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 |
|---|---|---|---|---|
| Pr removal drug delivery implant CPT 11982 | $43.61 | $89.00 | $31.15 – $87.22 | 20 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $109.76 | $224.00 | $56.00 – $165.62 | 20 |
| Pr removal intrauterine device CPT 58301 | $170.03 | $347.00 | $77.75 – $304.78 | 20 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $532.63 | $1,087.00 | $214.00 – $838.88 | 20 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $240.10 | $490.00 | $77.75 – $304.78 | 20 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $254.31 | $519.00 | $81.00 – $317.52 | 20 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $216.09 | $441.00 | $65.00 – $254.80 | 20 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $229.32 | $468.00 | $78.25 – $306.74 | 20 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $754.60 | $1,540.00 | $148.75 – $416.50 | 20 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $22.54 | $46.00 | $16.10 – $45.08 | 20 |
| PSA (Prostate) Test CPT 84153 | $108.29 | $221.00 | $18.39 – $54.88 | 20 |
| Psychoeducation 45 min + HCPCS G0177 | $90.16 | $184.00 | $64.40 – $180.32 | 20 |
| Psychotherapy group therapy CPT 90853 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Psytx pt w/e&m 53+ min CPT 90838 | $170.03 | $347.00 | $121.45 – $340.06 | 20 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $59.29 | $121.00 | $25.55 – $71.54 | 20 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $81.34 | $166.00 | $7.70 – $21.56 | 20 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $81.34 | $166.00 | $34.65 – $97.02 | 20 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $1,285.76 | $2,624.00 | $22.05 – $61.74 | 20 |
| Pt application of modality traction mechanical CPT 97012 | $46.06 | $94.00 | $31.15 – $87.22 | 20 |
| Pt evaluation high complexity patient/family CPT 97163 | $103.88 | $212.00 | $35.35 – $98.98 | 20 |
| Pt evaluation low complexity patient/family CPT 97161 | $103.88 | $212.00 | $30.80 – $86.24 | 20 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $103.88 | $212.00 | $30.80 – $86.24 | 20 |
| Pt prgrm for implt neurostim HCPCS L8681 | $19,722.50 | $40,250.00 | $315.00 – $882.00 | 20 |
| Pt re-evaluation patient/family CPT 97164 | $58.31 | $119.00 | $31.50 – $88.20 | 20 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $29.89 | $61.00 | $19.95 – $55.86 | 20 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $81.34 | $166.00 | $26.25 – $73.50 | 20 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $58.31 | $119.00 | $31.50 – $88.20 | 20 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $87.22 | $178.00 | $24.85 – $69.58 | 20 |
| Pt wheelchair management each 15 minutes CPT 97542 | $140.63 | $287.00 | $22.40 – $62.72 | 20 |
| Pulmonary vent imaging CPT 78579 | $482.16 | $984.00 | $344.40 – $964.32 | 20 |
| Pulse ox continuous overnight monitoring CPT 94762 | $278.32 | $568.00 | $198.80 – $556.64 | 20 |
| Pulse ox multiple CPT 94761 | $122.01 | $249.00 | $82.60 – $231.28 | 20 |
| Pulse ox single CPT 94760 | $68.11 | $139.00 | $48.65 – $136.22 | 20 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $51.94 | $106.00 | $20.00 – $78.40 | 20 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $178.36 | $364.00 | $91.00 – $324.38 | 20 |
| Puncture spinal lumbar diagnostic CPT 62270 | $237.65 | $485.00 | $88.25 – $260.68 | 20 |
| Pvb thoracic single inj site CPT 64461 | $511.07 | $1,043.00 | $365.05 – $1,022.14 | 20 |
| Pyloroplasty 43800 CPT 43800 | $1,225.49 | $2,501.00 | $875.35 – $2,450.98 | 20 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $48.76 | $99.50 | $15.00 – $97.51 | 20 |
| Pyruvate CPT 84210 | $126.42 | $258.00 | $14.48 – $252.84 | 20 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,787.52 | $3,648.00 | $1,276.80 – $3,575.04 | 20 |
| Quant diff pulm perf w/imaging CPT 78597 | $178.36 | $364.00 | $127.40 – $356.72 | 20 |
| Quest t3 uptake CPT 84479 | $36.75 | $75.00 | $6.47 – $73.50 | 20 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $7,558.70 | $15,425.90 | $452.57 – $2,149.88 | 20 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,949.71 | $12,142.25 | $285.65 – $2,379.89 | 20 |
| Radiesse injection HCPCS Q2026 | $1,318.15 | $2,690.10 | $257.25 – $720.30 | 20 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,017.24 | $2,076.00 | $726.60 – $2,034.48 | 20 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,017.24 | $2,076.00 | $726.60 – $2,034.48 | 20 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,500.38 | $3,062.00 | $566.30 – $1,585.64 | 20 |
| Radphm lcl tumor plr sgl day CPT 78800 | $440.02 | $898.00 | $314.30 – $880.04 | 20 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $17,916.85 | $36,565.00 | $76.22 – $6,998.33 | 20 |
| Range of motion measurements CPT 95852 | $50.96 | $104.00 | $17.85 – $49.98 | 20 |
| Rapid Strep Test CPT 87880 | $96.53 | $197.00 | $15.48 – $36.70 | 20 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $10,951.90 | $22,350.80 | $367.48 – $4,957.52 | 20 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $58,679.86 | $119,754.80 | $221.75 – $31,379.61 | 20 |
| Rbc count only automated CPT 85041 | $18.62 | $38.00 | $3.02 – $37.24 | 20 |
| Rbc deglycerolized each unit HCPCS P9039 | $595.35 | $1,215.00 | $425.25 – $1,190.70 | 20 |
| Rbc serum pretx incubj drugs CPT 86975 | $279.30 | $570.00 | $199.50 – $558.60 | 20 |
| Recon, cta for surg plan HCPCS G0288 | $835.94 | $1,706.00 | $597.10 – $1,671.88 | 20 |
| Reconstruct extra finger CPT 26587 | $1,398.95 | $2,855.00 | $629.30 – $1,762.04 | 20 |
| Reconstruction of nail bed CPT 11762 | $402.29 | $821.00 | $129.85 – $363.58 | 20 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $1,944.32 | $3,968.00 | $1,388.80 – $3,888.64 | 20 |
| Red blood cells each unit HCPCS P9021 | $395.43 | $807.00 | $282.45 – $790.86 | 20 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $682.57 | $1,393.00 | $487.55 – $1,365.14 | 20 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $339.08 | $692.00 | $242.20 – $678.16 | 20 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $534.59 | $1,091.00 | $211.05 – $590.94 | 20 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $434.63 | $887.00 | $248.50 – $695.80 | 20 |
| Red blood cells washed each unit HCPCS P9022 | $465.01 | $949.00 | $332.15 – $930.02 | 20 |
| Refill/maint pump/resvr syst CPT 96522 | $230.30 | $470.00 | $164.50 – $460.60 | 20 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $577.59 | $1,178.75 | $7.05 – $97.51 | 20 |
| Rem/biv cast full arm/leg CPT 29705 | $97.02 | $198.00 | $43.50 – $170.52 | 20 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,555.39 | $3,174.25 | $910.00 – $2,548.00 | 20 |
| Rem interrog evl pm/ids CPT 93296 | $44.59 | $91.00 | $31.85 – $89.18 | 20 |
| Removal anal seton other marker 46030 CPT 46030 | $359.66 | $734.00 | $256.90 – $719.32 | 20 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $824.67 | $1,683.00 | $162.75 – $455.70 | 20 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,593.97 | $3,253.00 | $218.40 – $611.52 | 20 |
| Removal cerumen impacted (both sides) CPT 69210 | $123.97 | $253.00 | $33.00 – $125.44 | 20 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $78.89 | $161.00 | $29.40 – $82.32 | 20 |
| Removal duct glbldr calculi CPT 47544 | $1,208.83 | $2,467.00 | $863.45 – $2,417.66 | 20 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $260.19 | $531.00 | $120.75 – $338.10 | 20 |
| Removal foreign body foot subcutaneous right CPT 28190 | $336.63 | $687.00 | $171.75 – $562.52 | 20 |
| Removal foreign body gum 41805 CPT 41805 | $743.33 | $1,517.00 | $223.50 – $876.12 | 20 |
| Removal foreign body jawbone CPT 41806 | $743.33 | $1,517.00 | $294.75 – $1,155.42 | 20 |
| Removal foreign body mouth CPT 40805 | $396.41 | $809.00 | $202.25 – $675.22 | 20 |
| Removal implant superficial separate procedure CPT 20670 | $1,379.35 | $2,815.00 | $985.25 – $2,758.70 | 20 |
| Removal of anal fissure CPT 46200 | $658.07 | $1,343.00 | $470.05 – $1,316.14 | 20 |
| Removal of anal tags CPT 46230 | $433.16 | $884.00 | $221.00 – $667.38 | 20 |
| Removal of breast lesion CPT 19120 | $1,518.51 | $3,099.00 | $497.70 – $1,393.56 | 20 |
| Removal of foreign body CPT 27372 | $1,188.25 | $2,425.00 | $414.50 – $1,624.84 | 20 |
| Removal of gallbladder 47600 CPT 47600 | $1,410.71 | $2,879.00 | $1,007.65 – $2,821.42 | 20 |
| Removal of gallbladder 47610 CPT 47610 | $1,651.79 | $3,371.00 | $1,179.85 – $3,303.58 | 20 |
| Removal of gallbladder 47620 CPT 47620 | $1,807.61 | $3,689.00 | $1,291.15 – $3,615.22 | 20 |
| Removal of hydrocele CPT 55040 | $462.07 | $943.00 | $330.05 – $924.14 | 20 |
| Removal of hydroceles CPT 55041 | $698.74 | $1,426.00 | $499.10 – $1,397.48 | 20 |
| Removal of infusion pump CPT 36262 | $1,313.20 | $2,680.00 | $938.00 – $2,626.40 | 20 |
| Removal of intranasal lesion CPT 30117 | $936.39 | $1,911.00 | $668.85 – $1,872.78 | 20 |
| Removal of skin tags each add'l 10 CPT 11201 | $24.99 | $51.00 | $13.65 – $38.22 | 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.