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 |
|---|---|---|---|---|
| Comprehensive hearing test CPT 92557 | $91.63 | $187.00 | $65.45 – $183.26 | 20 |
| Concentration infection agents any type CPT 87015 | $56.35 | $115.00 | $6.68 – $112.70 | 20 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $455.61 | $929.80 | $284.76 – $797.33 | 20 |
| Condylomata destruction 56420 CPT 56420 | $310.66 | $634.00 | $132.00 – $517.44 | 20 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $844.50 | $1,723.45 | $372.37 – $1,688.99 | 20 |
| Connect omega .5mm HCPCS L8613 | $479.45 | $978.45 | $84.08 – $235.42 | 20 |
| Connector tis 2x10mm HCPCS C9352 | $2,087.04 | $4,259.25 | $632.29 – $1,770.39 | 20 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $163.17 | $333.00 | $116.55 – $326.34 | 20 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $153.86 | $314.00 | $109.90 – $307.72 | 20 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $169.54 | $346.00 | $121.10 – $339.08 | 20 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $163.17 | $333.00 | $116.55 – $326.34 | 20 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $760.48 | $1,552.00 | $58.45 – $163.66 | 20 |
| Consult comp w/report rfrd material CPT 88325 | $329.28 | $672.00 | $235.20 – $658.56 | 20 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $36.17 | $73.80 | $13.16 – $36.85 | 20 |
| Contrast baths charges CPT 97034 | $40.18 | $82.00 | $23.45 – $65.66 | 20 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,716.96 | $3,504.00 | $1,226.40 – $3,433.92 | 20 |
| Contrast x-ray of hip CPT 73525 | $358.68 | $732.00 | $256.20 – $717.36 | 20 |
| Contrast x-ray of knee joint CPT 73580 | $383.18 | $782.00 | $273.70 – $766.36 | 20 |
| Controller infinity pt dbs HCPCS C1787 | $2,690.10 | $5,490.00 | $30.26 – $84.71 | 20 |
| Control nosebleed pack+caut 30905 CPT 30905 | $490.00 | $1,000.00 | $250.00 – $916.30 | 20 |
| Control of nosebleed ant comp 30903 CPT 30903 | $343.00 | $700.00 | $175.00 – $588.00 | 20 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $218.54 | $446.00 | $75.60 – $211.68 | 20 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $510.58 | $1,042.00 | $112.50 – $441.00 | 20 |
| Contrst x-ray uppr gi tract CPT 74249 | $376.32 | $768.00 | $268.80 – $752.64 | 20 |
| Conv gtube to jtube CPT 44373 | $260.68 | $532.00 | $186.20 – $521.36 | 20 |
| Coombs direct CPT 86880 | $47.53 | $97.00 | $5.39 – $89.18 | 20 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $9.31 | $19.00 | $5.72 – $18.62 | 20 |
| Coombs indirect titer reference CPT 86886 | $163.17 | $333.00 | $5.18 – $309.68 | 20 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $111.23 | $227.00 | $34.25 – $134.26 | 20 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $797.72 | $1,628.00 | $569.80 – $1,595.44 | 20 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $68.11 | $139.00 | $48.65 – $136.22 | 20 |
| Cortisol total am CPT 82533 | $120.54 | $246.00 | $16.30 – $41.16 | 20 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $61.63 | $125.76 | $28.59 – $97.51 | 20 |
| Co-treatment - group 15 mins, st CPT 92508 | $59.78 | $122.00 | $41.65 – $116.62 | 20 |
| Counseling smoke cess interm >10mins CPT 99407 | $14.70 | $30.00 | $9.80 – $27.44 | 20 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | $90.16 | $184.00 | $64.40 – $180.32 | 20 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $8,070.30 | $16,470.00 | $17.85 – $49.98 | 20 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $67.13 | $137.00 | $23.80 – $66.64 | 20 |
| Covid-19 lab test non-cdc HCPCS U0002 | $98.00 | $200.00 | $51.31 – $196.00 | 20 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $157.78 | $322.00 | $13.03 – $53.90 | 20 |
| C-peptide CPT 84681 | $119.07 | $243.00 | $20.81 – $238.14 | 20 |
| Crbrospnl fld flw imag cistern CPT 78630 | $515.97 | $1,053.00 | $368.55 – $1,031.94 | 20 |
| C-reactive protein CPT 86140 | $73.50 | $150.00 | $5.18 – $16.66 | 20 |
| C-reactive protein high sensitivity CPT 86141 | $116.62 | $238.00 | $12.95 – $39.20 | 20 |
| Creatine kinase CPT 82550 | $83.30 | $170.00 | $6.51 – $19.60 | 20 |
| Creatine kinase isoenzymes CPT 82552 | $107.80 | $220.00 | $13.39 – $40.18 | 20 |
| Creatine kinase mb CPT 82553 | $114.66 | $234.00 | $11.55 – $34.30 | 20 |
| Creatine - sendout CPT 82540 | $437.08 | $892.00 | $4.64 – $874.16 | 20 |
| Creatinine CPT 82565 | $54.88 | $112.00 | $5.12 – $15.68 | 20 |
| Creatinine 24 hour urine CPT 82570 | $54.88 | $112.00 | $5.18 – $16.66 | 20 |
| Creatinine clearance urine CPT 82575 | $108.78 | $222.00 | $9.46 – $28.42 | 20 |
| #creutz-prot.,western blot CPT 84182 | $66.15 | $135.00 | $29.21 – $99.96 | 20 |
| Critical care 30-74 minutes CPT 99291 | $2,256.45 | $4,605.00 | $190.05 – $532.14 | 20 |
| Critical care each additional 30 minutes CPT 99292 | $518.91 | $1,059.00 | $85.50 – $335.16 | 20 |
| Crotalidae poly immune fab HCPCS J0840 | $4,387.04 | $8,953.13 | $1,979.87 – $8,774.07 | 20 |
| Cryocautery of cervix 57511 CPT 57511 | $138.18 | $282.00 | $98.70 – $276.36 | 20 |
| Cryoprecipitate each unit HCPCS P9012 | $408.66 | $834.00 | $46.55 – $130.34 | 20 |
| Cryotherapy of acne 17340 CPT 17340 | $55.86 | $114.00 | $39.90 – $111.72 | 20 |
| Crystal identification light microscopy CPT 89060 | $52.92 | $108.00 | $7.33 – $21.56 | 20 |
| Csf leakage imaging CPT 78650 | $442.96 | $904.00 | $316.40 – $885.92 | 20 |
| CT 3d report other modality w/workstation CPT 76377 | $413.07 | $843.00 | $228.55 – $639.94 | 20 |
| Cta abdomen without & /or w/contrast CPT 74175 | $2,010.96 | $4,104.00 | $1,436.40 – $4,021.92 | 20 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,065.35 | $4,215.00 | $1,475.25 – $4,130.70 | 20 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,612.10 | $3,290.00 | $1,151.50 – $3,224.20 | 20 |
| Cta neck without &/or w/contrast CPT 70498 | $1,879.15 | $3,835.00 | $1,342.25 – $3,758.30 | 20 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,467.82 | $9,118.00 | $3,191.30 – $8,935.64 | 20 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,002.63 | $4,087.00 | $1,430.45 – $4,005.26 | 20 |
| CT Angiogram of the Head CPT 70496 | $1,860.53 | $3,797.00 | $1,328.95 – $3,721.06 | 20 |
| CT angio hrt w/3d image CPT 75574 | $1,500.38 | $3,062.00 | $1,071.70 – $3,000.76 | 20 |
| CT angio pelvis CPT 72191 | $1,510.18 | $3,082.00 | $1,078.70 – $3,020.36 | 20 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,626.31 | $3,319.00 | $1,161.65 – $3,252.62 | 20 |
| CT bone density axial CPT 77078 | $235.69 | $481.00 | $168.35 – $471.38 | 20 |
| CT colonography dx CPT 74261 | $1,550.36 | $3,164.00 | $1,107.40 – $3,100.72 | 20 |
| CT colonography dx w/dye CPT 74262 | $1,213.24 | $2,476.00 | $866.60 – $2,426.48 | 20 |
| CT guidance for needle placement CPT 77012 | $1,308.30 | $2,670.00 | $924.35 – $2,588.18 | 20 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,126.02 | $2,298.00 | $804.30 – $2,252.04 | 20 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,458.73 | $2,977.00 | $1,041.95 – $2,917.46 | 20 |
| CT hrt w/3d image CPT 75572 | $1,198.05 | $2,445.00 | $855.75 – $2,396.10 | 20 |
| CT limited or localized follow-up study CPT 76380 | $772.73 | $1,577.00 | $418.25 – $1,171.10 | 20 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,719.90 | $3,510.00 | $1,228.50 – $3,439.80 | 20 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,577.80 | $3,220.00 | $1,127.00 – $3,155.60 | 20 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,913.94 | $3,906.00 | $1,367.10 – $3,827.88 | 20 |
| CT neck soft tissue w/contrast CPT 70491 | $1,630.23 | $3,327.00 | $1,164.45 – $3,260.46 | 20 |
| CT neck soft tissue without contrast CPT 70490 | $1,434.72 | $2,928.00 | $1,024.80 – $2,869.44 | 20 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,890.91 | $3,859.00 | $1,350.65 – $3,781.82 | 20 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,750.77 | $3,573.00 | $1,250.55 – $3,501.54 | 20 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,462.16 | $2,984.00 | $1,044.40 – $2,924.32 | 20 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,337.70 | $2,730.00 | $955.50 – $2,675.40 | 20 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $514.99 | $1,051.00 | $108.85 – $304.78 | 20 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,457.53 | $9,097.00 | $2,965.01 – $8,915.06 | 20 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,429.02 | $6,998.00 | $2,449.30 – $6,858.04 | 20 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,223.22 | $6,578.00 | $2,159.81 – $6,446.44 | 20 |
| CT thoracic spine w/contrast CPT 72129 | $1,585.64 | $3,236.00 | $1,132.60 – $3,171.28 | 20 |
| CT thoracic spine without contrast CPT 72128 | $1,495.97 | $3,053.00 | $1,068.55 – $2,991.94 | 20 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $105.35 | $215.00 | $75.25 – $210.70 | 20 |
| CT t-spine w /wo contrast CPT 72130 | $1,885.03 | $3,847.00 | $1,346.45 – $3,770.06 | 20 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,256.85 | $2,565.00 | $897.75 – $2,513.70 | 20 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,319.57 | $2,693.00 | $942.55 – $2,639.14 | 20 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,681.68 | $3,432.00 | $1,201.20 – $3,363.36 | 20 |
| Culture aerobic additional method definitive id each CPT 87077 | $38.71 | $79.00 | $8.08 – $24.50 | 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.