Phenobarbital therapeutic drug level 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

$237.00

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.

$237.00

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.

$14.83 with IOWA TOTAL CARE vs $237.00 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 $14.83 ↓ -94%
MOLINA MEDICAID MOLINA MEDICAID $14.98 ↓ -94%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $14.99 ↓ -94%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $14.99 ↓ -94%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $14.99 ↓ -94%
WELLPOINT MEDICAID WELLPOINT MEDICAID $15.03 ↓ -94%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $15.14 ↓ -94%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $15.29 ↓ -94%
GEHA UNITED HEALTHCARE $15.30 ↓ -94%
UNITED HEALTHCARE UNITED HEALTHCARE $15.30 ↓ -94%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $15.45 ↓ -93%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $15.61 ↓ -93%
AMISH HOSPITAL AID AMISH HOSPITAL AID $20.35 ↓ -91%
OSCAR OSCAR $21.74 ↓ -91%
CENTIVO CENTIVO $22.08 ↓ -91%
AMBETTER AMBETTER MARKETPLACE $25.70 ↓ -89%
NOVA CLAIMDOC $30.75 ↓ -87%
CLAIMDOC CLAIMDOC $30.75 ↓ -87%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $47.64 ↓ -80%
HEALTH CHOICES MEDICAL ASSOCIATES $47.64 ↓ -80%
AETNA DOMESTIC AETNA $82.24 ↓ -65%
FIRST HEALTH AETNA $82.24 ↓ -65%
COVENTRY AETNA $82.24 ↓ -65%
ALLIED BENEFIT SYSTEMS AETNA $82.24 ↓ -65%
MERITAIN AETNA $82.24 ↓ -65%
1199 NATIONAL BENEFIT FUND AETNA $82.24 ↓ -65%
ASR HEALTH BENEFITS AETNA $82.24 ↓ -65%
AETNA AETNA $82.24 ↓ -65%
LUCENT HEALTH AETNA $82.24 ↓ -65%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $82.24 ↓ -65%
CHRISTIAN BROTHER SERVICES AETNA $82.24 ↓ -65%
WEBTPA AETNA $82.24 ↓ -65%
LUMINARE HEALTH AETNA $82.24 ↓ -65%
MEDICAL MUTUAL AETNA $82.24 ↓ -65%
CIGNA CIGNA $142.20 ↓ -40%
CIGNA EAP CIGNA $142.20 ↓ -40%
HEALTH PARTNERS HEALTH PARTNERS $150.50 ↓ -36%
MEDICA MIDLANDS CHOICE PPO $154.05 ↓ -35%
MIDLANDS MIDLANDS CHOICE PPO $154.05 ↓ -35%
AUXIANT MIDLANDS CHOICE PPO $154.05 ↓ -35%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $154.05 ↓ -35%
USA MANAGED CARE USA MANAGED CARE $201.45 ↓ -15%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $237.00 ↑ +0%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $237.00 ↑ +0%

Visitor-reported prices

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Phenobarbital therapeutic drug level at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Genesis Davenport West Medical Center Davenport $121.80 $15.30 – $15.30
MercyOne Dubuque Medical Center Dubuque $130.00 $14.83 – $200.00
MercyOne New Hampton Medical Center New Hampton $120.90 $15.61 – $186.00
MercyOne Dyersville Medical Center Dyersville $120.90 $15.61 – $209.36
MercyOne Clinton Medical Center Clinton $128.70 $14.83 – $140.00
MercyOne Cedar Falls Medical Center Cedar Falls $102.70 $14.83 – $158.00
MercyOne Elkader Medical Center Elkader $120.90 $15.61 – $194.41
MercyOne Des Moines Medical Center Des Moines $154.05 $14.83 – $194.00

All Iowa hospitals for this procedure →