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 |
|---|---|---|---|---|
| Exc neck tum deep < 5 cm CPT 21556 | $711.97 | $1,453.00 | $508.55 – $1,423.94 | 20 |
| Exc neck tum deep 5 cm/> CPT 21554 | $878.08 | $1,792.00 | $627.20 – $1,756.16 | 20 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $496.37 | $1,013.00 | $354.55 – $992.74 | 20 |
| Exc prtl bn phlnx toe CPT 28124 | $1,088.29 | $2,221.00 | $777.35 – $2,176.58 | 20 |
| Exc rect tum transanal part CPT 45171 | $838.88 | $1,712.00 | $599.20 – $1,677.76 | 20 |
| Exc sacral pr ulc prim sutr CPT 15931 | $932.47 | $1,903.00 | $666.05 – $1,864.94 | 20 |
| Exc sacral pr ulc skn flap CPT 15934 | $1,268.61 | $2,589.00 | $906.15 – $2,537.22 | 20 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $607.60 | $1,240.00 | $248.85 – $696.78 | 20 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $1,124.06 | $2,294.00 | $330.05 – $924.14 | 20 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $1,474.41 | $3,009.00 | $1,053.15 – $2,948.82 | 20 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $1,198.54 | $2,446.00 | $472.85 – $1,323.98 | 20 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $595.35 | $1,215.00 | $425.25 – $1,190.70 | 20 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $976.57 | $1,993.00 | $697.55 – $1,953.14 | 20 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,209.81 | $2,469.00 | $864.15 – $2,419.62 | 20 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $560.56 | $1,144.00 | $400.40 – $1,121.12 | 20 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | $1,029.49 | $2,101.00 | $735.35 – $2,058.98 | 20 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $989.80 | $2,020.00 | $707.00 – $1,979.60 | 20 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,601.81 | $3,269.00 | $151.25 – $592.90 | 20 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,124.06 | $2,294.00 | $802.90 – $2,248.12 | 20 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,421.09 | $4,941.00 | $208.95 – $585.06 | 20 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,894.07 | $5,906.25 | $27.72 – $77.62 | 20 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $774.20 | $1,580.00 | $218.05 – $610.54 | 20 |
| Explore wound abdomen 20102 CPT 20102 | $988.82 | $2,018.00 | $436.75 – $1,712.06 | 20 |
| Explore woundchest 20101 CPT 20101 | $820.75 | $1,675.00 | $586.25 – $1,641.50 | 20 |
| Explore wound neck 20100 CPT 20100 | $802.13 | $1,637.00 | $572.95 – $1,604.26 | 20 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $1,211.09 | $2,471.60 | $865.06 – $2,422.17 | 20 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $281.75 | $575.00 | $201.25 – $563.50 | 20 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $34.30 | $70.00 | $24.50 – $68.60 | 20 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $37.73 | $77.00 | $26.95 – $75.46 | 20 |
| Extensive testis surgery CPT 54535 | $1,014.30 | $2,070.00 | $724.50 – $2,028.60 | 20 |
| Extensive thyroid surgery CPT 60254 | $2,231.95 | $4,555.00 | $1,594.25 – $4,463.90 | 20 |
| External chromosome analysis 20-25 cells CPT 88264 | $370.44 | $756.00 | $144.61 – $740.88 | 20 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $43.61 | $89.00 | $31.15 – $87.22 | 20 |
| External recharg sys intern HCPCS L8689 | $2,690.10 | $5,490.00 | $525.00 – $1,470.00 | 20 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $576.24 | $1,176.00 | $143.75 – $1,152.48 | 20 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $129.85 | $265.00 | $17.93 – $259.70 | 20 |
| F-18 fdg pet diag HCPCS A9552 | $255.29 | $521.00 | $182.35 – $510.58 | 20 |
| Fabrication & fitting HCPCS V2628 | $107.61 | $219.60 | $25.62 – $71.74 | 20 |
| Facial bones <3 CPT 70140 | $108.78 | $222.00 | $77.70 – $217.56 | 20 |
| Facility svs dental rehab HCPCS G0330 | $1,004.99 | $2,051.00 | $717.85 – $2,009.98 | 20 |
| Factor ix CPT 85250 | $363.09 | $741.00 | $19.04 – $726.18 | 20 |
| Factor ix complex HCPCS J7194 | $48.76 | $99.50 | $1.61 – $97.51 | 20 |
| Factor ix recombinant nos HCPCS J7195 | $48.76 | $99.50 | $1.75 – $97.51 | 20 |
| Factor viii CPT 85240 | $142.59 | $291.00 | $17.90 – $285.18 | 20 |
| Factor viii HCPCS J7190 | $48.76 | $99.50 | $1.11 – $97.51 | 20 |
| Factor viii recombinant nos HCPCS J7192 | $48.76 | $99.50 | $1.51 – $97.51 | 20 |
| Family therapy without pt 50min 90846 CPT 90846 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Family therapy with patient 50 min 90847 CPT 90847 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $7,164.98 | $14,622.40 | $29.84 – $14,329.96 | 20 |
| Fat/lipids feces qualitative CPT 82705 | $23.52 | $48.00 | $5.10 – $47.04 | 20 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $17,640.00 | $36,000.00 | $12,600.00 – $35,280.00 | 20 |
| #fecal-sodium CPT 84302 | $31.36 | $64.00 | $4.86 – $62.72 | 20 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $204.33 | $417.00 | $18.64 – $408.66 | 20 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $165.38 | $337.50 | $0.99 – $97.51 | 20 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,002.73 | $4,087.20 | $1.09 – $879.95 | 20 |
| Ferritin CPT 82728 | $133.77 | $273.00 | $13.63 – $41.16 | 20 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $448.16 | $914.60 | $0.39 – $739.46 | 20 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $278.81 | $569.00 | $199.15 – $557.62 | 20 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $176.40 | $360.00 | $126.00 – $352.80 | 20 |
| Fetal fibronectin CPT 82731 | $252.84 | $516.00 | $64.41 – $505.68 | 20 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $203.35 | $415.00 | $7.73 – $406.70 | 20 |
| Fetal hemoglobin rosette CPT 85461 | $73.99 | $151.00 | $9.36 – $147.98 | 20 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $21.07 | $43.00 | $18.49 – $42.89 | 20 |
| Fetal monitor w/report CPT 59050 | $73.01 | $149.00 | $52.15 – $146.02 | 20 |
| Fetal non stress test CPT 59025 | $211.19 | $431.00 | $32.75 – $128.38 | 20 |
| Fibrin degradation d dimer quantitative CPT 85379 | $96.04 | $196.00 | $9.46 – $22.60 | 20 |
| Fibrin degradation products CPT 85362 | $80.36 | $164.00 | $6.89 – $160.72 | 20 |
| Fibrin degrade semiquant CPT 85378 | $62.72 | $128.00 | $9.46 – $21.58 | 20 |
| Fibrinogen activity CPT 85384 | $64.19 | $131.00 | $9.72 – $128.38 | 20 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $153.86 | $314.00 | $15.48 – $307.72 | 20 |
| Fibrinolytic antiplasmin CPT 85410 | $103.39 | $211.00 | $7.71 – $206.78 | 20 |
| Fibrinolytic plasminogen CPT 85415 | $131.81 | $269.00 | $17.19 – $263.62 | 20 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $136.22 | $278.00 | $6.53 – $272.44 | 20 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $307.85 | $628.26 | $0.29 – $384.79 | 20 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $48.76 | $99.50 | $0.99 – $97.51 | 20 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $1,097.02 | $2,238.80 | $0.42 – $936.44 | 20 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $3,967.90 | $8,097.75 | $603.75 – $1,690.50 | 20 |
| Filter vena cava fem denali HCPCS C1880 | $2,681.14 | $5,471.70 | $40.60 – $113.68 | 20 |
| Fine needle asp without image guide 10021 CPT 10021 | $181.30 | $370.00 | $71.50 – $280.28 | 20 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,748.63 | $5,609.43 | $181.44 – $508.04 | 20 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $780.08 | $1,592.00 | $8.05 – $22.54 | 20 |
| Fl exam g/colon tube w contrast CPT 49465 | $96.53 | $197.00 | $68.95 – $193.06 | 20 |
| Flexible Sigmoidoscopy CPT 45330 | $262.15 | $535.00 | $53.90 – $150.92 | 20 |
| Floor of mouth biopsy 41108 CPT 41108 | $704.62 | $1,438.00 | $503.30 – $1,409.24 | 20 |
| Flow cytometry marker each additional CPT 88185 | $73.99 | $151.00 | $12.25 – $34.30 | 20 |
| Flow cytometry one marker technical component CPT 88184 | $410.13 | $837.00 | $10.50 – $29.40 | 20 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $101.31 | $206.75 | $2.77 – $97.51 | 20 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $609.22 | $1,243.30 | $58.65 – $164.20 | 20 |
| Fluidotherapy charges pt CPT 97022 | $41.65 | $85.00 | $21.70 – $60.76 | 20 |
| Fluid pressure muscle 20950 CPT 20950 | $405.23 | $827.00 | $188.00 – $736.96 | 20 |
| Fluorescent antibody titer dna CPT 86256 | $95.55 | $195.00 | $12.05 – $191.10 | 20 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $245.49 | $501.00 | $175.35 – $490.98 | 20 |
| Fluoroguide needle placement CPT 77002 | $553.21 | $1,129.00 | $384.30 – $1,076.04 | 20 |
| Fluoroscopy up to 1 hour CPT 76000 | $327.81 | $669.00 | $42.00 – $117.60 | 20 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $145.53 | $297.00 | $3.23 – $97.51 | 20 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $135.73 | $277.00 | $9.72 – $170.28 | 20 |
| Foam drg >16<=48 sq in w/bdr HCPCS A6213 | $43.52 | $88.80 | $7.37 – $20.61 | 20 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $11.96 | $24.40 | $3.99 – $11.18 | 20 |
| Foam drg > 48 sq in without brdr HCPCS A6211 | $14.07 | $28.70 | $10.05 – $28.13 | 20 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $18.65 | $38.05 | $3.99 – $11.18 | 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.