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
INTRO SET MICPUNC 5FR 10CM.
Missouri Valley, IA
See all hospitals reporting HCPCS C1894 →Price type
Alegent Health Community Memorial Hospital Of Missouri Valley, Iowa’s median price of $149 is 24% below the median hospital's median price ($196), higher than 39% of the 1,666 hospitals reporting HCPCS C1894. 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 | $66.56 | $171.69 | $0.02 – $5,124 |
| 2 | Medica medicare|all plans fee schedule · outpatient | $66.56 | $171.69 | $0.02 – $5,124 |
| 3 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $66.56 | $171.69 | $0.02 – $5,124 |
| 4 | UnitedHealthcare medicaid|community plan fee schedule · outpatient | $81.78 | $210.93 | $0.02 – $6,295 |
| 5 | Wellmark commercial|hmo fee schedule · inpatient | $108.40 | $279.60 | $0.03 – $8,345 |
| 6 | Wellmark commercial|ppo fee schedule · inpatient | $108.40 | $279.60 | $0.03 – $8,345 |
| 7 | Blue Cross Blue Shield commercial|blueprint fee schedule · inpatient | $171.63 | $442.70 | $0.04 – $13,213 |
| 8 | Blue Cross Blue Shield commercial|blueprint fee schedule · outpatient | $171.63 | $442.70 | $0.04 – $13,213 |
| 9 | Medica commercial|all other plans fee schedule · inpatient | $173.06 | $446.38 | $0.04 – $13,322 |
| 10 | Medica commercial|all other plans fee schedule · outpatient | $173.06 | $446.38 | $0.04 – $13,322 |
| 11 | Medica commercial|chi health fee schedule · inpatient | $173.06 | $446.38 | $0.04 – $13,322 |
| 12 | Medica commercial|chi health fee schedule · outpatient | $173.06 | $446.38 | $0.04 – $13,322 |
| 13 | Blue Cross Blue Shield commercial|all other plans fee schedule · inpatient | $180.67 | $466.00 | $0.04 – $13,908 |
| 14 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $180.67 | $466.00 | $0.04 – $13,908 |
| 15 | Medica commercial|aco fee schedule · inpatient | $182.57 | $470.90 | $0.04 – $14,054 |
| 16 | Medica commercial|aco fee schedule · outpatient | $182.57 | $470.90 | $0.04 – $14,054 |
| 17 | Medica commercial|open access fee schedule · inpatient | $182.57 | $470.90 | $0.04 – $14,054 |
| 18 | Medica commercial|open access fee schedule · outpatient | $182.57 | $470.90 | $0.04 – $14,054 |
| 19 | UnitedHealthcare commercial|all plans fee schedule · inpatient | $182.57 | $470.90 | $0.04 – $14,054 |
| 20 | UnitedHealthcare commercial|all plans fee schedule · outpatient | $182.57 | $470.90 | $0.04 – $14,054 |
| 21 | MultiPlan commercial|all plans fee schedule · inpatient | $186.37 | $480.71 | $0.04 – $14,347 |
| 22 | MultiPlan commercial|all plans fee schedule · outpatient | $186.37 | $480.71 | $0.04 – $14,347 |
| 23 | Phcs commercial|all plans fee schedule · inpatient | $186.37 | $480.71 | $0.04 – $14,347 |
| 24 | Phcs commercial|all plans fee schedule · outpatient | $186.37 | $480.71 | $0.04 – $14,347 |
Last updated: Feb 28, 2026
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