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 |
|---|---|---|---|---|
| X-ray knee 3 views (both sides) CPT 73562 | $220.50 | $450.00 | $25.55 – $71.54 | 20 |
| X-ray knee ap standing bilateral CPT 73565 | $162.68 | $332.00 | $116.20 – $325.36 | 20 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $136.71 | $279.00 | $19.95 – $55.86 | 20 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $759.50 | $1,550.00 | $542.50 – $1,519.00 | 20 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $356.23 | $727.00 | $35.00 – $98.00 | 20 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $608.58 | $1,242.00 | $30.10 – $84.28 | 20 |
| X-ray mandible complete > 4 views CPT 70110 | $240.10 | $490.00 | $171.50 – $480.20 | 20 |
| X-ray mandible ltd <4 views CPT 70100 | $121.52 | $248.00 | $86.80 – $243.04 | 20 |
| X-ray nasal bones complete > 3 views CPT 70160 | $165.13 | $337.00 | $117.95 – $330.26 | 20 |
| X-ray neck soft tissue CPT 70360 | $167.09 | $341.00 | $119.35 – $334.18 | 20 |
| X-ray nose to rectum for foreign body child CPT 76010 | $212.17 | $433.00 | $151.55 – $424.34 | 20 |
| X-ray optic foramina CPT 70190 | $134.75 | $275.00 | $96.25 – $269.50 | 20 |
| X-ray pelvis 1-2 views CPT 72170 | $188.16 | $384.00 | $23.45 – $65.66 | 20 |
| X-ray pelvis complete > 3 views CPT 72190 | $221.97 | $453.00 | $158.55 – $443.94 | 20 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $408.66 | $834.00 | $291.90 – $817.32 | 20 |
| X-ray ribs 2 views left CPT 71100 | $224.42 | $458.00 | $23.80 – $66.64 | 20 |
| X-ray ribs 3 views bilateral CPT 71110 | $219.52 | $448.00 | $156.80 – $439.04 | 20 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $255.29 | $521.00 | $182.35 – $510.58 | 20 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $326.34 | $666.00 | $233.10 – $652.68 | 20 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $196.49 | $401.00 | $140.35 – $392.98 | 20 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $149.94 | $306.00 | $107.10 – $299.88 | 20 |
| X-ray scapula complete (both sides) CPT 73010 | $147.98 | $302.00 | $105.70 – $295.96 | 20 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $181.30 | $370.00 | $16.45 – $46.06 | 20 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $201.39 | $411.00 | $26.95 – $75.46 | 20 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $430.71 | $879.00 | $307.65 – $861.42 | 20 |
| X-ray skull < 4 views CPT 70250 | $194.53 | $397.00 | $25.90 – $72.52 | 20 |
| X-ray skull > 4 views complete CPT 70260 | $239.61 | $489.00 | $171.15 – $479.22 | 20 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $239.61 | $489.00 | $171.15 – $479.22 | 20 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $191.59 | $391.00 | $136.85 – $383.18 | 20 |
| X-ray small intestine follow-through study CPT 74248 | $387.59 | $791.00 | $276.85 – $775.18 | 20 |
| X-ray spine single view CPT 72020 | $168.07 | $343.00 | $14.00 – $39.20 | 20 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $143.57 | $293.00 | $102.55 – $287.14 | 20 |
| X-ray sternum > 2 views CPT 71120 | $131.81 | $269.00 | $21.35 – $59.78 | 20 |
| X-ray surgical specimen CPT 76098 | $86.73 | $177.00 | $61.95 – $173.46 | 20 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $341.04 | $696.00 | $243.60 – $682.08 | 20 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $160.72 | $328.00 | $114.80 – $321.44 | 20 |
| X-ray thoracic spine 2 views CPT 72070 | $230.79 | $471.00 | $24.50 – $68.60 | 20 |
| X-ray thoracic spine 3 views CPT 72072 | $235.20 | $480.00 | $24.85 – $69.58 | 20 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $189.63 | $387.00 | $135.45 – $379.26 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $54.39 | $111.00 | $38.85 – $108.78 | 20 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $286.65 | $585.00 | $204.75 – $573.30 | 20 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $132.79 | $271.00 | $20.30 – $56.84 | 20 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $143.57 | $293.00 | $20.65 – $57.82 | 20 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $309.19 | $631.00 | $199.50 – $558.60 | 20 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $368.97 | $753.00 | $176.05 – $492.94 | 20 |
| X-ray upper gi&small intest CPT 74245 | $342.02 | $698.00 | $244.30 – $684.04 | 20 |
| X-ray wrist 2 views (both sides) CPT 73100 | $168.56 | $344.00 | $21.35 – $59.78 | 20 |
| Xylose absorption test blood &/or urine CPT 84620 | $107.31 | $219.00 | $12.91 – $214.62 | 20 |
| Xyntha inj HCPCS J7185 | $48.76 | $99.50 | $1.37 – $97.51 | 20 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $66.35 | $135.40 | $1.51 – $130.83 | 20 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $9.85 | $20.10 | $7.04 – $19.70 | 20 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $125.00 | $255.09 | $10.22 – $97.51 | 20 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $672.28 | $1,372.00 | $6.94 – $97.51 | 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.