Chi Health Missouri Valley

631 N 8Th St, Missouri Valley, IA 51555 · (712) 642-2784

Critical Access HospitalsVoluntary non-profit - PrivateCMS rating 4/5Omaha, NE-IA metro

Price file

Prices published

File dated 2026-02-28

5,738 price rows for 57 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $59

$13

cash

$8 to $270

104 negotiated rates

$26

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,051

$3,429

cash

$2,449 to $6,858

52 negotiated rates

$6,998

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $674

$1,254

cash

$896 to $2,509

52 negotiated rates

$2,560

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,052

$1,449

cash

$1,035 to $2,898

52 negotiated rates

$2,957

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,454 to $14,888

12 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $95

$99

cash

$35 to $199

52 negotiated rates

$203

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 8 lines · metro median $1,298

$368

cash

$263 to $2,305

208 negotiated rates

$750

list

Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines · metro median $1,013

$617

cash

$441 to $3,100

104 negotiated rates

$1,259

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 4 lines · metro median $923

$642

cash

$459 to $2,235

104 negotiated rates

$1,310

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $52

cash

$6 to $190

104 negotiated rates

$15

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $73

$16

cash

$11 to $344

104 negotiated rates

$32

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $128

$151

cash

$108 to $302

52 negotiated rates

$308

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 8 lines · metro median $85

$50

cash

$36 to $501

208 negotiated rates

$103

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $189

$170

cash

$121 to $340

52 negotiated rates

$347

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $189

$170

cash

$121 to $340

52 negotiated rates

$347

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $1,437

$872

cash

$623 to $1,744

52 negotiated rates

$1,780

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $83

$88

cash

$35 to $175

52 negotiated rates

$179

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $52

$170

cash

$121 to $340

52 negotiated rates

$347

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$3,454 to $33,538

12 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$3,454 to $10,936

12 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$3,454 to $15,158

12 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $1,376

$693

cash

$495 to $1,386

52 negotiated rates

$1,414

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 4 lines · metro median $468

$337

cash

$241 to $1,011

104 negotiated rates

$688

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $5

cash

$4 to $296

156 negotiated rates

$10

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $53

$12

cash

$8 to $298

104 negotiated rates

$25

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,864

$2,597

cash

$1,855 to $5,195

52 negotiated rates

$5,301

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,258

$1,710

cash

$1,222 to $3,420

52 negotiated rates

$3,490

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,425

$2,286

cash

$1,633 to $4,572

52 negotiated rates

$4,665

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,425

$2,321

cash

$1,658 to $4,642

52 negotiated rates

$4,737

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$3,454 to $31,974

12 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 4 lines · metro median $1,144

$346

cash

$247 to $1,619

104 negotiated rates

$706

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines · metro median $221

$154

cash

$110 to $357

104 negotiated rates

$314

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines · metro median $291

$230

cash

$147 to $542

104 negotiated rates

$470

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines · metro median $305

$305

cash

$200 to $671

104 negotiated rates

$622

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $93

$27

cash

$18 to $217

104 negotiated rates

$56

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $40

$12

cash

$6 to $127

104 negotiated rates

$25

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 14 lines · metro median $57

$43

cash

$31 to $1,722

364 negotiated rates

$88

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $503

$491

cash

$351 to $996

104 negotiated rates

$1,003

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $1,347

$454

cash

$324 to $907

52 negotiated rates

$926

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $28

cash

$4 to $89

156 negotiated rates

$12

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $86

$170

cash

$121 to $340

52 negotiated rates

$347

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $92

$170

cash

$121 to $340

52 negotiated rates

$347

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $109

$170

cash

$121 to $340

52 negotiated rates

$347

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 4 lines · metro median $1,190

$697

cash

$498 to $3,037

104 negotiated rates

$1,422

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $128

$107

cash

$76 to $386

156 negotiated rates

$218

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $1,991

$2,622

cash

$1,873 to $5,244

52 negotiated rates

$5,351

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$3,454 to $53,774

12 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 6 lines · metro median $629

$171

cash

$122 to $1,219

156 negotiated rates

$349

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 6 lines · metro median $1,144

$238

cash

$170 to $1,766

156 negotiated rates

$486

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $96

$25

cash

$17 to $172

104 negotiated rates

$51

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $417

$420

cash

$300 to $841

52 negotiated rates

$858

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $525

$563

cash

$402 to $1,126

52 negotiated rates

$1,149

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 4 lines · metro median $643

$421

cash

$301 to $2,384

104 negotiated rates

$859

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 6 lines · metro median $1,381

$539

cash

$275 to $2,430

156 negotiated rates

$1,100

list

Urinalysis with microscope

CPT 81001 · lowest of 6 lines · metro median $23

cash

$3 to $100

156 negotiated rates

$10

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,454 to $10,211

12 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $352

$49

cash

$35 to $712

104 negotiated rates

$100

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.chihealth.com/content/dam/chihealthcom/documents/patients-and-visitors/financial-assistance/price-transparency-standard-charges/420776568-1508964123_alegent-health-community-memorial-hospital-of-missouri-valley-iowa_standardcharges.json
CHI Health Missouri Valley · parsed · json v3.0.0 · file dated 2026-02-28 · 216.5 MB · 5738 price rows read · read Nov 2026