Sodium chloride 0.9 % IV bolus 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

$33.00

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.

$33.00

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.

$3.27 with HEALTH CHOICES vs $16.25 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
HEALTH CHOICES MEDICAL ASSOCIATES $3.27 ↓ -90%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $3.27 ↓ -90%
MEDICAL MUTUAL AETNA $5.64 ↓ -83%
LUMINARE HEALTH AETNA $5.64 ↓ -83%
CHRISTIAN BROTHER SERVICES AETNA $5.64 ↓ -83%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $5.64 ↓ -83%
LUCENT HEALTH AETNA $5.64 ↓ -83%
AETNA AETNA $5.64 ↓ -83%
ASR HEALTH BENEFITS AETNA $5.64 ↓ -83%
1199 NATIONAL BENEFIT FUND AETNA $5.64 ↓ -83%
FIRST HEALTH AETNA $5.64 ↓ -83%
AETNA DOMESTIC AETNA $5.64 ↓ -83%
COVENTRY AETNA $5.64 ↓ -83%
ALLIED BENEFIT SYSTEMS AETNA $5.64 ↓ -83%
MERITAIN AETNA $5.64 ↓ -83%
WEBTPA AETNA $5.64 ↓ -83%
UNITED HEALTHCARE UNITED HEALTHCARE OPTIONS $9.02 ↓ -73%
GEHA UNITED HEALTHCARE $9.75 ↓ -70%
UNITED HEALTHCARE UNITED HEALTHCARE $9.75 ↓ -70%
CIGNA EAP CIGNA $9.75 ↓ -70%
CIGNA CIGNA $9.75 ↓ -70%
HEALTH PARTNERS HEALTH PARTNERS $10.32 ↓ -69%
AUXIANT MIDLANDS CHOICE PPO $10.56 ↓ -68%
MEDICA MIDLANDS CHOICE PPO $10.56 ↓ -68%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $10.56 ↓ -68%
MIDLANDS MIDLANDS CHOICE PPO $10.56 ↓ -68%
UNITED HEALTHCARE UNITED HEALTHCARE DEERE PREMIER $13.49 ↓ -59%
USA MANAGED CARE USA MANAGED CARE $13.81 ↓ -58%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $16.25 ↓ -51%
UNITED HEALTHCARE UHC OPTUM BEHAVIORAL HEALTH $16.25 ↓ -51%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $16.25 ↓ -51%

Visitor-reported prices

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Sodium chloride 0.9 % IV bolus at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Iowa Lutheran Hospital Des Moines $48.00 $0.51 – $17.64
MercyOne New Hampton Medical Center New Hampton $34.50 $6.93 – $17.50
MercyOne Dyersville Medical Center Dyersville $20.00 $4.35 – $12.94
MercyOne Clinton Medical Center Clinton $34.50 $3.89 – $13.75
MercyOne Oelwein Medical Center Oelwein $34.50 $5.26 – $13.75
MercyOne Cedar Falls Medical Center Cedar Falls $34.50 $3.23 – $13.75
MercyOne Elkader Medical Center Elkader $17.50 $7.08 – $14.37
MercyOne West Des Moines Medical Center West Des Moines $33.00 $2.76 – $13.75

All Iowa hospitals for this procedure →