Coombs indirect titer reference 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

$210.00

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.

$210.00

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.

$5.18 with UNITED HEALTHCARE vs $330.76 with NOVA — 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
UNITED HEALTHCARE UNITED HEALTHCARE $5.18 ↓ -98%
GEHA UNITED HEALTHCARE $5.18 ↓ -98%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $42.21 ↓ -80%
HEALTH CHOICES MEDICAL ASSOCIATES $42.21 ↓ -80%
COVENTRY AETNA $72.87 ↓ -65%
LUCENT HEALTH AETNA $72.87 ↓ -65%
MERITAIN AETNA $72.87 ↓ -65%
AETNA AETNA $72.87 ↓ -65%
ASR HEALTH BENEFITS AETNA $72.87 ↓ -65%
1199 NATIONAL BENEFIT FUND AETNA $72.87 ↓ -65%
FIRST HEALTH AETNA $72.87 ↓ -65%
WEBTPA AETNA $72.87 ↓ -65%
LUMINARE HEALTH AETNA $72.87 ↓ -65%
CHRISTIAN BROTHER SERVICES AETNA $72.87 ↓ -65%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $72.87 ↓ -65%
AETNA DOMESTIC AETNA $72.87 ↓ -65%
MEDICAL MUTUAL AETNA $72.87 ↓ -65%
ALLIED BENEFIT SYSTEMS AETNA $72.87 ↓ -65%
CIGNA CIGNA $126.00 ↓ -40%
CIGNA EAP CIGNA $126.00 ↓ -40%
HEALTH PARTNERS HEALTH PARTNERS $133.35 ↓ -37%
AUXIANT MIDLANDS CHOICE PPO $136.50 ↓ -35%
MEDICA MIDLANDS CHOICE PPO $136.50 ↓ -35%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $136.50 ↓ -35%
MIDLANDS MIDLANDS CHOICE PPO $136.50 ↓ -35%
IOWA TOTAL CARE IOWA TOTAL CARE MEDICAID $160.81 ↓ -23%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $161.27 ↓ -23%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $161.27 ↓ -23%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $161.27 ↓ -23%
MOLINA MEDICAID MOLINA MEDICAID $162.39 ↓ -23%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $162.88 ↓ -22%
WELLPOINT MEDICAID WELLPOINT MEDICAID $163.02 ↓ -22%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $164.49 ↓ -22%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $166.20 ↓ -21%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $167.85 ↓ -20%
BLUE CROSS - TX WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - SC WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MI WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MT WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - RI WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - TN WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - FEDERAL WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NC WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $174.06 ↓ -17%
BLUE CARE NETWORK WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - AZ WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - HI WELLMARK PPO $174.06 ↓ -17%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $174.06 ↓ -17%
BLUE SHIELD - CA WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - AR WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NM WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - ID WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - VT WELLMARK PPO $174.06 ↓ -17%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - IL WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MN WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NE WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - FL WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - WY WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $174.06 ↓ -17%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - ND WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - KS WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - AL WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $174.06 ↓ -17%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $174.06 ↓ -17%
BCBS GENERIC WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - OK WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MS WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - LA WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - MA WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $174.06 ↓ -17%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $174.06 ↓ -17%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $174.06 ↓ -17%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $174.06 ↓ -17%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $174.06 ↓ -17%
USA MANAGED CARE USA MANAGED CARE $178.50 ↓ -15%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $210.00 ↑ +0%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $210.00 ↑ +0%
AMISH HOSPITAL AID AMISH HOSPITAL AID $218.86 ↑ +4%
OSCAR OSCAR $233.83 ↑ +11%
CENTIVO CENTIVO $237.45 ↑ +13%
AMBETTER AMBETTER MARKETPLACE $276.45 ↑ +32%
CLAIMDOC CLAIMDOC $330.76 ↑ +58%
NOVA CLAIMDOC $330.76 ↑ +58%

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Coombs indirect titer reference at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $143.40 $107.25 – $164.03
MercyOne Dubuque Medical Center Dubuque $263.90 $5.18 – $340.41
MercyOne New Hampton Medical Center New Hampton $136.50 $68.49 – $173.00
MercyOne Dyersville Medical Center Dyersville $112.45 $65.39 – $194.73
MercyOne Clinton Medical Center Clinton $98.15 $5.18 – $364.58
MercyOne Oelwein Medical Center Oelwein $112.45 $66.12 – $173.00
MercyOne Cedar Falls Medical Center Cedar Falls $136.50 $5.18 – $329.20
MercyOne Elkader Medical Center Elkader $112.45 $89.04 – $180.82

All Iowa hospitals for this procedure →