Allograft 160mg placental salera mini membrane at MercyOne West Des Moines Medical Center

1755 59th Place, West Des Moines, IA · MercyOne · · NPI 1538395975

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$66.55

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.

$66.55

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.

$10.86 with IOWA TOTAL CARE vs $66.55 with IOWA DEPT OF PUBLIC HEALTH — 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 $10.86 ↓ -84%
MOLINA MEDICAID MOLINA MEDICAID $10.97 ↓ -84%
WELLPOINT MEDICAID WELLPOINT MEDICAID $11.01 ↓ -83%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $13.31 ↓ -80%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $13.38 ↓ -80%
HEALTH CHOICES MEDICAL ASSOCIATES $13.38 ↓ -80%
CENTIVO CENTIVO $17.57 ↓ -74%
OSCAR OSCAR $17.97 ↓ -73%
1199 NATIONAL BENEFIT FUND AETNA $23.09 ↓ -65%
AETNA AETNA $23.09 ↓ -65%
AETNA DOMESTIC AETNA $23.09 ↓ -65%
ALLIED BENEFIT SYSTEMS AETNA $23.09 ↓ -65%
ASR HEALTH BENEFITS AETNA $23.09 ↓ -65%
CHRISTIAN BROTHER SERVICES AETNA $23.09 ↓ -65%
COVENTRY AETNA $23.09 ↓ -65%
FIRST HEALTH AETNA $23.09 ↓ -65%
LUCENT HEALTH AETNA $23.09 ↓ -65%
LUMINARE HEALTH AETNA $23.09 ↓ -65%
MEDICAL MUTUAL AETNA $23.09 ↓ -65%
MERITAIN AETNA $23.09 ↓ -65%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $23.09 ↓ -65%
WEBTPA AETNA $23.09 ↓ -65%
GEHA UNITED HEALTHCARE $33.28 ↓ -50%
UNITED HEALTHCARE UNITED HEALTHCARE $33.28 ↓ -50%
CLAIMDOC CLAIMDOC $39.93 ↓ -40%
CIGNA CIGNA $39.93 ↓ -40%
NOVA CLAIMDOC $39.93 ↓ -40%
CIGNA EAP CIGNA $39.93 ↓ -40%
HEALTH PARTNERS HEALTH PARTNERS $42.26 ↓ -36%
AUXIANT MIDLANDS CHOICE PPO $43.26 ↓ -35%
MIDLANDS MIDLANDS CHOICE PPO $43.26 ↓ -35%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $43.26 ↓ -35%
MEDICA MIDLANDS CHOICE PPO $43.26 ↓ -35%
USA MANAGED CARE USA MANAGED CARE $56.57 ↓ -15%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $66.55 ↑ +0%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $66.55 ↑ +0%

Visitor-reported prices

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Allograft 160mg placental salera mini membrane at other Iowa hospitals

Hospital City Cash price Negotiated range
UnityPoint Health - Allen Hospital Waterloo not published $13.99 – $20.59
UnityPoint Health - Finley Hospital Dubuque not published $13.99 – $20.59
UnityPoint Health - Grinnell Regional Medical Center Grinnell not published $13.99 – $20.59
UnityPoint Health - Iowa Lutheran Hospital Des Moines not published $13.99 – $20.59
UnityPoint Health - Jones Regional Medical Center Anamosa not published $13.99 – $20.59
UnityPoint Health - Marshalltown Marshalltown not published $13.99 – $20.59
UnityPoint Health - St. Lukes Downtown Sioux City not published $13.99 – $20.59
UnityPoint Health - Trinity Bettendorf Bettendorf not published $13.99 – $20.59

All Iowa hospitals for this procedure →