Tobramycin non-comp unit at CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
$33.25
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.
$67.84
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.
$12.04 with United vs $33.70 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 | $12.04 | ↓ -64% |
| Humana | Medicare|All Plans | $12.04 | ↓ -64% |
| Medica | Medicare|All Plans | $12.04 | ↓ -64% |
| PACE | Medicare|All Plans | $12.04 | ↓ -64% |
| Centene | Medicare|All Plans | $12.28 | ↓ -63% |
| Amerigroup | Medicare|All Plans | $12.64 | ↓ -62% |
| Great Plains | Medicare|All Plans | $12.64 | ↓ -62% |
| United | Medicaid|Community Plan | $14.79 | ↓ -56% |
| Total Care | Medicaid|All Plans | $15.08 | ↓ -55% |
| Amerigroup | Medicaid|All Plans | $15.08 | ↓ -55% |
| IAMolina | Medicaid|All Plans | $15.38 | ↓ -54% |
| Wellmark | Commercial|PPO | $16.53 | ↓ -50% |
| Wellmark | Commercial|HMO | $16.53 | ↓ -50% |
| AMPS | Commercial|All Plans | $26.72 | ↓ -20% |
| BCBS - NE | Commercial|BluePrint | $31.03 | ↓ -7% |
| Medica | Commercial|CHI Health | $31.29 | ↓ -6% |
| Medica | Commercial|All Other Plans | $31.29 | ↓ -6% |
| BCBS - NE | Commercial|All Other Plans | $32.67 | ↓ -2% |
| Midlands Choice | Commercial|Premier | $33.01 | ↓ -1% |
| United | Commercial|All Plans | $33.01 | ↓ -1% |
| Medica | Commercial|ACO | $33.01 | ↓ -1% |
| Medica | Commercial|Open Access | $33.01 | ↓ -1% |
| Timpte | Commercial|Broad Network | $33.01 | ↓ -1% |
| Midlands Choice | Commercial|Standard | $33.01 | ↓ -1% |
| QuikTrip | Commercial|All Plans | $33.01 | ↓ -1% |
| Greater Omaha Packing | Commercial|Broad Network | $33.01 | ↓ -1% |
| Greater Omaha Packing | Commercial|Narrow Network | $33.01 | ↓ -1% |
| Millard Public Schools | Commercial|Broad Network | $33.01 | ↓ -1% |
| Millard Public Schools | Commercial|Narrow Network | $33.01 | ↓ -1% |
| One World | Commercial|Broad Network | $33.01 | ↓ -1% |
| One World | Commercial|Narrow Network | $33.01 | ↓ -1% |
| PHCS | Commercial|All Plans | $33.70 | ↑ +1% |
| MultiPlan | Commercial|All Plans | $33.70 | ↑ +1% |
Visitor-reported prices
Comments
Tobramycin non-comp unit at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Allen Hospital | Waterloo | $12.08 | $5.60 – $17.04 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $17.88 | $0.79 – $17.04 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $12.08 | $0.40 – $17.04 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $12.08 | $3.10 – $17.04 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $7.68 | $0.80 – $17.04 |
| CHI Health Mercy Corning | Corning | $32.57 | $14.79 – $33.70 |
| CHI Health Mercy Council Bluffs | Council Bluffs | $28.50 | $5.16 – $35.76 |
| UnityPoint Health - Finley Hospital | Dubuque | not published | $14.80 – $111.48 |