healthcosts.net
Alpha-fetoprotein tumor marker at MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
$223.60
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
?
What you pay up front if you don't use insurance.
$344.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
?
The hospital's undiscounted list price — almost no one pays this.
$16.25 with IOWA TOTAL CARE vs $206.00 with CRIME VICTIM ASSISTANCE — same scan, same building. Share
Negotiated rates by payer
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
?
Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| IOWA TOTAL CARE | IOWA TOTAL CARE MEDICAID | $16.25 | ↓ -93% |
| MOLINA MEDICAID | MOLINA MEDICAID | $16.41 | ↓ -93% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $16.43 | ↓ -93% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $16.43 | ↓ -93% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $16.43 | ↓ -93% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $16.47 | ↓ -93% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $16.60 | ↓ -93% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $16.76 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $16.77 | ↓ -93% |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $16.77 | ↓ -93% |
| GEHA | UNITED HEALTHCARE | $16.77 | ↓ -93% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $17.11 | ↓ -92% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $22.30 | ↓ -90% |
| OSCAR | OSCAR | $23.83 | ↓ -89% |
| CENTIVO | CENTIVO | $24.20 | ↓ -89% |
| AMBETTER | AMBETTER MARKETPLACE | $28.17 | ↓ -87% |
| NOVA | CLAIMDOC | $33.71 | ↓ -85% |
| CLAIMDOC | CLAIMDOC | $33.71 | ↓ -85% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $41.41 | ↓ -81% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $41.41 | ↓ -81% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $71.48 | ↓ -68% |
| COVENTRY | AETNA | $71.48 | ↓ -68% |
| FIRST HEALTH | AETNA | $71.48 | ↓ -68% |
| CHRISTIAN BROTHER SERVICES | AETNA | $71.48 | ↓ -68% |
| LUCENT HEALTH | AETNA | $71.48 | ↓ -68% |
| LUMINARE HEALTH | AETNA | $71.48 | ↓ -68% |
| MEDICAL MUTUAL | AETNA | $71.48 | ↓ -68% |
| ASR HEALTH BENEFITS | AETNA | $71.48 | ↓ -68% |
| MERITAIN | AETNA | $71.48 | ↓ -68% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $71.48 | ↓ -68% |
| ALLIED BENEFIT SYSTEMS | AETNA | $71.48 | ↓ -68% |
| AETNA DOMESTIC | AETNA | $71.48 | ↓ -68% |
| WEBTPA | AETNA | $71.48 | ↓ -68% |
| AETNA | AETNA | $71.48 | ↓ -68% |
| CIGNA EAP | CIGNA | $123.60 | ↓ -45% |
| CIGNA | CIGNA | $123.60 | ↓ -45% |
| HEALTH PARTNERS | HEALTH PARTNERS | $130.81 | ↓ -41% |
| AUXIANT | MIDLANDS CHOICE PPO | $133.90 | ↓ -40% |
| MEDICA | MIDLANDS CHOICE PPO | $133.90 | ↓ -40% |
| MIDLANDS | MIDLANDS CHOICE PPO | $133.90 | ↓ -40% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $133.90 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $170.98 | ↓ -24% |
| USA MANAGED CARE | USA MANAGED CARE | $175.10 | ↓ -22% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $206.00 | ↓ -8% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $206.00 | ↓ -8% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $206.00 | ↓ -8% |
Visitor-reported prices
Comments
Alpha-fetoprotein tumor marker at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $64.28 | $10.06 – $26.09 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $132.60 | $16.77 – $16.77 |
| MercyOne Dubuque Medical Center | Dubuque | $261.30 | $16.25 – $184.00 |
| MercyOne New Hampton Medical Center | New Hampton | $129.35 | $78.78 – $199.00 |
| MercyOne Dyersville Medical Center | Dyersville | $129.35 | $75.22 – $223.99 |
| MercyOne Clinton Medical Center | Clinton | $155.35 | $16.25 – $184.00 |
| MercyOne Oelwein Medical Center | Oelwein | $129.35 | $76.06 – $199.00 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $198.90 | $16.25 – $306.00 |