Microdissection manual 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

$42.25

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.

$65.00

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.

$13.07 with HEALTH CHOICES vs $180.62 with GEHA — 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
HEALTH CHOICES MEDICAL ASSOCIATES $13.07 ↓ -69%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $13.07 ↓ -69%
MEDICAL MUTUAL AETNA $22.56 ↓ -47%
LUMINARE HEALTH AETNA $22.56 ↓ -47%
CHRISTIAN BROTHER SERVICES AETNA $22.56 ↓ -47%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $22.56 ↓ -47%
LUCENT HEALTH AETNA $22.56 ↓ -47%
AETNA AETNA $22.56 ↓ -47%
ASR HEALTH BENEFITS AETNA $22.56 ↓ -47%
1199 NATIONAL BENEFIT FUND AETNA $22.56 ↓ -47%
FIRST HEALTH AETNA $22.56 ↓ -47%
AETNA DOMESTIC AETNA $22.56 ↓ -47%
COVENTRY AETNA $22.56 ↓ -47%
ALLIED BENEFIT SYSTEMS AETNA $22.56 ↓ -47%
MERITAIN AETNA $22.56 ↓ -47%
WEBTPA AETNA $22.56 ↓ -47%
CIGNA CIGNA $39.00 ↓ -8%
CIGNA EAP CIGNA $39.00 ↓ -8%
HEALTH PARTNERS HEALTH PARTNERS $41.28 ↓ -2%
MEDICA MIDLANDS CHOICE PPO $42.25 ↑ +0%
MIDLANDS MIDLANDS CHOICE PPO $42.25 ↑ +0%
AUXIANT MIDLANDS CHOICE PPO $42.25 ↑ +0%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $42.25 ↑ +0%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $53.95 ↑ +28%
USA MANAGED CARE USA MANAGED CARE $55.25 ↑ +31%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $65.00 ↑ +54%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $65.00 ↑ +54%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $65.00 ↑ +54%
UNITED HEALTHCARE UNITED HEALTHCARE $180.62 ↑ +328%
UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $180.62 ↑ +328%
GEHA UNITED HEALTHCARE $180.62 ↑ +328%

Visitor-reported prices

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Microdissection manual at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $523.20 $21.43 – $56.32
MercyOne North Iowa Medical Center Mason City $42.25 $16.64 – $180.62
MercyOne Waterloo Medical Center Waterloo $96.85 $35.02 – $507.41
UnityPoint Health - Allen Hospital Waterloo $523.20 $21.43 – $100.96
UnityPoint Health - Finley Hospital Dubuque $523.20 $21.43 – $153.26
UnityPoint Health - Grinnell Regional Medical Center Grinnell $523.20 $21.43 – $77.20
UnityPoint Health - Jones Regional Medical Center Anamosa $523.20 $21.43 – $169.92
UnityPoint Health - Marshalltown Marshalltown $523.20 $21.43 – $91.95

All Iowa hospitals for this procedure →