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 |
|---|---|---|---|---|
| Tc-99m disofenin HCPCS A9510 | $97.02 | $198.00 | $69.30 – $194.04 | 20 |
| Tc-99m exametazime diag HCPCS A9521 | $2,603.86 | $5,314.00 | $1,859.90 – $5,207.72 | 20 |
| Tc-99m labeled rbc HCPCS A9560 | $257.25 | $525.00 | $97.30 – $272.44 | 20 |
| Tc-99m maa HCPCS A9540 | $309.19 | $631.00 | $220.85 – $618.38 | 20 |
| Tc-99m mebrofenin HCPCS A9537 | $58.31 | $119.00 | $41.65 – $116.62 | 20 |
| Tc-99m medronate HCPCS A9503 | $83.79 | $171.00 | $59.85 – $167.58 | 20 |
| Tc-99m mertiatide HCPCS A9562 | $553.21 | $1,129.00 | $395.15 – $1,106.42 | 20 |
| Tc-99m oxidronate HCPCS A9561 | $70.56 | $144.00 | $50.40 – $141.12 | 20 |
| Tc-99m pentetate dtpa HCPCS A9539 | $247.45 | $505.00 | $176.75 – $494.90 | 20 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $281.75 | $575.00 | $193.55 – $541.94 | 20 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.47 | $3.00 | $1.05 – $2.94 | 20 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $546.35 | $1,115.00 | $48.30 – $135.24 | 20 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $137.69 | $281.00 | $98.35 – $275.38 | 20 |
| Tc-99m sulfur colloid HCPCS A9541 | $289.59 | $591.00 | $117.60 – $329.28 | 20 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $69.58 | $142.00 | $49.70 – $139.16 | 20 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $136.22 | $278.00 | $46.98 – $272.44 | 20 |
| T cells absolute cd 4 count CPT 86361 | $79.87 | $163.00 | $26.78 – $159.74 | 20 |
| T cells total count CPT 86359 | $136.22 | $278.00 | $37.73 – $272.44 | 20 |
| Team conf w/pat by hc prof CPT 99366 | $175.91 | $359.00 | $36.40 – $101.92 | 20 |
| Telavancin injection HCPCS J3095 | $874.26 | $1,784.20 | $7.13 – $1,748.52 | 20 |
| Telehealth original site facility fee HCPCS Q3014 | $27.93 | $57.00 | $19.95 – $55.86 | 20 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $4,482.26 | $9,147.45 | $31.58 – $8,964.51 | 20 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $19,616.81 | $40,034.30 | $153.11 – $29,710.62 | 20 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $522.34 | $1,066.00 | $373.10 – $1,044.68 | 20 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $48.76 | $99.50 | $6.09 – $97.51 | 20 |
| Test for porphobilinogen CPT 84106 | $56.35 | $115.00 | $5.82 – $112.70 | 20 |
| Testicular imaging w/vasc flow CPT 78761 | $703.64 | $1,436.00 | $502.60 – $1,407.28 | 20 |
| Testosterone undecanoate 1mg HCPCS J3145 | $5,077.59 | $10,362.41 | $1.93 – $10,155.17 | 20 |
| Test stress cardiovascular tracing only CPT 93017 | $806.54 | $1,646.00 | $438.55 – $1,227.94 | 20 |
| Test urine for porphyrins CPT 84119 | $48.02 | $98.00 | $13.36 – $96.04 | 20 |
| Test urine urobilinogen CPT 84578 | $19.60 | $40.00 | $4.47 – $39.20 | 20 |
| Tetanus immune globulin inj HCPCS J1670 | $1,101.23 | $2,247.40 | $578.78 – $2,202.46 | 20 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $10,194.24 | $20,804.56 | $7,281.60 – $20,388.47 | 20 |
| Theophylline therapeutic drug level CPT 80198 | $88.69 | $181.00 | $14.14 – $39.20 | 20 |
| Therapeutic procd strg endur HCPCS G0237 | $54.88 | $112.00 | $39.20 – $109.76 | 20 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $176.89 | $361.00 | $126.35 – $353.78 | 20 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $19.11 | $39.00 | $13.65 – $38.22 | 20 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $17.64 | $36.00 | $12.60 – $35.28 | 20 |
| Ther/proph/diag inj ia CPT 96373 | $247.45 | $505.00 | $176.75 – $494.90 | 20 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $48.76 | $99.50 | $2.26 – $97.51 | 20 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $716.38 | $1,462.00 | $249.20 – $697.76 | 20 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,133.42 | $14,558.00 | $5,095.30 – $14,266.84 | 20 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $10,922.10 | $22,290.00 | $7,801.50 – $21,844.20 | 20 |
| Thrombin time CPT 85670 | $66.15 | $135.00 | $5.77 – $17.64 | 20 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $67.62 | $138.00 | $6.47 – $135.24 | 20 |
| Thyroglobulin antibody CPT 86800 | $90.16 | $184.00 | $15.91 – $180.32 | 20 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $1,818.39 | $3,711.00 | $1,298.85 – $3,636.78 | 20 |
| Thyroid imaging CPT 78013 | $336.14 | $686.00 | $240.10 – $672.28 | 20 |
| Thyroid met imaging CPT 78015 | $427.77 | $873.00 | $305.55 – $855.54 | 20 |
| Thyroid mets imag whole body CPT 78018 | $1,100.05 | $2,245.00 | $785.75 – $2,200.10 | 20 |
| Thyroid (TSH) Test CPT 84443 | $86.24 | $176.00 | $16.80 – $49.98 | 20 |
| Thyroid Ultrasound CPT 76536 | $349.37 | $713.00 | $249.55 – $698.74 | 20 |
| Thyroid uptake measurement CPT 78012 | $458.64 | $936.00 | $327.60 – $917.28 | 20 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,844.24 | $9,886.20 | $2,022.37 – $9,132.53 | 20 |
| Thyroxine binding globulin (tbg) CPT 84442 | $33.32 | $68.00 | $14.78 – $66.64 | 20 |
| Tigecycline injection HCPCS J3243 | $235.29 | $480.17 | $0.67 – $97.51 | 20 |
| Tilt table study CPT 93660 | $1,256.85 | $2,565.00 | $897.75 – $2,513.70 | 20 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $535.33 | $1,092.50 | $4.10 – $261.66 | 20 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $15,562.40 | $31,760.00 | $11,116.00 – $31,124.80 | 20 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $3,295.93 | $6,726.38 | $27.00 – $6,591.86 | 20 |
| Tissue culture placenta CPT 88235 | $483.14 | $986.00 | $150.30 – $966.28 | 20 |
| Tissue culture skin/biopsy CPT 88233 | $464.52 | $948.00 | $140.73 – $929.04 | 20 |
| Tissue culture tumor CPT 88239 | $493.43 | $1,007.00 | $147.52 – $986.86 | 20 |
| Tissue exam koh skin/hair/nails CPT 87220 | $56.35 | $115.00 | $4.27 – $85.26 | 20 |
| Tissue transglutaminase iga CPT 86364 | $103.88 | $212.00 | $74.20 – $207.76 | 20 |
| Tixagev and cilgav inj HCPCS M0220 | $108.78 | $222.00 | $77.70 – $217.56 | 20 |
| Tl-201 thallium diag per mci HCPCS A9505 | $33.32 | $68.00 | $23.80 – $66.64 | 20 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $1,035.22 | $2,112.69 | $2.55 – $97.51 | 20 |
| Tobramycin non-comp unit HCPCS J7682 | $33.25 | $67.84 | $12.04 – $33.70 | 20 |
| Tobramycin peak therapeutic drug level CPT 80200 | $101.92 | $208.00 | $16.13 – $203.84 | 20 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $6,279.06 | $12,814.40 | $6.04 – $2,511.61 | 20 |
| Tomosynthesis breast screen bilateral CPT 77063 | $66.15 | $135.00 | $47.25 – $132.30 | 20 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $1,199.52 | $2,448.00 | $856.80 – $2,399.04 | 20 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $313.70 | $640.20 | $1.28 – $111.00 | 20 |
| Total Knee Replacement CPT 27447 | $1,709.12 | $3,488.00 | $1,220.80 – $3,418.24 | 20 |
| Toxoplasma antibody igg CPT 86777 | $73.99 | $151.00 | $14.39 – $147.98 | 20 |
| Toxoplasma antibody igm CPT 86778 | $73.99 | $151.00 | $14.41 – $147.98 | 20 |
| Tpmt gene com vrnts CPT 81335 | $573.30 | $1,170.00 | $174.81 – $1,146.60 | 20 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $7,588.34 | $15,486.40 | $370.31 – $15,176.68 | 20 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $38.71 | $79.00 | $27.65 – $77.42 | 20 |
| Transferrin CPT 84466 | $36.75 | $75.00 | $12.76 – $73.50 | 20 |
| Transfusion blood/blood component(s) CPT 36430 | $713.93 | $1,457.00 | $190.40 – $533.12 | 20 |
| Transparent film <= 16 sq in HCPCS A6257 | $0.75 | $1.53 | $0.32 – $0.90 | 20 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $10,249.38 | $20,917.10 | $87.60 – $7,636.26 | 20 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $8,549.13 | $17,447.20 | $17.68 – $6,106.53 | 20 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $5,283.87 | $10,783.40 | $12.77 – $3,774.18 | 20 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $1,404.34 | $2,866.00 | $1,003.10 – $2,808.68 | 20 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $588.00 | $1,200.00 | $147.88 – $414.05 | 20 |
| Treat ankle dislocation CPT 27842 | $685.51 | $1,399.00 | $343.25 – $1,345.54 | 20 |
| Treat clavicle dislocation 23545 CPT 23545 | $479.71 | $979.00 | $83.30 – $233.24 | 20 |
| Treat elbow dislocation CPT 24605 | $764.89 | $1,561.00 | $331.50 – $1,299.48 | 20 |
| Treat eyelid lesion 67850 CPT 67850 | $644.84 | $1,316.00 | $460.60 – $1,289.68 | 20 |
| Treat finger fracture each CPT 26742 | $513.03 | $1,047.00 | $123.90 – $346.92 | 20 |
| Treat foot dislocation CPT 28540 | $270.97 | $553.00 | $67.55 – $189.14 | 20 |
| Treat fracture of radius CPT 25505 | $689.43 | $1,407.00 | $172.55 – $483.14 | 20 |
| Treat fracture of ulna CPT 25535 | $677.67 | $1,383.00 | $125.65 – $351.82 | 20 |
| Treat hip dislocation CPT 27252 | $1,013.81 | $2,069.00 | $490.35 – $1,372.98 | 20 |
| Treat hip dislocation CPT 27257 | $818.79 | $1,671.00 | $245.50 – $962.36 | 20 |
| Treat humerus fracture CPT 24535 | $840.84 | $1,716.00 | $302.40 – $846.72 | 20 |
| Treat humerus fracture CPT 24565 | $737.45 | $1,505.00 | $122.50 – $343.00 | 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.