Inj, gadopiclenol, 1 ml at MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
$41.40
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.
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What you pay up front if you don't use insurance.
$41.40
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.
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The hospital's undiscounted list price — almost no one pays this.
$8.32 with HEALTH CHOICES vs $41.40 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 →
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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 ?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 |
|---|---|---|---|
| HEALTH CHOICES | MEDICAL ASSOCIATES | $8.32 | ↓ -80% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $8.32 | ↓ -80% |
| MEDICAL MUTUAL | AETNA | $14.37 | ↓ -65% |
| LUMINARE HEALTH | AETNA | $14.37 | ↓ -65% |
| CHRISTIAN BROTHER SERVICES | AETNA | $14.37 | ↓ -65% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $14.37 | ↓ -65% |
| LUCENT HEALTH | AETNA | $14.37 | ↓ -65% |
| AETNA | AETNA | $14.37 | ↓ -65% |
| ASR HEALTH BENEFITS | AETNA | $14.37 | ↓ -65% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $14.37 | ↓ -65% |
| FIRST HEALTH | AETNA | $14.37 | ↓ -65% |
| AETNA DOMESTIC | AETNA | $14.37 | ↓ -65% |
| COVENTRY | AETNA | $14.37 | ↓ -65% |
| ALLIED BENEFIT SYSTEMS | AETNA | $14.37 | ↓ -65% |
| MERITAIN | AETNA | $14.37 | ↓ -65% |
| WEBTPA | AETNA | $14.37 | ↓ -65% |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $22.98 | ↓ -44% |
| GEHA | UNITED HEALTHCARE | $24.84 | ↓ -40% |
| UNITED HEALTHCARE | UNITED HEALTHCARE | $24.84 | ↓ -40% |
| CIGNA EAP | CIGNA | $24.84 | ↓ -40% |
| CIGNA | CIGNA | $24.84 | ↓ -40% |
| HEALTH PARTNERS | HEALTH PARTNERS | $26.29 | ↓ -36% |
| AUXIANT | MIDLANDS CHOICE PPO | $26.91 | ↓ -35% |
| MEDICA | MIDLANDS CHOICE PPO | $26.91 | ↓ -35% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $26.91 | ↓ -35% |
| MIDLANDS | MIDLANDS CHOICE PPO | $26.91 | ↓ -35% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $34.36 | ↓ -17% |
| USA MANAGED CARE | USA MANAGED CARE | $35.19 | ↓ -15% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $41.40 | ↑ +0% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $41.40 | ↑ +0% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $41.40 | ↑ +0% |
Visitor-reported prices
Comments
Inj, gadopiclenol, 1 ml at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $41.00 | $0.60 – $3.91 |
| MercyOne West Des Moines Medical Center | West Des Moines | $161.55 | $8.32 – $41.40 |
| UnityPoint Health - Allen Hospital | Waterloo | $27.31 | $2.12 – $3.91 |
| UnityPoint Health - Finley Hospital | Dubuque | $4.57 | $1.87 – $4.57 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $26.00 | $1.80 – $5.48 |
| UnityPoint Health - Jones Regional Medical Center | Anamosa | $4.57 | $2.07 – $5.06 |
| UnityPoint Health - Marshalltown | Marshalltown | $4.57 | $2.00 – $4.56 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $27.14 | $1.48 – $3.91 |