CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Mercyone Des Moines Medical Center

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$25,194

about 1.1× the $23,504 Medicare rate · typically $20,989–$30,974

modeled estimate · not a bill or quote

What this hospital charges insurers

$29,850

Above the fair price

about $4,656 over the fair price · 1.3× Medicare

Medicare pays $23,504 Fair price $25,194 This hospital $29,850 Cash price $76,840

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 $21,458 Priciest $29,850

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $25,194 (about 1.1× the $23,504 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $29,850, or about $76,840 in cash — above the fair price. Located in Des Moines, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $25,194. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$23,184 - $43,494	99%
Blue Cross Blue Shieldmajor	$22,957	98%
Aetnamajor	$22,729	97%
Ambetter (Centene)	$38,965	166%
GEHA	$39,068	166%
Medica	$22,180	94%
Oscar Health	$29,850	127%
+ 7 smaller / regional plans	$22,180 - $46,618

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

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 76,840), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 451.

Insurance Before you use insurance

Call your insurance company to confirm Mercyone Des Moines Medical Center is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 451.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mercyone Des Moines Medical Center

Compare: Spinal fusion, single level (inpatient stay) at other IA hospitals

Grinnell Regional Medical Center · Grinnell $21,458
Mary Greeley Medical Center · Ames $21,582
Allen Hospital · Waterloo $22,716
St Lukes Hospital · Cedar Rapids $22,775
University of Iowa Health Care Medical Center Down · Iowa City $23,452
Finley Hospital · Dubuque $24,116
St Lukes Regional Medical Center · Sioux City $24,341
Unitypoint Health - Des Moines Iowa Methodist Medi · Des Moines $24,386

Insurance negotiated median for the same procedure, sorted lowest first.