Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CATH KT GASTSTMY LP 20FRX4.5CM 0120-20-4.5
Missouri Valley, IA
See all hospitals reporting HCPCS C1889 →Price type
Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa’s median price of $1.0k is 56% below the median hospital's median price ($2.3k), higher than 32% of the 1,507 hospitals reporting HCPCS C1889. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 24 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Humana medicare|all plans fee schedule · outpatient | $461.16 | $1,083 | $10.32 – $5,444 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $461.16 | $1,083 | $10.32 – $5,444 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $461.16 | $1,083 | $10.32 – $5,444 |
| 4 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $566.57 | $1,330 | $12.68 – $6,689 |
| 5 | Wellmark commercial|hmo fee schedule · inpatient | $751.04 | $1,764 | $16.81 – $8,866 |
| 6 | Wellmark commercial|ppo fee schedule · inpatient | $751.04 | $1,764 | $16.81 – $8,866 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $1,189 | $2,792 | $26.61 – $14,038 |
| 8 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $1,189 | $2,792 | $26.61 – $14,038 |
| 9 | Medica commercial|all other plans fee schedule · inpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 10 | Medica commercial|all other plans fee schedule · outpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 11 | Medica commercial|chi health fee schedule · inpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 12 | Medica commercial|chi health fee schedule · outpatient | $1,199 | $2,816 | $26.83 – $14,155 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $1,252 | $2,939 | $28.01 – $14,777 |
| 14 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $1,252 | $2,939 | $28.01 – $14,777 |
| 15 | Medica commercial|aco fee schedule · inpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 16 | Medica commercial|aco fee schedule · outpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 17 | Medica commercial|open access fee schedule · inpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 18 | Medica commercial|open access fee schedule · outpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 19 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 20 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $1,265 | $2,970 | $28.31 – $14,933 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $1,291 | $3,032 | $28.90 – $15,244 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $1,291 | $3,032 | $28.90 – $15,244 |
| 23 | Phcs commercial|all plans fee schedule · inpatient | $1,291 | $3,032 | $28.90 – $15,244 |
| 24 | Phcs commercial|all plans fee schedule · outpatient | $1,291 | $3,032 | $28.90 – $15,244 |
Last updated: Feb 28, 2026
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