -5%
MultiPlan Commercial|All Plans $19,818.54 ↓ -5%

Visitor-reported prices

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Natalizumab 300 mg/15 ml intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $14,570.01 $24.13 – $33.78
MercyOne Dubuque Medical Center Dubuque $26,637.70 $24.02 – $26,637.70
MercyOne New Hampton Medical Center New Hampton $26,637.70 $7,239.00 – $26,637.70
MercyOne Dyersville Medical Center Dyersville $26,637.70 $7,239.00 – $29,983.40
MercyOne Clinton Medical Center Clinton $26,637.70 $24.02 – $26,637.70
MercyOne Oelwein Medical Center Oelwein $26,637.70 $7,239.00 – $26,637.70
MercyOne Cedar Falls Medical Center Cedar Falls $26,637.70 $24.02 – $26,637.70
MercyOne Elkader Medical Center Elkader $26,637.70 $7,239.00 – $27,841.72

All Iowa hospitals for this procedure →