CMS Price Transparency Data

Total hip replacement

Facility: Mercyone Des Moines Medical Center

Billing Code: 27130 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,363
about 0.3× the $13,117 Medicare rate · typically $2,277–$8,649
modeled estimate · not a bill or quote
What this hospital charges insurers
$13,117
Well above the fair price
about $8,754 over the fair price · 1.0× Medicare
Medicare pays $13,117 Fair price $4,363 This hospital $13,117 Cash price $47,350

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 $2,406 Priciest $13,117

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 Total hip replacement is about $4,363 (about 0.3× the $13,117 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $13,117, or about $47,350 in cash — well 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 $4,363. 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 $12,396 95%
Blue Cross Blue Shieldmajor $12,274 - $13,117 94%
Aetnamajor $12,153 93%
Ambetter (Centene) $20,833 159%
Oscar Health $17,621 134%
+ 7 smaller / regional plans $12,118 - $24,925
Government programs also on file: Medicare, Medicaid.

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.

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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