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 |
|---|---|---|---|---|
| Treat kneecap dislocation CPT 27562 | $1,210.79 | $2,471.00 | $864.85 – $2,421.58 | 20 |
| Treat knee fracture 27530 CPT 27530 | $500.78 | $1,022.00 | $215.50 – $844.76 | 20 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $481.18 | $982.00 | $343.70 – $962.36 | 20 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $87.22 | $178.00 | $62.30 – $174.44 | 20 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $83.30 | $170.00 | $59.50 – $166.60 | 20 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $93.10 | $190.00 | $8.40 – $23.52 | 20 |
| Treatment mouth roof lesion CPT 42160 | $958.44 | $1,956.00 | $165.00 – $646.80 | 20 |
| Treatment of ankle fracture 27786 CPT 27786 | $431.69 | $881.00 | $95.90 – $268.52 | 20 |
| Treatment of fibula fracture 27780 CPT 27780 | $424.83 | $867.00 | $95.90 – $268.52 | 20 |
| Treatment of heel fracture 28400 CPT 28400 | $339.57 | $693.00 | $120.75 – $338.10 | 20 |
| Treatment of retinal lesion CPT 67210 | $325.85 | $665.00 | $232.75 – $651.70 | 20 |
| Treatment of thigh fracture CPT 27508 | $713.93 | $1,457.00 | $254.80 – $713.44 | 20 |
| Treatment of thigh fracture CPT 27510 | $167.09 | $341.00 | $119.35 – $334.18 | 20 |
| Treatment of toe fracture 28510 CPT 28510 | $165.62 | $338.00 | $81.20 – $227.36 | 20 |
| Treat ulnar fracture CPT 24675 | $634.06 | $1,294.00 | $182.00 – $509.60 | 20 |
| Treat vaginal bleeding CPT 57180 | $301.35 | $615.00 | $142.00 – $556.64 | 20 |
| Treat wrist dislocation CPT 25675 | $613.48 | $1,252.00 | $188.30 – $527.24 | 20 |
| Treponema pallidum antibody CPT 86780 | $124.95 | $255.00 | $7.74 – $29.39 | 20 |
| Treprostinil injection HCPCS J3285 | $38,994.20 | $79,580.00 | $54.55 – $7,221.43 | 20 |
| Treprostinil, non-comp unit HCPCS J7686 | $39,873.55 | $81,374.58 | $725.27 – $9,113.97 | 20 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $159.01 | $324.50 | $1.08 – $97.51 | 20 |
| Triamcinolone a inj prs-free HCPCS J3300 | $354.13 | $722.70 | $23.60 – $708.25 | 20 |
| Trichinella antibody CPT 86784 | $72.03 | $147.00 | $12.56 – $144.06 | 20 |
| Triglycerides CPT 84478 | $68.11 | $139.00 | $5.74 – $17.64 | 20 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $3,883.30 | $7,925.10 | $2,773.79 – $7,766.60 | 20 |
| Trimethobenzamide hcl inj HCPCS J3250 | $124.98 | $255.05 | $48.57 – $249.95 | 20 |
| Triptorelin pamoate HCPCS J3315 | $1,466.43 | $2,992.70 | $416.69 – $2,917.56 | 20 |
| Trnscath plc stnt ante carotid art CPT 37218 | $36.75 | $75.00 | $26.25 – $73.50 | 20 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,110.83 | $2,267.00 | $535.25 – $2,098.18 | 20 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $1,355.34 | $2,766.00 | $691.50 – $2,301.04 | 20 |
| Troponin quantitative CPT 84484 | $148.96 | $304.00 | $12.47 – $29.40 | 20 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,592.01 | $3,249.00 | $1,137.15 – $3,184.02 | 20 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,592.01 | $3,249.00 | $728.70 – $2,040.36 | 20 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $308.56 | $629.70 | $11.33 – $31.72 | 20 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $125.29 | $255.69 | $32.26 – $90.32 | 20 |
| Tx closed hip disl traumatic without anes CPT 27250 | $237.16 | $484.00 | $121.00 – $460.60 | 20 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $1,025.08 | $2,092.00 | $732.20 – $2,050.16 | 20 |
| Tx closed tib shaft fx without manip CPT 27750 | $475.79 | $971.00 | $242.20 – $678.16 | 20 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $1,855.63 | $3,787.00 | $348.00 – $1,364.16 | 20 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $3,524.08 | $7,192.00 | $378.00 – $1,481.76 | 20 |
| Tympanic membrane repair CPT 69610 | $936.39 | $1,911.00 | $668.85 – $1,872.78 | 20 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $149.45 | $305.00 | $106.75 – $298.90 | 20 |
| Ua w/micro/comp poc CPT 81000 | $35.28 | $72.00 | $4.02 – $9.80 | 20 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $25,657.63 | $52,362.51 | $18,326.88 – $51,315.26 | 20 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $115.15 | $235.00 | $82.25 – $230.30 | 20 |
| Ultrasound breast complete CPT 76641 | $104.86 | $214.00 | $74.90 – $209.72 | 20 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $104.86 | $214.00 | $74.90 – $209.72 | 20 |
| Ultrasound chest CPT 76604 | $269.50 | $550.00 | $192.50 – $539.00 | 20 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $173.46 | $354.00 | $123.90 – $346.92 | 20 |
| Ultrasound exam follow-up CPT 76970 | $204.33 | $417.00 | $145.95 – $408.66 | 20 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $296.94 | $606.00 | $212.10 – $593.88 | 20 |
| Ultrasound guidance for vascular access CPT 76937 | $438.06 | $894.00 | $39.20 – $109.76 | 20 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $381.22 | $778.00 | $259.35 – $726.18 | 20 |
| Ultrasound guide intraoperative CPT 76998 | $312.62 | $638.00 | $223.30 – $625.24 | 20 |
| Ultrasound hips infant dynamic CPT 76885 | $183.26 | $374.00 | $130.90 – $366.52 | 20 |
| Ultrasound joint complete left CPT 76881 | $392.49 | $801.00 | $280.35 – $784.98 | 20 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $350.35 | $715.00 | $250.25 – $700.70 | 20 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $421.40 | $860.00 | $301.00 – $842.80 | 20 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $370.44 | $756.00 | $264.60 – $740.88 | 20 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $724.22 | $1,478.00 | $517.30 – $1,448.44 | 20 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $178.36 | $364.00 | $127.40 – $356.72 | 20 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $257.74 | $526.00 | $184.10 – $515.48 | 20 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $396.41 | $809.00 | $283.15 – $792.82 | 20 |
| Ultrasound prostate/transrectal CPT 76872 | $657.58 | $1,342.00 | $32.55 – $91.14 | 20 |
| Ultrasound retroperitoneal limited CPT 76775 | $362.11 | $739.00 | $258.65 – $724.22 | 20 |
| Ultrasound scrotum and contents CPT 76870 | $301.84 | $616.00 | $215.60 – $603.68 | 20 |
| Ultrasound spinal canal and contents CPT 76800 | $797.23 | $1,627.00 | $569.45 – $1,594.46 | 20 |
| Ultrasound transabd ea addl gest CPT 76812 | $724.22 | $1,478.00 | $517.30 – $1,448.44 | 20 |
| Ultrasound transvaginal non obstetric CPT 76830 | $420.42 | $858.00 | $300.30 – $840.84 | 20 |
| Unlisted orl service/px CPT 92700 | $62.72 | $128.00 | $44.80 – $125.44 | 20 |
| Unlisted px casting/strpg CPT 29799 | $161.21 | $329.00 | $50.05 – $140.14 | 20 |
| Unlisted px hands/fingers CPT 26989 | $115.64 | $236.00 | $82.60 – $231.28 | 20 |
| Unlisted px small intestine CPT 44799 | $1,473.92 | $3,008.00 | $1,052.80 – $2,947.84 | 20 |
| Unlisted px tongue flr mouth CPT 41599 | $101.43 | $207.00 | $72.45 – $202.86 | 20 |
| Unlisted transfusion med px CPT 86999 | $136.22 | $278.00 | $43.05 – $120.54 | 20 |
| Unlisted ultrasound procedure CPT 76999 | $156.80 | $320.00 | $112.00 – $313.60 | 20 |
| Unlisted urinalysis px CPT 81099 | $203.84 | $416.00 | $145.60 – $407.68 | 20 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $487.55 | $995.00 | $177.80 – $497.84 | 20 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,492.14 | $5,086.00 | $1,780.10 – $4,984.28 | 20 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,357.39 | $4,811.00 | $1,683.85 – $4,714.78 | 20 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,245.18 | $4,582.00 | $1,603.70 – $4,490.36 | 20 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,192.17 | $2,433.00 | $300.65 – $841.82 | 20 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,215.20 | $2,480.00 | $275.00 – $1,078.00 | 20 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $19.48 | $39.75 | $13.92 – $38.96 | 20 |
| Uppr gi scope w/submuc inj CPT 43236 | $575.26 | $1,174.00 | $410.90 – $1,150.52 | 20 |
| Urea nitrogen CPT 84520 | $45.08 | $92.00 | $3.95 – $11.76 | 20 |
| Urea nitrogen 24 hour urine CPT 84540 | $56.84 | $116.00 | $5.56 – $113.68 | 20 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $294.00 | $600.00 | $210.00 – $588.00 | 20 |
| Urethrocystography void s&i CPT 74455 | $245.49 | $501.00 | $175.35 – $490.98 | 20 |
| Uric acid blood CPT 84550 | $65.66 | $134.00 | $4.52 – $14.70 | 20 |
| Uric acid urine CPT 84560 | $73.99 | $151.00 | $5.08 – $147.98 | 20 |
| Urinalysis microscopic only CPT 81015 | $37.24 | $76.00 | $3.05 – $74.48 | 20 |
| Urinalysis (with microscopy) CPT 81001 | $49.98 | $102.00 | $3.17 – $9.80 | 20 |
| Urinalysis (without microscopy) CPT 81003 | $31.36 | $64.00 | $2.25 – $6.86 | 20 |
| Urine Culture Test CPT 87086 | $104.37 | $213.00 | $8.07 – $24.50 | 20 |
| Urine pregnancy test CPT 81025 | $65.17 | $133.00 | $8.60 – $19.60 | 20 |
| Urography, antegrade CPT 74425 | $669.83 | $1,367.00 | $478.45 – $1,339.66 | 20 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $4,957.52 | $10,117.38 | $12.49 – $9,915.04 | 20 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $34,460.70 | $70,327.95 | $152.57 – $59,267.51 | 20 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $273.42 | $558.00 | $181.88 – $509.26 | 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.