CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Mercyone Des Moines Medical Center
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $134
- Cash Discount Price: $2,559
- vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Mercyone Des Moines Medical Center is $134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,559. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.38x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$2,559
Average discount available for prompt cash payment at this facility.
Insurance Median
$134
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $2,559 (718%)
Insurance Median: $134 (38%)
Cash: $2,559 (718% of Medicare)
Ins. Median: $134 (38% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $67 - $334 | 19% |
| Wc Corvel | $95 | 27% |
| Aetna | $98 - $2,606 | 27% |
| Align Senior Care | $98 | 27% |
| Ally Align Care Adv | $98 | 27% |
| American Health Advantage Of Idaho | $98 | 27% |
| Aurora Special Needs | $98 | 27% |
| Blue Care Network Advantage | $98 | 27% |
| Blue Cross Blue Shield | $98 - $356 | 27% |
| Blue Shield - De (Highmark) Medciare Advantage | $98 | 27% |
| Care Dimensions | $98 | 27% |
| Care Improvement Plus | $98 | 27% |
| Care Resources Pace | $98 | 27% |
| Careplus Health Plans | $98 | 27% |
| Cca - Zing Health | $98 | 27% |
| Cca Senior Care Options | $98 | 27% |
| Central Valley Medical Services Corp Pace | $98 | 27% |
| Champion Health Plan Mcr Advantage | $98 | 27% |
| Cigna | $98 - $4,507 | 27% |
| Clear Spring Health | $98 | 27% |
| Clover Health | $98 | 27% |
| Commonwealth Care Alliance | $98 | 27% |
| Community Pace At Home | $98 | 27% |
| Eddy Senior Care-Pace | $98 | 27% |
| Eddy Seniorcare Pace | $98 | 27% |
| Elementcare | $98 | 27% |
| Evercare | $98 | 27% |
| Everence | $98 | 27% |
| Gateway Health Plan | $98 | 27% |
| Genesys Pace Of Genesee County | $98 | 27% |
| Georgia Health Advantage | $98 | 27% |
| Gold Advantage | $98 | 27% |
| Gpa Croell Redi Mix | $98 | 27% |
| Health America Advantra | $98 | 27% |
| Highmark Health Options Dual Plan | $98 | 27% |
| Hope Select Pace | $98 | 27% |
| Horizon Nj Total Care | $98 | 27% |
| Hudson Headwaters Pace | $98 | 27% |
| Humana | $98 - $161 | 27% |
| Huron Valley Pace | $98 | 27% |
| Innovative Integrated Health Community Plans | $98 | 27% |
| Johns Hopkins Advantage Md | $98 | 27% |
| Lasso Healthcare Msa | $98 | 27% |
| Life St Marys Pace | $98 | 27% |
| Lifecircles Pace | $98 | 27% |
| Longevity Health Plan | $98 | 27% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $98 | 27% |
| Martins Point Generations Advantage | $98 | 27% |
| Mass General Brigham Mcr Adv | $98 | 27% |
| Medicare (plans) | $98 - $344 | 27% |
| Medipak Advantage | $98 | 27% |
| Mercy Life | $98 | 27% |
| Mercyone Cedar Valley | $98 | 27% |
| Meridian Complete | $98 | 27% |
| Michigan Complete Health | $98 | 27% |
| Nascentia Health Plus | $98 | 27% |
| New Centry Health Careplus | $98 | 27% |
| Osu Prime Care Advantage | $98 | 27% |
| Pace Cny | $98 | 27% |
| Pace Iowa Immanuel Pathways | $98 | 27% |
| Pace Of Southwest Michigan | $98 - $114 | 27% |
| Pace Southeast | $98 | 27% |
| Pace-Trinity Health | $98 | 27% |
| Peak Pace Solutions | $98 | 27% |
| Perennial Advantage | $98 | 27% |
| Preferred Care Partners | $98 | 27% |
| Presbyterian Senior Plan | $98 | 27% |
| Provider Partners Health Plan Of Illinois | $98 | 27% |
| Provider Partners Health Plan Of Indiana | $98 | 27% |
| Pruitthealth Premier | $98 | 27% |
| Reliance Community Care Partners Care Resources Pace | $98 | 27% |
| Rx Allwin | $98 | 27% |
| Rx Grane Grnmedd | $98 | 27% |
| Rx Retiree Rx Care | $98 | 27% |
| Scan Health Plan Mcr Ipa Meritage Oon | $98 | 27% |
| Secure Horizons Ma Pffs | $98 | 27% |
| Serenity Pace | $98 | 27% |
| Siouxland Pace | $98 | 27% |
| Solis Health Plans | $98 | 27% |
| Sunnyview-Pace Finance Dept | $98 | 27% |
| Texan Plus | $98 | 27% |
| The Health Plan | $98 | 27% |
| Thome Pace | $98 | 27% |
| Todays Options | $98 | 27% |
| Tribute Health Plans | $98 | 27% |
| Um Health Advantage | $98 | 27% |
| Union Health Service | $98 | 27% |
| UnitedHealthcare | $98 - $7,511 | 27% |
| Welbe Health | $98 | 27% |
| Wellmed | $98 | 27% |
| Champva | $100 | 28% |
| Tricare | $100 | 28% |
| Triwest Health Alliance | $100 | 28% |
| Us Family Health Plan | $100 | 28% |
| Veterans Administration | $100 | 28% |
| Veterans Eval Services | $100 | 28% |
| American Health Plan | $103 | 29% |
| Iowa Health Advantage | $103 | 29% |
| Stephenson Cty Health | $111 | 31% |
| Albany County Correctional Facility | $114 | 32% |
| Ambetter / Centene | $114 - $566 | 32% |
| Amish Mennonite | $114 | 32% |
| Ascension St. Vincent Public Safety Medical | $114 | 32% |
| Bcccp-Michigan | $114 | 32% |
| Bccp | $114 | 32% |
| Bmc Healthnet | $114 | 32% |
| Breast Grant-Connecticut | $114 | 32% |
| Broward County Dept Of Health | $114 | 32% |
| California Health And Wellness | $114 | 32% |
| Can Community Health Inc | $114 | 32% |
| Cardinal Innovations Lme | $114 | 32% |
| Care Connections Of Northern Iowa | $114 | 32% |
| Care Oregon Ohp | $114 | 32% |
| Cencal Health Plan | $114 | 32% |
| Cenpatico | $114 | 32% |
| Chhuny | $114 | 32% |
| Childrens Comm Health Plan | $114 | 32% |
| Childrens Medical Services Title 19 | $114 | 32% |
| City Of Philadelphia | $114 | 32% |
| Cmh Allegan County | $114 | 32% |
| Cmh Ausable Valley | $114 | 32% |
| Cmh Barry County | $114 | 32% |
| Cmh Bay-Arenac County | $114 | 32% |
| Cmh Berrien County | $114 | 32% |
| Cmh Cass County | $114 | 32% |
| Cmh Central Mi County | $114 | 32% |
| Cmh Clinton-Eaton-Ingham County | $114 | 32% |
| Cmh Detroit Wayne Integrated Health Network | $114 | 32% |
| Cmh Genesee County | $114 | 32% |
| Cmh Ionia County | $114 | 32% |
| Cmh Jackson County/Lifeways | $114 | 32% |
| Cmh Kalamazoo | $114 | 32% |
| Cmh Kent County | $114 | 32% |
| Cmh Lenawee County | $114 | 32% |
| Cmh Livingston County | $114 | 32% |
| Cmh Macomb | $114 | 32% |
| Cmh Misc | $114 | 32% |
| Cmh Monroe County | $114 | 32% |
| Cmh Montcalm County | $114 | 32% |
| Cmh Muskegon County | $114 | 32% |
| Cmh Newaygo County | $114 | 32% |
| Cmh North Country | $114 | 32% |
| Cmh Northern Lakes County | $114 | 32% |
| Cmh Oakland County | $114 | 32% |
| Cmh Ottawa County | $114 | 32% |
| Cmh Van Buren County | $114 | 32% |
| Cmh Washtenaw County | $114 | 32% |
| Cmh Wayne County/Carelink | $114 | 32% |
| Cmh Wayne Cty/Com Liv Svcs | $114 | 32% |
| Cmh West Mi County | $114 | 32% |
| Community Benefit Health | $114 | 32% |
| Community Care Behavorial Health | $114 | 32% |
| Community Care Partners | $114 | 32% |
| Community Health Choice | $114 | 32% |
| Connections Csp | $114 | 32% |
| County Coroner | $114 | 32% |
| County Funding Generic | $114 | 32% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $114 | 32% |
| Dean Wi Badgercare | $114 | 32% |
| Delaware County Department Of Health | $114 | 32% |
| Delaware First Health | $114 | 32% |
| Delta Dental Nj | $114 | 32% |
| Dph Tb Program | $114 | 32% |
| Dscc | $114 | 32% |
| Eastpointe Lme | $114 | 32% |
| Family Health Network | $114 | 32% |
| Freedom First Healthcare | $114 | 32% |
| Fresno County Ccs | $114 | 32% |
| Ghc Scw Wi Badgercare | $114 | 32% |
| Harbor Health | $114 | 32% |
| Health Safety Net | $114 | 32% |
| Healthy Blue Ne | $114 | 32% |
| Hennepin Health | $114 | 32% |
| Id County Ada | $114 | 32% |
| Id County Canyon | $114 | 32% |
| Id County Cat Fund | $114 | 32% |
| Id County Other | $114 | 32% |
| Id County Payette | $114 | 32% |
| Idaho Dept Health And Wellfare | $114 | 32% |
| Idaho Womens Health Check | $114 | 32% |
| Indiana Breast Cervical Cancer | $114 | 32% |
| Inland Empire Health Plan | $114 | 32% |
| Intercommunity Health Ohp | $114 | 32% |
| Jai Medical System | $114 | 32% |
| Kern Family Health Plan | $114 | 32% |
| Keystone First | $114 | 32% |
| Keystone First Chip | $114 | 32% |
| La Care Health Plan | $114 | 32% |
| Lakeland Care Inc | $114 | 32% |
| Managed Health Services - Indiana | $114 | 32% |
| Maryland Breast & Cervical Program | $114 | 32% |
| Maryland Healthy Smiles - Scion Dental | $114 | 32% |
| Maryland Physicians Care | $114 | 32% |
| Massachusetts Behavioral Health Partnership | $114 | 32% |
| Mdwise | $114 | 32% |
| Medi-Cal | $114 | 32% |
| Medi-Cal Healthnet | $114 | 32% |
| Medstar Dc Healthy Family | $114 | 32% |
| Medstar Md Health Choice | $114 | 32% |
| Mo Home State Health Plan | $114 | 32% |
| Molina Centennial Care | $114 | 32% |
| Nascentia Health Options | $114 | 32% |
| New York Cancer Services Program | $114 | 32% |
| Nextlevel Health | $114 | 32% |
| Oregon Screenwise | $114 | 32% |
| Paramount Advantage | $114 | 32% |
| Parkland Community Health Plan | $114 | 32% |
| Partners Behavioral Lme | $114 | 32% |
| Peach State Healthplan | $114 | 32% |
| Philadelphia County Funding | $114 | 32% |
| Presbyterian Centennial Care | $114 | 32% |
| Prestige Health Choice | $114 | 32% |
| Priority Partners | $114 | 32% |
| Robert F Sing Program | $114 | 32% |
| Rx 340B Pass Along | $114 | 32% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $114 | 32% |
| Rx Medi-Cal | $114 | 32% |
| Rx Meridian Rx | $114 | 32% |
| Ryan White Florida Mssrp | $114 | 32% |
| Sandhills Center Lme | $114 | 32% |
| Screening For Life | $114 | 32% |
| St Joseph County Hlth Dpt | $114 | 32% |
| Sunshine State Health Plan | $114 | 32% |
| Superior Health | $114 | 32% |
| Tenncare | $114 | 32% |
| Texas Children'S Health Plan | $114 | 32% |
| Trillium Community Ohp | $114 | 32% |
| Tufts Health Public Plans | $114 | 32% |
| Vaya Health Lme | $114 | 32% |
| Washtenaw Health Plan | $114 | 32% |
| Wellsense Health Plan | $114 | 32% |
| Wi Womens Wellness | $114 | 32% |
| Iowa Total Care | $116 - $329 | 33% |
| Wellpoint | $117 | 33% |
| Amish Hospital Aid | $133 - $448 | 37% |
| Amps | $135 | 38% |
| Newton Correctional Facility | $153 | 43% |
| Avera | $154 | 43% |
| Medical Associates | $168 - $1,510 | 47% |
| Sanford Health Plan | $168 | 47% |
| Genex Wc | $177 | 50% |
| Oscar | $179 - $479 | 50% |
| Ucare | $180 | 51% |
| Lucent Health | $181 - $2,606 | 51% |
| Wc Align Network | $189 | 53% |
| Centivo | $190 - $486 | 53% |
| Usa Managed Care | $195 - $6,384 | 55% |
| Quiktrip | $196 | 55% |
| Wc Praxis Health Network | $201 | 56% |
| Health Partners | $204 - $4,769 | 57% |
| Wc Reny Company | $205 | 58% |
| Wc Velocity | $205 | 58% |
| Claimdoc | $210 - $677 | 59% |
| The Alliance | $211 | 59% |
| Auto Velocity | $212 | 59% |
| Health Smart | $212 | 59% |
| Wc O'Hara Corp | $212 | 59% |
| Geha | $216 - $829 | 61% |
| Preferred One | $219 | 61% |
| Meritain | $225 - $2,606 | 63% |
| Global Excel | $227 | 64% |
| Allied Benefit Systems | $236 - $2,606 | 66% |
| Andrie Inc | $236 | 66% |
| Auxiant | $236 - $4,882 | 66% |
| Bcn Domestic | $236 | 66% |
| Blue Benefit Administrators Of Massachusetts | $236 - $356 | 66% |
| Blue Care Network | $236 - $356 | 66% |
| Blue Distinction Transplant | $236 - $356 | 66% |
| Blue Shield - Ca | $236 - $356 | 66% |
| Blue Shield - Id (Regence) | $236 - $356 | 66% |
| Blue Shield - Ny Highmark Northeastern | $236 - $356 | 66% |
| Blue Shield - Ny Highmark Western | $236 - $356 | 66% |
| Blue Shield - Pa (Highmark) | $236 - $356 | 66% |
| Blue Shield - Wa (Regence) | $236 - $356 | 66% |
| East Greenbush Central School District | $236 | 66% |
| First Choice Health | $236 | 66% |
| Group Administrators | $236 | 66% |
| Health Choices | $236 - $1,510 | 66% |
| Healthsmart Workers Comp | $236 | 66% |
| Iowa Dept Of Public Health | $236 - $7,511 | 66% |
| Jag Source | $236 | 66% |
| Kaiser Domestic | $236 | 66% |
| Midlands | $236 - $4,882 | 66% |
| Midlands Choice | $236 - $4,882 | 66% |
| Multiplan | $236 | 66% |
| Nebraska Total Care | $236 | 66% |
| New York State Insurance Fund | $236 | 66% |
| Njm Insurance Group | $236 | 66% |
| Pre-Employment | $236 | 66% |
| Rx Heatlhcomp | $236 | 66% |
| Rx Restat | $236 | 66% |
| Rx Saif Opdp Wc | $236 | 66% |
| Rx Worker'S Comp | $236 | 66% |
| Velocity | $236 | 66% |
| Wc Accident Fund | $236 | 66% |
| Wc Ace | $236 | 66% |
| Wc Acs Federal Employees | $236 | 66% |
| Wc Acuity | $236 | 66% |
| Wc Advantage | $236 | 66% |
| Wc Aegis | $236 | 66% |
| Wc Aig | $236 | 66% |
| Wc Aims | $236 | 66% |
| Wc Alaska National Ins | $236 | 66% |
| Wc Allied | $236 | 66% |
| Wc Am Trust N America | $236 | 66% |
| Wc American Claims Mgmt | $236 | 66% |
| Wc Amerisure | $236 | 66% |
| Wc Amtrust | $236 | 66% |
| Wc Asu Risk Mgt | $236 | 66% |
| Wc Benetech | $236 | 66% |
| Wc Berkley Admin | $236 | 66% |
| Wc Broadspire | $236 | 66% |
| Wc Broward County | $236 | 66% |
| Wc Bunch & Associates | $236 | 66% |
| Wc California State Comp Ins | $236 | 66% |
| Wc California State Ins Fund | $236 | 66% |
| Wc Capitol Area Health Consortium | $236 | 66% |
| Wc Ccmsi | $236 | 66% |
| Wc Chartis | $236 | 66% |
| Wc Chubb | $236 | 66% |
| Wc Cirma | $236 | 66% |
| Wc City Of Albany | $236 | 66% |
| Wc City Of Sioux City | $236 | 66% |
| Wc Claims Mgmt Inc | $236 | 66% |
| Wc Cna | $236 | 66% |
| Wc Comp One Admin C/O Manageability | $236 | 66% |
| Wc Compone Admin | $236 | 66% |
| Wc Ct Healthcare Trust | $236 | 66% |
| Wc Domestic | $236 | 66% |
| Wc Donegal Insurance Group | $236 | 66% |
| Wc Emc Insurance Company | $236 | 66% |
| Wc Employee Mutual | $236 | 66% |
| Wc Enablecomp | $236 | 66% |
| Wc Encore Health Network | $236 | 66% |
| Wc Erie | $236 | 66% |
| Wc Esis | $236 | 66% |
| Wc Evolutions | $236 | 66% |
| Wc Fcci | $236 | 66% |
| Wc Fed Ex | $236 | 66% |
| Wc Federal Black Lung | $236 | 66% |
| Wc Federated | $236 | 66% |
| Wc Finley Occupational Health | $236 | 66% |
| Wc First Agency/Occunet | $236 | 66% |
| Wc Ford Motor | $236 | 66% |
| Wc Fresno Unified Emp | $236 | 66% |
| Wc Gallagher Bassett | $236 | 66% |
| Wc General Motors | $236 | 66% |
| Wc Generic | $236 | 66% |
| Wc Genex Care For Ohio | $236 | 66% |
| Wc Great West Casualty | $236 | 66% |
| Wc Guarantee Insurance | $236 | 66% |
| Wc Guard Insurance Company | $236 | 66% |
| Wc Hab | $236 | 66% |
| Wc Hartford | $236 | 66% |
| Wc Hastings | $236 | 66% |
| Wc Health Management | $236 | 66% |
| Wc Heritage Summit | $236 | 66% |
| Wc Hireright | $236 | 66% |
| Wc Horizon | $236 | 66% |
| Wc Icw Group | $236 | 66% |
| Wc Idaho State Ins Fund | $236 | 66% |
| Wc Intercare Insurance | $236 | 66% |
| Wc Intermountain | $236 | 66% |
| Wc Johns Eastern | $236 | 66% |
| Wc Kemberton | $236 | 66% |
| Wc Key Ins & Benefit Solutions | $236 | 66% |
| Wc Liberty Mutual | $236 | 66% |
| Wc Mac Risk Management | $236 | 66% |
| Wc Massachusetts | $236 | 66% |
| Wc Mdia | $236 | 66% |
| Wc Meadowbrook Claim | $236 | 66% |
| Wc Medical Administrators | $236 | 66% |
| Wc Meijers | $236 | 66% |
| Wc Memic | $236 | 66% |
| Wc Mercy Workcare | $236 | 66% |
| Wc Michigan | $236 | 66% |
| Wc Michigan Millers Mutual | $236 | 66% |
| Wc Mitchell Frankenmuth | $236 | 66% |
| Wc Mra | $236 | 66% |
| Wc Nationwide | $236 | 66% |
| Wc Nca Comp | $236 | 66% |
| Wc New York | $236 | 66% |
| Wc New York Special Funds | $236 | 66% |
| Wc North American Rishces | $236 | 66% |
| Wc Northeast Health | $236 | 66% |
| Wc Notre Dame | $236 | 66% |
| Wc Novanet | $236 | 66% |
| Wc Occ Health Allen | $236 | 66% |
| Wc Ohio Bureau | $236 | 66% |
| Wc One Call Medical | $236 | 66% |
| Wc Paradigm | $236 | 66% |
| Wc Peerless | $236 | 66% |
| Wc Pma | $236 | 66% |
| Wc Price Chopper | $236 | 66% |
| Wc Procura Management | $236 | 66% |
| Wc Qualcare | $236 | 66% |
| Wc Quiktrip | $236 | 66% |
| Wc Rev Claims | $236 | 66% |
| Wc Risico | $236 | 66% |
| Wc Rural Mutual | $236 | 66% |
| Wc Saif Oregon | $236 | 66% |
| Wc Secura | $236 | 66% |
| Wc Sedgwick | $236 | 66% |
| Wc Sentry | $236 | 66% |
| Wc Sheakley Unicomp | $236 | 66% |
| Wc Smile Lodge | $236 | 66% |
| Wc Society | $236 | 66% |
| Wc Srs | $236 | 66% |
| Wc Taconic (Mro) | $236 | 66% |
| Wc Taconic Farms | $236 | 66% |
| Wc Travelers | $236 | 66% |
| Wc Triad Group | $236 | 66% |
| Wc Tristar | $236 | 66% |
| Wc Troy Ny | $236 | 66% |
| Wc Tyson | $236 | 66% |
| Wc Unified Health Services | $236 | 66% |
| Wc United Heartland | $236 | 66% |
| Wc Us Dept Of Labor | $236 | 66% |
| Wc Walmart | $236 | 66% |
| Wc West Bend | $236 | 66% |
| Wc West Bend Mutual/Argent | $236 | 66% |
| Wc Winnebago Industries | $236 | 66% |
| Wc Yankee Trails | $236 | 66% |
| Wc York Risk | $236 | 66% |
| Wc Zenith | $236 | 66% |
| Wc Zurich | $236 | 66% |
| Nova | $677 | 190% |
| 1199 National Benefit Fund | $2,606 | 731% |
| Asr Health Benefits | $2,606 | 731% |
| Christian Brother Services | $2,606 | 731% |
| Coventry | $2,606 | 731% |
| First Health | $2,606 | 731% |
| Luminare Health | $2,606 | 731% |
| Medical Mutual | $2,606 | 731% |
| Trustmark Small Business Benefits | $2,606 | 731% |
| Webtpa | $2,606 | 731% |
| Medica | $4,882 | 1370% |
| Crime Victim Assistance | $7,511 | 2107% |