Bone marrow biopsyneedle/trocar 38221 at MercyOne Des Moines Medical Center

1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$1,676.35

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,579.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$345.52 with MEDICAL ASSOCIATES vs $3,206.43 with CLAIMDOC — same scan, same building. Share

Negotiated rates by payer
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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
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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
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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
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $345.52 ↓ -79%
HEALTH CHOICES MEDICAL ASSOCIATES $345.52 ↓ -79%
LUCENT HEALTH AETNA $596.49 ↓ -64%
MERITAIN AETNA $596.49 ↓ -64%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $596.49 ↓ -64%
ALLIED BENEFIT SYSTEMS AETNA $596.49 ↓ -64%
AETNA AETNA $596.49 ↓ -64%
ASR HEALTH BENEFITS AETNA $596.49 ↓ -64%
1199 NATIONAL BENEFIT FUND AETNA $596.49 ↓ -64%
FIRST HEALTH AETNA $596.49 ↓ -64%
LUMINARE HEALTH AETNA $596.49 ↓ -64%
CHRISTIAN BROTHER SERVICES AETNA $596.49 ↓ -64%
AETNA DOMESTIC AETNA $596.49 ↓ -64%
MEDICAL MUTUAL AETNA $596.49 ↓ -64%
WEBTPA AETNA $596.49 ↓ -64%
COVENTRY AETNA $596.49 ↓ -64%
CIGNA CIGNA $1,031.40 ↓ -38%
CIGNA EAP CIGNA $1,031.40 ↓ -38%
HEALTH PARTNERS HEALTH PARTNERS $1,091.57 ↓ -35%
AUXIANT MIDLANDS CHOICE PPO $1,117.35 ↓ -33%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $1,117.35 ↓ -33%
MIDLANDS MIDLANDS CHOICE PPO $1,117.35 ↓ -33%
MEDICA MIDLANDS CHOICE PPO $1,117.35 ↓ -33%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $1,426.77 ↓ -15%
USA MANAGED CARE USA MANAGED CARE $1,461.15 ↓ -13%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $1,558.92 ↓ -7%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $1,563.33 ↓ -7%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $1,563.33 ↓ -7%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $1,563.33 ↓ -7%
MOLINA MEDICAID MOLINA MEDICAID $1,574.21 ↓ -6%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $1,578.97 ↓ -6%
WELLPOINT MEDICAID WELLPOINT MEDICAID $1,580.32 ↓ -6%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $1,594.60 ↓ -5%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $1,627.14 ↓ -3%
BLUE CROSS - LA WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - TX WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - SC WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MI WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MT WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - RI WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - TN WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - FEDERAL WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NC WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $1,687.37 ↑ +1%
BLUE CARE NETWORK WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - AZ WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - HI WELLMARK PPO $1,687.37 ↑ +1%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $1,687.37 ↑ +1%
BLUE SHIELD - CA WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - AR WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NM WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - ID WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - VT WELLMARK PPO $1,687.37 ↑ +1%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - IL WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MN WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NE WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - FL WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - WY WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $1,687.37 ↑ +1%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - ND WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - KS WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - AL WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $1,687.37 ↑ +1%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $1,687.37 ↑ +1%
BCBS GENERIC WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - OK WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MS WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - MA WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $1,687.37 ↑ +1%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $1,687.37 ↑ +1%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $1,687.37 ↑ +1%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $1,687.37 ↑ +1%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $1,687.37 ↑ +1%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $1,719.00 ↑ +3%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $1,719.00 ↑ +3%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $1,719.00 ↑ +3%
AMISH HOSPITAL AID AMISH HOSPITAL AID $2,121.67 ↑ +27%
OSCAR OSCAR $2,266.84 ↑ +35%
CENTIVO CENTIVO $2,301.93 ↑ +37%
AMBETTER AMBETTER MARKETPLACE $2,680.00 ↑ +60%
NOVA CLAIMDOC $3,206.43 ↑ +91%
CLAIMDOC CLAIMDOC $3,206.43 ↑ +91%

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Bone marrow biopsyneedle/trocar 38221 at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $3,403.60 $63.26 – $1,561.02
MercyOne Genesis Davenport West Medical Center Davenport $1,715.40 $1,550.93 – $1,858.35
MercyOne Centerville Medical Center Centerville $4,079.00 $62.70 – $470.00
MercyOne North Iowa Medical Center Mason City $2,351.70 $617.47 – $3,578.15
MercyOne Genesis Davenport Medical Center Davenport $1,981.80 $1,550.93 – $2,146.95
MercyOne Genesis DeWitt Medical Center DeWitt $1,981.80 $387.63 – $1,123.02
MercyOne Waterloo Medical Center Waterloo $3,900.00 $940.00 – $4,000.00
UnityPoint Health - Allen Hospital Waterloo $3,665.09 $63.26 – $1,342.97

All Iowa hospitals for this procedure →