Consultation pathology during surgery at MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
$95.55
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.
$147.00
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.
$29.55 with MEDICAL ASSOCIATES vs $147.00 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 |
|---|---|---|---|
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $29.55 | ↓ -69% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $29.55 | ↓ -69% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $31.71 | ↓ -67% |
| GEHA | UNITED HEALTHCARE | $33.96 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $33.96 | ↓ -64% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $33.96 | ↓ -64% |
| FIRST HEALTH | AETNA | $51.01 | ↓ -47% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $51.01 | ↓ -47% |
| LUCENT HEALTH | AETNA | $51.01 | ↓ -47% |
| AETNA | AETNA | $51.01 | ↓ -47% |
| ASR HEALTH BENEFITS | AETNA | $51.01 | ↓ -47% |
| MEDICAL MUTUAL | AETNA | $51.01 | ↓ -47% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $51.01 | ↓ -47% |
| AETNA DOMESTIC | AETNA | $51.01 | ↓ -47% |
| MERITAIN | AETNA | $51.01 | ↓ -47% |
| CHRISTIAN BROTHER SERVICES | AETNA | $51.01 | ↓ -47% |
| COVENTRY | AETNA | $51.01 | ↓ -47% |
| ALLIED BENEFIT SYSTEMS | AETNA | $51.01 | ↓ -47% |
| WEBTPA | AETNA | $51.01 | ↓ -47% |
| LUMINARE HEALTH | AETNA | $51.01 | ↓ -47% |
| MEDICARE MEDICAL ASSOCIATES HEALTH PLANS | MEDICAL ASSOCIATES MEDICARE ADVANTAGE | $55.84 | ↓ -42% |
| MEDIGOLD MEDICARE ADVANTAGE | MERCYONE HEALTH PLAN MEDICARE ADVANTAGE | $55.84 | ↓ -42% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $55.84 | ↓ -42% |
| BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE | WELLMARK MEDICARE ADVANTAGE | $56.40 | ↓ -41% |
| UNITED HEALTHCARE MEDICARE | UNITED HEALTHCARE MEDICARE ADVANTAGE | $56.96 | ↓ -40% |
| WELLPOINT MEDICARE ADVANTAGE | WELLPOINT MEDICARE ADVANTAGE | $58.12 | ↓ -39% |
| BLUE CROSS - IN (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE SHIELD - PA (HIGHMARK) | WELLMARK PPO | $60.27 | ↓ -37% |
| BCBS GENERIC | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - OK | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NV (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - AR | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NM | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - ID | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - VT | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE SHIELD - WA (REGENCE) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - IL | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - VA (CAREFIRST) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MD (CAREFIRST) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - ME (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MN | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NE | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - OH (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - FL | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - PA (INDEPENDENCE) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - WY | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - KY (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - DE (HIGHMARK) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE SHIELD - ID (REGENCE) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - ND | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - KS | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MO (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - AL | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - WA (PREMERA) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE SHIELD - NY HIGHMARK WESTERN | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NY (EXCELLUS) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - UT (REGENCE) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE SHIELD - CA | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK HMO | $60.27 | ↓ -37% |
| BLUE CROSS - IA (WELLMARK) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - CA (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - AK (PREMERA) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - WV (HIGHMARK) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE DISTINCTION TRANSPLANT | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - DC (CAREFIRST) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MA | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - WI (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NH (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - CO (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - SD (WELLMARK) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - OR (REGENCE) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NJ (HORIZON) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - PA (CAPITAL) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NY (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - CT (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MS | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - LA | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - TX | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - SC | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MI | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - MT | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - RI | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - TN | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - FEDERAL | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - NC | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - IL ALTERNATE | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CARE NETWORK | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - AZ | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - HI | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE SHIELD - NY HIGHMARK NORTHEASTERN | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - GA (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| BLUE CROSS - VA (ANTHEM) | WELLMARK PPO | $60.27 | ↓ -37% |
| AMISH HOSPITAL AID | AMISH HOSPITAL AID | $75.78 | ↓ -21% |
| OSCAR | OSCAR | $80.97 | ↓ -15% |
| CENTIVO | CENTIVO | $82.22 | ↓ -14% |
| CIGNA | CIGNA | $88.20 | ↓ -8% |
| CIGNA EAP | CIGNA | $88.20 | ↓ -8% |
| HEALTH PARTNERS | HEALTH PARTNERS | $93.35 | ↓ -2% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $95.55 | ↑ +0% |
| MIDLANDS | MIDLANDS CHOICE PPO | $95.55 | ↑ +0% |
| MEDICA | MIDLANDS CHOICE PPO | $95.55 | ↑ +0% |
| AUXIANT | MIDLANDS CHOICE PPO | $95.55 | ↑ +0% |
| AMBETTER | AMBETTER MARKETPLACE | $95.73 | ↑ +0% |
| NOVA | CLAIMDOC | $114.53 | ↑ +20% |
| CLAIMDOC | CLAIMDOC | $114.53 | ↑ +20% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $122.01 | ↑ +28% |
| USA MANAGED CARE | USA MANAGED CARE | $124.95 | ↑ +31% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $147.00 | ↑ +54% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $147.00 | ↑ +54% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $100.00 | $31.71 – $65.62 |
| MercyOne Genesis Davenport West Medical Center | Davenport | $36.00 | $31.20 – $56.86 |
| MercyOne Dubuque Medical Center | Dubuque | $103.00 | $25.49 – $117.87 |
| MercyOne Dyersville Medical Center | Dyersville | $139.10 | $31.71 – $240.88 |
| MercyOne Clinton Medical Center | Clinton | $55.25 | $24.06 – $126.24 |
| MercyOne Cedar Falls Medical Center | Cedar Falls | $213.85 | $31.71 – $302.35 |
| MercyOne Elkader Medical Center | Elkader | $139.10 | $31.71 – $223.67 |
| MercyOne West Des Moines Medical Center | West Des Moines | $147.00 | $29.55 – $147.00 |