Caffeine citrate 20 mg/ml inj for po 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

$46.00

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.

Full explanation →

What you pay up front if you don't use insurance.

$46.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$3.68 with HEALTH CHOICES vs $18.30 with CRIME VICTIM ASSISTANCE — same scan, same building. Share

Negotiated rates by payer
?

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
HEALTH CHOICES MEDICAL ASSOCIATES $3.68 ↓ -92%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $3.68 ↓ -92%
MEDICAL MUTUAL AETNA $6.35 ↓ -86%
CHRISTIAN BROTHER SERVICES AETNA $6.35 ↓ -86%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $6.35 ↓ -86%
LUCENT HEALTH AETNA $6.35 ↓ -86%
AETNA AETNA $6.35 ↓ -86%
ASR HEALTH BENEFITS AETNA $6.35 ↓ -86%
1199 NATIONAL BENEFIT FUND AETNA $6.35 ↓ -86%
FIRST HEALTH AETNA $6.35 ↓ -86%
AETNA DOMESTIC AETNA $6.35 ↓ -86%
COVENTRY AETNA $6.35 ↓ -86%
ALLIED BENEFIT SYSTEMS AETNA $6.35 ↓ -86%
MERITAIN AETNA $6.35 ↓ -86%
WEBTPA AETNA $6.35 ↓ -86%
LUMINARE HEALTH AETNA $6.35 ↓ -86%
CIGNA EAP CIGNA $10.98 ↓ -76%
GEHA UNITED HEALTHCARE $10.98 ↓ -76%
CIGNA CIGNA $10.98 ↓ -76%
UNITED HEALTHCARE UNITED HEALTHCARE $10.98 ↓ -76%
HEALTH PARTNERS HEALTH PARTNERS $11.62 ↓ -75%
MIDLANDS MIDLANDS CHOICE PPO $11.90 ↓ -74%
AUXIANT MIDLANDS CHOICE PPO $11.90 ↓ -74%
MEDICA MIDLANDS CHOICE PPO $11.90 ↓ -74%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $11.90 ↓ -74%
USA MANAGED CARE USA MANAGED CARE $15.56 ↓ -66%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $18.30 ↓ -60%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $18.30 ↓ -60%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Caffeine citrate 20 mg/ml inj for po at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $88.08 not published
MercyOne Dubuque Medical Center Dubuque $46.00 $16.42 – $46.00
MercyOne New Hampton Medical Center New Hampton $46.00 $18.21 – $46.00
MercyOne Dyersville Medical Center Dyersville $46.00 $17.39 – $51.78
MercyOne Clinton Medical Center Clinton $92.00 $13.02 – $46.00
MercyOne Oelwein Medical Center Oelwein $46.00 $17.58 – $46.00
MercyOne Cedar Falls Medical Center Cedar Falls $46.00 $10.81 – $46.00
MercyOne Elkader Medical Center Elkader $46.00 $23.68 – $48.08

All Iowa hospitals for this procedure →