Removal of breast lesion at CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
$1,518.51
Cash price 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.
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What you pay up front if you don't use insurance.
$3,099.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$497.70 with United vs $1,393.56 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 →
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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 ?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 ?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 | $497.70 | ↓ -67% |
| Humana | Medicare|All Plans | $497.70 | ↓ -67% |
| Medica | Medicare|All Plans | $497.70 | ↓ -67% |
| PACE | Medicare|All Plans | $497.70 | ↓ -67% |
| Centene | Medicare|All Plans | $507.66 | ↓ -67% |
| Amerigroup | Medicare|All Plans | $522.59 | ↓ -66% |
| Great Plains | Medicare|All Plans | $522.59 | ↓ -66% |
| United | Medicaid|Community Plan | $611.46 | ↓ -60% |
| Total Care | Medicaid|All Plans | $623.69 | ↓ -59% |
| Amerigroup | Medicaid|All Plans | $623.69 | ↓ -59% |
| IAMolina | Medicaid|All Plans | $635.92 | ↓ -58% |
| Wellmark | Commercial|PPO | $810.54 | ↓ -47% |
| Wellmark | Commercial|HMO | $810.54 | ↓ -47% |
| AMPS | Commercial|All Plans | $1,104.90 | ↓ -27% |
| BCBS - NE | Commercial|BluePrint | $1,283.36 | ↓ -15% |
| Medica | Commercial|CHI Health | $1,294.02 | ↓ -15% |
| Medica | Commercial|All Other Plans | $1,294.02 | ↓ -15% |
| BCBS - NE | Commercial|All Other Plans | $1,350.90 | ↓ -11% |
| Midlands Choice | Commercial|Premier | $1,365.12 | ↓ -10% |
| United | Commercial|All Plans | $1,365.12 | ↓ -10% |
| Medica | Commercial|ACO | $1,365.12 | ↓ -10% |
| Medica | Commercial|Open Access | $1,365.12 | ↓ -10% |
| Timpte | Commercial|Broad Network | $1,365.12 | ↓ -10% |
| Midlands Choice | Commercial|Standard | $1,365.12 | ↓ -10% |
| QuikTrip | Commercial|All Plans | $1,365.12 | ↓ -10% |
| Greater Omaha Packing | Commercial|Broad Network | $1,365.12 | ↓ -10% |
| Greater Omaha Packing | Commercial|Narrow Network | $1,365.12 | ↓ -10% |
| Millard Public Schools | Commercial|Broad Network | $1,365.12 | ↓ -10% |
| Millard Public Schools | Commercial|Narrow Network | $1,365.12 | ↓ -10% |
| One World | Commercial|Broad Network | $1,365.12 | ↓ -10% |
| One World | Commercial|Narrow Network | $1,365.12 | ↓ -10% |
| PHCS | Commercial|All Plans | $1,393.56 | ↓ -8% |
| MultiPlan | Commercial|All Plans | $1,393.56 | ↓ -8% |
Visitor-reported prices
Comments
Removal of breast lesion at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $1,900.80 | $2,059.20 – $3,665.46 |
| MercyOne Dubuque Medical Center | Dubuque | $13,421.54 | $3.36 – $7,823.39 |
| MercyOne Des Moines Medical Center | Des Moines | $20,187.71 | $130.04 – $7,601.47 |
| MercyOne North Iowa Medical Center | Mason City | $29,514.35 | $371.96 – $8,482.70 |
| MercyOne Genesis Davenport Medical Center | Davenport | $2,196.00 | $2,379.00 – $3,665.46 |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $913.80 | $928.00 – $2,679.00 |
| MercyOne Waterloo Medical Center | Waterloo | $33,225.23 | $130.04 – $7,565.77 |
| UnityPoint Health - Allen Hospital | Waterloo | $2,454.40 | $371.96 – $3,174.00 |