CMS Price Transparency Data

CT scan, sinuses

Facility: Mercyone Des Moines Medical Center

Billing Code: 70486 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$68
about 0.6× the $107 Medicare rate · typically $50–$137
modeled estimate · not a bill or quote
What this hospital charges insurers
$55
Below the fair price — a good deal
about $13 under the fair price · 0.5× Medicare
Medicare pays $107 Fair price $68 This hospital $55 Cash price $180 Hospital's list price $180

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 6 of 8 other IA hospitals charge more for the same procedure.

Cheapest $38 Priciest $91

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a CT scan, sinuses is about $68 (about 0.6× the $107 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $55, or about $180 in cash — below the fair price — a good deal. Located in Des Moines, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $37 - $1,793 35%
Blue Cross Blue Shieldmajor $37 - $107 35%
Aetnamajor $37 - $622 35%
Cignamajor $37 - $1,076 35%
Humanamajor $37 - $61 35%
Kaiser Permanentemajor $78 73%
Ambetter (Centene) $55 - $170 51%
Clover Health $37 35%
GEHA $81 - $240 76%
Health Net $55 - $180 51%
HealthPartners $55 - $1,139 51%
Medica $1,165 1091%
Medical Mutual $622 582%
Meridian $37 - $55 35%
Molina $55 51%
Oscar Health $68 - $143 64%
Paramount $55 51%
Presbyterian $37 - $55 35%
Sanford Health Plan $64 60%
Tufts Health Plan $55 51%
UCare $68 64%
WellMed $37 35%
WellSense $55 51%
+ 362 smaller / regional plans $37 - $1,793
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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