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 |
|---|---|---|---|---|
| Culture afb any source CPT 87116 | $178.85 | $365.00 | $10.80 – $217.56 | 20 |
| Culture anaerobic additional method definitive id each CPT 87076 | $118.58 | $242.00 | $8.08 – $24.50 | 20 |
| Culture anaerobic except blood CPT 87075 | $120.54 | $246.00 | $9.47 – $28.42 | 20 |
| Culture bacteria anaerobic CPT 87073 | $188.65 | $385.00 | $9.66 – $377.30 | 20 |
| Culture bact stool aero addl path ea CPT 87046 | $86.24 | $176.00 | $9.44 – $28.42 | 20 |
| Culture body fluid CPT 87070 | $129.36 | $264.00 | $8.62 – $26.46 | 20 |
| Culture fungi definitive id mold CPT 87107 | $92.12 | $188.00 | $10.32 – $184.24 | 20 |
| Culture fungi definitive id yeast CPT 87106 | $82.32 | $168.00 | $10.32 – $164.64 | 20 |
| Culture fungi other (except blood) CPT 87102 | $184.73 | $377.00 | $8.41 – $369.46 | 20 |
| Culture fungi skin/hair/nail CPT 87101 | $70.07 | $143.00 | $7.71 – $140.14 | 20 |
| Culture mycoplasma any source CPT 87109 | $80.85 | $165.00 | $15.39 – $161.70 | 20 |
| Culture quantitative aerobic other source CPT 87071 | $44.59 | $91.00 | $9.89 – $89.18 | 20 |
| Culture screening strep group a CPT 87081 | $69.58 | $142.00 | $6.63 – $20.58 | 20 |
| Culture typing immunologic CPT 87147 | $115.15 | $235.00 | $5.18 – $16.66 | 20 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $105.84 | $216.00 | $35.09 – $211.68 | 20 |
| Culture urine each isolate CPT 87088 | $61.74 | $126.00 | $8.09 – $24.50 | 20 |
| Cutter lead HCPCS C1773 | $4,214.49 | $8,601.00 | $20.32 – $56.89 | 20 |
| Cv stress test i&r only 93018 CPT 93018 | $30.38 | $62.00 | $21.70 – $60.76 | 20 |
| Cv stress test/supervision only 93016 CPT 93016 | $30.38 | $62.00 | $21.70 – $60.76 | 20 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $48.76 | $99.50 | $1.42 – $97.51 | 20 |
| Cyclic citrullinated peptide antibody CPT 86200 | $73.50 | $150.00 | $12.95 – $39.20 | 20 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $854.88 | $1,744.65 | $86.19 – $241.33 | 20 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $1,342.60 | $2,740.00 | $0.94 – $3.43 | 20 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $156.36 | $319.10 | $39.11 – $312.72 | 20 |
| Cyclosporine 2 hour CPT 80158 | $142.10 | $290.00 | $18.05 – $284.20 | 20 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $241.26 | $492.36 | $0.92 – $3.43 | 20 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,412.28 | $2,882.20 | $2.15 – $6.02 | 20 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $13,029.20 | $26,590.20 | $444.50 – $1,244.60 | 20 |
| Cystatin c CPT 82610 | $66.64 | $136.00 | $18.52 – $79.38 | 20 |
| Cystine urine quantitative CPT 82131 | $173.95 | $355.00 | $22.98 – $347.90 | 20 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $240.10 | $490.00 | $171.50 – $480.20 | 20 |
| Cystoscopy and biopsy CPT 52007 | $578.69 | $1,181.00 | $413.35 – $1,157.38 | 20 |
| Cystoscopy and treatment CPT 52214 | $1,125.53 | $2,297.00 | $803.95 – $2,251.06 | 20 |
| Cystoscopy and treatment CPT 52277 | $436.10 | $890.00 | $311.50 – $872.20 | 20 |
| Cystoscopy and treatment CPT 52310 | $578.69 | $1,181.00 | $413.35 – $1,157.38 | 20 |
| Cystoscopy (Bladder Scope) CPT 52000 | $694.82 | $1,418.00 | $172.50 – $676.20 | 20 |
| Cystoscopy & ureter catheter CPT 52005 | $1,432.76 | $2,924.00 | $217.75 – $853.58 | 20 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $578.69 | $1,181.00 | $413.35 – $1,157.38 | 20 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $140.02 | $285.75 | $1.01 – $97.51 | 20 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $135.73 | $277.00 | $14.39 – $65.66 | 20 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $89.18 | $182.00 | $16.85 – $178.36 | 20 |
| Cytopath fl nongyn filter CPT 88106 | $99.47 | $203.00 | $71.05 – $198.94 | 20 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $158.76 | $324.00 | $113.40 – $317.52 | 20 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $86.73 | $177.00 | $26.61 – $65.66 | 20 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $74.97 | $153.00 | $20.21 – $46.06 | 20 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $96.53 | $197.00 | $68.95 – $193.06 | 20 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $85.26 | $174.00 | $60.90 – $170.52 | 20 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $69.09 | $141.00 | $49.35 – $138.18 | 20 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $71.05 | $145.00 | $50.75 – $142.10 | 20 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $209.23 | $427.00 | $149.45 – $418.46 | 20 |
| Cytopath smear other source CPT 88160 | $54.88 | $112.00 | $39.20 – $109.76 | 20 |
| Cytopath smear other source CPT 88162 | $32.83 | $67.00 | $23.45 – $65.66 | 20 |
| Cytopath smear oth prep screen & interp CPT 88161 | $1,238.23 | $2,527.00 | $40.95 – $114.66 | 20 |
| Cytopath tbs c/v manual CPT 88164 | $44.10 | $90.00 | $13.76 – $40.38 | 20 |
| Cytotoxic antibody screening CPT 86808 | $843.29 | $1,721.00 | $29.68 – $1,686.58 | 20 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $48.76 | $99.50 | $4.04 – $97.51 | 20 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,569.89 | $3,203.85 | $599.48 – $3,139.78 | 20 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,787.29 | $7,729.15 | $15.12 – $7,574.57 | 20 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $71.77 | $146.45 | $0.10 – $97.51 | 20 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $25,771.57 | $52,595.03 | $53.40 – $51,543.13 | 20 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $9,137.84 | $18,648.65 | $2.90 – $882.93 | 20 |
| Dark field exam spec collj CPT 87164 | $120.05 | $245.00 | $10.74 – $240.10 | 20 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $202.43 | $413.12 | $34.47 – $404.86 | 20 |
| Dch glucoscan CPT 82948 | $24.50 | $50.00 | $5.04 – $49.00 | 20 |
| Dch pulmonary stress test CPT 94621 | $271.95 | $555.00 | $194.25 – $543.90 | 20 |
| Dch validity tests CPT 81002 | $44.10 | $90.00 | $3.44 – $7.84 | 20 |
| Deamidated gliadin antibody iga CPT 86258 | $113.68 | $232.00 | $81.20 – $227.36 | 20 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $384.16 | $784.00 | $41.25 – $161.70 | 20 |
| Debridement (>20 cm) charge pt CPT 97598 | $117.60 | $240.00 | $31.75 – $124.46 | 20 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,431.29 | $2,921.00 | $215.00 – $842.80 | 20 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $182.28 | $372.00 | $70.35 – $196.98 | 20 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $564.48 | $1,152.00 | $115.50 – $323.40 | 20 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,091.23 | $2,227.00 | $91.50 – $358.68 | 20 |
| Debride nail1-5 11720 CPT 11720 | $58.80 | $120.00 | $22.75 – $89.18 | 20 |
| Debride nail6 or more 11721 CPT 11721 | $340.55 | $695.00 | $42.00 – $117.60 | 20 |
| Debride skin bone at fx site CPT 11012 | $916.30 | $1,870.00 | $450.00 – $1,764.00 | 20 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $182.28 | $372.00 | $39.55 – $110.74 | 20 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $187.18 | $382.00 | $77.00 – $215.60 | 20 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $620.83 | $1,267.00 | $206.50 – $578.20 | 20 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $339.57 | $693.00 | $242.55 – $679.14 | 20 |
| Decalcification CPT 88311 | $61.25 | $125.00 | $33.95 – $95.06 | 20 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $1,344.47 | $2,743.80 | $1.64 – $156.85 | 20 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $442.47 | $903.00 | $316.05 – $884.94 | 20 |
| Deep muscle biopsy 20205 CPT 20205 | $414.54 | $846.00 | $296.10 – $829.08 | 20 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $117.97 | $240.75 | $9.02 – $97.51 | 20 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $3,415.35 | $6,970.10 | $4.76 – $2,031.35 | 20 |
| Delivery of placenta 59414 CPT 59414 | $370.93 | $757.00 | $58.75 – $230.30 | 20 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $83.30 | $170.00 | $59.50 – $166.60 | 20 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $8,155.25 | $16,643.35 | $25.19 – $8,867.09 | 20 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $404.25 | $825.00 | $86.45 – $242.06 | 20 |
| Depo-estradiol cypionate inj HCPCS J1000 | $499.88 | $1,020.15 | $35.75 – $999.75 | 20 |
| Dermagraft HCPCS Q4106 | $1,852.20 | $3,780.00 | $925.32 – $2,590.88 | 20 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,840.81 | $3,756.75 | $6.27 – $97.51 | 20 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $92.61 | $189.00 | $43.40 – $121.52 | 20 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $101.92 | $208.00 | $72.80 – $203.84 | 20 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $469.42 | $958.00 | $89.25 – $249.90 | 20 |
| Destruction 2-14 lesions 17003 CPT 17003 | $42.14 | $86.00 | $30.10 – $84.28 | 20 |
| Destruction benign lesions < 14 lesions CPT 17110 | $94.08 | $192.00 | $67.20 – $188.16 | 20 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,359.75 | $2,775.00 | $971.25 – $2,719.50 | 20 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,359.75 | $2,775.00 | $971.25 – $2,719.50 | 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.