Nivolumab 10 mg/ml intravenous solution (wrapper) 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

$18,704.87

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.

$38,173.20

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.

$34.02 with Wellmark vs $5,536.48 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 $34.02 ↓ -100%
Wellmark Commercial|HMO $34.02 ↓ -100%
Medica Medicare|All Plans $1,977.32 ↓ -89%
PACE Medicare|All Plans $1,977.32 ↓ -89%
United Medicare|All Plans $1,977.32 ↓ -89%
Humana Medicare|All Plans $1,977.32 ↓ -89%
Centene Medicare|All Plans $2,016.86 ↓ -89%
Great Plains Medicare|All Plans $2,076.18 ↓ -89%
Amerigroup Medicare|All Plans $2,076.18 ↓ -89%
United Medicaid|Community Plan $2,429.27 ↓ -87%
Total Care Medicaid|All Plans $2,477.86 ↓ -87%
Amerigroup Medicaid|All Plans $2,477.86 ↓ -87%
IAMolina Medicaid|All Plans $2,526.44 ↓ -86%
AMPS Commercial|All Plans $4,389.64 ↓ -77%
BCBS - NE Commercial|BluePrint $5,098.64 ↓ -73%
Medica Commercial|All Other Plans $5,141.01 ↓ -73%
Medica Commercial|CHI Health $5,141.01 ↓ -73%
BCBS - NE Commercial|All Other Plans $5,366.99 ↓ -71%
United Commercial|All Plans $5,423.49 ↓ -71%
Midlands Choice Commercial|Premier $5,423.49 ↓ -71%
Medica Commercial|ACO $5,423.49 ↓ -71%
Medica Commercial|Open Access $5,423.49 ↓ -71%
Timpte Commercial|Broad Network $5,423.49 ↓ -71%
Midlands Choice Commercial|Standard $5,423.49 ↓ -71%
QuikTrip Commercial|All Plans $5,423.49 ↓ -71%
Greater Omaha Packing Commercial|Broad Network $5,423.49 ↓ -71%
Greater Omaha Packing Commercial|Narrow Network $5,423.49 ↓ -71%
Millard Public Schools Commercial|Broad Network $5,423.49 ↓ -71%
Millard Public Schools Commercial|Narrow Network $5,423.49 ↓ -71%
One World Commercial|Broad Network $5,423.49 ↓ -71%
One World Commercial|Narrow Network $5,423.49 ↓ -71%
PHCS Commercial|All Plans $5,536.48 ↓ -70%
MultiPlan Commercial|All Plans $5,536.48 ↓ -70%

Visitor-reported prices

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Nivolumab 10 mg/ml intravenous solution (wrapper) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $13,038.79 $33.00 – $46.20
MercyOne Dubuque Medical Center Dubuque $24,305.85 $31.59 – $4,051.00
MercyOne New Hampton Medical Center New Hampton $24,305.85 $1,444.80 – $4,051.00
MercyOne Dyersville Medical Center Dyersville $24,305.85 $1,444.80 – $4,559.81
MercyOne Clinton Medical Center Clinton $24,305.85 $31.59 – $4,051.00
MercyOne Oelwein Medical Center Oelwein $24,305.85 $1,444.80 – $4,051.00
MercyOne Cedar Falls Medical Center Cedar Falls $24,305.85 $31.59 – $4,051.00
MercyOne Elkader Medical Center Elkader $24,305.85 $1,444.80 – $4,234.11

All Iowa hospitals for this procedure →