Phenytoin total 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

$94.08

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.

$192.00

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.

$13.25 with United vs $40.18 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 $13.25 ↓ -86%
Humana Medicare|All Plans $13.25 ↓ -86%
Medica Medicare|All Plans $13.25 ↓ -86%
PACE Medicare|All Plans $13.25 ↓ -86%
Centene Medicare|All Plans $13.52 ↓ -86%
Amerigroup Medicare|All Plans $13.91 ↓ -85%
Great Plains Medicare|All Plans $13.92 ↓ -85%
United Medicaid|Community Plan $17.63 ↓ -81%
Total Care Medicaid|All Plans $17.99 ↓ -81%
Amerigroup Medicaid|All Plans $17.99 ↓ -81%
IAMolina Medicaid|All Plans $18.34 ↓ -81%
Wellmark Commercial|PPO $23.37 ↓ -75%
Wellmark Commercial|HMO $23.37 ↓ -75%
AMPS Commercial|All Plans $29.41 ↓ -69%
BCBS - NE Commercial|BluePrint $37.01 ↓ -61%
Medica Commercial|CHI Health $37.31 ↓ -60%
Medica Commercial|All Other Plans $37.31 ↓ -60%
BCBS - NE Commercial|All Other Plans $38.95 ↓ -59%
Midlands Choice Commercial|Premier $39.36 ↓ -58%
United Commercial|All Plans $39.36 ↓ -58%
Medica Commercial|ACO $39.36 ↓ -58%
Medica Commercial|Open Access $39.36 ↓ -58%
Timpte Commercial|Broad Network $39.36 ↓ -58%
Midlands Choice Commercial|Standard $39.36 ↓ -58%
QuikTrip Commercial|All Plans $39.36 ↓ -58%
Greater Omaha Packing Commercial|Broad Network $39.36 ↓ -58%
Greater Omaha Packing Commercial|Narrow Network $39.36 ↓ -58%
Millard Public Schools Commercial|Broad Network $39.36 ↓ -58%
Millard Public Schools Commercial|Narrow Network $39.36 ↓ -58%
One World Commercial|Broad Network $39.36 ↓ -58%
One World Commercial|Narrow Network $39.36 ↓ -58%
PHCS Commercial|All Plans $40.18 ↓ -57%
MultiPlan Commercial|All Plans $40.18 ↓ -57%

Visitor-reported prices

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Phenytoin total therapeutic drug level at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $141.60 $13.25 – $13.25
MercyOne Dubuque Medical Center Dubuque $77.35 $12.84 – $119.00
MercyOne New Hampton Medical Center New Hampton $100.10 $60.97 – $154.00
MercyOne Dyersville Medical Center Dyersville $100.10 $58.21 – $173.34
MercyOne Clinton Medical Center Clinton $122.85 $12.84 – $159.00
MercyOne Oelwein Medical Center Oelwein $100.10 $58.86 – $154.00
MercyOne Cedar Falls Medical Center Cedar Falls $109.85 $12.84 – $169.00
MercyOne Elkader Medical Center Elkader $100.10 $79.26 – $160.96

All Iowa hospitals for this procedure →