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 |
|---|---|---|---|---|
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $860.93 | $1,757.00 | $30.80 – $86.24 | 20 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $1,443.54 | $2,946.00 | $7.70 – $21.56 | 20 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $140.63 | $287.00 | $25.55 – $71.54 | 20 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $246.47 | $503.00 | $1.13 – $97.51 | 20 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $6,191.45 | $12,635.60 | $0.08 – $97.51 | 20 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $120.99 | $246.90 | $0.87 – $97.51 | 20 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $289.72 | $591.25 | $0.12 – $97.51 | 20 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,540.55 | $7,225.60 | $15.00 – $3,988.56 | 20 |
| Palifermin injection HCPCS J2425 | $6,913.85 | $14,109.89 | $32.11 – $13,827.70 | 20 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $8,059.01 | $16,446.94 | $1,718.96 – $7,978.58 | 20 |
| Palonosetron hcl HCPCS J2469 | $50.83 | $103.73 | $1.19 – $97.51 | 20 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $140.02 | $285.75 | $14.10 – $97.51 | 20 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $17,131.09 | $34,961.40 | $165.51 – $8,565.55 | 20 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Papaverin hcl injection HCPCS J2440 | $92.75 | $189.28 | $34.83 – $97.51 | 20 |
| Parathormone (pth) intact CPT 83970 | $270.48 | $552.00 | $41.28 – $122.50 | 20 |
| Parathyrd planar w/spect&ct CPT 78072 | $230.30 | $470.00 | $164.50 – $460.60 | 20 |
| Parathyroid planar imaging CPT 78070 | $649.25 | $1,325.00 | $463.75 – $1,298.50 | 20 |
| Parathyroid planar img w/tomo spect CPT 78071 | $285.67 | $583.00 | $204.05 – $571.34 | 20 |
| Parial mast w/lymph removal 19302 CPT 19302 | $1,198.54 | $2,446.00 | $856.10 – $2,397.08 | 20 |
| Paricalcitol HCPCS J2501 | $48.76 | $99.50 | $0.75 – $97.51 | 20 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $126.91 | $259.00 | $51.00 – $199.92 | 20 |
| Partial removal finger bone CPT 26236 | $1,088.29 | $2,221.00 | $777.35 – $2,176.58 | 20 |
| Partial removal of foot bone CPT 28288 | $1,415.12 | $2,888.00 | $1,010.80 – $2,830.24 | 20 |
| Partial removal of thyroid CPT 60220 | $950.11 | $1,939.00 | $678.65 – $1,900.22 | 20 |
| Partial removal of thyroid CPT 60225 | $1,262.73 | $2,577.00 | $901.95 – $2,525.46 | 20 |
| Partial removal of toe CPT 28160 | $1,088.29 | $2,221.00 | $777.35 – $2,176.58 | 20 |
| Partial thyroid excision CPT 60210 | $947.66 | $1,934.00 | $676.90 – $1,895.32 | 20 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $1,353.38 | $2,762.00 | $966.70 – $2,706.76 | 20 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,271.64 | $8,717.63 | $2.56 – $580.20 | 20 |
| Part removal of metatarsal CPT 28113 | $804.58 | $1,642.00 | $574.70 – $1,609.16 | 20 |
| Passy muir valve metal trach HCPCS L8501 | $36.07 | $73.60 | $25.76 – $72.13 | 20 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,958.32 | $22,363.90 | $7,827.37 – $21,916.63 | 20 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $7,786.28 | $15,890.35 | $135.49 – $14,919.68 | 20 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $3,779.74 | $7,713.75 | $164.04 – $7,559.48 | 20 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $3,579.31 | $7,304.70 | $2,556.65 – $7,158.61 | 20 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $55,374.90 | $113,010.00 | $3,391.91 – $75,391.40 | 20 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,873.76 | $3,824.00 | $1,338.40 – $3,747.52 | 20 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,448.93 | $2,957.00 | $1,034.95 – $2,897.86 | 20 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,574.86 | $3,214.00 | $1,124.90 – $3,149.72 | 20 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,343.67 | $4,783.00 | $1,674.05 – $4,687.34 | 20 |
| Pelvic MRI (with contrast) CPT 72196 | $1,520.96 | $3,104.00 | $1,086.40 – $3,041.92 | 20 |
| Pelvic MRI (without contrast) CPT 72195 | $1,789.48 | $3,652.00 | $1,278.20 – $3,578.96 | 20 |
| Pelvic Ultrasound (complete) CPT 76856 | $482.65 | $985.00 | $344.75 – $965.30 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $299.39 | $611.00 | $213.85 – $598.78 | 20 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $14,449.42 | $29,488.60 | $62.72 – $28,898.83 | 20 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $9,059.44 | $18,488.65 | $4.34 – $97.51 | 20 |
| Pemivibart infusion HCPCS M0224 | $315.56 | $644.00 | $225.40 – $631.12 | 20 |
| Peng benzathine/procaine inj HCPCS J0558 | $544.72 | $1,111.67 | $17.37 – $1,089.42 | 20 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $1,540.41 | $3,143.68 | $22.00 – $867.99 | 20 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $123.24 | $251.50 | $0.83 – $97.51 | 20 |
| Penicillin g procaine inj HCPCS J2510 | $174.07 | $355.23 | $38.62 – $348.13 | 20 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $4,895.99 | $9,991.80 | $1,190.00 – $3,332.00 | 20 |
| Pentobarbital sodium inj HCPCS J2515 | $4,128.13 | $8,424.75 | $52.83 – $2,801.04 | 20 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $5,697.21 | $11,626.95 | $2,556.07 – $11,394.42 | 20 |
| Perc rf ablate renal tumor CPT 50592 | $2,806.72 | $5,728.00 | $2,004.80 – $5,613.44 | 20 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $196.00 | $400.00 | $137.76 – $385.73 | 20 |
| Pericardiocentesis wwo imaging CPT 33016 | $337.61 | $689.00 | $241.15 – $675.22 | 20 |
| Peripheral vascular rehab CPT 93668 | $41.16 | $84.00 | $28.35 – $79.38 | 20 |
| Perit-vens shunt pat tst CPT 78291 | $533.61 | $1,089.00 | $381.15 – $1,067.22 | 20 |
| Perq dev breast 1st mr guide CPT 19287 | $1,648.36 | $3,364.00 | $658.35 – $1,843.38 | 20 |
| Perq dev breast 1st strtctc CPT 19283 | $912.87 | $1,863.00 | $259.70 – $727.16 | 20 |
| Pertussis ag if CPT 87265 | $193.06 | $394.00 | $11.98 – $386.12 | 20 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $16,651.73 | $33,983.11 | $16.87 – $33,303.45 | 20 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $63.07 | $128.70 | $45.05 – $126.13 | 20 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,324.65 | $6,785.00 | $2,374.75 – $6,649.30 | 20 |
| Pet CT whole body initial CPT 78816 | $3,324.65 | $6,785.00 | $2,374.75 – $6,649.30 | 20 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,477.44 | $5,056.00 | $1,769.60 – $4,954.88 | 20 |
| Pet image w/ct lmtd CPT 78814 | $2,626.89 | $5,361.00 | $1,876.35 – $5,253.78 | 20 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $24,210.90 | $49,410.00 | $22.05 – $61.74 | 20 |
| Ph body fluid CPT 83986 | $63.21 | $129.00 | $3.58 – $92.12 | 20 |
| Phencyclidine (pcp) CPT 83992 | $107.80 | $220.00 | $77.00 – $215.60 | 20 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $123.25 | $251.52 | $32.80 – $97.51 | 20 |
| Phenobarbital therapeutic drug level CPT 80184 | $118.58 | $242.00 | $15.05 – $34.30 | 20 |
| Phentolaine mesylate inj HCPCS J2760 | $1,043.02 | $2,128.60 | $174.59 – $488.85 | 20 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $101.31 | $206.75 | $34.83 – $97.51 | 20 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $48.76 | $99.50 | $0.64 – $97.51 | 20 |
| Phenytoin total therapeutic drug level CPT 80185 | $94.08 | $192.00 | $13.25 – $40.18 | 20 |
| Phlebotomy therapeutic CPT 99195 | $153.86 | $314.00 | $88.90 – $248.92 | 20 |
| Phosphorus CPT 84100 | $53.41 | $109.00 | $4.74 – $14.70 | 20 |
| Phosphorus 24 hour urine CPT 84105 | $65.66 | $134.00 | $5.78 – $131.32 | 20 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $58.27 | $118.90 | $2.80 – $93.22 | 20 |
| Pin caspar distraction 12mm HCPCS C1821 | $8,608.32 | $17,568.00 | $1,232.00 – $3,449.60 | 20 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $810.95 | $1,655.00 | $144.20 – $403.76 | 20 |
| Pinworm exam CPT 87172 | $31.36 | $64.00 | $4.27 – $62.72 | 20 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $273.72 | $558.60 | $1.05 – $97.51 | 20 |
| Place gastrostomy tube open 43832 CPT 43832 | $1,375.43 | $2,807.00 | $982.45 – $2,750.86 | 20 |
| Place gastrostomy tube perc CPT 49440 | $563.99 | $1,151.00 | $402.85 – $1,127.98 | 20 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $958.93 | $1,957.00 | $238.70 – $668.36 | 20 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $706.09 | $1,441.00 | $169.75 – $475.30 | 20 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $998.62 | $2,038.00 | $380.10 – $1,064.28 | 20 |
| Placement of seton CPT 46020 | $154.84 | $316.00 | $110.60 – $309.68 | 20 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $147.98 | $302.00 | $87.15 – $244.02 | 20 |
| Plastic mod low ext pad/line HCPCS L2275 | $162.43 | $331.47 | $116.02 – $324.85 | 20 |
| Platelet aggregation each agent teg CPT 85576 | $190.61 | $389.00 | $24.91 – $381.22 | 20 |
| Platelet automated CPT 85049 | $38.71 | $79.00 | $4.48 – $77.42 | 20 |
| Platelet pheresis each unit HCPCS P9034 | $860.44 | $1,756.00 | $614.60 – $1,720.88 | 20 |
| Platelet pheresis irr ea HCPCS P9036 | $825.65 | $1,685.00 | $589.75 – $1,651.30 | 20 |
| Platelets each unit HCPCS P9019 | $91.63 | $187.00 | $65.45 – $183.26 | 20 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $647.78 | $1,322.00 | $462.70 – $1,295.56 | 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.