Boot walker genesis full shell 3-strap s 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

$81.97

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.

$126.11

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.

$10.42 with IOWA TOTAL CARE vs $63.83 with UNITED HEALTHCARE — 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
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $10.42 ↓ -87%
MOLINA MEDICAID MOLINA MEDICAID $10.52 ↓ -87%
WELLPOINT MEDICAID WELLPOINT MEDICAID $10.56 ↓ -87%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $12.77 ↓ -84%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $12.83 ↓ -84%
HEALTH CHOICES MEDICAL ASSOCIATES $12.83 ↓ -84%
CENTIVO CENTIVO $16.85 ↓ -79%
OSCAR OSCAR $17.23 ↓ -79%
LUMINARE HEALTH AETNA $22.15 ↓ -73%
CHRISTIAN BROTHER SERVICES AETNA $22.15 ↓ -73%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $22.15 ↓ -73%
LUCENT HEALTH AETNA $22.15 ↓ -73%
AETNA AETNA $22.15 ↓ -73%
ASR HEALTH BENEFITS AETNA $22.15 ↓ -73%
1199 NATIONAL BENEFIT FUND AETNA $22.15 ↓ -73%
FIRST HEALTH AETNA $22.15 ↓ -73%
AETNA DOMESTIC AETNA $22.15 ↓ -73%
WEBTPA AETNA $22.15 ↓ -73%
MEDICAL MUTUAL AETNA $22.15 ↓ -73%
COVENTRY AETNA $22.15 ↓ -73%
ALLIED BENEFIT SYSTEMS AETNA $22.15 ↓ -73%
MERITAIN AETNA $22.15 ↓ -73%
UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $35.43 ↓ -57%
CIGNA EAP CIGNA $38.30 ↓ -53%
GEHA UNITED HEALTHCARE $38.30 ↓ -53%
NOVA CLAIMDOC $38.30 ↓ -53%
CLAIMDOC CLAIMDOC $38.30 ↓ -53%
UNITED HEALTHCARE UNITED HEALTHCARE $38.30 ↓ -53%
CIGNA CIGNA $38.30 ↓ -53%
HEALTH PARTNERS HEALTH PARTNERS $40.53 ↓ -51%
MIDLANDS MIDLANDS CHOICE PPO $41.49 ↓ -49%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $41.49 ↓ -49%
AUXIANT MIDLANDS CHOICE PPO $41.49 ↓ -49%
MEDICA MIDLANDS CHOICE PPO $41.49 ↓ -49%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $52.98 ↓ -35%
USA MANAGED CARE USA MANAGED CARE $54.26 ↓ -34%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $63.83 ↓ -22%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $63.83 ↓ -22%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $63.83 ↓ -22%

Visitor-reported prices

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Boot walker genesis full shell 3-strap s at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $624.00 $155.62 – $396.02
MercyOne Genesis Davenport West Medical Center Davenport $44.40 not published
MercyOne Dubuque Medical Center Dubuque $81.97 $12.37 – $63.83
MercyOne New Hampton Medical Center New Hampton $97.29 $29.99 – $75.76
MercyOne Dyersville Medical Center Dyersville $81.97 $24.13 – $71.85
MercyOne Clinton Medical Center Clinton $81.97 $12.37 – $63.83
MercyOne Oelwein Medical Center Oelwein $81.97 $24.40 – $63.83
MercyOne Cedar Falls Medical Center Cedar Falls $82.04 $11.04 – $63.66

All Iowa hospitals for this procedure →