Puncture arterial withdrawal blood for diagnosis 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

$51.94

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.

$106.00

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.

$20.00 with United vs $78.40 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 $20.00 ↓ -61%
Humana Medicare|All Plans $20.00 ↓ -61%
Medica Medicare|All Plans $20.00 ↓ -61%
PACE Medicare|All Plans $20.00 ↓ -61%
Centene Medicare|All Plans $20.40 ↓ -61%
Amerigroup Medicare|All Plans $21.00 ↓ -60%
Great Plains Medicare|All Plans $21.00 ↓ -60%
United Medicaid|Community Plan $34.40 ↓ -34%
Total Care Medicaid|All Plans $35.09 ↓ -32%
Amerigroup Medicaid|All Plans $35.09 ↓ -32%
IAMolina Medicaid|All Plans $35.78 ↓ -31%
AMPS Commercial|All Plans $44.40 ↓ -15%
Wellmark Commercial|PPO $45.60 ↓ -12%
Wellmark Commercial|HMO $45.60 ↓ -12%
BCBS - NE Commercial|BluePrint $72.20 ↑ +39%
Medica Commercial|All Other Plans $72.80 ↑ +40%
Medica Commercial|CHI Health $72.80 ↑ +40%
BCBS - NE Commercial|All Other Plans $76.00 ↑ +46%
Midlands Choice Commercial|Premier $76.80 ↑ +48%
United Commercial|All Plans $76.80 ↑ +48%
Medica Commercial|ACO $76.80 ↑ +48%
Medica Commercial|Open Access $76.80 ↑ +48%
Timpte Commercial|Broad Network $76.80 ↑ +48%
Midlands Choice Commercial|Standard $76.80 ↑ +48%
QuikTrip Commercial|All Plans $76.80 ↑ +48%
Greater Omaha Packing Commercial|Broad Network $76.80 ↑ +48%
Greater Omaha Packing Commercial|Narrow Network $76.80 ↑ +48%
Millard Public Schools Commercial|Broad Network $76.80 ↑ +48%
Millard Public Schools Commercial|Narrow Network $76.80 ↑ +48%
One World Commercial|Broad Network $76.80 ↑ +48%
One World Commercial|Narrow Network $76.80 ↑ +48%
PHCS Commercial|All Plans $78.40 ↑ +51%
MultiPlan Commercial|All Plans $78.40 ↑ +51%

Visitor-reported prices

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Puncture arterial withdrawal blood for diagnosis at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $57.60 $14.30 – $123.39
MercyOne New Hampton Medical Center New Hampton $113.75 $69.28 – $175.00
MercyOne Oelwein Medical Center Oelwein $113.75 $66.89 – $175.00
MercyOne Cedar Falls Medical Center Cedar Falls $100.10 $36.19 – $257.09
MercyOne Elkader Medical Center Elkader $113.75 $90.07 – $182.91
MercyOne West Des Moines Medical Center West Des Moines $231.00 $46.43 – $258.30
MercyOne Centerville Medical Center Centerville $175.00 $48.02 – $175.00
MercyOne Newton Medical Center Newton $494.00 $9.09 – $258.30

All Iowa hospitals for this procedure →