Blood smear microscopic w manual differential wbc count 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

$107.00

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.

$107.00

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.

$3.68 with IOWA TOTAL CARE vs $107.00 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 $3.68 ↓ -97%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $3.72 ↓ -97%
MOLINA MEDICAID MOLINA MEDICAID $3.72 ↓ -97%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $3.72 ↓ -97%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $3.72 ↓ -97%
WELLPOINT MEDICAID WELLPOINT MEDICAID $3.73 ↓ -97%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $3.76 ↓ -96%
GEHA UNITED HEALTHCARE $3.80 ↓ -96%
UNITED HEALTHCARE UNITED HEALTHCARE $3.80 ↓ -96%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $3.80 ↓ -96%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $3.84 ↓ -96%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $3.88 ↓ -96%
AMISH HOSPITAL AID AMISH HOSPITAL AID $5.05 ↓ -95%
OSCAR OSCAR $5.40 ↓ -95%
CENTIVO CENTIVO $5.48 ↓ -95%
AMBETTER AMBETTER MARKETPLACE $6.38 ↓ -94%
NOVA CLAIMDOC $7.64 ↓ -93%
CLAIMDOC CLAIMDOC $7.64 ↓ -93%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $21.51 ↓ -80%
HEALTH CHOICES MEDICAL ASSOCIATES $21.51 ↓ -80%
AETNA DOMESTIC AETNA $37.13 ↓ -65%
FIRST HEALTH AETNA $37.13 ↓ -65%
COVENTRY AETNA $37.13 ↓ -65%
ALLIED BENEFIT SYSTEMS AETNA $37.13 ↓ -65%
MERITAIN AETNA $37.13 ↓ -65%
1199 NATIONAL BENEFIT FUND AETNA $37.13 ↓ -65%
ASR HEALTH BENEFITS AETNA $37.13 ↓ -65%
AETNA AETNA $37.13 ↓ -65%
LUCENT HEALTH AETNA $37.13 ↓ -65%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $37.13 ↓ -65%
CHRISTIAN BROTHER SERVICES AETNA $37.13 ↓ -65%
WEBTPA AETNA $37.13 ↓ -65%
LUMINARE HEALTH AETNA $37.13 ↓ -65%
MEDICAL MUTUAL AETNA $37.13 ↓ -65%
CIGNA CIGNA $64.20 ↓ -40%
CIGNA EAP CIGNA $64.20 ↓ -40%
HEALTH PARTNERS HEALTH PARTNERS $67.95 ↓ -36%
MEDICA MIDLANDS CHOICE PPO $69.55 ↓ -35%
MIDLANDS MIDLANDS CHOICE PPO $69.55 ↓ -35%
AUXIANT MIDLANDS CHOICE PPO $69.55 ↓ -35%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $69.55 ↓ -35%
USA MANAGED CARE USA MANAGED CARE $90.95 ↓ -15%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $107.00 ↑ +0%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $107.00 ↑ +0%

Visitor-reported prices

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Blood smear microscopic w manual differential wbc count at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $36.00 $3.80 – $3.80
MercyOne Dubuque Medical Center Dubuque $39.00 $3.68 – $60.00
MercyOne New Hampton Medical Center New Hampton $38.35 $23.36 – $59.00
MercyOne Dyersville Medical Center Dyersville $38.35 $22.30 – $66.41
MercyOne Clinton Medical Center Clinton $57.20 $3.68 – $88.00
MercyOne Oelwein Medical Center Oelwein $38.35 $22.55 – $59.00
MercyOne Cedar Falls Medical Center Cedar Falls $39.00 $3.68 – $60.00
MercyOne Elkader Medical Center Elkader $38.35 $30.37 – $61.67

All Iowa hospitals for this procedure →