CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Mercyone Des Moines Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$16,840
about 1.2× the $14,044 Medicare rate · typically $13,317–$19,189
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,070
About the fair price
about $1,230 over the fair price · 1.3× Medicare
Medicare pays $14,044 Fair price $16,840 This hospital $18,070 Cash price $55,795

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

Highest price of the 9 IA hospitals we have prices for — worth calling around.

Cheapest $12,978 Priciest $18,070

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 Hip or knee replacement (inpatient stay) is about $16,840 (about 1.2× the $14,044 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $18,070, or about $55,795 in cash — about the fair price. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $14,035 - $25,971 100%
Blue Cross Blue Shieldmajor $13,897 99%
Aetnamajor $13,760 98%
Ambetter (Centene) $23,588 168%
GEHA $23,328 166%
Medica $13,244 94%
Oscar Health $18,070 129%
+ 7 smaller / regional plans $13,244 - $28,221
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

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