Tee w or without fol w/cont,cong at MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
$2,333.50
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.
$3,590.00
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.
$530.00 with UNITED HEALTHCARE vs $3,590.00 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 →
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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 |
|---|---|---|---|
| UNITED HEALTHCARE | UNITED HEALTHCARE | $530.00 | ↓ -77% |
| GEHA | UNITED HEALTHCARE | $530.00 | ↓ -77% |
| UNITED HEALTHCARE | UNITED HEALTHCARE OPTIONS | $591.00 | ↓ -75% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $721.59 | ↓ -69% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $721.59 | ↓ -69% |
| CHRISTIAN BROTHER SERVICES | AETNA | $1,245.73 | ↓ -47% |
| COVENTRY | AETNA | $1,245.73 | ↓ -47% |
| FIRST HEALTH | AETNA | $1,245.73 | ↓ -47% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $1,245.73 | ↓ -47% |
| AETNA | AETNA | $1,245.73 | ↓ -47% |
| AETNA DOMESTIC | AETNA | $1,245.73 | ↓ -47% |
| ALLIED BENEFIT SYSTEMS | AETNA | $1,245.73 | ↓ -47% |
| ASR HEALTH BENEFITS | AETNA | $1,245.73 | ↓ -47% |
| LUCENT HEALTH | AETNA | $1,245.73 | ↓ -47% |
| LUMINARE HEALTH | AETNA | $1,245.73 | ↓ -47% |
| MEDICAL MUTUAL | AETNA | $1,245.73 | ↓ -47% |
| MERITAIN | AETNA | $1,245.73 | ↓ -47% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $1,245.73 | ↓ -47% |
| WEBTPA | AETNA | $1,245.73 | ↓ -47% |
| CIGNA EAP | CIGNA | $2,154.00 | ↓ -8% |
| CIGNA | CIGNA | $2,154.00 | ↓ -8% |
| HEALTH PARTNERS | HEALTH PARTNERS | $2,279.65 | ↓ -2% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $2,333.50 | ↑ +0% |
| MEDICA | MIDLANDS CHOICE PPO | $2,333.50 | ↑ +0% |
| AUXIANT | MIDLANDS CHOICE PPO | $2,333.50 | ↑ +0% |
| MIDLANDS | MIDLANDS CHOICE PPO | $2,333.50 | ↑ +0% |
| UNITED HEALTHCARE | UNITED HEALTHCARE DEERE PREMIER | $2,979.70 | ↑ +28% |
| USA MANAGED CARE | USA MANAGED CARE | $3,051.50 | ↑ +31% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $3,590.00 | ↑ +54% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $3,590.00 | ↑ +54% |
| UNITED HEALTHCARE | UHC OPTUM BEHAVIORAL HEALTH | $3,590.00 | ↑ +54% |
Visitor-reported prices
Comments
Tee w or without fol w/cont,cong at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | not published | $752.14 – $1,021.23 |
| UnityPoint Health - Allen Hospital | Waterloo | $1,707.38 | $743.00 – $1,380.84 |
| UnityPoint Health - Finley Hospital | Dubuque | $1,642.24 | $671.27 – $1,642.24 |
| UnityPoint Health - Marshalltown | Marshalltown | $1,707.38 | $743.00 – $1,703.11 |
| UnityPoint Health - St. Lukes Downtown | Sioux City | $1,711.58 | $556.26 – $1,390.66 |
| UnityPoint Health - Trinity Bettendorf | Bettendorf | $1,886.08 | $743.00 – $1,242.45 |
| UnityPoint Health - Trinity Muscatine | Muscatine | $1,886.08 | $542.25 – $1,289.60 |
| UnityPoint Health - Trinity Regional Medical Center | Fort Dodge | $1,720.64 | $743.00 – $1,828.17 |