Warde adenosine deaminase pleural fluid 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

$175.42

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.

$358.00

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.

$8.10 with United vs $237.16 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
United Medicare|All Plans $8.10 ↓ -95%
Humana Medicare|All Plans $8.10 ↓ -95%
Medica Medicare|All Plans $8.10 ↓ -95%
PACE Medicare|All Plans $8.10 ↓ -95%
Centene Medicare|All Plans $8.26 ↓ -95%
Amerigroup Medicare|All Plans $8.51 ↓ -95%
Great Plains Medicare|All Plans $8.51 ↓ -95%
AMPS Commercial|All Plans $17.98 ↓ -90%
United Medicaid|Community Plan $104.06 ↓ -41%
Total Care Medicaid|All Plans $106.15 ↓ -39%
Amerigroup Medicaid|All Plans $106.15 ↓ -39%
IAMolina Medicaid|All Plans $108.23 ↓ -38%
Wellmark Commercial|PPO $137.94 ↓ -21%
Wellmark Commercial|HMO $137.94 ↓ -21%
BCBS - NE Commercial|BluePrint $218.41 ↑ +25%
Medica Commercial|All Other Plans $220.22 ↑ +26%
Medica Commercial|CHI Health $220.22 ↑ +26%
BCBS - NE Commercial|All Other Plans $229.90 ↑ +31%
Midlands Choice Commercial|Standard $232.32 ↑ +32%
Midlands Choice Commercial|Premier $232.32 ↑ +32%
Medica Commercial|ACO $232.32 ↑ +32%
Medica Commercial|Open Access $232.32 ↑ +32%
Timpte Commercial|Broad Network $232.32 ↑ +32%
United Commercial|All Plans $232.32 ↑ +32%
QuikTrip Commercial|All Plans $232.32 ↑ +32%
Greater Omaha Packing Commercial|Broad Network $232.32 ↑ +32%
Greater Omaha Packing Commercial|Narrow Network $232.32 ↑ +32%
Millard Public Schools Commercial|Broad Network $232.32 ↑ +32%
Millard Public Schools Commercial|Narrow Network $232.32 ↑ +32%
One World Commercial|Broad Network $232.32 ↑ +32%
One World Commercial|Narrow Network $232.32 ↑ +32%
PHCS Commercial|All Plans $237.16 ↑ +35%
MultiPlan Commercial|All Plans $237.16 ↑ +35%

Visitor-reported prices

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Warde adenosine deaminase pleural fluid at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $331.80 $8.10 – $8.10
MercyOne Dubuque Medical Center Dubuque $132.60 $7.85 – $204.00
MercyOne Clinton Medical Center Clinton $77.35 $7.85 – $119.00
MercyOne Oelwein Medical Center Oelwein $109.85 $64.59 – $169.00
MercyOne West Des Moines Medical Center West Des Moines $204.00 $7.85 – $204.00
MercyOne Des Moines Medical Center Des Moines $132.60 $7.85 – $204.00
MercyOne Centerville Medical Center Centerville $169.00 $46.37 – $169.00
MercyOne Newton Medical Center Newton $109.85 $7.85 – $169.00

All Iowa hospitals for this procedure →