Total Knee Replacement at CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
$1,709.12
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.
$3,488.00
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.
$1,220.80 with United vs $3,418.24 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 | $1,220.80 | ↓ -29% |
| Humana | Medicare|All Plans | $1,220.80 | ↓ -29% |
| Medica | Medicare|All Plans | $1,220.80 | ↓ -29% |
| PACE | Medicare|All Plans | $1,220.80 | ↓ -29% |
| Centene | Medicare|All Plans | $1,245.22 | ↓ -27% |
| Amerigroup | Medicare|All Plans | $1,281.84 | ↓ -25% |
| Great Plains | Medicare|All Plans | $1,281.84 | ↓ -25% |
| United | Medicaid|Community Plan | $1,499.84 | ↓ -12% |
| Total Care | Medicaid|All Plans | $1,529.84 | ↓ -10% |
| Amerigroup | Medicaid|All Plans | $1,529.84 | ↓ -10% |
| IAMolina | Medicaid|All Plans | $1,559.84 | ↓ -9% |
| Wellmark | Commercial|PPO | $1,988.16 | ↑ +16% |
| Wellmark | Commercial|HMO | $1,988.16 | ↑ +16% |
| AMPS | Commercial|All Plans | $2,710.18 | ↑ +59% |
| BCBS - NE | Commercial|BluePrint | $3,147.92 | ↑ +84% |
| Medica | Commercial|CHI Health | $3,174.08 | ↑ +86% |
| Medica | Commercial|All Other Plans | $3,174.08 | ↑ +86% |
| BCBS - NE | Commercial|All Other Plans | $3,313.60 | ↑ +94% |
| Midlands Choice | Commercial|Premier | $3,348.48 | ↑ +96% |
| United | Commercial|All Plans | $3,348.48 | ↑ +96% |
| Medica | Commercial|ACO | $3,348.48 | ↑ +96% |
| Medica | Commercial|Open Access | $3,348.48 | ↑ +96% |
| Timpte | Commercial|Broad Network | $3,348.48 | ↑ +96% |
| Midlands Choice | Commercial|Standard | $3,348.48 | ↑ +96% |
| QuikTrip | Commercial|All Plans | $3,348.48 | ↑ +96% |
| Greater Omaha Packing | Commercial|Broad Network | $3,348.48 | ↑ +96% |
| Greater Omaha Packing | Commercial|Narrow Network | $3,348.48 | ↑ +96% |
| Millard Public Schools | Commercial|Broad Network | $3,348.48 | ↑ +96% |
| Millard Public Schools | Commercial|Narrow Network | $3,348.48 | ↑ +96% |
| One World | Commercial|Broad Network | $3,348.48 | ↑ +96% |
| One World | Commercial|Narrow Network | $3,348.48 | ↑ +96% |
| PHCS | Commercial|All Plans | $3,418.24 | ↑ +100% |
| MultiPlan | Commercial|All Plans | $3,418.24 | ↑ +100% |
Visitor-reported prices
Comments
Total Knee Replacement at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Dubuque Medical Center | Dubuque | $39,409.48 | $1.92 – $25,652.84 |
| MercyOne New Hampton Medical Center | New Hampton | $22,449.86 | $0.96 – $27.00 |
| MercyOne Clinton Medical Center | Clinton | $34,613.25 | $9.09 – $27,474.19 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $106,863.76 | $9.09 – $24,808.12 |
| MercyOne West Des Moines Medical Center | West Des Moines | $40,880.10 | $9.09 – $24,925.18 |
| MercyOne Centerville Medical Center | Centerville | $50,618.79 | $9.09 – $2,835.00 |
| MercyOne Newton Medical Center | Newton | $33,085.71 | $9.09 – $24,925.18 |
| MercyOne North Iowa Medical Center | Mason City | $76,625.63 | $9.09 – $27,814.73 |