Screening HIV antigen/antibody combination assay 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

$90.00

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.

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

$90.00

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.

$18.09 with HEALTH CHOICES vs $90.00 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 $18.09 ↓ -80%
MEDICAL ASSOCIATES MEDICAL ASSOCIATES $18.09 ↓ -80%
MEDIGOLD MEDICARE ADVANTAGE MERCYONE HEALTH PLAN MEDICARE ADVANTAGE $23.60 ↓ -74%
AETNA MEDICARE ADVANTAGE AETNA MEDICARE ADVANTAGE $23.60 ↓ -74%
MEDICARE MEDICAL ASSOCIATES HEALTH PLANS MEDICAL ASSOCIATES MEDICARE ADVANTAGE $23.60 ↓ -74%
BLUE CROSS - IA (WELLMARK) MEDICARE ADVANTAGE WELLMARK MEDICARE ADVANTAGE $23.83 ↓ -74%
UNITED HEALTHCARE MEDICARE UNITED HEALTHCARE MEDICARE ADVANTAGE $24.07 ↓ -73%
UNITED HEALTHCARE UNITED HEALTHCARE $24.08 ↓ -73%
GEHA UNITED HEALTHCARE $24.08 ↓ -73%
HEALTH PARTNERS MEDICARE ADVANTAGE UNITYPOINT HEALTH PARTNERS MEDICARE ADV $24.32 ↓ -73%
WELLPOINT MEDICARE ADVANTAGE WELLPOINT MEDICARE ADVANTAGE $24.56 ↓ -73%
CHRISTIAN BROTHER SERVICES AETNA $31.23 ↓ -65%
MEDICAL MUTUAL AETNA $31.23 ↓ -65%
TRUSTMARK SMALL BUSINESS BENEFITS AETNA $31.23 ↓ -65%
COVENTRY AETNA $31.23 ↓ -65%
FIRST HEALTH AETNA $31.23 ↓ -65%
AETNA AETNA $31.23 ↓ -65%
WEBTPA AETNA $31.23 ↓ -65%
1199 NATIONAL BENEFIT FUND AETNA $31.23 ↓ -65%
AETNA DOMESTIC AETNA $31.23 ↓ -65%
ASR HEALTH BENEFITS AETNA $31.23 ↓ -65%
MERITAIN AETNA $31.23 ↓ -65%
ALLIED BENEFIT SYSTEMS AETNA $31.23 ↓ -65%
LUCENT HEALTH AETNA $31.23 ↓ -65%
LUMINARE HEALTH AETNA $31.23 ↓ -65%
AMISH HOSPITAL AID AMISH HOSPITAL AID $32.03 ↓ -64%
OSCAR OSCAR $34.22 ↓ -62%
CENTIVO CENTIVO $34.75 ↓ -61%
AMBETTER AMBETTER MARKETPLACE $40.45 ↓ -55%
CLAIMDOC CLAIMDOC $48.40 ↓ -46%
NOVA CLAIMDOC $48.40 ↓ -46%
CIGNA CIGNA $54.00 ↓ -40%
CIGNA EAP CIGNA $54.00 ↓ -40%
HEALTH PARTNERS HEALTH PARTNERS $57.15 ↓ -37%
MEDICA MIDLANDS CHOICE PPO $58.50 ↓ -35%
MIDLANDS MIDLANDS CHOICE PPO $58.50 ↓ -35%
MIDLANDS CHOICE MIDLANDS CHOICE PPO $58.50 ↓ -35%
AUXIANT MIDLANDS CHOICE PPO $58.50 ↓ -35%
USA MANAGED CARE USA MANAGED CARE $76.50 ↓ -15%
IOWA DEPT OF PUBLIC HEALTH CARE FOR YOURSELF $90.00 ↑ +0%
CRIME VICTIM ASSISTANCE CRIME VICTIMS $90.00 ↑ +0%

Visitor-reported prices

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Screening HIV antigen/antibody combination assay at other Iowa hospitals

Hospital City Cash price Negotiated range
MercyOne Dubuque Medical Center Dubuque $96.85 $23.60 – $90.00
MercyOne New Hampton Medical Center New Hampton $96.85 $58.99 – $149.00
MercyOne Dyersville Medical Center Dyersville $96.85 $56.32 – $167.71
MercyOne Clinton Medical Center Clinton $96.85 $23.60 – $90.00
MercyOne Oelwein Medical Center Oelwein $96.85 $56.95 – $149.00
MercyOne Cedar Falls Medical Center Cedar Falls $58.50 $16.92 – $72.00
MercyOne Elkader Medical Center Elkader $96.85 $24.08 – $155.73
MercyOne Des Moines Medical Center Des Moines $58.50 $18.09 – $90.00

All Iowa hospitals for this procedure →