Allograft allowrap 4x4cm dry 16sqcm 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

$653.33

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.

$653.33

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.

$37.83 with IOWA TOTAL CARE vs $231.82 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 $37.83 ↓ -94%
MOLINA MEDICAID MOLINA MEDICAID $38.20 ↓ -94%
WELLPOINT MEDICAID WELLPOINT MEDICAID $38.35 ↓ -94%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $46.36 ↓ -93%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $46.60 ↓ -93%
HEALTH CHOICES MEDICAL ASSOCIATES $46.60 ↓ -93%
CENTIVO CENTIVO $61.20 ↓ -91%
OSCAR OSCAR $62.59 ↓ -90%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $80.44 ↓ -88%
LUCENT HEALTH AETNA $80.44 ↓ -88%
AETNA AETNA $80.44 ↓ -88%
ASR HEALTH BENEFITS AETNA $80.44 ↓ -88%
1199 NATIONAL BENEFIT FUND AETNA $80.44 ↓ -88%
FIRST HEALTH AETNA $80.44 ↓ -88%
AETNA DOMESTIC AETNA $80.44 ↓ -88%
CHRISTIAN BROTHER SERVICES AETNA $80.44 ↓ -88%
COVENTRY AETNA $80.44 ↓ -88%
ALLIED BENEFIT SYSTEMS AETNA $80.44 ↓ -88%
MERITAIN AETNA $80.44 ↓ -88%
LUMINARE HEALTH AETNA $80.44 ↓ -88%
WEBTPA AETNA $80.44 ↓ -88%
MEDICAL MUTUAL AETNA $80.44 ↓ -88%
UNITED HEALTHCARE UNITED HEALTHCARE $115.91 ↓ -82%
GEHA UNITED HEALTHCARE $115.91 ↓ -82%
CIGNA CIGNA $139.09 ↓ -79%
CIGNA EAP CIGNA $139.09 ↓ -79%
NOVA CLAIMDOC $139.09 ↓ -79%
CLAIMDOC CLAIMDOC $139.09 ↓ -79%
HEALTH PARTNERS HEALTH PARTNERS $147.21 ↓ -77%
AUXIANT MIDLANDS CHOICE PPO $150.68 ↓ -77%
MEDICA MIDLANDS CHOICE PPO $150.68 ↓ -77%
MIDLANDS MIDLANDS CHOICE PPO $150.68 ↓ -77%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $150.68 ↓ -77%
USA MANAGED CARE USA MANAGED CARE $197.05 ↓ -70%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $231.82 ↓ -65%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $231.82 ↓ -65%

Visitor-reported prices

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Allograft allowrap 4x4cm dry 16sqcm at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $424.66 $44.93 – $231.82
MercyOne New Hampton Medical Center New Hampton $528.94 $95.32 – $240.77
MercyOne Dyersville Medical Center Dyersville $424.66 $87.63 – $260.94
MercyOne Clinton Medical Center Clinton $424.66 $44.93 – $231.82
MercyOne Oelwein Medical Center Oelwein $424.66 $88.60 – $231.82
MercyOne Cedar Falls Medical Center Cedar Falls $424.66 $40.20 – $231.82
MercyOne Elkader Medical Center Elkader $424.66 $119.32 – $242.30
MercyOne Des Moines Medical Center Des Moines $424.66 $37.83 – $231.82

All Iowa hospitals for this procedure →