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 |
|---|---|---|---|---|
| Infect ag if varicella zoster CPT 87290 | $129.36 | $264.00 | $13.42 – $258.72 | 20 |
| Infect ag na hpv high-risk types CPT 87624 | $158.76 | $324.00 | $35.09 – $103.88 | 20 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $236.18 | $482.00 | $95.80 – $472.36 | 20 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,119.16 | $2,284.00 | $416.78 – $2,238.32 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $135.73 | $277.00 | $11.98 – $35.28 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $106.82 | $218.00 | $13.42 – $213.64 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $93.59 | $191.00 | $13.82 – $35.28 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $104.37 | $213.00 | $11.98 – $35.28 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $135.24 | $276.00 | $14.38 – $35.28 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $95.06 | $194.00 | $10.33 – $190.12 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $28.91 | $59.00 | $10.33 – $57.82 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $117.60 | $240.00 | $24.08 – $71.54 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $400.33 | $817.00 | $11.98 – $35.28 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $134.26 | $274.00 | $11.98 – $268.52 | 20 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $51.94 | $106.00 | $11.98 – $35.28 | 20 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $249.90 | $510.00 | $35.09 – $88.20 | 20 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $99.47 | $203.00 | $35.09 – $198.94 | 20 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $169.05 | $345.00 | $37.27 – $103.88 | 20 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $792.82 | $1,618.00 | $416.78 – $1,585.64 | 20 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $400.82 | $818.00 | $35.09 – $112.70 | 20 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $83.79 | $171.00 | $35.09 – $167.58 | 20 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $92.12 | $188.00 | $41.68 – $184.24 | 20 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $87.71 | $179.00 | $35.09 – $175.42 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $96.53 | $197.00 | $51.31 – $193.06 | 20 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $207.27 | $423.00 | $142.63 – $414.54 | 20 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $87.22 | $178.00 | $35.09 – $174.44 | 20 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $91.14 | $186.00 | $35.09 – $182.28 | 20 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $632.10 | $1,290.00 | $416.78 – $1,264.20 | 20 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $308.21 | $629.00 | $42.84 – $616.42 | 20 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $252.84 | $516.00 | $42.84 – $505.68 | 20 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $417.97 | $853.00 | $42.84 – $127.40 | 20 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $810.46 | $1,654.00 | $85.10 – $1,620.92 | 20 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $317.03 | $647.00 | $142.63 – $634.06 | 20 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $2,759.66 | $5,631.95 | $31.67 – $2,244.89 | 20 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,122.47 | $2,290.75 | $24.37 – $2,244.94 | 20 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,202.66 | $2,454.40 | $11.09 – $2,405.32 | 20 |
| Influenza dna amp prob addl CPT 87503 | $58.31 | $119.00 | $29.22 – $116.62 | 20 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | $22.05 | $45.00 | $15.75 – $44.10 | 20 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $106.82 | $218.00 | $76.30 – $213.64 | 20 |
| Initial observation care CPT 99218 | $133.77 | $273.00 | $95.55 – $267.54 | 20 |
| Initial observation care CPT 99219 | $182.28 | $372.00 | $130.20 – $364.56 | 20 |
| Initial observation care CPT 99220 | $246.96 | $504.00 | $176.40 – $493.92 | 20 |
| Initiation & management bipap/cpap initial day CPT 94660 | $107.80 | $220.00 | $77.00 – $215.60 | 20 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | $12,495.72 | $25,501.46 | $6,694.10 – $18,743.48 | 20 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $6,247.85 | $12,750.70 | $6.81 – $9,371.79 | 20 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj acetaminophen -fresenius HCPCS J0134 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj, acetaminophen (hikma) HCPCS J0137 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj alymsys 10 mg HCPCS Q5126 | $3,555.60 | $7,256.32 | $634.94 – $1,777.82 | 20 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $12,811.96 | $26,146.85 | $9,151.40 – $25,623.92 | 20 |
| Inj, artesunate, 1mg HCPCS J0391 | $26,354.65 | $53,785.00 | $9,412.38 – $26,354.65 | 20 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | $12,201.00 | $24,900.00 | $8,715.00 – $24,402.00 | 20 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | $4,771.13 | $9,737.00 | $3,407.95 – $9,542.26 | 20 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $13,908.04 | $28,383.75 | $165.25 – $25,267.00 | 20 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $9,310.00 | $19,000.00 | $39.87 – $18,620.00 | 20 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $67.62 | $138.00 | $34.83 – $97.51 | 20 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $2,874.83 | $5,867.00 | $2,053.45 – $5,749.66 | 20 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $48.76 | $99.50 | $1.00 – $97.51 | 20 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $101.31 | $206.75 | $72.37 – $202.62 | 20 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $101.31 | $206.75 | $34.83 – $97.51 | 20 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $101.31 | $206.75 | $72.37 – $202.62 | 20 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $101.31 | $206.75 | $72.37 – $202.62 | 20 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $521.75 | $1,064.78 | $372.68 – $1,043.49 | 20 |
| Inj ceftolozane tazobactam HCPCS J0695 | $390.70 | $797.33 | $7.29 – $781.39 | 20 |
| Inj, clevidipine butyrate HCPCS C9248 | $193.55 | $395.00 | $3.42 – $387.10 | 20 |
| Inj, clindamycin (baxter) HCPCS J0737 | $101.31 | $206.75 | $72.37 – $202.62 | 20 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,844.23 | $5,804.55 | $1,047.29 – $5,688.46 | 20 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $538.02 | $1,098.00 | $186.38 – $521.85 | 20 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $611.75 | $1,248.45 | $184.16 – $515.63 | 20 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | $255.44 | $521.30 | $68.03 – $190.47 | 20 |
| Inj daptomycin (xellia) HCPCS J0873 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $857.38 | $1,749.75 | $612.42 – $1,714.76 | 20 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | $1,704.37 | $3,478.30 | $1,217.41 – $3,408.74 | 20 |
| Inj dupuytren cord w/enzyme CPT 20527 | $194.53 | $397.00 | $138.95 – $389.06 | 20 |
| Inject for sacroiliac joint HCPCS G0259 | $241.57 | $493.00 | $172.55 – $483.14 | 20 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $510.09 | $1,041.00 | $364.35 – $1,020.18 | 20 |
| Injection, burosumab-twza 1m HCPCS J0584 | $31,160.08 | $63,592.00 | $447.86 – $17,076.50 | 20 |
| Injection, cangrelor HCPCS C9460 | $2,238.98 | $4,569.33 | $19.09 – $4,477.95 | 20 |
| Injection, caplacizumab-yhdp HCPCS C9047 | $19,416.25 | $39,625.00 | $749.27 – $38,832.50 | 20 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $158.76 | $324.00 | $113.40 – $317.52 | 20 |
| Injection, daratumumab 10 mg HCPCS J9145 | $7,536.69 | $15,381.00 | $66.90 – $3,467.20 | 20 |
| Injection, doxercalciferol HCPCS J1270 | $48.76 | $99.50 | $0.84 – $97.51 | 20 |
| Injection, edaravone, 1 mg HCPCS J1301 | $1,129.36 | $2,304.80 | $21.83 – $2,258.71 | 20 |
| Injection epidural blood patch or clot CPT 62273 | $391.51 | $799.00 | $99.40 – $278.32 | 20 |
| Injection for bladder x-ray CPT 51600 | $182.77 | $373.00 | $130.55 – $365.54 | 20 |
| Injection, fulvestrant HCPCS J9395 | $2,172.49 | $4,433.65 | $8.94 – $157.42 | 20 |
| Injection, glucarpidase HCPCS C9293 | $100,876.30 | $205,870.00 | $384.80 – $201,752.60 | 20 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $8,284.48 | $16,907.10 | $5,917.49 – $16,568.96 | 20 |
| Injection into hemorrhoid(s) CPT 46500 | $441.98 | $902.00 | $315.70 – $883.96 | 20 |
| Injection, isavuconazonium HCPCS J1833 | $882.59 | $1,801.20 | $1.03 – $1,643.91 | 20 |
| Injection jugular CPT 36299 | $144.55 | $295.00 | $103.25 – $289.10 | 20 |
| Injection, necitumumab, 1 mg HCPCS J9295 | $10,607.89 | $21,648.75 | $6.28 – $21,215.78 | 20 |
| Injection of sinus tract CPT 20500 | $486.08 | $992.00 | $347.20 – $972.16 | 20 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,165.40 | $6,460.00 | $6.32 – $3,165.40 | 20 |
| Injection, peramivir HCPCS J2547 | $775.82 | $1,583.30 | $1.58 – $1,551.64 | 20 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $287.63 | $587.00 | $205.45 – $575.26 | 20 |
| Injection, renflexis HCPCS Q5104 | $1,052.11 | $2,147.15 | $30.58 – $1,718.09 | 20 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $232.75 | $475.00 | $166.25 – $465.50 | 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.