Tib/per revasc w/ather add-on 37233 at MercyOne West Des Moines Medical Center
1755 59th Place, West Des Moines, IA · MercyOne · · NPI 1538395975
$52,944.00
Cash price 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.
$52,944.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$5,760.31 with IOWA TOTAL CARE vs $35,296.00 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 →
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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 ?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 ?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 | $5,760.31 | ↓ -89% |
| MOLINA MEDICAID | MOLINA MEDICAID | $5,816.78 | ↓ -89% |
| WELLPOINT MEDICAID | WELLPOINT MEDICAID | $5,839.37 | ↓ -89% |
| AETNA MEDICARE ADVANTAGE | AETNA MEDICARE ADVANTAGE | $7,059.20 | ↓ -87% |
| MEDICAL ASSOCIATES | MEDICAL ASSOCIATES | $7,094.50 | ↓ -87% |
| HEALTH CHOICES | MEDICAL ASSOCIATES | $7,094.50 | ↓ -87% |
| CENTIVO | CENTIVO | $9,318.14 | ↓ -82% |
| OSCAR | OSCAR | $9,529.92 | ↓ -82% |
| LUCENT HEALTH | AETNA | $12,247.71 | ↓ -77% |
| AETNA | AETNA | $12,247.71 | ↓ -77% |
| ASR HEALTH BENEFITS | AETNA | $12,247.71 | ↓ -77% |
| 1199 NATIONAL BENEFIT FUND | AETNA | $12,247.71 | ↓ -77% |
| FIRST HEALTH | AETNA | $12,247.71 | ↓ -77% |
| AETNA DOMESTIC | AETNA | $12,247.71 | ↓ -77% |
| CHRISTIAN BROTHER SERVICES | AETNA | $12,247.71 | ↓ -77% |
| TRUSTMARK SMALL BUSINESS BENEFITS | AETNA | $12,247.71 | ↓ -77% |
| COVENTRY | AETNA | $12,247.71 | ↓ -77% |
| ALLIED BENEFIT SYSTEMS | AETNA | $12,247.71 | ↓ -77% |
| MERITAIN | AETNA | $12,247.71 | ↓ -77% |
| LUMINARE HEALTH | AETNA | $12,247.71 | ↓ -77% |
| WEBTPA | AETNA | $12,247.71 | ↓ -77% |
| MEDICAL MUTUAL | AETNA | $12,247.71 | ↓ -77% |
| CIGNA | CIGNA | $21,177.60 | ↓ -60% |
| CLAIMDOC | CLAIMDOC | $21,177.60 | ↓ -60% |
| NOVA | CLAIMDOC | $21,177.60 | ↓ -60% |
| CIGNA EAP | CIGNA | $21,177.60 | ↓ -60% |
| HEALTH PARTNERS | HEALTH PARTNERS | $22,412.96 | ↓ -58% |
| AUXIANT | MIDLANDS CHOICE PPO | $22,942.40 | ↓ -57% |
| MIDLANDS CHOICE | MIDLANDS CHOICE PPO | $22,942.40 | ↓ -57% |
| MIDLANDS | MIDLANDS CHOICE PPO | $22,942.40 | ↓ -57% |
| MEDICA | MIDLANDS CHOICE PPO | $22,942.40 | ↓ -57% |
| USA MANAGED CARE | USA MANAGED CARE | $30,001.60 | ↓ -43% |
| CRIME VICTIM ASSISTANCE | CRIME VICTIMS | $35,296.00 | ↓ -33% |
| IOWA DEPT OF PUBLIC HEALTH | CARE FOR YOURSELF | $35,296.00 | ↓ -33% |
Visitor-reported prices
Comments
Tib/per revasc w/ather add-on 37233 at other Iowa hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| MercyOne Genesis Davenport West Medical Center | Davenport | $11,292.60 | not published |
| MercyOne Dubuque Medical Center | Dubuque | $15,832.05 | $3,146.92 – $16,238.00 |
| MercyOne Genesis Davenport Medical Center | Davenport | $12,568.80 | not published |
| MercyOne Genesis DeWitt Medical Center | DeWitt | $690.60 | $840.23 – $2,679.00 |
| UnityPoint Health - Allen Hospital | Waterloo | $9,292.51 | $277.31 – $6,121.44 |
| UnityPoint Health - Finley Hospital | Dubuque | $13,815.39 | $277.31 – $13,815.38 |
| UnityPoint Health - Grinnell Regional Medical Center | Grinnell | $6,081.60 | $277.31 – $741.13 |
| UnityPoint Health - Iowa Lutheran Hospital | Des Moines | $17,259.72 | $277.31 – $6,342.95 |