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 |
|---|---|---|---|---|
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $324.87 | $663.00 | $232.05 – $649.74 | 20 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $308.70 | $630.00 | $220.50 – $617.40 | 20 |
| Ins picad w subq port 5yr> CPT 36571 | $3,063.48 | $6,252.00 | $1,307.25 – $3,660.30 | 20 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $14,586.81 | $29,769.00 | $10,419.15 – $29,173.62 | 20 |
| Insti hexaminolevulinate hcl HCPCS A9589 | $3,109.05 | $6,345.00 | $2,220.75 – $6,218.10 | 20 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $288.61 | $589.00 | $206.15 – $577.22 | 20 |
| Instill, bupivac and meloxic HCPCS C9088 | $687.07 | $1,402.17 | $242.68 – $679.49 | 20 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $6,163.22 | $12,578.00 | $4,402.30 – $12,326.44 | 20 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $1,193.15 | $2,435.00 | $852.25 – $2,386.30 | 20 |
| Insulin total CPT 83525 | $78.40 | $160.00 | $11.43 – $156.80 | 20 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $5,006.02 | $10,216.35 | $1,497.92 – $8,810.59 | 20 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $121.50 | $247.95 | $86.79 – $243.00 | 20 |
| Interdiscal perq aspir dx CPT 62267 | $350.35 | $715.00 | $250.25 – $700.70 | 20 |
| Intranasal biopsy 30100 CPT 30100 | $197.47 | $403.00 | $141.05 – $394.94 | 20 |
| Intrinsic factor antibody CPT 86340 | $46.06 | $94.00 | $15.08 – $92.12 | 20 |
| Intro cath dialysis circuit CPT 36901 | $644.35 | $1,315.00 | $460.25 – $1,288.70 | 20 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,133.42 | $14,558.00 | $5,095.30 – $14,266.84 | 20 |
| Intubation endotracheal emergency procedure CPT 31500 | $278.81 | $569.00 | $64.75 – $181.30 | 20 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $198.41 | $404.90 | $0.07 – $0.20 | 20 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $569.63 | $1,162.50 | $0.70 – $1.96 | 20 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $86,996.37 | $177,543.60 | $189.00 – $43,498.28 | 20 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $122.50 | $250.00 | $87.50 – $245.00 | 20 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $177.87 | $363.00 | $127.05 – $355.74 | 20 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $214.13 | $437.00 | $152.95 – $428.26 | 20 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $79.38 | $162.00 | $56.70 – $158.76 | 20 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $80.45 | $164.18 | $3.84 – $97.51 | 20 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $6,612.55 | $13,495.00 | $69.42 – $13,225.10 | 20 |
| Iron CPT 83540 | $168.56 | $344.00 | $6.47 – $19.60 | 20 |
| Iron binding capacity CPT 83550 | $87.22 | $178.00 | $8.74 – $26.46 | 20 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $83.51 | $170.41 | $17.31 – $140.19 | 20 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $159.67 | $325.85 | $0.23 – $141.31 | 20 |
| Irradiation of blood product each unit reference CPT 86945 | $73.50 | $150.00 | $52.50 – $147.00 | 20 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $90.16 | $184.00 | $58.10 – $162.68 | 20 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $85.75 | $175.00 | $57.05 – $159.74 | 20 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $111.72 | $228.00 | $76.65 – $214.62 | 20 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $122.99 | $251.00 | $84.35 – $236.18 | 20 |
| Ivp w/nephrotomography CPT 74415 | $374.36 | $764.00 | $267.40 – $748.72 | 20 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $368.97 | $753.00 | $263.55 – $737.94 | 20 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $14,232.01 | $29,044.90 | $139.53 – $28,464.01 | 20 |
| Jejunstmy tube plcmt CPT 44372 | $324.87 | $663.00 | $232.05 – $649.74 | 20 |
| Ketogenic steroids fract CPT 83582 | $57.82 | $118.00 | $15.47 – $115.64 | 20 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $90.16 | $184.00 | $8.17 – $180.32 | 20 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $48.76 | $99.50 | $0.70 – $97.51 | 20 |
| Kidney function study CPT 78725 | $317.03 | $647.00 | $226.45 – $634.06 | 20 |
| Kidney imaging morphology CPT 78700 | $353.29 | $721.00 | $252.35 – $706.58 | 20 |
| Kidney imag w/bld flow multi CPT 78709 | $1,381.80 | $2,820.00 | $987.00 – $2,763.60 | 20 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,103.48 | $2,252.00 | $788.20 – $2,206.96 | 20 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $482.65 | $985.00 | $344.75 – $965.30 | 20 |
| Kit case 4.2mm spinejack HCPCS C1062 | $4,132.73 | $8,434.13 | $63.49 – $177.76 | 20 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $12.38 | $25.25 | $8.84 – $24.75 | 20 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $5,181.75 | $10,575.00 | $3,257.10 – $9,119.88 | 20 |
| Kit lead specify 5-6-5 HCPCS C1778 | $33,312.41 | $67,984.50 | $13.58 – $38.03 | 20 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $532.64 | $1,087.02 | $103.95 – $291.06 | 20 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $1,141.09 | $2,328.75 | $24.60 – $2,241.75 | 20 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $3,492.72 | $7,128.00 | $2,494.80 – $6,985.44 | 20 |
| Knee MRI (with and without contrast) CPT 73723 | $2,120.23 | $4,327.00 | $1,514.45 – $4,240.46 | 20 |
| Knee MRI (with contrast) CPT 73722 | $1,863.96 | $3,804.00 | $1,331.40 – $3,727.92 | 20 |
| Knee MRI (without contrast) CPT 73721 | $1,710.10 | $3,490.00 | $1,221.50 – $3,420.20 | 20 |
| Knee X-ray CPT 73564 | $265.09 | $541.00 | $29.05 – $81.34 | 20 |
| Kras gene variants exon 2 CPT 81275 | $843.29 | $1,721.00 | $193.25 – $1,686.58 | 20 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $37.73 | $77.00 | $19.25 – $75.46 | 20 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $33.32 | $68.00 | $17.00 – $66.64 | 20 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $51.99 | $106.10 | $34.83 – $97.51 | 20 |
| Lab pathology consultation CPT 80500 | $25.97 | $53.00 | $18.55 – $51.94 | 20 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $222.02 | $453.10 | $0.20 – $97.51 | 20 |
| Lactate dehydrogenase (ldh) CPT 83615 | $68.60 | $140.00 | $6.04 – $18.62 | 20 |
| Lactated ringers intravenous solution HCPCS J7120 | $101.31 | $206.75 | $2.43 – $202.62 | 20 |
| Lactic acid CPT 83605 | $80.36 | $164.00 | $11.57 – $26.46 | 20 |
| Lactoferrin fecal qualitative CPT 83630 | $57.33 | $117.00 | $19.70 – $114.66 | 20 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $22,417.50 | $45,750.00 | $48.00 – $14,158.26 | 20 |
| Laparo cholecystectomy/explr CPT 47564 | $1,472.94 | $3,006.00 | $1,052.10 – $2,945.88 | 20 |
| Laparo cholecystectomy/graph CPT 47563 | $949.13 | $1,937.00 | $677.95 – $1,898.26 | 20 |
| Laparo cholecystoenterostomy CPT 47570 | $1,023.12 | $2,088.00 | $730.80 – $2,046.24 | 20 |
| Laparo drng lymphocele 49323 CPT 49323 | $842.80 | $1,720.00 | $602.00 – $1,685.60 | 20 |
| Laparo partial colectomy 44204 CPT 44204 | $2,033.01 | $4,149.00 | $1,452.15 – $4,066.02 | 20 |
| Laparoscopy aspiration CPT 49322 | $497.84 | $1,016.00 | $355.60 – $995.68 | 20 |
| Laparoscopy biopsy CPT 49321 | $458.15 | $935.00 | $327.25 – $916.30 | 20 |
| Laparoscopy splenectomy CPT 38120 | $1,391.11 | $2,839.00 | $993.65 – $2,782.22 | 20 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | $1,538.11 | $3,139.00 | $1,098.65 – $3,076.22 | 20 |
| Laparo-vag hyst incl t/o CPT 58552 | $1,330.35 | $2,715.00 | $950.25 – $2,660.70 | 20 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $1,770.37 | $3,613.00 | $1,264.55 – $3,540.74 | 20 |
| Lap enterectomy 44202 CPT 44202 | $1,826.72 | $3,728.00 | $1,304.80 – $3,653.44 | 20 |
| Lap enterolysis CPT 44180 | $1,212.26 | $2,474.00 | $865.90 – $2,424.52 | 20 |
| Lap inc hernia repair 49654 CPT 49654 | $1,113.77 | $2,273.00 | $795.55 – $2,227.54 | 20 |
| Lap inc hernia repair recurr 49656 CPT 49656 | $1,208.83 | $2,467.00 | $863.45 – $2,417.66 | 20 |
| Lap ing hernia repair init CPT 49650 | $574.28 | $1,172.00 | $410.20 – $1,148.56 | 20 |
| Lap ing hernia repair recur CPT 49651 | $749.21 | $1,529.00 | $535.15 – $1,498.42 | 20 |
| Lap insert tunnel ip cath CPT 49324 | $511.07 | $1,043.00 | $365.05 – $1,022.14 | 20 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $2,304.96 | $4,704.00 | $1,646.40 – $4,609.92 | 20 |
| Lap resect s/intestine addl 44203 CPT 44203 | $313.60 | $640.00 | $224.00 – $627.20 | 20 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $245.00 | $500.00 | $175.00 – $490.00 | 20 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $380.24 | $776.00 | $194.00 – $701.68 | 20 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $467.46 | $954.00 | $175.50 – $687.96 | 20 |
| Laryngoscopy w/fb removal CPT 31530 | $642.39 | $1,311.00 | $136.75 – $536.06 | 20 |
| Lateral canthopexy CPT 21282 | $1,177.96 | $2,404.00 | $276.00 – $1,081.92 | 20 |
| Lavage cannulation maxillary sinus CPT 31000 | $254.31 | $519.00 | $114.45 – $320.46 | 20 |
| Lb with mastopexy 15839 CPT 15839 | $1,733.62 | $3,538.00 | $1,238.30 – $3,467.24 | 20 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $3,307.50 | $6,750.00 | $199.50 – $558.60 | 20 |
| Lead capillary CPT 83655 | $85.26 | $174.00 | $12.11 – $36.26 | 20 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,869.44 | $5,856.00 | $53.76 – $150.53 | 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.