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 |
|---|---|---|---|---|
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $291.55 | $595.00 | $83.65 – $234.22 | 20 |
| Ghs inf midline insertion CPT 36140 | $240.10 | $490.00 | $171.50 – $480.20 | 20 |
| Ghs inhibitor screen CPT 85335 | $241.57 | $493.00 | $12.87 – $483.14 | 20 |
| Ghs init tx 1st degree burn CPT 16000 | $111.23 | $227.00 | $74.20 – $207.76 | 20 |
| Ghs inj tendon origin/insertion CPT 20551 | $173.46 | $354.00 | $123.90 – $346.92 | 20 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $253.82 | $518.00 | $181.30 – $507.64 | 20 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,234.80 | $2,520.00 | $882.00 – $2,469.60 | 20 |
| Ghs insertion of needle - bone CPT 36680 | $147.98 | $302.00 | $40.00 – $156.80 | 20 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $766.85 | $1,565.00 | $271.75 – $1,065.26 | 20 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $931.98 | $1,902.00 | $300.75 – $1,178.94 | 20 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,176.98 | $2,402.00 | $335.50 – $1,315.16 | 20 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $73.50 | $150.00 | $14.25 – $55.86 | 20 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $63.21 | $129.00 | $45.15 – $126.42 | 20 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $167.58 | $342.00 | $119.70 – $335.16 | 20 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $162.68 | $332.00 | $116.20 – $325.36 | 20 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $167.58 | $342.00 | $119.70 – $335.16 | 20 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $390.53 | $797.00 | $177.10 – $495.88 | 20 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $365.54 | $746.00 | $175.00 – $490.00 | 20 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $367.50 | $750.00 | $184.10 – $515.48 | 20 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $393.47 | $803.00 | $183.40 – $513.52 | 20 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $437.57 | $893.00 | $220.85 – $618.38 | 20 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $430.22 | $878.00 | $219.50 – $718.34 | 20 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $504.70 | $1,030.00 | $256.20 – $717.36 | 20 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $644.35 | $1,315.00 | $235.75 – $924.14 | 20 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $526.26 | $1,074.00 | $268.50 – $924.14 | 20 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $531.16 | $1,084.00 | $271.00 – $922.18 | 20 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $558.60 | $1,140.00 | $285.00 – $1,100.54 | 20 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $691.88 | $1,412.00 | $353.00 – $1,102.50 | 20 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $680.61 | $1,389.00 | $347.25 – $1,303.40 | 20 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $794.29 | $1,621.00 | $405.25 – $1,305.36 | 20 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $843.29 | $1,721.00 | $379.25 – $1,486.66 | 20 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $844.76 | $1,724.00 | $427.50 – $1,675.80 | 20 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $121.03 | $247.00 | $8.60 – $242.06 | 20 |
| Ghs low level laser therapy CPT 97039 | $54.88 | $112.00 | $28.70 – $80.36 | 20 |
| Ghs mbp CPT 83873 | $113.68 | $232.00 | $17.20 – $227.36 | 20 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $10.78 | $22.00 | $7.70 – $21.56 | 20 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $92.61 | $189.00 | $66.15 – $185.22 | 20 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $75.95 | $155.00 | $54.25 – $151.90 | 20 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $23.03 | $47.00 | $7.70 – $21.56 | 20 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $57.82 | $118.00 | $41.30 – $115.64 | 20 |
| Ghs musc test done w/n test comp CPT 95886 | $140.14 | $286.00 | $55.65 – $155.82 | 20 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $90.16 | $184.00 | $55.65 – $155.82 | 20 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $120.54 | $246.00 | $29.05 – $81.34 | 20 |
| Ghs nailbed repair/nail removal CPT 11760 | $260.68 | $532.00 | $124.25 – $347.90 | 20 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $300.86 | $614.00 | $149.10 – $417.48 | 20 |
| Ghs nerve blk intercostal, single level CPT 64420 | $288.61 | $589.00 | $206.15 – $577.22 | 20 |
| Ghs nerve block celiac plexus CPT 64530 | $543.41 | $1,109.00 | $388.15 – $1,086.82 | 20 |
| Ghs nerve block sciatic nerve CPT 64445 | $38.22 | $78.00 | $27.30 – $76.44 | 20 |
| Ghs ng placement w fluoro guidance CPT 43752 | $156.31 | $319.00 | $111.65 – $312.62 | 20 |
| Ghs o2 saturation CPT 82810 | $36.75 | $75.00 | $9.77 – $73.50 | 20 |
| Ghs o2 uptake rest & exercise CPT 94680 | $104.37 | $213.00 | $74.55 – $208.74 | 20 |
| Ghs o2 uptake rest & indirect CPT 94690 | $367.01 | $749.00 | $262.15 – $734.02 | 20 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $69.09 | $141.00 | $46.90 – $131.32 | 20 |
| Ghs opcc repair cvp without subq port CPT 36575 | $723.73 | $1,477.00 | $107.50 – $421.40 | 20 |
| Ghs opcc repair cvp w subq port CPT 36576 | $723.73 | $1,477.00 | $247.50 – $970.20 | 20 |
| Ghs optokenetic CPT 92544 | $112.21 | $229.00 | $80.15 – $224.42 | 20 |
| Ghs oscillating trac CPT 92545 | $112.21 | $229.00 | $80.15 – $224.42 | 20 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $28.91 | $59.00 | $20.65 – $57.82 | 20 |
| Ghs ot dds rom CPT 95851 | $35.77 | $73.00 | $25.55 – $71.54 | 20 |
| Ghs ot prosthetic training/15 min CPT 97761 | $86.73 | $177.00 | $35.35 – $98.98 | 20 |
| Ghs pacing - transcutaneous CPT 92953 | $535.57 | $1,093.00 | $0.50 – $1.96 | 20 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $249.41 | $509.00 | $178.15 – $498.82 | 20 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $439.04 | $896.00 | $89.60 – $250.88 | 20 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $71.05 | $145.00 | $50.75 – $142.10 | 20 |
| Ghs peritonsillar abscess i andd CPT 42700 | $265.09 | $541.00 | $135.25 – $412.58 | 20 |
| Ghs phenylketonurid CPT 84030 | $46.06 | $94.00 | $5.50 – $92.12 | 20 |
| Ghs picc line insert < 5 CPT 36568 | $763.91 | $1,559.00 | $545.65 – $1,527.82 | 20 |
| Ghs plngl fx pm cl CPT 26725 | $468.93 | $957.00 | $178.85 – $500.78 | 20 |
| Ghs plt ct-manual CPT 85032 | $35.28 | $72.00 | $4.31 – $70.56 | 20 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $707.07 | $1,443.00 | $505.05 – $1,414.14 | 20 |
| Ghs pos nystagmus CPT 92542 | $102.90 | $210.00 | $73.50 – $205.80 | 20 |
| Ghs ppd (tb intradermal) CPT 86580 | $1,014.08 | $2,069.55 | $5.60 – $15.68 | 20 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $62.72 | $128.00 | $9.66 – $125.44 | 20 |
| Ghs protoporphyrins fract CPT 84202 | $374.85 | $765.00 | $14.35 – $749.70 | 20 |
| Ghs pr without cont pulse ox CPT 94625 | $290.57 | $593.00 | $63.00 – $176.40 | 20 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $114.66 | $234.00 | $12.25 – $229.32 | 20 |
| Ghs quinidine CPT 80194 | $96.53 | $197.00 | $14.60 – $193.06 | 20 |
| Ghs removal intranasal foreign body CPT 30300 | $293.02 | $598.00 | $79.45 – $222.46 | 20 |
| Ghs removal pharyngeal foreign body CPT 42809 | $310.66 | $634.00 | $199.85 – $559.58 | 20 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $836.92 | $1,708.00 | $138.95 – $389.06 | 20 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $1,812.02 | $3,698.00 | $341.75 – $1,339.66 | 20 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $97.02 | $198.00 | $15.89 – $194.04 | 20 |
| Ghs reticulocyte count CPT 85044 | $49.00 | $100.00 | $4.31 – $98.00 | 20 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $44.10 | $90.00 | $13.91 – $35.28 | 20 |
| Ghs sedimentation rate CPT 85651 | $38.22 | $78.00 | $4.27 – $10.78 | 20 |
| Ghs semen analysis fert CPT 89320 | $171.50 | $350.00 | $12.31 – $343.00 | 20 |
| Ghs sensitivity (per antimicro) CPT 87184 | $101.92 | $208.00 | $7.48 – $21.56 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $244.51 | $499.00 | $122.25 – $479.22 | 20 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $297.92 | $608.00 | $152.00 – $590.94 | 20 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $280.28 | $572.00 | $143.00 – $532.14 | 20 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $309.68 | $632.00 | $102.25 – $400.82 | 20 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $264.11 | $539.00 | $99.25 – $389.06 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $238.14 | $486.00 | $90.75 – $355.74 | 20 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $285.67 | $583.00 | $118.75 – $465.50 | 20 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $315.07 | $643.00 | $160.75 – $557.62 | 20 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $299.88 | $612.00 | $115.75 – $453.74 | 20 |
| Ghs sleep study unattended CPT 95800 | $95.06 | $194.00 | $67.90 – $190.12 | 20 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $238.14 | $486.00 | $54.95 – $153.86 | 20 |
| Ghs sphenopalatine ganglion block CPT 64505 | $228.34 | $466.00 | $163.10 – $456.68 | 20 |
| Ghs spont nystagmus CPT 92541 | $40.67 | $83.00 | $29.05 – $81.34 | 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.