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

Source: hospital's published price file ↗ · Published Mar 31, 2026 · Ingested Aug 3, 2026

$52,944.00

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.

$52,944.00

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.

$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 →

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 $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

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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

All Iowa hospitals for this procedure →