Proctosigmoidoscopy dx 45300 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

$594.86

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.

$1,214.00

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.

$91.75 with United vs $359.66 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 $91.75 ↓ -85%
Humana Medicare|All Plans $91.75 ↓ -85%
Medica Medicare|All Plans $91.75 ↓ -85%
PACE Medicare|All Plans $91.75 ↓ -85%
Centene Medicare|All Plans $93.59 ↓ -84%
Amerigroup Medicare|All Plans $96.34 ↓ -84%
Great Plains Medicare|All Plans $96.34 ↓ -84%
United Medicaid|Community Plan $157.81 ↓ -73%
Total Care Medicaid|All Plans $160.97 ↓ -73%
Amerigroup Medicaid|All Plans $160.97 ↓ -73%
IAMolina Medicaid|All Plans $164.13 ↓ -72%
AMPS Commercial|All Plans $203.69 ↓ -66%
Wellmark Commercial|PPO $209.19 ↓ -65%
Wellmark Commercial|HMO $209.19 ↓ -65%
BCBS - NE Commercial|BluePrint $331.22 ↓ -44%
Medica Commercial|All Other Plans $333.97 ↓ -44%
Medica Commercial|CHI Health $333.97 ↓ -44%
BCBS - NE Commercial|All Other Plans $348.65 ↓ -41%
Midlands Choice Commercial|Premier $352.32 ↓ -41%
United Commercial|All Plans $352.32 ↓ -41%
Medica Commercial|ACO $352.32 ↓ -41%
Medica Commercial|Open Access $352.32 ↓ -41%
Timpte Commercial|Broad Network $352.32 ↓ -41%
Midlands Choice Commercial|Standard $352.32 ↓ -41%
QuikTrip Commercial|All Plans $352.32 ↓ -41%
Greater Omaha Packing Commercial|Broad Network $352.32 ↓ -41%
Greater Omaha Packing Commercial|Narrow Network $352.32 ↓ -41%
Millard Public Schools Commercial|Broad Network $352.32 ↓ -41%
Millard Public Schools Commercial|Narrow Network $352.32 ↓ -41%
One World Commercial|Broad Network $352.32 ↓ -41%
One World Commercial|Narrow Network $352.32 ↓ -41%
PHCS Commercial|All Plans $359.66 ↓ -40%
MultiPlan Commercial|All Plans $359.66 ↓ -40%

Visitor-reported prices

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Proctosigmoidoscopy dx 45300 at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $219.00 not published
MercyOne Des Moines Medical Center Des Moines $2,074.15 $10.22 – $3,191.00
MercyOne Genesis Davenport Medical Center Davenport $229.80 not published
MercyOne Genesis DeWitt Medical Center DeWitt $229.80 $279.59 – $2,679.00
UnityPoint Health - Allen Hospital Waterloo $302.40 $43.45 – $755.69
UnityPoint Health - Finley Hospital Dubuque $302.40 $43.45 – $801.60
UnityPoint Health - Grinnell Regional Medical Center Grinnell $302.40 $43.45 – $907.12
UnityPoint Health - Iowa Lutheran Hospital Des Moines $302.40 $43.45 – $878.39

All Iowa hospitals for this procedure →