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 |
|---|---|---|---|---|
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $10,393.15 | $21,210.50 | $159.07 – $20,786.29 | 20 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $11,747.75 | $23,975.00 | $6.39 – $17.87 | 20 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,305.27 | $8,786.25 | $34.98 – $97.94 | 20 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,060.85 | $2,165.00 | $152.25 – $426.30 | 20 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,779.77 | $5,673.00 | $105.00 – $294.00 | 20 |
| Bln press regulation 71-80cm HCPCS C1815 | $4,857.74 | $9,913.75 | $847.35 – $2,372.58 | 20 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $3,855.81 | $7,869.00 | $308.00 – $862.40 | 20 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $62.43 | $127.40 | $9.79 – $27.40 | 20 |
| Block plantar digital nerve CPT 64455 | $159.25 | $325.00 | $113.75 – $318.50 | 20 |
| Blood clot lysis time CPT 85175 | $60.76 | $124.00 | $20.37 – $121.52 | 20 |
| Blood Clotting (PT/INR) Test CPT 85610 | $44.59 | $91.00 | $4.29 – $11.76 | 20 |
| Blood Clotting (PTT) Test CPT 85730 | $63.70 | $130.00 | $6.01 – $24.50 | 20 |
| Blood Count (CBC) Test CPT 85025 | $95.06 | $194.00 | $6.45 – $17.25 | 20 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $69.09 | $141.00 | $6.47 – $19.60 | 20 |
| Blood Culture Test CPT 87040 | $125.93 | $257.00 | $10.32 – $30.38 | 20 |
| Blood draw capillary 36416 CPT 36416 | $17.15 | $35.00 | $12.25 – $34.30 | 20 |
| Blood gases o2 saturation direct measurement CPT 82805 | $190.61 | $389.00 | $78.77 – $381.22 | 20 |
| Blood gases ph venous CPT 82800 | $70.07 | $143.00 | $11.00 – $140.14 | 20 |
| Blood, l/r, irradiated HCPCS P9056 | $452.27 | $923.00 | $323.05 – $904.54 | 20 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $35.28 | $72.00 | $15.92 – $48.02 | 20 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $34.79 | $71.00 | $3.44 – $9.39 | 20 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $28.91 | $59.00 | $3.44 – $9.72 | 20 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $32.83 | $67.00 | $3.44 – $11.81 | 20 |
| Blood smear interpretation CPT 85060 | $48.02 | $98.00 | $34.30 – $96.04 | 20 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $36.26 | $74.00 | $3.80 – $43.12 | 20 |
| Blood split unit HCPCS P9011 | $356.72 | $728.00 | $121.10 – $339.08 | 20 |
| Blood typing abo CPT 86900 | $47.53 | $97.00 | $2.99 – $8.82 | 20 |
| Blood typing ag donor ea ag CPT 86902 | $129.85 | $265.00 | $6.35 – $53.90 | 20 |
| Blood typing patient serum CPT 86904 | $98.00 | $200.00 | $16.34 – $196.00 | 20 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $46.06 | $94.00 | $3.83 – $52.92 | 20 |
| Blood typing rh (d) CPT 86901 | $46.55 | $95.00 | $2.99 – $8.82 | 20 |
| Blood typing rh phenotype complete reference CPT 86906 | $123.97 | $253.00 | $7.75 – $247.94 | 20 |
| Blood volume CPT 78122 | $377.79 | $771.00 | $269.85 – $755.58 | 20 |
| Bone biopsy open superficial CPT 20240 | $1,372.98 | $2,802.00 | $980.70 – $2,745.96 | 20 |
| Bone Density Scan (DEXA) CPT 77080 | $267.54 | $546.00 | $29.40 – $82.32 | 20 |
| Bone imaging multiple areas CPT 78305 | $1,231.86 | $2,514.00 | $879.90 – $2,463.72 | 20 |
| Bone/joint imaging ltd area CPT 78300 | $631.12 | $1,288.00 | $450.80 – $1,262.24 | 20 |
| Bone marrow;aspiration only 38220 CPT 38220 | $217.07 | $443.00 | $131.25 – $367.50 | 20 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $225.89 | $461.00 | $154.00 – $431.20 | 20 |
| Bone marrow imaging ltd CPT 78102 | $289.59 | $591.00 | $206.85 – $579.18 | 20 |
| Bone marrow imaging mult CPT 78103 | $578.20 | $1,180.00 | $413.00 – $1,156.40 | 20 |
| Bone marrow interpretation CPT 85097 | $141.61 | $289.00 | $101.15 – $283.22 | 20 |
| Bone survey-lead poisoning CPT 77074 | $308.70 | $630.00 | $220.50 – $617.40 | 20 |
| Bone void filler nanoss 10cc HCPCS C9362 | $318.50 | $650.00 | $227.50 – $637.00 | 20 |
| Boot j walker l HCPCS L4386 | $75.25 | $153.57 | $53.75 – $150.50 | 20 |
| Boot mlti podous univ xlg HCPCS L4396 | $208.33 | $425.16 | $12.71 – $35.58 | 20 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $37.06 | $75.63 | $26.48 – $74.12 | 20 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $79.38 | $162.00 | $17.03 – $158.76 | 20 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $3,927.35 | $8,015.00 | $2.27 – $97.51 | 20 |
| (both sides) smear without diff wbc count CPT 85008 | $27.93 | $57.00 | $3.43 – $55.86 | 20 |
| Bowel imaging CPT 78290 | $685.51 | $1,399.00 | $489.65 – $1,371.02 | 20 |
| Brace afo lg left 6607 HCPCS L1930 | $806.07 | $1,645.03 | $22.68 – $63.51 | 20 |
| Brace ank air stirrup univ HCPCS L4350 | $91.06 | $185.82 | $27.85 – $77.96 | 20 |
| Brace knee extender plus 22-30in HCPCS L1832 | $399.12 | $814.53 | $29.02 – $81.24 | 20 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $51.17 | $104.41 | $26.22 – $73.41 | 20 |
| Brace wrist classic lft sm HCPCS L3908 | $45.11 | $92.06 | $8.04 – $22.50 | 20 |
| Brachy src stranded c-131 HCPCS C2642 | $40,302.50 | $82,250.00 | $1,850.00 – $5,180.00 | 20 |
| Braf gene CPT 81210 | $286.65 | $585.00 | $175.40 – $573.30 | 20 |
| Brain flow imaging only CPT 78610 | $242.06 | $494.00 | $172.90 – $484.12 | 20 |
| Brain image < 4 views CPT 78600 | $283.22 | $578.00 | $202.30 – $566.44 | 20 |
| Brain image 4+ views CPT 78605 | $326.34 | $666.00 | $233.10 – $652.68 | 20 |
| Brain image w/flow < 4 views CPT 78601 | $578.69 | $1,181.00 | $413.35 – $1,157.38 | 20 |
| Brain image w/flow 4 + views CPT 78606 | $487.55 | $995.00 | $348.25 – $975.10 | 20 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,680.79 | $5,471.00 | $1,914.85 – $5,361.58 | 20 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,311.33 | $4,717.00 | $1,650.95 – $4,622.66 | 20 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,311.33 | $4,717.00 | $1,650.95 – $4,622.66 | 20 |
| Brain MRI (with and without contrast) CPT 70553 | $2,597.49 | $5,301.00 | $1,855.35 – $5,194.98 | 20 |
| Brain MRI (with contrast) CPT 70552 | $2,935.59 | $5,991.00 | $2,096.85 – $5,871.18 | 20 |
| Brain MRI (without contrast) CPT 70551 | $2,805.25 | $5,725.00 | $2,003.75 – $5,610.50 | 20 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,349.95 | $2,755.00 | $514.85 – $1,441.58 | 20 |
| Breast punct aspir cyst, bil CPT 19000 | $141.61 | $289.00 | $101.15 – $283.22 | 20 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $28,767.90 | $58,710.00 | $252.51 – $57,535.80 | 20 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $650.72 | $1,328.00 | $464.80 – $1,301.44 | 20 |
| Bronch ebus samplng 1/2 node CPT 31652 | $1,537.62 | $3,138.00 | $1,098.30 – $3,075.24 | 20 |
| Bronch ebus samplng 3/> node CPT 31653 | $1,537.62 | $3,138.00 | $1,098.30 – $3,075.24 | 20 |
| Bronchial challenge CPT 94070 | $566.93 | $1,157.00 | $404.95 – $1,133.86 | 20 |
| Bronchial valve addl insert CPT 31651 | $1,723.33 | $3,517.00 | $1,230.95 – $3,446.66 | 20 |
| Bronchial valve init insert CPT 31647 | $1,723.33 | $3,517.00 | $1,230.95 – $3,446.66 | 20 |
| Bronchial valve remov addl CPT 31649 | $837.90 | $1,710.00 | $598.50 – $1,675.80 | 20 |
| Bronchial valve remov init CPT 31648 | $1,723.33 | $3,517.00 | $1,230.95 – $3,446.66 | 20 |
| Bronchoscopy bronch stents CPT 31636 | $1,868.37 | $3,813.00 | $1,334.55 – $3,736.74 | 20 |
| Bronchoscopy clear airways 31645 CPT 31645 | $637.98 | $1,302.00 | $455.70 – $1,275.96 | 20 |
| Bronchoscopy dilate/fx repr CPT 31630 | $1,285.27 | $2,623.00 | $918.05 – $2,570.54 | 20 |
| Bronchoscopy dilate w/stent CPT 31631 | $1,868.37 | $3,813.00 | $1,334.55 – $3,736.74 | 20 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $677.18 | $1,382.00 | $483.70 – $1,354.36 | 20 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $1,576.82 | $3,218.00 | $1,126.30 – $3,153.64 | 20 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $677.18 | $1,382.00 | $483.70 – $1,354.36 | 20 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $984.41 | $2,009.00 | $703.15 – $1,968.82 | 20 |
| Bronchoscopy revise stent CPT 31638 | $1,868.37 | $3,813.00 | $1,334.55 – $3,736.74 | 20 |
| Bronchoscopy stent add-on CPT 31637 | $677.18 | $1,382.00 | $483.70 – $1,354.36 | 20 |
| Bronchoscopy treat blockage CPT 31641 | $1,752.24 | $3,576.00 | $1,251.60 – $3,504.48 | 20 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $984.41 | $2,009.00 | $703.15 – $1,968.82 | 20 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $677.18 | $1,382.00 | $483.70 – $1,354.36 | 20 |
| Bronchoscopy w/markers CPT 31626 | $1,868.37 | $3,813.00 | $1,334.55 – $3,736.74 | 20 |
| Bronchoscopy w/tumor excise CPT 31640 | $1,509.69 | $3,081.00 | $1,078.35 – $3,019.38 | 20 |
| Bronch thermoplsty 1 lobe CPT 31660 | $1,723.33 | $3,517.00 | $1,230.95 – $3,446.66 | 20 |
| Bronch thermoplsty 2/> lobes CPT 31661 | $1,723.33 | $3,517.00 | $1,230.95 – $3,446.66 | 20 |
| Bronch w/balloon occlusion CPT 31634 | $677.18 | $1,382.00 | $483.70 – $1,354.36 | 20 |
| Br punct aspir ea add, l CPT 19001 | $133.77 | $273.00 | $95.55 – $267.54 | 20 |
| Bundled special stain group 1 microorganisms CPT 88312 | $80.85 | $165.00 | $57.75 – $161.70 | 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.