Chi Health Missouri Valley — procedure prices

Published prices for 292 procedures at Chi Health Missouri Valley (Missouri Valley, IA), from its machine-readable file.

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ProcedureCashChargemasterInsurerMedicare
3D mammogram (tomosynthesis) $151 $308 $232 $51
Abdominal fluid drain (paracentesis) $529 $1,079 $817 $284
Abdominal ultrasound $431 $879 $585 $100
Abscess incision and drainage $172 $351 $317 $174
Achilles tendon repair $1,895 $3,868 $1,930 $624
Albumin blood test $31 $63 $15 $5
Aldosterone test $244 $497 $477 $41
Alkaline phosphatase test $33 $68 $16 $5
Allergy patch testing $388 $791 $759 $5
Allergy shots $27 $56 $54 $11
Allergy testing $275 $562 $540 $4
Alpha-fetoprotein (AFP) test $86 $176 $92 $17
ALT liver enzyme test $42 $85 $16 $5
Ammonia blood test $86 $176 $169 $15
Amniocentesis $101 $207 $199 $120
Amylase test $73 $148 $74 $6
Anal fistula repair $696 $1,421 $1,283 $541
Anoscopy $163 $334 $310 $129
Antinuclear antibody (ANA) test $58 $119 $36 $12
Appendix removal (appendectomy) — — $3,627 $592
Arterial blood gas (ABG) $204 $416 $372 $26
AST liver enzyme test $33 $68 $16 $5
Barium swallow study $281 $574 $433 $107
Bartholin cyst removal $285 $581 $507 $182
Basic metabolic panel $74 $151 $25 $8
Benign skin lesion removal $305 $623 $533 $171
Bilirubin blood test $62 $126 $121 $5
Bladder scope (cystoscopy) $516 $1,054 $662 $216
Blood clotting test (PT/INR) $43 $87 $40 $4
Blood crossmatch $57 $116 $111 —
Blood glucose test $25 $50 $16 $5
Blood transfusion $493 $1,006 $627 $47
Blood type and screen $47 $96 $42 $10
Blood type test $28 $58 $37 $3
BNP (heart failure) test $62 $128 $99 $39
Bone density scan (DEXA) $51 $104 $100 $39
Bone marrow biopsy $226 $461 $422 $172
Bone scan (nuclear) $1,002 $2,044 $1,962 $259
Botox for migraine $138 $281 $270 $157
Breast biopsy $1,229 $2,509 $2,172 $478
Breast ultrasound $105 $214 $205 $92
Breathing tube insertion (intubation) $228 $466 $375 $133
Bronchoscopy $915 $1,867 $1,657 $303
Burn treatment $152 $311 $255 $129
C-reactive protein (CRP) $18 $36 $27 $5
CA 19-9 tumor marker test $76 $155 $60 $21
CA-125 ovarian marker test $79 $161 $60 $21
Calcium blood test $27 $55 $15 $5
Capsule endoscopy $1,344 $2,742 $2,632 $802
Cardiac MRI $1,200 $2,449 $2,255 $322
Cardiac rehabilitation $173 $354 $340 $26
Cardiac stress test $677 $1,382 $1,203 $39
Cardioversion $520 $1,062 $511 $155
Carotid artery ultrasound $711 $1,450 $1,349 $156
Carpal tunnel release $365 $745 $715 $483
CEA tumor marker test $73 $149 $56 $19
Celiac disease test $104 $212 $204 $12
Central line placement $787 $1,607 $756 $238
Cesarean section (C-section) — — $3,627 $7,552
Chalazion (eyelid cyst) removal $313 $639 $613 $131
Chemotherapy infusion $231 $472 $429 $81
Chest fluid drain (thoracentesis) $450 $918 $829 $311
Chest tube insertion $498 $1,016 $928 $143
Chest X-ray $162 $331 $257 $37
Chickenpox (varicella) vaccine $329 $672 $455 —
CK-MB heart enzyme test $66 $135 $34 $12
Clotting time test (PTT) $38 $78 $24 $6
Colon resection (colectomy) $1,902 $3,881 $3,468 $1,238
Colonoscopy $880 $1,796 $1,209 $480
Colposcopy $151 $309 $297 $161
Complete blood count (CBC) $39 $81 $19 $7
Complex wound repair $407 $831 $514 $390
Comprehensive metabolic panel $94 $192 $31 $11
Contraceptive implant (Nexplanon) $44 $89 $82 $115
Copper blood test $75 $153 $147 $12
Coronary angioplasty / stent (PCI) — — $3,627 $426
Coronary artery bypass (CABG) — — $3,627 $36,593
Coronary CT angiography $1,500 $3,062 $2,940 $326
Cortisol test $71 $144 $40 $16
COVID-19 PCR test $97 $197 $189 $51
CPAP titration study $108 $220 $211 $69
Creatine kinase (CK) test $47 $95 $19 $7
CT angiography of the chest $2,003 $4,087 $3,924 $281
CT angiography of the head $1,861 $3,797 $3,645 $274
CT scan of the abdomen $1,725 $3,521 $3,193 $230
CT scan of the abdomen and pelvis $3,429 $6,998 $6,315 $300
CT scan of the arm $1,320 $2,693 $2,462 $199
CT scan of the chest $1,750 $3,572 $3,115 $167
CT scan of the head $1,530 $3,123 $2,509 $148
CT scan of the leg $1,720 $3,510 $3,156 $166
CT scan of the lower back (lumbar spine) $1,651 $3,370 $3,054 $169
CT scan of the neck $1,630 $3,327 $2,869 $183
CT scan of the neck (cervical spine) $1,515 $3,092 $2,968 $168
CT scan of the pelvis $1,575 $3,214 $2,898 $226
CT scan of the sinuses $1,468 $2,996 $2,726 $152
D-dimer test $53 $109 $21 $10
DHEA-sulfate test $121 $247 $237 $22
Diagnostic mammogram $151 $308 $230 $140
Drug screen (urine) $185 $377 $219 $17
Echocardiogram $419 $855 $544 $138
Electroencephalogram (EEG) $338 $690 $571 $448
Electrolyte panel $49 $100 $21 $7
Electromyography (EMG) $195 $398 $312 $141
Emergency department visit $194 $396 $311 $69
Endometrial biopsy $186 $380 $282 $98
Epidural steroid injection $365 $746 $683 $275
ERCP (bile duct endoscopy) $441 $899 $863 $311
Esophageal dilation $331 $675 $519 $522
Esophageal variceal banding $192 $392 $376 $126
Estradiol (estrogen) test $127 $259 $249 $28
Facet joint injection (spine) $341 $697 $477 $99
Fallopian tube X-ray (HSG) $295 $602 $568 $164
Family therapy session $170 $347 $333 $110
Fecal occult blood (stool) test $27 $55 $47 $10
Feeding tube (PEG) placement $270 $551 $529 $178
Femoral hernia repair $801 $1,635 $1,497 $584
Ferritin (iron) test $77 $158 $40 $14
Fibrinogen test $64 $131 $126 $10
Flexible sigmoidoscopy $440 $897 $803 $323
Flu test $74 $152 $36 $17
Flu vaccine $20 $41 $38 —
Folate (folic acid) test $76 $156 $43 $15
Foreign body removal (skin) $203 $415 $390 $157
Free T4 thyroid test $48 $97 $26 $9
FSH hormone test $129 $264 $253 $19
Gallbladder removal (laparoscopic) $911 $1,859 $1,709 $658
Gallbladder scan (HIDA) $1,383 $2,822 $2,625 $334
Ganglion cyst removal $1,200 $2,449 $1,141 $321
GGT liver test $29 $59 $21 $7
Glucose tolerance test $69 $140 $103 $8
Group therapy session $170 $347 $333 $30
HDL cholesterol test $55 $112 $24 $8
Hearing test (audiometry) $92 $187 $180 $36
Hematocrit test $24 $48 $27 $2
Hemoglobin A1c (diabetes test) $41 $84 $29 $10
Hemorrhoid removal $386 $789 $736 $338
Hepatitis A vaccine $118 $241 $136 —
Hepatitis B test $95 $194 $186 $10
Hepatitis B vaccine $98 $199 $163 —
Hepatitis C test $67 $137 $42 $14
HIV test $57 $117 $70 $19
Holter heart monitor $38 $77 $74 $26
Home sleep apnea test $68 $138 $79 $123
Hydrocele repair $462 $943 $905 $315
Incisional hernia repair $1,100 $2,244 $1,910 —
Inguinal hernia repair $735 $1,501 $1,357 $538
Iron blood test $68 $139 $102 $6
IUD insertion $147 $301 $289 —
IUD removal $161 $329 $299 $112
IV infusion therapy $121 $246 $231 $44
Joint aspiration (small/intermediate) $167 $341 $270 $57
Kidney scan (nuclear) $1,217 $2,483 $2,384 $172
Kidney ultrasound $422 $862 $709 $84
Knee joint injection $88 $180 $156 $69
Knee replacement — — $3,627 $18,054
Lactate test $47 $96 $26 $12
Laryngoscopy $261 $533 $349 $189
LDH test $39 $80 $18 $6
LDL cholesterol test $62 $126 $28 $11
Leg artery angiogram $1,310 $2,674 $2,567 $149
Leg vein ultrasound (Doppler) $916 $1,869 $1,196 $150
LH hormone test $133 $272 $261 $19
Lipase test $57 $117 $20 $7
Lipid (cholesterol) panel $20 $41 $37 $13
Liver function panel $81 $165 $24 $8
Lower back (lumbar) spinal fusion — — $3,627 $1,511
Lumpectomy (breast) $1,199 $2,446 $2,208 $750
Lung function test (PFT) $288 $589 $413 $37
Lung scan (V/Q) $1,122 $2,290 $2,198 $291
Magnesium blood test $34 $69 $20 $7
Mastectomy $1,413 $2,883 $2,477 $1,021
MMR vaccine $424 $866 $420 —
MRA of the brain $2,311 $4,717 $4,528 $226
MRA of the neck $1,610 $3,286 $2,544 $245
MRI of the abdomen $2,146 $4,380 $3,405 $300
MRI of the ankle $1,697 $3,464 $3,198 $261
MRI of the brain $2,805 $5,725 $5,181 $269
MRI of the chest $1,828 $3,730 $2,814 $371
MRI of the knee $1,864 $3,804 $3,420 $315
MRI of the lower back (lumbar spine) $2,286 $4,665 $4,478 $270
MRI of the mid-back (thoracic spine) $2,357 $4,811 $4,399 $271
MRI of the neck (cervical spine) $2,321 $4,737 $4,548 $274
MRI of the pelvis $1,789 $3,652 $3,042 $268
MRI of the shoulder $1,855 $3,786 $3,404 $313
MRI of the wrist $1,217 $2,483 $2,316 $330
Nebulizer breathing treatment $90 $183 $125 $9
Nerve conduction study $176 $360 $257 $118
Nuchal translucency ultrasound $221 $451 $433 $116
Nuclear cardiac stress test $1,298 $2,650 $998 $428
Occupational therapy evaluation $96 $196 $183 $101
Office visit (established patient) $152 $310 $205 $115
Office visit (new patient) $251 $512 $352 $177
Pacemaker insertion — — $3,627 $15,506
Pap smear (cervical screening) $54 $110 $64 $20
Parathyroid hormone (PTH) test $166 $339 $120 $41
Pelvic ultrasound $391 $798 $587 $78
PET scan $3,325 $6,785 $6,514 —
Phosphorus blood test $30 $62 $14 $5
Physical therapy evaluation $77 $157 $95 $98
Pilonidal cyst removal $678 $1,383 $972 $541
Platelet count $39 $79 $76 $4
Pneumonia vaccine $270 $550 $514 —
Pregnancy blood test (hCG) $55 $113 $22 $8
Pregnancy ultrasound $498 $1,016 $963 $126
Procalcitonin test $192 $391 $375 $27
Prolactin test $82 $168 $57 $19
Prostate biopsy $454 $926 $889 —
Prostate test (PSA) $68 $139 $54 $18
Psychotherapy session $170 $347 $333 $140
Pulmonary rehabilitation $189 $387 $192 $87
Radiofrequency nerve ablation $1,360 $2,775 $2,664 $462
Rheumatoid factor test $35 $72 $17 $6
Rotator cuff repair $4,440 $9,062 $8,700 $792
Sacroiliac joint injection $245 $500 $350 $176
Scoliosis spine X-ray $171 $348 $157 $58
Screening colonoscopy $478 $976 $937 $378
Screening mammogram $164 $335 $227 $126
Scrotal ultrasound $302 $616 $591 $99
Sedimentation rate (ESR) test $22 $45 $11 $3
Semen analysis $112 $230 $105 $12
Sex hormone binding globulin test $151 $309 $297 $22
Shingles vaccine $400 $816 $688 —
Simple wound stitches $185 $377 $300 $127
Skin biopsy $144 $294 $257 $121
Skin cancer lesion removal $302 $616 $588 $240
Skin lesion freezing (cryotherapy) $77 $157 $119 $36
Skin tag removal $124 $253 $243 $92
Sleep study (polysomnography) $2,801 $5,716 $5,137 $691
Soft tissue ultrasound $350 $715 $686 $64
Speech therapy $457 $933 $425 $76
Spinal tap (lumbar puncture) $195 $399 $339 $165
Spine fracture repair (kyphoplasty) $6,118 $12,486 $11,987 $5,803
Spleen removal (splenectomy) $1,453 $2,965 $2,725 $1,036
Strep throat test $57 $117 $35 $17
Stress echocardiogram $1,183 $2,414 $1,605 $209
Swallow study $292 $595 $402 $85
T3 thyroid test $35 $71 $26 $14
Tdap (tetanus) vaccine $103 $211 $176 —
Testicle removal (orchiectomy) $446 $910 $874 $306
Testosterone test $99 $203 $75 $26
Thyroid removal (thyroidectomy) $1,496 $3,054 $2,405 $1,004
Thyroid test (TSH) $56 $114 $49 $17
Thyroid ultrasound $349 $713 $684 $109
Thyroid uptake scan $606 $1,238 $899 $145
Tilt table test $1,257 $2,565 $2,462 $168
Total IgE allergy test $70 $143 $137 $16
Total protein test $40 $83 $11 $4
Tracheostomy $407 $830 $797 $273
Transvaginal ultrasound $420 $858 $824 $118
Trigger finger release $459 $937 $900 $630
Trigger point injection $140 $285 $148 $56
Triglycerides test $38 $79 $17 $6
Troponin (heart) test $82 $167 $29 $12
Turning a breech baby (version) $1,173 $2,393 $2,297 $94
Umbilical hernia repair $615 $1,256 $1,165 —
Upper GI endoscopy (EGD) $539 $1,100 $1,056 $371
Upper GI series (barium) $294 $601 $547 $128
Uric acid (gout) test $37 $75 $14 $5
Urinalysis $31 $64 $15 $3
Urine microalbumin test $32 $65 $17 $5
Urine pregnancy test $61 $125 $58 $9
Vaccine administration $34 $69 $45 $19
Vaginal delivery — — $3,627 $5,487
Vasectomy $454 $926 $889 $347
Vitamin B12 test $59 $121 $44 $15
Vitamin D test $113 $231 $85 $30
Wart removal $98 $200 $184 $121
Weight-loss (bariatric) surgery — — $3,627 $11,645
Wound debridement $243 $496 $450 $186
X-ray of the abdomen $147 $301 $245 $36
X-ray of the ankle $124 $253 $110 $37
X-ray of the collarbone $102 $209 $91 $33
X-ray of the elbow $115 $234 $103 $33
X-ray of the facial bones $133 $271 $213 $39
X-ray of the foot $118 $241 $104 $34
X-ray of the forearm $101 $207 $90 $29
X-ray of the hand $116 $236 $102 $38
X-ray of the hip $111 $227 $182 $49
X-ray of the knee $93 $190 $92 $42
X-ray of the lower back (lumbar spine) $148 $303 $137 $47
X-ray of the lower leg $81 $165 $76 $31
X-ray of the mid-back (thoracic spine) $133 $271 $117 $36
X-ray of the neck (cervical spine) $130 $265 $122 $47
X-ray of the pelvis $188 $384 $278 $36
X-ray of the ribs $222 $453 $417 $42
X-ray of the shoulder $111 $227 $98 $36
X-ray of the skull $195 $397 $294 $40
X-ray of the thigh bone $72 $147 $70 —
X-ray of the upper arm $110 $225 $98 $32
X-ray of the wrist $119 $243 $109 $43
YAG laser capsulotomy (eye) $421 $860 $660 $335
Zinc blood test $44 $89 $16 $11

Source: this hospital’s machine-readable price file (45 CFR §180). Medicare from CMS fee schedules. Estimates — confirm with the hospital. Report an incorrect price.