Spirometry bronchodilation responsiveness pre/post bronchodilator administration 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

$366.03

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.

Full explanation →

What you pay up front if you don't use insurance.

$747.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$261.45 with United vs $732.06 with MultiPlan — same scan, same building. Share

Negotiated rates by payer
?

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 $261.45 ↓ -29%
Humana Medicare|All Plans $261.45 ↓ -29%
Medica Medicare|All Plans $261.45 ↓ -29%
PACE Medicare|All Plans $261.45 ↓ -29%
Centene Medicare|All Plans $266.68 ↓ -27%
Amerigroup Medicare|All Plans $274.53 ↓ -25%
Great Plains Medicare|All Plans $274.53 ↓ -25%
United Medicaid|Community Plan $321.21 ↓ -12%
Total Care Medicaid|All Plans $327.64 ↓ -10%
Amerigroup Medicaid|All Plans $327.64 ↓ -10%
IAMolina Medicaid|All Plans $334.06 ↓ -9%
Wellmark Commercial|PPO $425.79 ↑ +16%
Wellmark Commercial|HMO $425.79 ↑ +16%
AMPS Commercial|All Plans $580.42 ↑ +59%
BCBS - NE Commercial|BluePrint $674.17 ↑ +84%
Medica Commercial|CHI Health $679.77 ↑ +86%
Medica Commercial|All Other Plans $679.77 ↑ +86%
BCBS - NE Commercial|All Other Plans $709.65 ↑ +94%
Midlands Choice Commercial|Premier $717.12 ↑ +96%
United Commercial|All Plans $717.12 ↑ +96%
Medica Commercial|ACO $717.12 ↑ +96%
Medica Commercial|Open Access $717.12 ↑ +96%
Timpte Commercial|Broad Network $717.12 ↑ +96%
Midlands Choice Commercial|Standard $717.12 ↑ +96%
QuikTrip Commercial|All Plans $717.12 ↑ +96%
Greater Omaha Packing Commercial|Broad Network $717.12 ↑ +96%
Greater Omaha Packing Commercial|Narrow Network $717.12 ↑ +96%
Millard Public Schools Commercial|Broad Network $717.12 ↑ +96%
Millard Public Schools Commercial|Narrow Network $717.12 ↑ +96%
One World Commercial|Broad Network $717.12 ↑ +96%
One World Commercial|Narrow Network $717.12 ↑ +96%
PHCS Commercial|All Plans $732.06 ↑ +100%
MultiPlan Commercial|All Plans $732.06 ↑ +100%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Spirometry bronchodilation responsiveness pre/post bronchodilator administration at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $398.40 $147.55 – $298.08
MercyOne Dubuque Medical Center Dubuque $1,017.90 $195.00 – $745.60
MercyOne New Hampton Medical Center New Hampton $453.05 $275.94 – $697.00
MercyOne Oelwein Medical Center Oelwein $453.05 $266.39 – $697.00
MercyOne Cedar Falls Medical Center Cedar Falls $491.40 $177.66 – $791.00
MercyOne Elkader Medical Center Elkader $453.05 $358.75 – $728.50
MercyOne Des Moines Medical Center Des Moines $421.85 $6.60 – $724.45
MercyOne Centerville Medical Center Centerville $697.00 $6.60 – $697.00

All Iowa hospitals for this procedure →