Fern test 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

$204.75

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.

$315.00

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.

$9.55 with MEDICARE MEDICAL ASSOCIATES HEALTH PLANS vs $315.00 with CRIME VICTIM ASSISTANCE — 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
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $9.55 ↓ -95%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $9.55 ↓ -95%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $9.55 ↓ -95%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $9.64 ↓ -95%
GEHA UNITED HEALTHCARE $9.74 ↓ -95%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $9.74 ↓ -95%
UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $9.74 ↓ -95%
UNITED HEALTHCARE UNITED HEALTHCARE $9.74 ↓ -95%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $9.93 ↓ -95%
AMISH HOSPITAL AID AMISH HOSPITAL AID $12.95 ↓ -94%
OSCAR OSCAR $13.84 ↓ -93%
CENTIVO CENTIVO $14.05 ↓ -93%
AMBETTER AMBETTER MARKETPLACE $16.36 ↓ -92%
NOVA CLAIMDOC $19.58 ↓ -90%
CLAIMDOC CLAIMDOC $19.58 ↓ -90%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $63.32 ↓ -69%
HEALTH CHOICES MEDICAL ASSOCIATES $63.32 ↓ -69%
AETNA AETNA $109.31 ↓ -47%
FIRST HEALTH AETNA $109.31 ↓ -47%
LUCENT HEALTH AETNA $109.31 ↓ -47%
LUMINARE HEALTH AETNA $109.31 ↓ -47%
MEDICAL MUTUAL AETNA $109.31 ↓ -47%
CHRISTIAN BROTHER SERVICES AETNA $109.31 ↓ -47%
MERITAIN AETNA $109.31 ↓ -47%
1199 NATIONAL BENEFIT FUND AETNA $109.31 ↓ -47%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $109.31 ↓ -47%
ASR HEALTH BENEFITS AETNA $109.31 ↓ -47%
ALLIED BENEFIT SYSTEMS AETNA $109.31 ↓ -47%
AETNA DOMESTIC AETNA $109.31 ↓ -47%
WEBTPA AETNA $109.31 ↓ -47%
COVENTRY AETNA $109.31 ↓ -47%
CIGNA CIGNA $189.00 ↓ -8%
CIGNA EAP CIGNA $189.00 ↓ -8%
HEALTH PARTNERS HEALTH PARTNERS $200.03 ↓ -2%
MIDLANDS MIDLANDS CHOICE PPO $204.75 ↑ +0%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $204.75 ↑ +0%
MEDICA MIDLANDS CHOICE PPO $204.75 ↑ +0%
AUXIANT MIDLANDS CHOICE PPO $204.75 ↑ +0%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $261.45 ↑ +28%
USA MANAGED CARE USA MANAGED CARE $267.75 ↑ +31%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $315.00 ↑ +54%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $315.00 ↑ +54%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $315.00 ↑ +54%

Visitor-reported prices

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Fern test at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $56.44 $9.74 – $25.32
MercyOne Genesis Davenport West Medical Center Davenport $25.20 not published
MercyOne Dubuque Medical Center Dubuque $39.65 $9.55 – $61.00
MercyOne Dyersville Medical Center Dyersville $40.95 $23.81 – $70.91
MercyOne Clinton Medical Center Clinton $39.65 $9.55 – $61.00
MercyOne Cedar Falls Medical Center Cedar Falls $55.25 $9.55 – $85.00
MercyOne Elkader Medical Center Elkader $40.95 $32.43 – $65.85
MercyOne West Des Moines Medical Center West Des Moines $315.00 $9.55 – $315.00

All Iowa hospitals for this procedure →