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 |
|---|---|---|---|---|
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $682.57 | $1,393.00 | $487.55 – $1,365.14 | 20 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $708.54 | $1,446.00 | $506.10 – $1,417.08 | 20 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $930.02 | $1,898.00 | $664.30 – $1,860.04 | 20 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,664.04 | $3,396.00 | $701.40 – $1,963.92 | 20 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $370.93 | $757.00 | $264.95 – $741.86 | 20 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $370.93 | $757.00 | $264.95 – $741.86 | 20 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,731.17 | $3,533.00 | $510.65 – $1,429.82 | 20 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $706.09 | $1,441.00 | $193.55 – $541.94 | 20 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $744.80 | $1,520.00 | $313.25 – $877.10 | 20 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $436.10 | $890.00 | $311.50 – $872.20 | 20 |
| Plmt access bil tree sm bwl CPT 47541 | $1,680.70 | $3,430.00 | $1,200.50 – $3,361.40 | 20 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $218.05 | $445.00 | $26.07 – $379.26 | 20 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $44,269.86 | $90,346.65 | $135.73 – $18,972.85 | 20 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $707.07 | $1,443.00 | $505.05 – $1,414.14 | 20 |
| Polysom any age 1-3> param CPT 95808 | $774.69 | $1,581.00 | $553.35 – $1,549.38 | 20 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,979.69 | $6,081.00 | $2,128.35 – $5,959.38 | 20 |
| Postop app non-wgt bear dsg HCPCS L5450 | $344.25 | $702.54 | $245.89 – $688.49 | 20 |
| Potassium 24 hour urine CPT 84133 | $49.98 | $102.00 | $4.73 – $99.96 | 20 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $101.31 | $206.75 | $0.11 – $97.51 | 20 |
| Potassium serum/plasma/whole blood CPT 84132 | $55.37 | $113.00 | $4.76 – $14.70 | 20 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $2.65 | $5.39 | $1.89 – $5.29 | 20 |
| Pq dr cath chg w cont s&i CPT 75984 | $798.70 | $1,630.00 | $570.50 – $1,597.40 | 20 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,118.14 | $12,486.00 | $4,370.10 – $12,236.28 | 20 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $3,500.56 | $7,144.00 | $1,579.55 – $4,422.74 | 20 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $3,500.56 | $7,144.00 | $2,500.40 – $7,001.12 | 20 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $194.28 | $396.48 | $86.70 – $388.56 | 20 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $966.28 | $1,972.00 | $493.00 – $1,480.78 | 20 |
| Pr application of long arm splint CPT 29105 | $189.63 | $387.00 | $31.50 – $88.20 | 20 |
| Pr application splint static short arm CPT 29125 | $193.06 | $394.00 | $44.75 – $175.42 | 20 |
| Pr biopsy skin punch single lesion CPT 11104 | $156.31 | $319.00 | $111.65 – $312.62 | 20 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $14.70 | $30.00 | $9.80 – $27.44 | 20 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $141.12 | $288.00 | $48.65 – $136.22 | 20 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $98.98 | $202.00 | $50.00 – $176.40 | 20 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $145.04 | $296.00 | $103.60 – $290.08 | 20 |
| Prealbumin CPT 84134 | $74.48 | $152.00 | $14.59 – $44.10 | 20 |
| Pr ecg 12 lead report only CPT 93010 | $11.76 | $24.00 | $8.40 – $23.52 | 20 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $26.46 | $54.00 | $18.90 – $52.92 | 20 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $140.65 | $287.04 | $0.29 – $112.42 | 20 |
| Prednisone 1 mg tablet HCPCS J7512 | $410.62 | $838.00 | $0.01 – $3.43 | 20 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $269.99 | $551.00 | $192.85 – $539.98 | 20 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $497.84 | $1,016.00 | $351.05 – $982.94 | 20 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $637.98 | $1,302.00 | $455.70 – $1,275.96 | 20 |
| Pressure max expiratory/inspiratory CPT 94799 | $206.29 | $421.00 | $8.75 – $24.50 | 20 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $123.97 | $253.00 | $88.55 – $247.94 | 20 |
| Pretreat rbc absorption reference CPT 86978 | $110.74 | $226.00 | $46.90 – $131.32 | 20 |
| Pretreat rbc density gradient separation reference CPT 86972 | $93.10 | $190.00 | $66.50 – $186.20 | 20 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $76.93 | $157.00 | $54.95 – $153.86 | 20 |
| Pretreat rbc w enzyme reference CPT 86971 | $49.98 | $102.00 | $35.70 – $99.96 | 20 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $607.60 | $1,240.00 | $90.50 – $354.76 | 20 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,257.34 | $2,566.00 | $219.80 – $615.44 | 20 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $285.18 | $582.00 | $113.75 – $445.90 | 20 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $272.93 | $557.00 | $194.95 – $545.86 | 20 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $185.22 | $378.00 | $5.00 – $19.60 | 20 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $136.22 | $278.00 | $37.25 – $146.02 | 20 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $141.12 | $288.00 | $100.80 – $282.24 | 20 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $98.00 | $200.00 | $70.00 – $196.00 | 20 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $52.92 | $108.00 | $37.80 – $105.84 | 20 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $550.76 | $1,124.00 | $149.25 – $585.06 | 20 |
| Pr incision & drainage abscess simple/single CPT 10060 | $171.99 | $351.00 | $87.75 – $253.82 | 20 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $325.85 | $665.00 | $104.50 – $409.64 | 20 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $207.76 | $424.00 | $106.00 – $397.88 | 20 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $52.43 | $107.00 | $30.45 – $85.26 | 20 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $3,301.99 | $6,738.75 | $1,063.13 – $2,976.75 | 20 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,277.24 | $2,606.61 | $81.66 – $228.64 | 20 |
| Procalcitonin CPT 84145 | $191.59 | $391.00 | $27.22 – $383.18 | 20 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $48.76 | $99.50 | $3.94 – $97.51 | 20 |
| Proctosigmoidoscopy ablate CPT 45320 | $311.15 | $635.00 | $222.25 – $622.30 | 20 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $309.19 | $631.00 | $220.85 – $618.38 | 20 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $1,371.51 | $2,799.00 | $979.65 – $2,743.02 | 20 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $594.86 | $1,214.00 | $91.75 – $359.66 | 20 |
| Proctosigmoidoscopy removal CPT 45308 | $285.18 | $582.00 | $203.70 – $570.36 | 20 |
| Proctosigmoidoscopy removal CPT 45309 | $294.00 | $600.00 | $210.00 – $588.00 | 20 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $317.03 | $647.00 | $226.45 – $634.06 | 20 |
| Proctosigmoidoscopy volvul CPT 45321 | $135.24 | $276.00 | $96.60 – $270.48 | 20 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $253.82 | $518.00 | $181.30 – $507.64 | 20 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $721.28 | $1,472.00 | $152.00 – $595.84 | 20 |
| Proctosigmoidoscopy w/stent CPT 45327 | $152.39 | $311.00 | $108.85 – $304.78 | 20 |
| Progesterone CPT 84144 | $133.28 | $272.00 | $20.86 – $101.92 | 20 |
| Prolactin CPT 84146 | $135.73 | $277.00 | $19.38 – $57.82 | 20 |
| Prolng clin staff svc 1st hr CPT 99415 | $223.44 | $456.00 | $159.60 – $446.88 | 20 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $43.12 | $88.00 | $30.80 – $86.24 | 20 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $74.97 | $153.00 | $53.55 – $149.94 | 20 |
| Prolonged IV inf, req pump HCPCS C8957 | $236.67 | $483.00 | $169.05 – $473.34 | 20 |
| Promethazine hcl injection HCPCS J2550 | $48.76 | $99.50 | $3.10 – $97.51 | 20 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $48.76 | $99.50 | $0.12 – $97.51 | 20 |
| _propoxygc/msur CPT 80367 | $119.07 | $243.00 | $85.05 – $238.14 | 20 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $105.35 | $215.00 | $8.00 – $97.51 | 20 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $73.38 | $149.75 | $2.13 – $97.51 | 20 |
| Protect body sock ea pre ots HCPCS L0984 | $70.99 | $144.87 | $50.71 – $141.98 | 20 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,010.13 | $4,102.29 | $638.14 – $1,786.78 | 20 |
| Protein c activity CPT 85303 | $168.07 | $343.00 | $13.84 – $336.14 | 20 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $126.91 | $259.00 | $10.74 – $32.34 | 20 |
| Protein s total CPT 85305 | $178.85 | $365.00 | $11.61 – $357.70 | 20 |
| Protein total 24 hour urine CPT 84156 | $32.34 | $66.00 | $3.67 – $10.78 | 20 |
| Protein total body fluid CPT 84157 | $33.32 | $68.00 | $4.00 – $66.64 | 20 |
| Protein total serum plasma whole blood CPT 84155 | $75.46 | $154.00 | $3.67 – $10.78 | 20 |
| Prothrombin complex kcentra HCPCS J7168 | $48.76 | $99.50 | $34.83 – $97.51 | 20 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $49.49 | $101.00 | $3.94 – $98.98 | 20 |
| Protoporphyrin rbc screen CPT 84203 | $13.72 | $28.00 | $9.74 – $27.44 | 20 |
| Prp i/hern init block >5 yr CPT 49507 | $778.12 | $1,588.00 | $555.80 – $1,556.24 | 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.