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 |
|---|---|---|---|---|
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $595.84 | $1,216.00 | $53.50 – $209.72 | 20 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $809.48 | $1,652.00 | $247.10 – $691.88 | 20 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $249.41 | $509.00 | $178.15 – $498.82 | 20 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $477.75 | $975.00 | $341.25 – $955.50 | 20 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $439.04 | $896.00 | $89.95 – $251.86 | 20 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $844.27 | $1,723.00 | $173.95 – $487.06 | 20 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $882.98 | $1,802.00 | $172.90 – $484.12 | 20 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $882.98 | $1,802.00 | $170.10 – $476.28 | 20 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $143.57 | $293.00 | $40.00 – $156.80 | 20 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $139.65 | $285.00 | $30.10 – $84.28 | 20 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $205.31 | $419.00 | $1.68 – $4.71 | 20 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $69.09 | $141.00 | $43.75 – $122.50 | 20 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $71.05 | $145.00 | $48.30 – $135.24 | 20 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $69.09 | $141.00 | $43.75 – $122.50 | 20 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $109.27 | $223.00 | $74.20 – $207.76 | 20 |
| Inject sacroiliac joint CPT 27096 | $253.82 | $518.00 | $110.95 – $310.66 | 20 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $38,643.85 | $78,865.00 | $27,602.75 – $77,287.70 | 20 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $671.30 | $1,370.00 | $133.70 – $374.36 | 20 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $609.56 | $1,244.00 | $122.15 – $342.02 | 20 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | $400.58 | $817.50 | $3.93 – $400.58 | 20 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | $7,385.92 | $15,073.30 | $19.94 – $14,771.84 | 20 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $245.81 | $501.65 | $175.58 – $491.62 | 20 |
| Inj for ext venography CPT 36005 | $128.87 | $263.00 | $92.05 – $257.74 | 20 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $201.68 | $411.58 | $144.06 – $403.35 | 20 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $234.42 | $478.40 | $40.66 – $113.83 | 20 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $25,036.51 | $51,094.90 | $4,470.80 – $12,518.23 | 20 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | $1,630.04 | $3,326.60 | $5.42 – $3,260.07 | 20 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $34,438.70 | $70,283.05 | $138.73 – $67,976.72 | 20 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | $251.52 | $513.30 | $13.64 – $449.43 | 20 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $708.17 | $1,445.24 | $2.45 – $1,416.34 | 20 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | $106,983.17 | $218,333.00 | $473.51 – $213,966.34 | 20 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $65.66 | $134.00 | $46.90 – $131.32 | 20 |
| Inj intralesional > 7 lsns CPT 11901 | $64.68 | $132.00 | $46.20 – $129.36 | 20 |
| Inj ivig privigen 500 mg HCPCS J1459 | $7,134.40 | $14,560.00 | $47.86 – $1,783.60 | 20 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $16,693.74 | $34,068.85 | $11,924.10 – $33,387.48 | 20 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $1,560.70 | $3,185.10 | $445.92 – $1,248.57 | 20 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $87.12 | $177.78 | $34.83 – $97.51 | 20 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $188.41 | $384.50 | $114.23 – $319.83 | 20 |
| Inj, levothyroxine, hikma HCPCS J0652 | $126.60 | $258.35 | $90.43 – $253.19 | 20 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $459.58 | $937.90 | $120.04 – $336.10 | 20 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $48.76 | $99.50 | $3.56 – $97.51 | 20 |
| Inj, meropenem (b. braun) HCPCS J2184 | $101.31 | $206.75 | $72.37 – $202.62 | 20 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $435.81 | $889.39 | $2.16 – $871.61 | 20 |
| Inj, micafungin (par pharm) HCPCS J2247 | $53.78 | $109.75 | $34.83 – $97.51 | 20 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | $23,503.39 | $47,966.10 | $16,788.14 – $47,006.78 | 20 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $101.31 | $206.75 | $8.77 – $202.62 | 20 |
| Inj multihance HCPCS A9577 | $75.02 | $153.10 | $2.80 – $7.84 | 20 |
| Inj. mycophenolate mofetil HCPCS J7519 | $163.39 | $333.44 | $34.83 – $97.51 | 20 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $482.61 | $984.90 | $344.72 – $965.21 | 20 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | $101,140.70 | $206,409.59 | $72,243.36 – $202,281.40 | 20 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,656.04 | $7,461.30 | $62.62 – $2,611.46 | 20 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | $23,275.00 | $47,500.00 | $99.20 – $46,550.00 | 20 |
| Inj, pedmark, 100 mg HCPCS J0208 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $7,314.63 | $14,927.80 | $327.13 – $14,629.25 | 20 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $8,979.35 | $18,325.20 | $69.03 – $17,958.70 | 20 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $111.14 | $226.80 | $79.38 – $222.27 | 20 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | $1,572.09 | $3,208.34 | $1,122.92 – $3,144.18 | 20 |
| Inj progesterone per 50 mg HCPCS J2675 | $48.76 | $99.50 | $0.71 – $97.51 | 20 |
| Inj, releuko 1 mcg HCPCS Q5125 | $349.67 | $713.60 | $156.10 – $437.08 | 20 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $861.11 | $1,757.35 | $0.75 – $97.51 | 20 |
| Inj retro urethrocysto CPT 51610 | $101.43 | $207.00 | $72.45 – $202.86 | 20 |
| Inj scleros sol sgl vein CPT 36470 | $56.84 | $116.00 | $39.55 – $110.74 | 20 |
| Inj secretin synthetic human HCPCS J2850 | $1,619.45 | $3,305.00 | $39.38 – $3,238.90 | 20 |
| Inj secukinumab intrav 1mg HCPCS J3247 | $5,233.57 | $10,680.75 | $3,738.27 – $10,467.14 | 20 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | $62,637.94 | $127,832.52 | $44,741.39 – $125,275.87 | 20 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | $26,536.76 | $54,156.65 | $18,009.83 – $50,427.52 | 20 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $37,905.42 | $77,358.00 | $333.40 – $75,810.84 | 20 |
| Inj testosterone cypionate HCPCS J1071 | $85.36 | $174.20 | $0.01 – $97.51 | 20 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $32,628.61 | $66,589.00 | $140.23 – $65,257.22 | 20 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $5,439.00 | $11,100.00 | $777.00 – $2,175.60 | 20 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | $1,466.33 | $2,992.50 | $17.49 – $2,932.65 | 20 |
| Inj, tyenne, 1 mg HCPCS Q5135 | $4,396.28 | $8,972.00 | $628.11 – $1,758.71 | 20 |
| Inj, uzedy, 1 mg HCPCS J2799 | $13,684.26 | $27,927.05 | $1,954.72 – $5,473.22 | 20 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $101.31 | $206.75 | $72.37 – $202.62 | 20 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Inj w/fluor eval cv device CPT 36598 | $110.74 | $226.00 | $79.10 – $221.48 | 20 |
| Inpatient consultation CPT 99251 | $51.94 | $106.00 | $37.10 – $103.88 | 20 |
| Insert cath pleura with image CPT 32557 | $952.07 | $1,943.00 | $288.05 – $806.54 | 20 |
| Insert cath pleura without image CPT 32556 | $1,063.79 | $2,171.00 | $274.40 – $768.32 | 20 |
| Insert drug delivery implant CPT 11981 | $41.65 | $85.00 | $29.75 – $83.30 | 20 |
| Insert intrauterine device iud CPT 58300 | $147.49 | $301.00 | $105.35 – $294.98 | 20 |
| Insertion catheter bladder non indwelling CPT 51701 | $127.89 | $261.00 | $31.25 – $122.50 | 20 |
| Insertion catheter bladder temporary simple CPT 51702 | $125.44 | $256.00 | $43.50 – $170.52 | 20 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $1,137.78 | $2,322.00 | $812.70 – $2,275.56 | 20 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,273.51 | $2,599.00 | $214.90 – $601.72 | 20 |
| Insertion of catheter vein CPT 36481 | $871.71 | $1,779.00 | $622.65 – $1,743.42 | 20 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,595.44 | $3,256.00 | $65.00 – $254.80 | 20 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $843.78 | $1,722.00 | $602.70 – $1,687.56 | 20 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $2,951.76 | $6,024.00 | $108.25 – $424.34 | 20 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $1,410.22 | $2,878.00 | $1,007.30 – $2,820.44 | 20 |
| Insert pessary/other device CPT 57160 | $73.50 | $150.00 | $52.50 – $147.00 | 20 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $1,162.77 | $2,373.00 | $830.55 – $2,325.54 | 20 |
| Insert tunneled cv cath CPT 36560 | $1,762.04 | $3,596.00 | $1,258.60 – $3,524.08 | 20 |
| Insert tunneled cv cath CPT 36563 | $1,591.52 | $3,248.00 | $1,136.80 – $3,183.04 | 20 |
| Insitu hybridization manual CPT 88368 | $371.91 | $759.00 | $265.65 – $743.82 | 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.