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 |
|---|---|---|---|---|
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $311.02 | $634.73 | $11.90 – $97.51 | 20 |
| ER Visit (level 1, minor) CPT 99281 | $125.44 | $256.00 | $15.25 – $59.78 | 20 |
| ER Visit (level 2) CPT 99282 | $220.50 | $450.00 | $29.75 – $116.62 | 20 |
| ER Visit (level 3) CPT 99283 | $367.50 | $750.00 | $50.50 – $197.96 | 20 |
| ER Visit (level 4) CPT 99284 | $576.24 | $1,176.00 | $85.50 – $335.16 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $815.36 | $1,664.00 | $124.00 – $486.08 | 20 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $180.39 | $368.13 | $77.85 – $274.21 | 20 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $214.13 | $437.00 | $152.95 – $428.26 | 20 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $178.85 | $365.00 | $34.83 – $97.51 | 20 |
| Esophagosc dilate balloon 30 CPT 43214 | $261.66 | $534.00 | $186.90 – $523.32 | 20 |
| Esophagosc flex trnsn biopsy CPT 43198 | $295.47 | $603.00 | $211.05 – $590.94 | 20 |
| Esophagoscop mucosal resect CPT 43211 | $320.46 | $654.00 | $228.90 – $640.92 | 20 |
| Esophagoscop ultrasound exam CPT 43231 | $217.56 | $444.00 | $155.40 – $435.12 | 20 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,307.32 | $2,668.00 | $933.80 – $2,614.64 | 20 |
| Esophagoscopy control bleed CPT 43227 | $856.03 | $1,747.00 | $611.45 – $1,712.06 | 20 |
| Esophagoscopy flex biopsy CPT 43202 | $514.01 | $1,049.00 | $365.40 – $1,023.12 | 20 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $856.03 | $1,747.00 | $189.75 – $743.82 | 20 |
| Esophagoscopy flex dx brush CPT 43197 | $267.05 | $545.00 | $190.75 – $534.10 | 20 |
| Esophagoscopy flex remove fb CPT 43215 | $559.58 | $1,142.00 | $285.50 – $954.52 | 20 |
| Esophagoscopy lesion removal CPT 43216 | $588.98 | $1,202.00 | $420.70 – $1,177.96 | 20 |
| Esophagoscopy retro balloon CPT 43213 | $1,781.64 | $3,636.00 | $1,272.60 – $3,563.28 | 20 |
| Esophagoscopy rigid balloon CPT 43195 | $249.41 | $509.00 | $178.15 – $498.82 | 20 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $209.23 | $427.00 | $149.45 – $418.46 | 20 |
| Esophagoscopy snare les remv CPT 43217 | $601.23 | $1,227.00 | $429.45 – $1,202.46 | 20 |
| Esophagoscopy w/us needle bx CPT 43232 | $272.93 | $557.00 | $194.95 – $545.86 | 20 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $265.58 | $542.00 | $189.70 – $531.16 | 20 |
| Esophagoscp rig trnso biopsy CPT 43193 | $228.83 | $467.00 | $163.45 – $457.66 | 20 |
| Esophagoscp rig trnso inject CPT 43192 | $229.32 | $468.00 | $163.80 – $458.64 | 20 |
| Esophagoscp rig trnso rem fb CPT 43194 | $259.21 | $529.00 | $185.15 – $518.42 | 20 |
| Esophagus endoscopy/ligation CPT 43205 | $192.08 | $392.00 | $137.20 – $384.16 | 20 |
| Esophagus motility study CPT 91010 | $1,153.46 | $2,354.00 | $823.90 – $2,306.92 | 20 |
| Esoph egd dilation <30 mm CPT 43249 | $1,577.31 | $3,219.00 | $565.60 – $1,583.68 | 20 |
| Esoph endoscopy dilation CPT 43226 | $546.84 | $1,116.00 | $390.60 – $1,093.68 | 20 |
| Esoph optical endomicroscopy CPT 43206 | $428.75 | $875.00 | $306.25 – $857.50 | 20 |
| Esoph scope w/sclerosis inj CPT 43204 | $184.24 | $376.00 | $131.60 – $368.48 | 20 |
| Esoph scope w/submucous inj CPT 43201 | $366.52 | $748.00 | $261.80 – $733.04 | 20 |
| Established Patient Office Visit (level 1) CPT 99211 | $49.98 | $102.00 | $22.75 – $63.70 | 20 |
| Established Patient Office Visit (level 2) CPT 99212 | $77.42 | $158.00 | $28.70 – $80.36 | 20 |
| Established Patient Office Visit (level 3) CPT 99213 | $211.19 | $431.00 | $30.10 – $84.28 | 20 |
| Established Patient Office Visit (level 4) CPT 99214 | $232.26 | $474.00 | $33.95 – $95.06 | 20 |
| Established Patient Office Visit (level 5) CPT 99215 | $250.39 | $511.00 | $36.05 – $100.94 | 20 |
| Estradiol total CPT 82670 | $126.91 | $259.00 | $27.94 – $253.82 | 20 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $419.18 | $855.45 | $8.66 – $113.06 | 20 |
| Estrogens total-sendout CPT 82672 | $123.97 | $253.00 | $21.70 – $247.94 | 20 |
| Ethylene glycol -sendout CPT 82693 | $184.24 | $376.00 | $14.90 – $368.48 | 20 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $381.71 | $779.00 | $1.15 – $97.51 | 20 |
| Etoposide 50 mg cap HCPCS J8560 | $2,700.73 | $5,511.68 | $83.71 – $5,401.45 | 20 |
| Euflexxa inj per dose HCPCS J7323 | $261.43 | $533.52 | $115.57 – $522.85 | 20 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $176.40 | $360.00 | $126.00 – $352.80 | 20 |
| Evaluation of speech fluency 92521 CPT 92521 | $1,091.23 | $2,227.00 | $112.70 – $315.56 | 20 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $9,873.01 | $20,149.00 | $7,052.15 – $19,746.02 | 20 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $9,712.29 | $19,821.00 | $6,937.35 – $19,424.58 | 20 |
| Event monitor CPT 93270 | $237.65 | $485.00 | $158.55 – $443.94 | 20 |
| Exam of vagina w/scope 57420 CPT 57420 | $199.92 | $408.00 | $142.80 – $399.84 | 20 |
| Exc abd les sc 3 cm/> CPT 22903 | $1,056.93 | $2,157.00 | $754.95 – $2,113.86 | 20 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $502.25 | $1,025.00 | $358.75 – $1,004.50 | 20 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $698.74 | $1,426.00 | $499.10 – $1,397.48 | 20 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $1,698.34 | $3,466.00 | $378.70 – $1,060.36 | 20 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,081.43 | $2,207.00 | $772.45 – $2,162.86 | 20 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $270.48 | $552.00 | $90.25 – $353.78 | 20 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,324.47 | $2,703.00 | $101.50 – $397.88 | 20 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $698.74 | $1,426.00 | $190.05 – $532.14 | 20 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $698.74 | $1,426.00 | $224.00 – $627.20 | 20 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $746.27 | $1,523.00 | $113.00 – $442.96 | 20 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $1,051.05 | $2,145.00 | $103.95 – $291.06 | 20 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $1,645.42 | $3,358.00 | $325.15 – $910.42 | 20 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $338.10 | $690.00 | $152.60 – $427.28 | 20 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $639.45 | $1,305.00 | $194.25 – $543.90 | 20 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $1,074.08 | $2,192.00 | $767.20 – $2,148.16 | 20 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $855.54 | $1,746.00 | $611.10 – $1,711.08 | 20 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $745.78 | $1,522.00 | $532.70 – $1,491.56 | 20 |
| Exc face tum deep < 2 cm CPT 21013 | $1,022.63 | $2,087.00 | $730.45 – $2,045.26 | 20 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $330.26 | $674.00 | $233.45 – $653.66 | 20 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $660.52 | $1,348.00 | $309.40 – $866.32 | 20 |
| Exc ischial pr ulc prim sutr CPT 15940 | $936.88 | $1,912.00 | $669.20 – $1,873.76 | 20 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $1,258.32 | $2,568.00 | $898.80 – $2,516.64 | 20 |
| Excise pharynx lesion CPT 42808 | $1,503.32 | $3,068.00 | $162.75 – $637.98 | 20 |
| Excise/repair mouth lesion CPT 40812 | $1,000.58 | $2,042.00 | $714.70 – $2,001.16 | 20 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $922.18 | $1,882.00 | $460.25 – $1,288.70 | 20 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $328.79 | $671.00 | $171.85 – $481.18 | 20 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $761.46 | $1,554.00 | $177.10 – $495.88 | 20 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $718.83 | $1,467.00 | $169.40 – $474.32 | 20 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $1,257.34 | $2,566.00 | $309.75 – $867.30 | 20 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $936.39 | $1,911.00 | $668.85 – $1,872.78 | 20 |
| Excision of anal lesion(s) CPT 46922 | $438.55 | $895.00 | $313.25 – $877.10 | 20 |
| Excision tongue lesion without closure 41110 CPT 41110 | $936.39 | $1,911.00 | $668.85 – $1,872.78 | 20 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $1,370.53 | $2,797.00 | $706.65 – $1,978.62 | 20 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $916.30 | $1,870.00 | $654.50 – $1,832.60 | 20 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $330.26 | $674.00 | $200.55 – $561.54 | 20 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $660.52 | $1,348.00 | $263.55 – $737.94 | 20 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $1,220.10 | $2,490.00 | $706.65 – $1,978.62 | 20 |
| Exc malig feenl >4cm 11646 CPT 11646 | $1,435.21 | $2,929.00 | $492.45 – $1,378.86 | 20 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $607.60 | $1,240.00 | $434.00 – $1,215.20 | 20 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $300.37 | $613.00 | $214.55 – $600.74 | 20 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $607.60 | $1,240.00 | $290.85 – $814.38 | 20 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $300.37 | $613.00 | $214.55 – $600.74 | 20 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $301.84 | $616.00 | $215.60 – $603.68 | 20 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $300.37 | $613.00 | $214.55 – $600.74 | 20 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $607.60 | $1,240.00 | $434.00 – $1,215.20 | 20 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $607.60 | $1,240.00 | $434.00 – $1,215.20 | 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.