Warde vitamin e (alpha-tocopherol) 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

$127.40

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.

$260.00

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.

$14.18 with United vs $254.80 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 $14.18 ↓ -89%
Humana Medicare|All Plans $14.18 ↓ -89%
Medica Medicare|All Plans $14.18 ↓ -89%
PACE Medicare|All Plans $14.18 ↓ -89%
Centene Medicare|All Plans $14.46 ↓ -89%
Amerigroup Medicare|All Plans $14.89 ↓ -88%
Great Plains Medicare|All Plans $14.89 ↓ -88%
AMPS Commercial|All Plans $31.48 ↓ -75%
United Medicaid|Community Plan $111.80 ↓ -12%
Total Care Medicaid|All Plans $114.04 ↓ -10%
Amerigroup Medicaid|All Plans $114.04 ↓ -10%
IAMolina Medicaid|All Plans $116.28 ↓ -9%
Wellmark Commercial|PPO $148.20 ↑ +16%
Wellmark Commercial|HMO $148.20 ↑ +16%
BCBS - NE Commercial|BluePrint $234.65 ↑ +84%
Medica Commercial|All Other Plans $236.60 ↑ +86%
Medica Commercial|CHI Health $236.60 ↑ +86%
BCBS - NE Commercial|All Other Plans $247.00 ↑ +94%
Midlands Choice Commercial|Standard $249.60 ↑ +96%
Midlands Choice Commercial|Premier $249.60 ↑ +96%
Medica Commercial|ACO $249.60 ↑ +96%
Medica Commercial|Open Access $249.60 ↑ +96%
Timpte Commercial|Broad Network $249.60 ↑ +96%
United Commercial|All Plans $249.60 ↑ +96%
QuikTrip Commercial|All Plans $249.60 ↑ +96%
Greater Omaha Packing Commercial|Broad Network $249.60 ↑ +96%
Greater Omaha Packing Commercial|Narrow Network $249.60 ↑ +96%
Millard Public Schools Commercial|Broad Network $249.60 ↑ +96%
Millard Public Schools Commercial|Narrow Network $249.60 ↑ +96%
One World Commercial|Broad Network $249.60 ↑ +96%
One World Commercial|Narrow Network $249.60 ↑ +96%
PHCS Commercial|All Plans $254.80 ↑ +100%
MultiPlan Commercial|All Plans $254.80 ↑ +100%

Visitor-reported prices

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Warde vitamin e (alpha-tocopherol) at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $124.80 $14.18 – $14.18
MercyOne Dubuque Medical Center Dubuque $76.05 $13.74 – $117.00
MercyOne New Hampton Medical Center New Hampton $147.55 $89.87 – $227.00
MercyOne Dyersville Medical Center Dyersville $147.55 $85.81 – $255.51
MercyOne Clinton Medical Center Clinton $76.05 $13.74 – $117.00
MercyOne Oelwein Medical Center Oelwein $147.55 $86.76 – $227.00
MercyOne Cedar Falls Medical Center Cedar Falls $130.65 $13.74 – $201.00
MercyOne Elkader Medical Center Elkader $147.55 $116.84 – $237.26

All Iowa hospitals for this procedure →