Sirolimus, oral 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

$5,812.78

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.

$11,862.80

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.

$2.46 with Wellmark vs $24.38 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 $2.46 ↓ -100%
Wellmark Commercial|HMO $2.46 ↓ -100%
Medica Medicare|All Plans $8.71 ↓ -100%
PACE Medicare|All Plans $8.71 ↓ -100%
United Medicare|All Plans $8.71 ↓ -100%
Humana Medicare|All Plans $8.71 ↓ -100%
Centene Medicare|All Plans $8.88 ↓ -100%
Great Plains Medicare|All Plans $9.14 ↓ -100%
Amerigroup Medicare|All Plans $9.14 ↓ -100%
United Medicaid|Community Plan $10.70 ↓ -100%
Total Care Medicaid|All Plans $10.91 ↓ -100%
Amerigroup Medicaid|All Plans $10.91 ↓ -100%
IAMolina Medicaid|All Plans $11.13 ↓ -100%
AMPS Commercial|All Plans $19.33 ↓ -100%
BCBS - NE Commercial|BluePrint $22.45 ↓ -100%
Medica Commercial|All Other Plans $22.64 ↓ -100%
Medica Commercial|CHI Health $22.64 ↓ -100%
BCBS - NE Commercial|All Other Plans $23.63 ↓ -100%
United Commercial|All Plans $23.88 ↓ -100%
Midlands Choice Commercial|Premier $23.88 ↓ -100%
Medica Commercial|ACO $23.88 ↓ -100%
Medica Commercial|Open Access $23.88 ↓ -100%
Timpte Commercial|Broad Network $23.88 ↓ -100%
Midlands Choice Commercial|Standard $23.88 ↓ -100%
QuikTrip Commercial|All Plans $23.88 ↓ -100%
Greater Omaha Packing Commercial|Broad Network $23.88 ↓ -100%
Greater Omaha Packing Commercial|Narrow Network $23.88 ↓ -100%
Millard Public Schools Commercial|Broad Network $23.88 ↓ -100%
Millard Public Schools Commercial|Narrow Network $23.88 ↓ -100%
One World Commercial|Broad Network $23.88 ↓ -100%
One World Commercial|Narrow Network $23.88 ↓ -100%
PHCS Commercial|All Plans $24.38 ↓ -100%
MultiPlan Commercial|All Plans $24.38 ↓ -100%

Visitor-reported prices

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Sirolimus, oral at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $60.62 not published
MercyOne West Des Moines Medical Center West Des Moines $3.30 $0.66 – $3.30
MercyOne Des Moines Medical Center Des Moines $6.20 $0.66 – $3.30
MercyOne Genesis Davenport Medical Center Davenport $60.62 not published
MercyOne Genesis DeWitt Medical Center DeWitt $60.62 $8.19 – $17.59
MercyOne Waterloo Medical Center Waterloo $3.30 $0.78 – $3.30
UnityPoint Health - Iowa Lutheran Hospital Des Moines $14.16 $1.14 – $3.75
UnityPoint Health - Trinity Bettendorf Bettendorf $13.59 $1.14 – $4.17

All Iowa hospitals for this procedure →