CHI Health Missouri Valley

Missouri Valley, IA · Critical Access Hospital

Posts prices for 54 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$696.78–$1,518.51 $1,422–$3,099 varies
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$420.91–$1,192.17 $859–$2,433 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$539–$1,215.20 $1,100–$2,480 varies
Diagnostic colonoscopy (45378)
range across 4 matching MRF lines
$367.50–$1,152.48 $750–$2,352 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$616.91–$1,549.87 $1,259–$3,163 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$641.90–$1,117.69 $1,310–$2,281 varies
Colonoscopy with endoscopic ultrasound (45391) $352.31 $719 0.3×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$872.20 $1,780 0.1×
Inguinal hernia repair (age 5+) (49505) $692.86 $1,414 0.2×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 3 matching MRF lines
$171.01–$609.56 $349–$1,244 varies
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$345.94–$809.48 $706–$1,652 varies
After-cataract laser surgery (YAG capsulotomy) (66821)
range across 2 matching MRF lines
$337.12–$505.68 $688–$1,032 varies
CT head/brain without contrast (70450) $1,254.40 $2,560 11.7×
MRI brain without contrast (70551) $2,805.25 $5,725 11.5×
MRI brain with contrast (70552) $2,935.59 $5,991 8.2×
MRI brain without and with contrast (70553) $2,597.49 $5,301 7.3×
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$49–$356.23 $100–$727 varies
MRI lumbar spine without contrast (72148) $2,285.85 $4,665 9.4×
CT pelvis with contrast (72193) $1,448.93 $2,957 8.1×
MRI lower-extremity joint without contrast (73721) $1,710.10 $3,490 7.0×
CT abdomen and pelvis with contrast (74177) $3,429.02 $6,998 9.6×
Ultrasound, abdomen complete (76700) $563.01 $1,149 5.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$491.47–$497.84 $1,003–$1,016 varies
Ultrasound, transvaginal (76830) $420.42 $858 3.9×
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
$110.25–$150.92 $225–$308 varies
Mammography, both breasts (diagnostic) (77066) $150.92 $308 1.4×
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$106.82–$193.06 $218–$394 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$12.74–$134.75 $26–$275 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$15.68–$171.99 $32–$351 varies
Obstetric panel (80055)
range across 2 matching MRF lines
$64.19–$71.05 $131–$145 varies
Lipid panel (80061)
range across 3 matching MRF lines
$4.90–$147.98 $10–$302 varies
Renal function panel (80069)
range across 2 matching MRF lines
$13.23–$178.36 $27–$364 varies
Hepatic function panel (80076)
range across 2 matching MRF lines
$12.25–$148.96 $25–$304 varies
Urinalysis, non-automated, with microscopy (81000)
range across 2 matching MRF lines
$4.90–$35.28 $10–$72 varies
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$3.92–$44.10 $8–$90 varies
PSA, total (84153)
range across 2 matching MRF lines
$27.44–$108.29 $56–$221 varies
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$24.99–$86.24 $51–$176 varies
CBC with automated differential (85025)
range across 2 matching MRF lines
$7.35–$95.06 $15–$194 varies
CBC, automated (85027)
range across 2 matching MRF lines
$9.80–$69.09 $20–$141 varies
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$5.88–$44.59 $12–$91 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$12.25–$63.70 $25–$130 varies
Psychotherapy, 30 minutes (90832) $170.03 $347 0.9×
Psychotherapy, 45 minutes (90834) $170.03 $347 0.9×
Psychotherapy, 60 minutes (90837) $170.03 $347 0.9×
Family psychotherapy, without patient (50 min) (90846) $170.03 $347 0.9×
Family psychotherapy, with patient (50 min) (90847) $170.03 $347 0.9×
Group psychotherapy (90853) $170.03 $347 1.6×
Sleep study (attended polysomnography) (95810) $2,621.99 $5,351 3.0×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 7 matching MRF lines
$43.12–$860.93 $88–$1,757 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 2 matching MRF lines
$153.86–$178.36 $314–$364 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$230.30–$270.97 $470–$553 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$304.78–$335.65 $622–$685 varies
Office consultation (low complexity, ~30 min) (99243) $128.87 $263 0.9×
Office consultation (moderate complexity, ~40 min) (99244) $193.06 $394 1.4×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (JSON, 227.0 MB) ↓ — captured 2026-09-08

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