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 sp train/fitting sp device - kx CPT 92609 | $1,401.89 | $2,861.00 | $1,001.35 – $2,803.78 | 20 |
| Ghs st - eval for alt comm CPT 92567 | $1,091.23 | $2,227.00 | $779.45 – $2,182.46 | 20 |
| Ghs strapping shoulder - 29240 CPT 29240 | $145.04 | $296.00 | $21.50 – $84.28 | 20 |
| Ghs st - re-eval for alt comm CPT 92597 | $623.77 | $1,273.00 | $113.05 – $316.54 | 20 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $413.07 | $843.00 | $122.50 – $343.00 | 20 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $242.06 | $494.00 | $123.50 – $397.88 | 20 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $813.89 | $1,661.00 | $218.25 – $855.54 | 20 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $438.55 | $895.00 | $206.15 – $577.22 | 20 |
| Ghs urine, porphyrins quant CPT 84120 | $151.90 | $310.00 | $14.71 – $303.80 | 20 |
| Ghs vaginal delivery only CPT 59409 | $1,035.86 | $2,114.00 | $193.55 – $541.94 | 20 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $360.15 | $735.00 | $257.25 – $720.30 | 20 |
| Ghs windowing of cast CPT 29730 | $85.75 | $175.00 | $43.75 – $146.02 | 20 |
| Gi inhouse confirmation CPT 87045 | $138.18 | $282.00 | $9.44 – $28.42 | 20 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,343.58 | $2,742.00 | $959.70 – $2,687.16 | 20 |
| Gi trc img intral colon i&r CPT 91113 | $580.16 | $1,184.00 | $414.40 – $1,160.32 | 20 |
| Glassia injection HCPCS J0257 | $48.76 | $99.50 | $5.40 – $97.51 | 20 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $627.43 | $1,280.45 | $157.19 – $440.12 | 20 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $481.77 | $983.20 | $183.91 – $514.95 | 20 |
| Glucagon plasma - sendout CPT 82943 | $113.68 | $232.00 | $14.29 – $227.36 | 20 |
| Glucose 1 hr post dose CPT 82950 | $70.56 | $144.00 | $4.75 – $13.72 | 20 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $71.05 | $145.00 | $6.05 – $142.10 | 20 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $40.18 | $82.00 | $3.01 – $7.28 | 20 |
| Glucose blood quantitative CPT 82947 | $42.14 | $86.00 | $1.29 – $8.72 | 20 |
| Glucose body fluid CPT 82945 | $68.11 | $139.00 | $3.93 – $136.22 | 20 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $233.73 | $477.00 | $12.87 – $39.20 | 20 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $68.60 | $140.00 | $3.92 – $137.20 | 20 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $4,724.22 | $9,641.26 | $11.80 – $9,448.44 | 20 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $129.36 | $264.00 | $18.58 – $258.72 | 20 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $133.28 | $272.00 | $18.52 – $266.56 | 20 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $7,154.05 | $14,600.10 | $655.88 – $4,864.82 | 20 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $1,749.30 | $3,570.00 | $30.62 – $3,498.60 | 20 |
| Graft axiofill 1000mg HCPCS J3590 | $5,979.96 | $12,204.00 | $298.18 – $834.91 | 20 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $469.91 | $959.00 | $100.00 – $377.30 | 20 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $21,289.46 | $43,447.86 | $101.50 – $284.20 | 20 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $3,136.62 | $6,401.25 | $241.07 – $674.98 | 20 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $17,291.49 | $35,288.75 | $49.00 – $137.20 | 20 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $3,185.00 | $6,500.00 | $79.11 – $977.93 | 20 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,905.12 | $3,888.00 | $104.16 – $1,693.44 | 20 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,430.00 | $7,000.00 | $143.23 – $1,568.49 | 20 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $1,482.87 | $3,026.25 | $46.13 – $2,965.73 | 20 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $22,835.60 | $46,603.26 | $31.03 – $3,858.75 | 20 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,340.03 | $8,857.20 | $110.44 – $814.97 | 20 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $15,191.47 | $31,003.00 | $2.79 – $7.80 | 20 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,784.44 | $3,641.70 | $18.33 – $51.31 | 20 |
| Granisetron hcl injection HCPCS J1626 | $148.77 | $303.60 | $0.33 – $97.51 | 20 |
| Great toe with reduction 28495 CPT 28495 | $246.47 | $503.00 | $125.75 – $437.08 | 20 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $1,200.50 | $2,450.00 | $857.50 – $2,401.00 | 20 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $21.56 | $44.00 | $15.40 – $43.12 | 20 |
| Gstrst open wo constj tube CPT 43830 | $932.47 | $1,903.00 | $666.05 – $1,864.94 | 20 |
| Gu dilat ureter/urethra s&i CPT 74485 | $742.35 | $1,515.00 | $530.25 – $1,484.70 | 20 |
| Guided cath fluid drainage 10030 CPT 10030 | $924.14 | $1,886.00 | $645.75 – $1,808.10 | 20 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $4,562.41 | $9,311.04 | $0.49 – $1.38 | 20 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $2,100.27 | $4,286.25 | $5.08 – $14.21 | 20 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,249.14 | $2,549.25 | $11.55 – $32.34 | 20 |
| Gw stiffened micro access kit HCPCS C1894 | $7,173.60 | $14,640.00 | $0.02 – $0.04 | 20 |
| Gynecomastia (males) 19300 CPT 19300 | $793.80 | $1,620.00 | $567.00 – $1,587.60 | 20 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $387.05 | $789.88 | $6.75 – $97.51 | 20 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $139.92 | $285.55 | $1.26 – $97.51 | 20 |
| Hand X-ray CPT 73130 | $200.90 | $410.00 | $21.70 – $60.76 | 20 |
| Haptoglobin quantitative CPT 83010 | $102.90 | $210.00 | $12.58 – $205.80 | 20 |
| Hc ea ha check monaural CPT 92594 | $166.11 | $339.00 | $118.65 – $332.22 | 20 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $299.88 | $612.00 | $214.20 – $599.76 | 20 |
| Hcg free betachain test CPT 84704 | $112.70 | $230.00 | $15.29 – $225.40 | 20 |
| Hcg qualitative CPT 84703 | $98.98 | $202.00 | $7.52 – $22.54 | 20 |
| Hcg quantitative CPT 84702 | $104.37 | $213.00 | $15.05 – $45.08 | 20 |
| Hc hearing aid chck binaurl CPT 92593 | $56.84 | $116.00 | $40.60 – $113.68 | 20 |
| Hc hearing aid chck monarl CPT 92592 | $119.07 | $243.00 | $85.05 – $238.14 | 20 |
| Hc hearing aid exam both ears CPT 92591 | $124.95 | $255.00 | $89.25 – $249.90 | 20 |
| Hc hearing aid exam one ear CPT 92590 | $83.30 | $170.00 | $59.50 – $166.60 | 20 |
| Hc nm kidney imaging with flow CPT 78701 | $792.82 | $1,618.00 | $566.30 – $1,585.64 | 20 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $1,637.58 | $3,342.00 | $1,169.70 – $3,275.16 | 20 |
| Head CT scan (with and without contrast) CPT 70470 | $1,868.86 | $3,814.00 | $1,334.90 – $3,737.72 | 20 |
| Head CT scan (with contrast) CPT 70460 | $1,530.27 | $3,123.00 | $1,093.05 – $3,060.54 | 20 |
| Head CT scan (without contrast) CPT 70450 | $1,254.40 | $2,560.00 | $896.00 – $2,508.80 | 20 |
| Heart image spect CPT 78494 | $350.35 | $715.00 | $250.25 – $700.70 | 20 |
| Helicobacter pylori antibody igm CPT 86677 | $54.88 | $112.00 | $16.85 – $44.10 | 20 |
| Hematocrit CPT 85014 | $31.36 | $64.00 | $2.37 – $6.86 | 20 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $26,804.21 | $54,702.45 | $31.35 – $53,608.41 | 20 |
| Hemoglobin CPT 85018 | $23.52 | $48.00 | $2.37 – $6.86 | 20 |
| Hemoglobin fetal qualitative CPT 83033 | $35.77 | $73.00 | $8.00 – $71.54 | 20 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $76.93 | $157.00 | $8.20 – $153.86 | 20 |
| Hemoglobin plasma CPT 83051 | $77.91 | $159.00 | $7.31 – $155.82 | 20 |
| Hemolysin acid CPT 85475 | $81.83 | $167.00 | $8.87 – $163.66 | 20 |
| Hemolysins/agglutinins auto CPT 86940 | $43.61 | $89.00 | $8.77 – $87.22 | 20 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $396.90 | $810.00 | $268.45 – $751.66 | 20 |
| Heparin assay CPT 85520 | $182.77 | $373.00 | $13.09 – $365.54 | 20 |
| Heparin bolus from bag HCPCS J1644 | $101.31 | $206.75 | $0.27 – $97.51 | 20 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $557.97 | $1,138.70 | $0.02 – $97.51 | 20 |
| Hepatitis a antibody igm CPT 86709 | $14.70 | $30.00 | $11.26 – $29.40 | 20 |
| Hepatitis b core antibody igm CPT 86705 | $45.57 | $93.00 | $11.77 – $91.14 | 20 |
| Hepatitis b core antibody total CPT 86704 | $94.08 | $192.00 | $12.05 – $188.16 | 20 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,779.64 | $3,631.90 | $131.74 – $368.88 | 20 |
| Hepatitis b surface antibody CPT 86706 | $95.06 | $194.00 | $10.74 – $32.34 | 20 |
| Hepatitis c antibody CPT 86803 | $112.21 | $229.00 | $14.27 – $43.12 | 20 |
| Hepatobiliary system imaging CPT 78226 | $1,339.66 | $2,734.00 | $956.90 – $2,679.32 | 20 |
| Hepb vacc 3 dose immunsup im CPT 90740 | $267.94 | $546.80 | $158.15 – $535.87 | 20 |
| Hernia Repair (Inguinal) CPT 49505 | $692.86 | $1,414.00 | $494.90 – $1,385.72 | 20 |
| Herpes simplex type 1 antibody igg CPT 86695 | $134.75 | $275.00 | $13.19 – $269.50 | 20 |
| Herpes simplex type 2 antibody igg CPT 86696 | $138.18 | $282.00 | $19.35 – $276.36 | 20 |
| Heterophile antibodies screening CPT 86308 | $73.01 | $149.00 | $5.18 – $17.64 | 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.