CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Mercyone Des Moines Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $342
  • Cash Discount Price: $4,896
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Mercyone Des Moines Medical Center is $342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,896. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.40x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$4,896

Average discount available for prompt cash payment at this facility.

Insurance Median
$342

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $4,896 (2008%)
Insurance Median: $342 (140%)
Cash: $4,896 (2008% of Medicare)
Ins. Median: $342 (140% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $114 - $1,312 47%
Medicare (plans) $114 - $235 47%
Blue Cross Blue Shield $115 - $427 47%
UnitedHealthcare $116 - $3,780 48%
Amish Hospital Aid $155 - $307 64%
Oscar $165 - $327 68%
Centivo $168 - $333 69%
Ambetter / Centene $196 - $387 80%
Iowa Total Care $225 - $393 92%
Medicaid / KanCare $227 - $398 93%
Claimdoc $234 - $463 96%
Nova $234 - $463 96%
Blue Benefit Administrators Of Massachusetts $244 - $427 100%
Blue Care Network $244 - $427 100%
Blue Distinction Transplant $244 - $427 100%
Blue Shield - Ca $244 - $427 100%
Blue Shield - Id (Regence) $244 - $427 100%
Blue Shield - Ny Highmark Northeastern $244 - $427 100%
Blue Shield - Ny Highmark Western $244 - $427 100%
Blue Shield - Pa (Highmark) $244 - $427 100%
Blue Shield - Wa (Regence) $244 - $427 100%
Geha $263 - $525 108%
Health Choices $760 312%
Medical Associates $760 312%
1199 National Benefit Fund $1,312 538%
Allied Benefit Systems $1,312 538%
Asr Health Benefits $1,312 538%
Christian Brother Services $1,312 538%
Coventry $1,312 538%
First Health $1,312 538%
Lucent Health $1,312 538%
Luminare Health $1,312 538%
Medical Mutual $1,312 538%
Meritain $1,312 538%
Trustmark Small Business Benefits $1,312 538%
Webtpa $1,312 538%
Cigna $2,268 930%
Health Partners $2,400 985%
Auxiant $2,457 1008%
Medica $2,457 1008%
Midlands $2,457 1008%
Midlands Choice $2,457 1008%
Usa Managed Care $3,213 1318%
Crime Victim Assistance $3,780 1551%
Iowa Dept Of Public Health $3,780 1551%

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