CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Mercyone Des Moines Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $143
  • Cash Discount Price: $1,874
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Mercyone Des Moines Medical Center is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,874. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.34x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$1,874

Average discount available for prompt cash payment at this facility.

Insurance Median
$143

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,874 (1755%)
Insurance Median: $143 (134%)
Cash: $1,874 (1755% of Medicare)
Ins. Median: $143 (134% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $99 - $692 93%
Iowa Total Care $99 93%
Medicare (plans) $99 - $103 93%
Blue Cross Blue Shield $100 - $107 94%
Medicaid / KanCare $100 94%
UnitedHealthcare $101 - $1,993 95%
Blue Benefit Administrators Of Massachusetts $107 100%
Blue Care Network $107 100%
Blue Distinction Transplant $107 100%
Blue Shield - Ca $107 100%
Blue Shield - Id (Regence) $107 100%
Blue Shield - Ny Highmark Northeastern $107 100%
Blue Shield - Ny Highmark Western $107 100%
Blue Shield - Pa (Highmark) $107 100%
Blue Shield - Wa (Regence) $107 100%
Amish Hospital Aid $134 125%
Oscar $143 134%
Centivo $146 137%
Iowa Dept Of Public Health $165 - $1,993 154%
Ambetter / Centene $170 159%
Claimdoc $203 190%
Nova $203 190%
Geha $240 225%
Health Choices $401 375%
Medical Associates $401 375%
1199 National Benefit Fund $692 648%
Allied Benefit Systems $692 648%
Asr Health Benefits $692 648%
Christian Brother Services $692 648%
Coventry $692 648%
First Health $692 648%
Lucent Health $692 648%
Luminare Health $692 648%
Medical Mutual $692 648%
Meritain $692 648%
Trustmark Small Business Benefits $692 648%
Webtpa $692 648%
Cigna $1,196 1120%
Health Partners $1,266 1185%
Auxiant $1,295 1212%
Medica $1,295 1212%
Midlands $1,295 1212%
Midlands Choice $1,295 1212%
Usa Managed Care $1,694 1586%
Crime Victim Assistance $1,993 1866%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals