Passy muir valve metal trach 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

$373.03

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.

$373.03

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.

$15.81 with HEALTH CHOICES vs $78.66 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 $15.81 ↓ -96%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $15.81 ↓ -96%
MEDICAL MUTUAL AETNA $27.30 ↓ -93%
CHRISTIAN BROTHER SERVICES AETNA $27.30 ↓ -93%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $27.30 ↓ -93%
LUCENT HEALTH AETNA $27.30 ↓ -93%
AETNA AETNA $27.30 ↓ -93%
ASR HEALTH BENEFITS AETNA $27.30 ↓ -93%
1199 NATIONAL BENEFIT FUND AETNA $27.30 ↓ -93%
FIRST HEALTH AETNA $27.30 ↓ -93%
AETNA DOMESTIC AETNA $27.30 ↓ -93%
COVENTRY AETNA $27.30 ↓ -93%
ALLIED BENEFIT SYSTEMS AETNA $27.30 ↓ -93%
MERITAIN AETNA $27.30 ↓ -93%
WEBTPA AETNA $27.30 ↓ -93%
LUMINARE HEALTH AETNA $27.30 ↓ -93%
CIGNA EAP CIGNA $47.20 ↓ -87%
GEHA UNITED HEALTHCARE $47.20 ↓ -87%
CIGNA CIGNA $47.20 ↓ -87%
UNITED HEALTHCARE UNITED HEALTHCARE $47.20 ↓ -87%
HEALTH PARTNERS HEALTH PARTNERS $49.95 ↓ -87%
MIDLANDS MIDLANDS CHOICE PPO $51.13 ↓ -86%
AUXIANT MIDLANDS CHOICE PPO $51.13 ↓ -86%
MEDICA MIDLANDS CHOICE PPO $51.13 ↓ -86%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $51.13 ↓ -86%
USA MANAGED CARE USA MANAGED CARE $66.86 ↓ -82%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $78.66 ↓ -79%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $78.66 ↓ -79%

Visitor-reported prices

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Passy muir valve metal trach at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $242.38 $28.08 – $78.66
MercyOne New Hampton Medical Center New Hampton $251.73 $36.96 – $93.36
MercyOne Dyersville Medical Center Dyersville $242.38 $29.73 – $88.54
MercyOne Clinton Medical Center Clinton $242.38 $22.26 – $78.66
MercyOne Oelwein Medical Center Oelwein $242.47 $30.06 – $78.66
MercyOne Cedar Falls Medical Center Cedar Falls $242.42 $18.49 – $78.66
MercyOne Elkader Medical Center Elkader $242.38 $40.49 – $82.22
MercyOne Des Moines Medical Center Des Moines $242.47 $15.81 – $78.66

All Iowa hospitals for this procedure →