CHI Health Missouri Valley
631 North 8th Street, Missouri Valley, IA · Chihealth · · NPI 1508964123
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Destruction premal lesions 15/> 17004 CPT 17004 | $208.74 | $426.00 | $149.10 – $417.48 | 20 |
| Destruction vag lesions simple 57061 CPT 57061 | $1,323.00 | $2,700.00 | $945.00 – $2,646.00 | 20 |
| Detect agent nos dna dir CPT 87797 | $60.76 | $124.00 | $26.23 – $66.67 | 20 |
| Detect agnt mult dna direc CPT 87800 | $90.65 | $185.00 | $43.67 – $181.30 | 20 |
| Device ablt adv novasure HCPCS C1886 | $6,208.84 | $12,671.10 | $689.68 – $1,931.09 | 20 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,235.87 | $4,563.00 | $1,535.63 – $4,299.75 | 20 |
| Device intraute mirena HCPCS J7298 | $2,142.62 | $4,372.68 | $1,156.79 – $4,285.23 | 20 |
| Device sut capio slim opn HCPCS C2631 | $727.89 | $1,485.48 | $231.00 – $646.80 | 20 |
| Device tiss remov myosure reach HCPCS C1782 | $1,218.88 | $2,487.50 | $299.25 – $837.90 | 20 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $147.00 | $300.00 | $105.00 – $294.00 | 20 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $266.56 | $544.00 | $0.08 – $3.43 | 20 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $76.08 | $155.25 | $0.12 – $97.51 | 20 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,229.10 | $2,508.35 | $91.09 – $323.31 | 20 |
| Dextran 40 infusion HCPCS J7100 | $101.31 | $206.75 | $39.04 – $202.62 | 20 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $101.31 | $206.75 | $1.13 – $202.62 | 20 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $101.31 | $206.75 | $7.73 – $202.62 | 20 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $101.31 | $206.75 | $1.80 – $97.51 | 20 |
| Dextrose 5 % IV bolus HCPCS J7070 | $101.31 | $206.75 | $3.60 – $202.62 | 20 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $121.03 | $247.00 | $22.23 – $242.06 | 20 |
| Diabetes (HbA1c) Test CPT 83036 | $67.62 | $138.00 | $9.71 – $29.40 | 20 |
| Diab manage trn ind/group HCPCS G0109 | $16.17 | $33.00 | $11.55 – $32.34 | 20 |
| Diag bronchoscope/catheter CPT 31643 | $940.80 | $1,920.00 | $672.00 – $1,881.60 | 20 |
| Diag laparo separate proc 49320 CPT 49320 | $436.10 | $890.00 | $311.50 – $872.20 | 20 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $168.56 | $344.00 | $86.00 – $316.54 | 20 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $193.06 | $394.00 | $137.90 – $386.12 | 20 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $150.92 | $308.00 | $107.80 – $301.84 | 20 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $125.93 | $257.00 | $60.55 – $169.54 | 20 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $178.36 | $364.00 | $85.75 – $240.10 | 20 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $150.92 | $308.00 | $107.80 – $301.84 | 20 |
| Diagnostic Mammogram (one breast) CPT 77065 | $150.92 | $308.00 | $78.75 – $220.50 | 20 |
| Dialysis one evaluation CPT 90945 | $1,919.82 | $3,918.00 | $1,371.30 – $3,839.64 | 20 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $89.55 | $182.75 | $6.54 – $97.51 | 20 |
| Dicyclomine injection HCPCS J0500 | $188.36 | $384.40 | $24.99 – $97.51 | 20 |
| Diffusing capacity CPT 94729 | $312.13 | $637.00 | $222.95 – $624.26 | 20 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $309.74 | $632.11 | $9.06 – $97.51 | 20 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,759.78 | $23,999.55 | $4,777.44 – $23,519.56 | 20 |
| Digoxin total therapeutic drug level CPT 80162 | $78.40 | $160.00 | $13.28 – $40.18 | 20 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $2,743.80 | $5,599.59 | $37.12 – $200.91 | 20 |
| Dilate biliary duct/ampulla CPT 47542 | $995.68 | $2,032.00 | $711.20 – $1,991.36 | 20 |
| Dilate esophagus CPT 43453 | $395.92 | $808.00 | $282.80 – $791.84 | 20 |
| Dilate esophagus 1/mult pass CPT 43450 | $637.49 | $1,301.00 | $135.25 – $530.18 | 20 |
| Dilate urethra stricture CPT 53600 | $212.17 | $433.00 | $62.00 – $243.04 | 20 |
| Dilate urethra stricture CPT 53601 | $161.70 | $330.00 | $59.25 – $232.26 | 20 |
| Dilation/female urethra/initial 53660 CPT 53660 | $135.24 | $276.00 | $96.60 – $270.48 | 20 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,340.64 | $2,736.00 | $122.00 – $478.24 | 20 |
| Dilator fascial 10fx20cm HCPCS C2627 | $476.28 | $972.00 | $42.40 – $118.72 | 20 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,308.11 | $2,669.60 | $680.16 – $2,616.21 | 20 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $48.76 | $99.50 | $0.82 – $97.51 | 20 |
| Disability dlco CPT 94727 | $370.93 | $757.00 | $264.95 – $741.86 | 20 |
| Disaccharidases CPT 82657 | $459.13 | $937.00 | $22.17 – $77.42 | 20 |
| Dna antibody native/double stranded CPT 86225 | $182.28 | $372.00 | $13.74 – $41.16 | 20 |
| Dna gardnerella CPT 87510 | $50.96 | $104.00 | $20.05 – $59.78 | 20 |
| Dna probe chlamydia CPT 87490 | $71.54 | $146.00 | $22.75 – $59.78 | 20 |
| Dna probe gc CPT 87590 | $57.33 | $117.00 | $26.23 – $59.78 | 20 |
| Dna trichomonas CPT 87660 | $120.54 | $246.00 | $20.05 – $59.78 | 20 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $101.31 | $206.75 | $9.26 – $97.51 | 20 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $1,251.54 | $2,554.16 | $0.95 – $97.51 | 20 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $101.31 | $206.75 | $0.82 – $97.51 | 20 |
| Doppler echo complete CPT 93320 | $181.79 | $371.00 | $129.85 – $363.58 | 20 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $416.01 | $849.00 | $297.15 – $832.02 | 20 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $438.06 | $894.00 | $80.50 – $225.40 | 20 |
| Dornhoffer fixed part w/window HCPCS L8614 | $13,450.57 | $27,450.13 | $5,113.76 – $14,318.53 | 20 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $27,774.16 | $56,681.95 | $19,838.69 – $55,548.32 | 20 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $475.35 | $970.10 | $3.99 – $97.51 | 20 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $3,713.22 | $7,578.00 | $125.78 – $584.87 | 20 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $283.71 | $579.00 | $69.65 – $195.02 | 20 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $326.83 | $667.00 | $85.05 – $238.14 | 20 |
| Drainage external ear simple 69000 CPT 69000 | $257.74 | $526.00 | $85.05 – $238.14 | 20 |
| Drainage mouth roof lesion CPT 42000 | $222.46 | $454.00 | $113.50 – $437.08 | 20 |
| Drainage of arm bursa 23931 CPT 23931 | $419.93 | $857.00 | $214.25 – $744.80 | 20 |
| Drainage of nose lesion sept 30020 CPT 30020 | $378.77 | $773.00 | $193.25 – $553.70 | 20 |
| Drainage of rectal abscess CPT 45005 | $473.83 | $967.00 | $226.00 – $885.92 | 20 |
| Drain blood from under nail 11740 CPT 11740 | $78.89 | $161.00 | $29.40 – $82.32 | 20 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,821.33 | $3,717.00 | $1,300.95 – $3,642.66 | 20 |
| Drain cath image guided visceral pq CPT 49405 | $966.28 | $1,972.00 | $690.20 – $1,932.56 | 20 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $107.77 | $219.92 | $31.36 – $87.81 | 20 |
| Drain finger abscess;simple 26010 CPT 26010 | $485.59 | $991.00 | $100.45 – $281.26 | 20 |
| Drain lower leg lesion 27603 CPT 27603 | $1,765.47 | $3,603.00 | $1,261.05 – $3,530.94 | 20 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,734.11 | $3,539.00 | $1,238.65 – $3,468.22 | 20 |
| Drain thigh/knee lesion 27301 CPT 27301 | $1,182.37 | $2,413.00 | $467.00 – $1,830.64 | 20 |
| Drain thyroid/tongue cyst CPT 60000 | $488.53 | $997.00 | $129.25 – $506.66 | 20 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $221.48 | $452.00 | $153.65 – $430.22 | 20 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $152.39 | $311.00 | $82.60 – $231.28 | 20 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $332.71 | $679.00 | $191.10 – $535.08 | 20 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $358.19 | $731.00 | $255.85 – $716.38 | 20 |
| Drng appendix abscess open 44900 CPT 44900 | $1,034.88 | $2,112.00 | $739.20 – $2,069.76 | 20 |
| Drng of eyelid abscess 67700 CPT 67700 | $398.86 | $814.00 | $137.90 – $386.12 | 20 |
| Drng of hydrocele 55000 CPT 55000 | $144.55 | $295.00 | $103.25 – $289.10 | 20 |
| Drng of scrotum abscess 55100 CPT 55100 | $708.54 | $1,446.00 | $161.75 – $634.06 | 20 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $793.41 | $1,619.20 | $0.84 – $16.76 | 20 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $48.76 | $99.50 | $9.31 – $97.51 | 20 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $586.17 | $1,196.25 | $104.37 – $292.23 | 20 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $2,277.22 | $4,647.38 | $12.42 – $2,024.19 | 20 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $1,797.16 | $3,667.66 | $8.97 – $1,597.47 | 20 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,460.71 | $15,225.93 | $48.88 – $4,076.89 | 20 |
| Drug assay caffeine CPT 80155 | $48.02 | $98.00 | $38.57 – $96.04 | 20 |
| Drug assay voriconazole CPT 80285 | $110.74 | $226.00 | $27.11 – $221.48 | 20 |
| Drug of abuse screen urine CPT 80305 | $118.09 | $241.00 | $12.60 – $236.18 | 20 |
| Drug screen quant tiagabine CPT 80199 | $128.87 | $263.00 | $27.11 – $257.74 | 20 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.