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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44369 | $335.65 | $685.00 | $239.75 – $671.30 | 20 |
| Small bowel endoscopy CPT 44376 | $388.57 | $793.00 | $277.55 – $777.14 | 20 |
| Small bowel endoscopy CPT 44378 | $526.26 | $1,074.00 | $375.90 – $1,052.52 | 20 |
| Small bowel endoscopy CPT 44382 | $428.26 | $874.00 | $305.90 – $856.52 | 20 |
| Small bowel endoscopy CPT 44384 | $210.21 | $429.00 | $150.15 – $420.42 | 20 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $261.66 | $534.00 | $186.90 – $523.32 | 20 |
| Small bowel endoscopy 44365 CPT 44365 | $248.43 | $507.00 | $177.45 – $496.86 | 20 |
| Small bowel endoscopy/biopsy CPT 44361 | $216.58 | $442.00 | $154.70 – $433.16 | 20 |
| Small bowel endoscopy/biopsy CPT 44377 | $408.66 | $834.00 | $291.90 – $817.32 | 20 |
| Small bowel endoscopy br/wa CPT 44380 | $276.85 | $565.00 | $197.75 – $553.70 | 20 |
| Small bowel endoscopy/stent 44370 CPT 44370 | $364.07 | $743.00 | $260.05 – $728.14 | 20 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $96.04 | $196.00 | $5.39 – $192.08 | 20 |
| Smear gram stain CPT 87205 | $56.84 | $116.00 | $4.27 – $13.72 | 20 |
| Smear nasal eosinophil CPT 89190 | $45.57 | $93.00 | $5.79 – $91.14 | 20 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $124.46 | $254.00 | $5.99 – $248.92 | 20 |
| Smear wet mount CPT 87210 | $69.58 | $142.00 | $5.82 – $13.72 | 20 |
| Sock fracture or equal each HCPCS L3995 | $21.02 | $42.89 | $15.02 – $42.04 | 20 |
| Sodium 24 hour urine CPT 84300 | $48.02 | $98.00 | $5.06 – $96.04 | 20 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $101.31 | $206.75 | $2.61 – $202.62 | 20 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $101.31 | $206.75 | $1.30 – $5.54 | 20 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $48.76 | $99.50 | $0.65 – $97.51 | 20 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $101.31 | $206.75 | $0.10 – $97.51 | 20 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $71.27 | $145.43 | $2.18 – $97.51 | 20 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $443.04 | $904.15 | $73.12 – $886.07 | 20 |
| Sodium serum/plasma/whole blood CPT 84295 | $59.29 | $121.00 | $4.81 – $14.70 | 20 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $242.55 | $495.00 | $173.25 – $485.10 | 20 |
| Somatropin injection HCPCS J2941 | $685.64 | $1,399.25 | $151.79 – $1,371.27 | 20 |
| Specific gravity body fluid CPT 84315 | $22.05 | $45.00 | $3.28 – $44.10 | 20 |
| Specimen fat stain CPT 89125 | $27.44 | $56.00 | $5.88 – $35.28 | 20 |
| Speech audiometry complete CPT 92556 | $33.32 | $68.00 | $23.80 – $66.64 | 20 |
| Speech evaluation complex CPT 70371 | $274.89 | $561.00 | $196.35 – $549.78 | 20 |
| Speech recep thresh CPT 92555 | $33.32 | $68.00 | $23.80 – $66.64 | 20 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $510.09 | $1,041.00 | $364.35 – $1,020.18 | 20 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $366.03 | $747.00 | $261.45 – $732.06 | 20 |
| Splenectomy total open 38100 CPT 38100 | $1,514.10 | $3,090.00 | $1,081.50 – $3,028.20 | 20 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $50.16 | $102.35 | $35.83 – $100.31 | 20 |
| Splint finger 4 prong foam sm HCPCS A4570 | $64.34 | $131.30 | $25.31 – $70.86 | 20 |
| Split blood or products CPT 86985 | $70.07 | $143.00 | $50.05 – $140.14 | 20 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $589.96 | $1,204.00 | $112.70 – $315.56 | 20 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $589.96 | $1,204.00 | $59.15 – $165.62 | 20 |
| Stem cells total count CPT 86367 | $510.09 | $1,041.00 | $77.78 – $1,020.18 | 20 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $15,107.44 | $30,831.50 | $10.32 – $28.90 | 20 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,895.17 | $5,908.50 | $13.87 – $38.83 | 20 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $15,119.48 | $30,856.08 | $5.18 – $14.50 | 20 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $482.65 | $985.00 | $344.75 – $965.30 | 20 |
| Sternal debridement CPT 21627 | $723.73 | $1,477.00 | $516.95 – $1,447.46 | 20 |
| St evaluate speech sound production CPT 92522 | $589.96 | $1,204.00 | $112.70 – $315.56 | 20 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $291.55 | $595.00 | $115.15 – $322.42 | 20 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $589.96 | $1,204.00 | $163.10 – $456.68 | 20 |
| St evaluation swallow function CPT 92610 | $293.02 | $598.00 | $98.70 – $276.36 | 20 |
| Strap montgmry ns 8 hl sht 7.25 x 11.25in HCPCS A4461 | $49.62 | $101.25 | $21.04 – $58.90 | 20 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $147.49 | $301.00 | $19.50 – $76.44 | 20 |
| Strapping of chest CPT 29200 | $161.21 | $329.00 | $23.75 – $93.10 | 20 |
| Strapping of elbow or wrist 29260 CPT 29260 | $211.19 | $431.00 | $21.00 – $82.32 | 20 |
| Strapping of hand or finger CPT 29280 | $118.09 | $241.00 | $20.75 – $81.34 | 20 |
| Strapping of hip CPT 29520 | $201.39 | $411.00 | $25.00 – $98.00 | 20 |
| Strapping of knee CPT 29530 | $147.49 | $301.00 | $21.50 – $84.28 | 20 |
| Strapping of toes 29550 CPT 29550 | $147.49 | $301.00 | $13.50 – $52.92 | 20 |
| Strep a ag ia CPT 87430 | $81.34 | $166.00 | $16.81 – $93.10 | 20 |
| Strep b dna amp probe CPT 87653 | $53.90 | $110.00 | $35.09 – $107.80 | 20 |
| Stress test pulmonary CPT 94618 | $90.65 | $185.00 | $57.40 – $160.72 | 20 |
| Stress tte complete CPT 93351 | $1,545.95 | $3,155.00 | $1,104.25 – $3,091.90 | 20 |
| St treatment speech individual CPT 92507 | $760.97 | $1,553.00 | $109.20 – $305.76 | 20 |
| St treatment swallow dysfunction/oral CPT 92526 | $749.70 | $1,530.00 | $112.00 – $313.60 | 20 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $101.31 | $206.75 | $0.81 – $97.51 | 20 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $17,168.04 | $35,036.80 | $458.50 – $1,283.80 | 20 |
| Sulfonylurea screen qn-sendout CPT 80377 | $236.18 | $482.00 | $168.70 – $472.36 | 20 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $372.92 | $761.05 | $34.83 – $97.51 | 20 |
| Support clav 29.6-40.5in med HCPCS L3650 | $16.37 | $33.40 | $6.75 – $18.88 | 20 |
| Surg dx exam anorectal CPT 45990 | $141.12 | $288.00 | $100.80 – $282.24 | 20 |
| Surgical pathology level 1 gross examination only CPT 88300 | $78.89 | $161.00 | $56.35 – $157.78 | 20 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $90.65 | $185.00 | $64.75 – $181.30 | 20 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $135.73 | $277.00 | $96.95 – $271.46 | 20 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $196.98 | $402.00 | $140.70 – $393.96 | 20 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $255.78 | $522.00 | $182.70 – $511.56 | 20 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $340.55 | $695.00 | $243.25 – $681.10 | 20 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $776.65 | $1,585.00 | $554.75 – $1,553.30 | 20 |
| Susceptibility agar dilution per agent CPT 87181 | $41.16 | $84.00 | $4.75 – $82.32 | 20 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $41.16 | $84.00 | $4.75 – $14.70 | 20 |
| Susceptibility mic per plate CPT 87186 | $101.92 | $208.00 | $8.65 – $26.46 | 20 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,391.11 | $2,839.00 | $993.65 – $2,782.22 | 20 |
| Synvisc or synvisc-one HCPCS J7325 | $1,008.35 | $2,057.85 | $8.88 – $672.24 | 20 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $33.32 | $68.00 | $4.40 – $13.72 | 20 |
| System cardiomems hosp electronics HCPCS C2624 | $20,374.20 | $41,580.00 | $12,862.50 – $36,015.00 | 20 |
| System pacing micra av HCPCS C1786 | $20,175.75 | $41,175.00 | $1,141.88 – $3,197.25 | 20 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $9,415.35 | $19,215.00 | $1.28 – $3.56 | 20 |
| System sealant biosentry tract HCPCS C2613 | $513.08 | $1,047.09 | $366.49 – $1,026.15 | 20 |
| T3 (triiodothyronine) free CPT 84481 | $130.34 | $266.00 | $11.61 – $37.61 | 20 |
| T3 (triiodothyronine) total CPT 84480 | $56.35 | $115.00 | $11.61 – $31.48 | 20 |
| T4 (thyroxine) free CPT 84439 | $81.83 | $167.00 | $9.02 – $26.46 | 20 |
| T4 (thyroxine) total CPT 84436 | $69.58 | $142.00 | $6.87 – $20.58 | 20 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $206.20 | $420.80 | $0.27 – $3.95 | 20 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $571.47 | $1,166.25 | $248.77 – $1,142.93 | 20 |
| Tacrolimus therapeutic drug level CPT 80197 | $212.66 | $434.00 | $13.73 – $41.16 | 20 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $3,120.40 | $6,368.15 | $2,228.86 – $6,240.79 | 20 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $25,369.31 | $51,774.10 | $1,359.07 – $3,805.39 | 20 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $992.65 | $2,025.80 | $0.41 – $378.08 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $235.20 | $480.00 | $61.98 – $470.40 | 20 |
| Tc-99m bicisate HCPCS A9557 | $2,879.24 | $5,876.00 | $2,056.60 – $5,758.48 | 20 |
| Tc-99m depreotide HCPCS A9536 | $803.60 | $1,640.00 | $574.00 – $1,607.20 | 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.