Evaluation of speech fluency 92521 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

$250.25

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.

$385.00

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.

$77.39 with MEDICAL ASSOCIATES vs $385.00 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
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $77.39 ↓ -69%
HEALTH CHOICES MEDICAL ASSOCIATES $77.39 ↓ -69%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $105.80 ↓ -58%
MOLINA MEDICAID MOLINA MEDICAID $106.84 ↓ -57%
WELLPOINT MEDICAID WELLPOINT MEDICAID $107.26 ↓ -57%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $126.19 ↓ -50%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $126.19 ↓ -50%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $126.19 ↓ -50%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $127.46 ↓ -49%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $128.72 ↓ -49%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $131.35 ↓ -48%
WEBTPA AETNA $133.60 ↓ -47%
LUMINARE HEALTH AETNA $133.60 ↓ -47%
CHRISTIAN BROTHER SERVICES AETNA $133.60 ↓ -47%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $133.60 ↓ -47%
LUCENT HEALTH AETNA $133.60 ↓ -47%
AETNA AETNA $133.60 ↓ -47%
ASR HEALTH BENEFITS AETNA $133.60 ↓ -47%
1199 NATIONAL BENEFIT FUND AETNA $133.60 ↓ -47%
FIRST HEALTH AETNA $133.60 ↓ -47%
AETNA DOMESTIC AETNA $133.60 ↓ -47%
COVENTRY AETNA $133.60 ↓ -47%
ALLIED BENEFIT SYSTEMS AETNA $133.60 ↓ -47%
MERITAIN AETNA $133.60 ↓ -47%
MEDICAL MUTUAL AETNA $133.60 ↓ -47%
AMISH HOSPITAL AID AMISH HOSPITAL AID $171.26 ↓ -32%
OSCAR OSCAR $182.98 ↓ -27%
CENTIVO CENTIVO $185.82 ↓ -26%
UNITED HEALTHCARE UNITED HEALTHCARE $189.00 ↓ -24%
GEHA UNITED HEALTHCARE $189.00 ↓ -24%
UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $211.00 ↓ -16%
AMBETTER AMBETTER MARKETPLACE $216.33 ↓ -14%
CIGNA CIGNA $231.00 ↓ -8%
CIGNA EAP CIGNA $231.00 ↓ -8%
HEALTH PARTNERS HEALTH PARTNERS $244.48 ↓ -2%
MIDLANDS MIDLANDS CHOICE PPO $250.25 ↑ +0%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $250.25 ↑ +0%
MEDICA MIDLANDS CHOICE PPO $250.25 ↑ +0%
AUXIANT MIDLANDS CHOICE PPO $250.25 ↑ +0%
CLAIMDOC CLAIMDOC $258.83 ↑ +3%
NOVA CLAIMDOC $258.83 ↑ +3%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $319.55 ↑ +28%
USA MANAGED CARE USA MANAGED CARE $327.25 ↑ +31%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $385.00 ↑ +54%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $385.00 ↑ +54%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $385.00 ↑ +54%

Visitor-reported prices

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Evaluation of speech fluency 92521 at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $252.00 $77.44 – $229.20
MercyOne Genesis Davenport West Medical Center Davenport $202.80 not published
MercyOne Dubuque Medical Center Dubuque $176.80 $97.10 – $272.00
MercyOne Clinton Medical Center Clinton $186.55 $81.22 – $287.00
MercyOne Newton Medical Center Newton $185.90 $105.80 – $286.00
MercyOne Genesis Davenport Medical Center Davenport $225.60 not published
MercyOne Genesis DeWitt Medical Center DeWitt $225.60 $47.60 – $102.20
MercyOne Waterloo Medical Center Waterloo $288.60 $104.34 – $444.00

All Iowa hospitals for this procedure →