Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm 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

$234.08

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.

$360.12

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.

$34.41 with IOWA TOTAL CARE vs $210.83 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 $34.41 ↓ -85%
MOLINA MEDICAID MOLINA MEDICAID $34.74 ↓ -85%
WELLPOINT MEDICAID WELLPOINT MEDICAID $34.88 ↓ -85%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $42.17 ↓ -82%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $42.38 ↓ -82%
HEALTH CHOICES MEDICAL ASSOCIATES $42.38 ↓ -82%
CENTIVO CENTIVO $55.66 ↓ -76%
OSCAR OSCAR $56.92 ↓ -76%
LUMINARE HEALTH AETNA $73.16 ↓ -69%
CHRISTIAN BROTHER SERVICES AETNA $73.16 ↓ -69%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $73.16 ↓ -69%
LUCENT HEALTH AETNA $73.16 ↓ -69%
AETNA AETNA $73.16 ↓ -69%
ASR HEALTH BENEFITS AETNA $73.16 ↓ -69%
1199 NATIONAL BENEFIT FUND AETNA $73.16 ↓ -69%
FIRST HEALTH AETNA $73.16 ↓ -69%
AETNA DOMESTIC AETNA $73.16 ↓ -69%
WEBTPA AETNA $73.16 ↓ -69%
MEDICAL MUTUAL AETNA $73.16 ↓ -69%
COVENTRY AETNA $73.16 ↓ -69%
ALLIED BENEFIT SYSTEMS AETNA $73.16 ↓ -69%
MERITAIN AETNA $73.16 ↓ -69%
UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $105.42 ↓ -55%
GEHA UNITED HEALTHCARE $105.42 ↓ -55%
UNITED HEALTHCARE UNITED HEALTHCARE $105.42 ↓ -55%
CLAIMDOC CLAIMDOC $126.50 ↓ -46%
CIGNA CIGNA $126.50 ↓ -46%
CIGNA EAP CIGNA $126.50 ↓ -46%
NOVA CLAIMDOC $126.50 ↓ -46%
HEALTH PARTNERS HEALTH PARTNERS $133.88 ↓ -43%
MIDLANDS MIDLANDS CHOICE PPO $137.04 ↓ -41%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $137.04 ↓ -41%
AUXIANT MIDLANDS CHOICE PPO $137.04 ↓ -41%
MEDICA MIDLANDS CHOICE PPO $137.04 ↓ -41%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $174.99 ↓ -25%
USA MANAGED CARE USA MANAGED CARE $179.21 ↓ -23%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $210.83 ↓ -10%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $210.83 ↓ -10%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $210.83 ↓ -10%

Visitor-reported prices

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Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $22.17 – $35.34
MercyOne Genesis Davenport West Medical Center Davenport $1,777.20 not published
MercyOne Dubuque Medical Center Dubuque $234.08 $40.86 – $210.83
MercyOne New Hampton Medical Center New Hampton $243.11 $86.69 – $218.96
MercyOne Dyersville Medical Center Dyersville $234.08 $79.69 – $237.31
MercyOne Clinton Medical Center Clinton $234.08 $40.86 – $210.83
MercyOne Oelwein Medical Center Oelwein $234.08 $80.58 – $210.83
MercyOne Cedar Falls Medical Center Cedar Falls $234.08 $36.56 – $210.83

All Iowa hospitals for this procedure →