CMS Price Transparency Data

Ultrasound, pelvis

Facility: Mercyone Des Moines Medical Center

Billing Code: 76856 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$49
about 0.5× the $107 Medicare rate · typically $32–$83
modeled estimate · not a bill or quote
What this hospital charges insurers
$34
Below the fair price — a good deal
about $15 under the fair price · 0.3× Medicare
Medicare pays $107 Fair price $49 This hospital $34 Hospital's list price $114

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 7 of 8 other IA hospitals charge more for the same procedure.

Cheapest $31 Priciest $77

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

A fair price for a Ultrasound, pelvis is about $49 (about 0.5× the $107 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $34 — below the fair price — a good deal. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $30 - $981 28%
Blue Cross Blue Shieldmajor $30 - $246 28%
Aetnamajor $30 - $340 28%
Cignamajor $30 - $589 28%
Humanamajor $30 - $49 28%
Kaiser Permanentemajor $58 54%
Ambetter (Centene) $34 - $170 32%
Clover Health $30 28%
GEHA $65 - $240 61%
Health Net $34 - $114 32%
HealthPartners $34 - $623 32%
Medica $638 597%
Medical Mutual $340 318%
Meridian $30 - $34 28%
Molina $34 32%
Oscar Health $55 - $143 51%
Paramount $34 32%
Presbyterian $30 - $34 28%
Sanford Health Plan $52 49%
Tufts Health Plan $34 32%
UCare $55 51%
WellMed $30 28%
WellSense $34 32%
+ 362 smaller / regional plans $30 - $981
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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