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 |
|---|---|---|---|---|
| Folic acid CPT 82746 | $130.83 | $267.00 | $14.70 – $44.10 | 20 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $3,361.16 | $6,859.50 | $12.43 – $1,832.07 | 20 |
| Fondaparinux sodium HCPCS J1652 | $213.11 | $434.91 | $1.03 – $97.51 | 20 |
| Foot plas heel stabi pre ots HCPCS L3170 | $77.91 | $159.00 | $27.85 – $77.96 | 20 |
| Foot X-ray CPT 73630 | $207.27 | $423.00 | $20.65 – $57.82 | 20 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $167.09 | $341.00 | $119.35 – $334.18 | 20 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $749.73 | $1,530.05 | $0.13 – $97.51 | 20 |
| Foscarnet sodium injection HCPCS J1455 | $762.93 | $1,557.00 | $60.00 – $609.56 | 20 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $271.78 | $554.65 | $2.48 – $97.51 | 20 |
| Fracture assessment via dxa CPT 77086 | $220.99 | $451.00 | $157.85 – $441.98 | 20 |
| Frenotomy 40806 CPT 40806 | $272.93 | $557.00 | $194.95 – $545.86 | 20 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $78.40 | $160.00 | $56.00 – $156.80 | 20 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $87.22 | $178.00 | $62.30 – $174.44 | 20 |
| Fresh frozen plasma thawing ea un CPT 86927 | $22.05 | $45.00 | $15.75 – $44.10 | 20 |
| Fructosamine glycated protein CPT 82985 | $88.69 | $181.00 | $16.76 – $177.38 | 20 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,847.88 | $5,812.00 | $646.25 – $2,533.30 | 20 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $48.76 | $99.50 | $0.61 – $97.51 | 20 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $94.57 | $193.00 | $67.55 – $189.14 | 20 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $89.31 | $182.25 | $34.83 – $97.51 | 20 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $109.30 | $223.05 | $3.85 – $10.78 | 20 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $186.00 | $379.58 | $34.83 – $97.51 | 20 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $318.09 | $649.15 | $8.40 – $23.52 | 20 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $115.64 | $236.00 | $21.07 – $231.28 | 20 |
| Galactose transferase test CPT 82776 | $20.09 | $41.00 | $11.74 – $40.18 | 20 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $872.20 | $1,780.00 | $623.00 – $1,744.40 | 20 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,079.18 | $2,202.40 | $49.06 – $2,158.36 | 20 |
| Gammaglobulin iga CPT 82784 | $94.08 | $192.00 | $9.30 – $90.16 | 20 |
| Gammaglobulin ige CPT 82785 | $70.07 | $143.00 | $16.46 – $140.14 | 20 |
| Gamma glutamyltransferase CPT 82977 | $47.04 | $96.00 | $7.20 – $21.56 | 20 |
| Gamunex-c/gammaked HCPCS J1561 | $7,634.20 | $15,580.00 | $34.83 – $97.51 | 20 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $112.04 | $228.65 | $44.10 – $150.14 | 20 |
| Gastroduodenostomy CPT 43810 | $1,337.21 | $2,729.00 | $955.15 – $2,674.42 | 20 |
| Gastroesophageal reflux study CPT 78262 | $623.77 | $1,273.00 | $445.55 – $1,247.54 | 20 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $1,768.41 | $3,609.00 | $1,263.15 – $3,536.82 | 20 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $1,723.82 | $3,518.00 | $1,231.30 – $3,447.64 | 20 |
| Gastro/jejuno tube, std HCPCS B4087 | $194.82 | $397.59 | $12.31 – $34.45 | 20 |
| Gated heart multiple CPT 78473 | $974.12 | $1,988.00 | $695.80 – $1,948.24 | 20 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $254.17 | $518.70 | $3.99 – $97.51 | 20 |
| General health panel CPT 80050 | $396.41 | $809.00 | $32.20 – $90.16 | 20 |
| Generator barostim neo2 2014 HCPCS C1767 | $43,409.25 | $88,590.30 | $251.49 – $704.15 | 20 |
| Generator emblem MRI sicd subq HCPCS C1722 | $36,764.70 | $75,030.00 | $3,368.75 – $9,432.50 | 20 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $101.31 | $206.75 | $2.73 – $97.51 | 20 |
| Gentamicin peak therapeutic drug level CPT 80170 | $107.80 | $220.00 | $16.38 – $215.60 | 20 |
| Ghs abscess perianal iandd CPT 46050 | $330.75 | $675.00 | $168.25 – $659.54 | 20 |
| Ghs abscess postoperative iandd complex CPT 10180 | $548.80 | $1,120.00 | $182.50 – $715.40 | 20 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $67.62 | $138.00 | $9.81 – $135.24 | 20 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $108.78 | $222.00 | $17.11 – $217.56 | 20 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $92.12 | $188.00 | $65.80 – $184.24 | 20 |
| Ghs antibodies (torch) igm CPT 86694 | $81.34 | $166.00 | $14.39 – $43.12 | 20 |
| Ghs bladder cath - complex-foley CPT 51703 | $221.48 | $452.00 | $106.25 – $416.50 | 20 |
| Ghs bleeding time (ivy) CPT 85002 | $108.29 | $221.00 | $4.82 – $216.58 | 20 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,054.97 | $2,153.00 | $137.00 – $537.04 | 20 |
| Ghs change cysto/gastrost CPT 43762 | $323.40 | $660.00 | $127.75 – $357.70 | 20 |
| Ghs chemo >8 hrs CPT 96416 | $122.01 | $249.00 | $78.75 – $220.50 | 20 |
| Ghs chemo IV push, ea addtl CPT 96411 | $186.69 | $381.00 | $120.40 – $337.12 | 20 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $86.24 | $176.00 | $35.09 – $172.48 | 20 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $391.02 | $798.00 | $83.65 – $234.22 | 20 |
| Ghs closed reduction ankle dislocation CPT 27840 | $518.91 | $1,059.00 | $137.90 – $386.12 | 20 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $643.37 | $1,313.00 | $172.55 – $483.14 | 20 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $610.05 | $1,245.00 | $178.85 – $500.78 | 20 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $727.16 | $1,484.00 | $250.95 – $702.66 | 20 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,073.10 | $2,190.00 | $547.50 – $1,690.50 | 20 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $457.66 | $934.00 | $233.50 – $709.52 | 20 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $699.72 | $1,428.00 | $108.50 – $303.80 | 20 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $462.56 | $944.00 | $83.65 – $234.22 | 20 |
| Ghs community re-entry 15 minutes CPT 97537 | $925.12 | $1,888.00 | $33.95 – $95.06 | 20 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $239.12 | $488.00 | $27.50 – $107.80 | 20 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $168.56 | $344.00 | $20.50 – $80.36 | 20 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $174.93 | $357.00 | $41.75 – $163.66 | 20 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $239.12 | $488.00 | $47.75 – $187.18 | 20 |
| Ghs cricothyroidotomy CPT 31605 | $813.89 | $1,661.00 | $313.60 – $878.08 | 20 |
| Ghs cutdown placement age 1 and over CPT 36425 | $324.87 | $663.00 | $39.20 – $109.76 | 20 |
| Ghs cutdown placement under 1 yr CPT 36420 | $324.87 | $663.00 | $31.50 – $123.48 | 20 |
| Ghs dislocation elbow closed treatment CPT 24600 | $510.09 | $1,041.00 | $108.85 – $304.78 | 20 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $360.15 | $735.00 | $72.00 – $282.24 | 20 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $82.81 | $169.00 | $42.25 – $146.02 | 20 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $510.09 | $1,041.00 | $364.35 – $1,020.18 | 20 |
| Ghs elect torsion swing CPT 92546 | $112.21 | $229.00 | $80.15 – $224.42 | 20 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $908.95 | $1,855.00 | $649.25 – $1,817.90 | 20 |
| Ghs excision ingrown nail CPT 11765 | $230.79 | $471.00 | $117.75 – $378.28 | 20 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $382.20 | $780.00 | $154.35 – $432.18 | 20 |
| Ghs fb removal foot - deep - left CPT 28192 | $636.02 | $1,298.00 | $198.80 – $556.64 | 20 |
| Ghs fb removal from muscle - complicated CPT 20525 | $973.63 | $1,987.00 | $327.50 – $1,283.80 | 20 |
| Ghs fb removal - incisional CPT 10121 | $571.83 | $1,167.00 | $185.75 – $728.14 | 20 |
| Ghs fb removal - non-incisional CPT 20520 | $299.88 | $612.00 | $153.00 – $520.38 | 20 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $44.59 | $91.00 | $6.98 – $89.18 | 20 |
| Ghs fish cytogen CPT 88271 | $104.37 | $213.00 | $21.42 – $208.74 | 20 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $206.78 | $422.00 | $51.19 – $413.56 | 20 |
| Ghs gastric intub aspiration lavage CPT 43753 | $111.72 | $228.00 | $14.75 – $57.82 | 20 |
| Ghs hcv amplificaiton CPT 87521 | $237.16 | $484.00 | $35.09 – $474.32 | 20 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $732.55 | $1,495.00 | $15.49 – $1,465.10 | 20 |
| Ghs hgb stability-thal CPT 83068 | $89.67 | $183.00 | $9.47 – $179.34 | 20 |
| Ghs histoplasma antigen CPT 87385 | $137.69 | $281.00 | $13.25 – $275.38 | 20 |
| Ghs HIV antibody CPT 86703 | $78.89 | $161.00 | $9.03 – $30.44 | 20 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $1,113.28 | $2,272.00 | $106.14 – $2,226.56 | 20 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,354.85 | $2,765.00 | $147.75 – $579.18 | 20 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,053.01 | $2,149.00 | $543.55 – $1,521.94 | 20 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $481.18 | $982.00 | $343.70 – $962.36 | 20 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $354.76 | $724.00 | $96.60 – $270.48 | 20 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $291.55 | $595.00 | $148.75 – $555.66 | 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.