Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution 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

$183.75

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.

$183.75

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.

$5.99 with HEALTH CHOICES vs $29.80 with CRIME VICTIM ASSISTANCE — 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
HEALTH CHOICES MEDICAL ASSOCIATES $5.99 ↓ -97%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $5.99 ↓ -97%
BLUE CROSS - NM WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - ID WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - VT WELLMARK PPO $7.98 ↓ -96%
BLUE SHIELD - WA (REGENCE) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - IL WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - VA (CAREFIRST) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MD (CAREFIRST) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - ME (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MN WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NE WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - DE (HIGHMARK) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - AR WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - FEDERAL WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NC WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - IL ALTERNATE WELLMARK PPO $7.98 ↓ -96%
BLUE CARE NETWORK WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - AZ WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - HI WELLMARK PPO $7.98 ↓ -96%
BLUE SHIELD - NY HIGHMARK NORTHEASTERN WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - GA (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - VA (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - UT (REGENCE) WELLMARK PPO $7.98 ↓ -96%
BLUE SHIELD - CA WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - IA (WELLMARK) WELLMARK HMO $7.98 ↓ -96%
BLUE CROSS - IA (WELLMARK) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - CA (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - AK (PREMERA) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - WV (HIGHMARK) WELLMARK PPO $7.98 ↓ -96%
BLUE DISTINCTION TRANSPLANT WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - DC (CAREFIRST) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MA WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - WI (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NH (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - CO (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - SD (WELLMARK) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - OR (REGENCE) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NJ (HORIZON) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - PA (CAPITAL) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - OH (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - FL WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - PA (INDEPENDENCE) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - WY WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - KY (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE BENEFIT ADMINISTRATORS OF MASSACHUSETTS WELLMARK PPO $7.98 ↓ -96%
BLUE SHIELD - ID (REGENCE) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - ND WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - KS WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MO (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - AL WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - WA (PREMERA) WELLMARK PPO $7.98 ↓ -96%
BLUE SHIELD - NY HIGHMARK WESTERN WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NY (EXCELLUS) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - IN (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE SHIELD - PA (HIGHMARK) WELLMARK PPO $7.98 ↓ -96%
BCBS GENERIC WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NV (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - OK WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - NY (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - CT (ANTHEM) WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MS WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - LA WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - TX WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - SC WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MI WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - MT WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - RI WELLMARK PPO $7.98 ↓ -96%
BLUE CROSS - TN WELLMARK PPO $7.98 ↓ -96%
ASR HEALTH BENEFITS AETNA $10.34 ↓ -94%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $10.34 ↓ -94%
LUCENT HEALTH AETNA $10.34 ↓ -94%
MERITAIN AETNA $10.34 ↓ -94%
AETNA DOMESTIC AETNA $10.34 ↓ -94%
AETNA AETNA $10.34 ↓ -94%
1199 NATIONAL BENEFIT FUND AETNA $10.34 ↓ -94%
FIRST HEALTH AETNA $10.34 ↓ -94%
MEDICAL MUTUAL AETNA $10.34 ↓ -94%
COVENTRY AETNA $10.34 ↓ -94%
ALLIED BENEFIT SYSTEMS AETNA $10.34 ↓ -94%
LUMINARE HEALTH AETNA $10.34 ↓ -94%
CHRISTIAN BROTHER SERVICES AETNA $10.34 ↓ -94%
WEBTPA AETNA $10.34 ↓ -94%
GEHA UNITED HEALTHCARE $10.72 ↓ -94%
UNITED HEALTHCARE UNITED HEALTHCARE $10.72 ↓ -94%
CIGNA EAP CIGNA $17.88 ↓ -90%
CIGNA CIGNA $17.88 ↓ -90%
HEALTH PARTNERS HEALTH PARTNERS $18.92 ↓ -90%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $19.37 ↓ -89%
MIDLANDS MIDLANDS CHOICE PPO $19.37 ↓ -89%
AUXIANT MIDLANDS CHOICE PPO $19.37 ↓ -89%
MEDICA MIDLANDS CHOICE PPO $19.37 ↓ -89%
USA MANAGED CARE USA MANAGED CARE $25.33 ↓ -86%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $29.80 ↓ -84%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $29.80 ↓ -84%

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Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $52.51 not published
MercyOne Dubuque Medical Center Dubuque $183.75 $7.98 – $38.30
MercyOne New Hampton Medical Center New Hampton $103.75 $7.98 – $103.75
MercyOne Dyersville Medical Center Dyersville $183.75 $7.98 – $43.11
MercyOne Clinton Medical Center Clinton $183.75 $7.98 – $35.10
MercyOne Oelwein Medical Center Oelwein $183.75 $7.98 – $42.70
MercyOne Cedar Falls Medical Center Cedar Falls $42.70 $7.98 – $42.70
MercyOne Elkader Medical Center Elkader $35.10 $7.98 – $36.69

All Iowa hospitals for this procedure →