CMS Price Transparency Data

Upper endoscopy with biopsy

Facility: Mercyone Des Moines Medical Center

Billing Code: 43239 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 43239
  • Insurance Median: $113
  • Cash Discount Price: $7,579
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Upper endoscopy with biopsy at Mercyone Des Moines Medical Center is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,579. Compared to the federal Medicare reimbursement reference rate of $926.63, this hospital’s rate is 0.12x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$7,579

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$926.63

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $926.63 (100%)
Cash / Self-Pay: $7,579 (818%)
Insurance Median: $113 (12%)
Cash: $7,579 (818% of Medicare)
Ins. Median: $113 (12% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $926.63 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
Medicaid / KanCare $50 - $1,836 5%
Wc Corvel $55 - $91 6%
Aetna $56 - $1,816 6%
Align Senior Care $56 - $94 6%
Ally Align Care Adv $56 - $94 6%
American Health Advantage Of Idaho $56 - $94 6%
Aurora Special Needs $56 - $94 6%
Blue Care Network Advantage $56 - $94 6%
Blue Cross Blue Shield $56 - $1,960 6%
Blue Shield - De (Highmark) Medciare Advantage $56 - $94 6%
Care Dimensions $56 - $94 6%
Care Improvement Plus $56 - $94 6%
Care Resources Pace $56 - $94 6%
Careplus Health Plans $56 - $94 6%
Cca - Zing Health $56 - $94 6%
Cca Senior Care Options $56 - $94 6%
Central Valley Medical Services Corp Pace $56 - $94 6%
Champion Health Plan Mcr Advantage $56 - $94 6%
Cigna $56 - $306 6%
Clear Spring Health $56 - $94 6%
Clover Health $56 - $94 6%
Commonwealth Care Alliance $56 - $94 6%
Community Pace At Home $56 - $94 6%
Eddy Senior Care-Pace $56 - $94 6%
Eddy Seniorcare Pace $56 - $94 6%
Elementcare $56 - $94 6%
Evercare $56 - $94 6%
Everence $56 - $94 6%
Gateway Health Plan $56 - $94 6%
Genesys Pace Of Genesee County $56 - $94 6%
Georgia Health Advantage $56 - $94 6%
Gold Advantage $56 - $94 6%
Gpa Croell Redi Mix $56 - $94 6%
Health America Advantra $56 - $94 6%
Highmark Health Options Dual Plan $56 - $94 6%
Hope Select Pace $56 - $94 6%
Horizon Nj Total Care $56 - $94 6%
Hudson Headwaters Pace $56 - $94 6%
Humana $56 - $153 6%
Huron Valley Pace $56 - $94 6%
Innovative Integrated Health Community Plans $56 - $94 6%
Johns Hopkins Advantage Md $56 - $94 6%
Lasso Healthcare Msa $56 - $94 6%
Life St Marys Pace $56 - $94 6%
Lifecircles Pace $56 - $94 6%
Longevity Health Plan $56 - $94 6%
Longevity Ipa Of Michigan Llc Health Plan Isnp $56 - $94 6%
Martins Point Generations Advantage $56 - $94 6%
Mass General Brigham Mcr Adv $56 - $94 6%
Medicare (plans) $56 - $1,890 6%
Medipak Advantage $56 - $94 6%
Mercy Life $56 - $94 6%
Mercyone Cedar Valley $56 - $94 6%
Meridian Complete $56 - $94 6%
Michigan Complete Health $56 - $94 6%
Nascentia Health Plus $56 - $94 6%
New Centry Health Careplus $56 - $94 6%
Osu Prime Care Advantage $56 - $94 6%
Pace Cny $56 - $94 6%
Pace Iowa Immanuel Pathways $56 - $94 6%
Pace Of Southwest Michigan $56 - $113 6%
Pace Southeast $56 - $94 6%
Pace-Trinity Health $56 - $94 6%
Peak Pace Solutions $56 - $94 6%
Perennial Advantage $56 - $94 6%
Preferred Care Partners $56 - $94 6%
Presbyterian Senior Plan $56 - $94 6%
Provider Partners Health Plan Of Illinois $56 - $94 6%
Provider Partners Health Plan Of Indiana $56 - $94 6%
Pruitthealth Premier $56 - $94 6%
Reliance Community Care Partners Care Resources Pace $56 - $94 6%
Rx Allwin $56 - $94 6%
Rx Grane Grnmedd $56 - $94 6%
Rx Retiree Rx Care $56 - $94 6%
Scan Health Plan Mcr Ipa Meritage Oon $56 - $94 6%
Secure Horizons Ma Pffs $56 - $94 6%
Serenity Pace $56 - $94 6%
Siouxland Pace $56 - $94 6%
Solis Health Plans $56 - $94 6%
Sunnyview-Pace Finance Dept $56 - $94 6%
Texan Plus $56 - $94 6%
The Health Plan $56 - $94 6%
Thome Pace $56 - $94 6%
Todays Options $56 - $94 6%
Tribute Health Plans $56 - $94 6%
Um Health Advantage $56 - $94 6%
Union Health Service $56 - $94 6%
UnitedHealthcare $56 - $1,853 6%
Welbe Health $56 - $94 6%
Wellmed $56 - $94 6%
Veterans Administration $58 - $95 6%
American Health Plan $59 - $98 6%
Iowa Health Advantage $59 - $98 6%
Champva $62 - $104 7%
Tricare $62 - $104 7%
Triwest Health Alliance $62 - $104 7%
Us Family Health Plan $62 - $104 7%
Veterans Eval Services $62 - $104 7%
Nebraska Total Care $69 - $77 7%
Iowa Dept Of Public Health $70 - $371 8%
Albany County Correctional Facility $74 - $113 8%
Ambetter / Centene $74 - $3,114 8%
Amish Mennonite $74 - $113 8%
Ascension St. Vincent Public Safety Medical $74 - $113 8%
Bcccp-Michigan $74 - $113 8%
Bccp $74 - $113 8%
Bmc Healthnet $74 - $113 8%
Breast Grant-Connecticut $74 - $113 8%
Broward County Dept Of Health $74 - $113 8%
California Health And Wellness $74 - $113 8%
Can Community Health Inc $74 - $113 8%
Cardinal Innovations Lme $74 - $113 8%
Care Connections Of Northern Iowa $74 - $113 8%
Care Oregon Ohp $74 - $113 8%
Cencal Health Plan $74 - $113 8%
Cenpatico $74 - $113 8%
Chhuny $74 - $113 8%
Childrens Comm Health Plan $74 - $113 8%
Childrens Medical Services Title 19 $74 - $113 8%
City Of Philadelphia $74 - $113 8%
Cmh Allegan County $74 - $113 8%
Cmh Ausable Valley $74 - $113 8%
Cmh Barry County $74 - $113 8%
Cmh Bay-Arenac County $74 - $113 8%
Cmh Berrien County $74 - $113 8%
Cmh Cass County $74 - $113 8%
Cmh Central Mi County $74 - $113 8%
Cmh Clinton-Eaton-Ingham County $74 - $113 8%
Cmh Detroit Wayne Integrated Health Network $74 - $113 8%
Cmh Genesee County $74 - $113 8%
Cmh Ionia County $74 - $113 8%
Cmh Jackson County/Lifeways $74 - $113 8%
Cmh Kalamazoo $74 - $113 8%
Cmh Kent County $74 - $113 8%
Cmh Lenawee County $74 - $113 8%
Cmh Livingston County $74 - $113 8%
Cmh Macomb $74 - $113 8%
Cmh Misc $74 - $113 8%
Cmh Monroe County $74 - $113 8%
Cmh Montcalm County $74 - $113 8%
Cmh Muskegon County $74 - $113 8%
Cmh Newaygo County $74 - $113 8%
Cmh North Country $74 - $113 8%
Cmh Northern Lakes County $74 - $113 8%
Cmh Oakland County $74 - $113 8%
Cmh Ottawa County $74 - $113 8%
Cmh Van Buren County $74 - $113 8%
Cmh Washtenaw County $74 - $113 8%
Cmh Wayne County/Carelink $74 - $113 8%
Cmh Wayne Cty/Com Liv Svcs $74 - $113 8%
Cmh West Mi County $74 - $113 8%
Community Benefit Health $74 - $113 8%
Community Care Behavorial Health $74 - $113 8%
Community Care Partners $74 - $113 8%
Community Health Choice $74 - $113 8%
Connections Csp $74 - $113 8%
County Coroner $74 - $113 8%
County Funding Generic $74 - $113 8%
Covid19 Hrsa Uninsured Testing And Treatment Fund $74 - $113 8%
Dean Wi Badgercare $74 - $113 8%
Delaware County Department Of Health $74 - $113 8%
Delaware First Health $74 - $113 8%
Delta Dental Nj $74 - $113 8%
Dph Tb Program $74 - $113 8%
Dscc $74 - $113 8%
Eastpointe Lme $74 - $113 8%
Family Health Network $74 - $113 8%
Freedom First Healthcare $74 - $113 8%
Fresno County Ccs $74 - $113 8%
Ghc Scw Wi Badgercare $74 - $113 8%
Harbor Health $74 - $113 8%
Health Safety Net $74 - $113 8%
Healthy Blue Ne $74 - $113 8%
Hennepin Health $74 - $113 8%
Id County Ada $74 - $113 8%
Id County Canyon $74 - $113 8%
Id County Cat Fund $74 - $113 8%
Id County Other $74 - $113 8%
Id County Payette $74 - $113 8%
Idaho Dept Health And Wellfare $74 - $113 8%
Idaho Womens Health Check $74 - $113 8%
Indiana Breast Cervical Cancer $74 - $113 8%
Inland Empire Health Plan $74 - $113 8%
Intercommunity Health Ohp $74 - $113 8%
Jai Medical System $74 - $113 8%
Kern Family Health Plan $74 - $113 8%
Keystone First $74 - $113 8%
Keystone First Chip $74 - $113 8%
La Care Health Plan $74 - $113 8%
Lakeland Care Inc $74 - $113 8%
Managed Health Services - Indiana $74 - $113 8%
Maryland Breast & Cervical Program $74 - $113 8%
Maryland Healthy Smiles - Scion Dental $74 - $113 8%
Maryland Physicians Care $74 - $113 8%
Massachusetts Behavioral Health Partnership $74 - $113 8%
Mdwise $74 - $113 8%
Medi-Cal $74 - $113 8%
Medi-Cal Healthnet $74 - $113 8%
Medstar Dc Healthy Family $74 - $113 8%
Medstar Md Health Choice $74 - $113 8%
Mo Home State Health Plan $74 - $113 8%
Molina Centennial Care $74 - $113 8%
Nascentia Health Options $74 - $113 8%
New York Cancer Services Program $74 - $113 8%
Nextlevel Health $74 - $113 8%
Oregon Screenwise $74 - $113 8%
Paramount Advantage $74 - $113 8%
Parkland Community Health Plan $74 - $113 8%
Partners Behavioral Lme $74 - $113 8%
Peach State Healthplan $74 - $113 8%
Philadelphia County Funding $74 - $113 8%
Presbyterian Centennial Care $74 - $113 8%
Prestige Health Choice $74 - $113 8%
Priority Partners $74 - $113 8%
Robert F Sing Program $74 - $113 8%
Rx 340B Pass Along $74 - $113 8%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $74 - $113 8%
Rx Medi-Cal $74 - $113 8%
Rx Meridian Rx $74 - $113 8%
Ryan White Florida Mssrp $74 - $113 8%
Sandhills Center Lme $74 - $113 8%
Screening For Life $74 - $113 8%
St Joseph County Hlth Dpt $74 - $113 8%
Sunshine State Health Plan $74 - $113 8%
Superior Health $74 - $113 8%
Tenncare $74 - $113 8%
Texas Children'S Health Plan $74 - $113 8%
Trillium Community Ohp $74 - $113 8%
Tufts Health Public Plans $74 - $113 8%
Vaya Health Lme $74 - $113 8%
Washtenaw Health Plan $74 - $113 8%
Wellsense Health Plan $74 - $113 8%
Wi Womens Wellness $74 - $113 8%
Amish Hospital Aid $76 - $2,465 8%
Iowa Total Care $76 - $1,811 8%
Wellpoint $77 - $117 8%
Amps $78 - $129 8%
Avera $88 - $146 9%
Medical Associates $96 - $159 10%
Sanford Health Plan $99 - $164 11%
Lucent Health $104 - $172 11%
Ucare $104 - $171 11%
Oscar $108 - $2,634 12%
Preferred Health Choice $109 - $181 12%
Stephenson Cty Health $112 - $216 12%
Usa Managed Care $112 - $185 12%
Centivo $115 - $2,674 12%
Health Partners $118 - $275 13%
Claimdoc $120 - $3,725 13%
The Alliance $121 - $200 13%
Global Excel $130 - $216 14%
Bcn Domestic $132 - $221 14%
Blue Benefit Administrators Of Massachusetts $132 - $1,960 14%
Blue Care Network $132 - $1,960 14%
Blue Distinction Transplant $132 - $1,960 14%
Blue Shield - Ca $132 - $1,960 14%
Blue Shield - Id (Regence) $132 - $1,960 14%
Blue Shield - Ny Highmark Northeastern $132 - $1,960 14%
Blue Shield - Ny Highmark Western $132 - $1,960 14%
Blue Shield - Pa (Highmark) $132 - $1,960 14%
Blue Shield - Wa (Regence) $132 - $1,960 14%
Health Choices $132 - $306 14%
Kaiser Domestic $132 - $221 14%
Pre-Employment $132 - $221 14%
Wc Domestic $132 - $221 14%
Velocity $135 - $224 15%
Preferred One $136 - $229 15%
Geha $162 - $273 17%
Allied Benefit Systems $183 - $306 20%
Auxiant $183 - $306 20%
First Choice Health $183 - $306 20%
Group Administrators $183 - $306 20%
Midlands $183 - $306 20%
Midlands Choice $183 - $306 20%
Quiktrip $186 - $376 20%
Newton Correctional Facility $196 - $476 21%
Genex Wc $226 - $550 24%
Meritain $227 - $381 24%
Multiplan $232 - $390 25%
Wc Align Network $241 - $586 26%
Wc Praxis Health Network $256 - $623 28%
Wc Reny Company $262 - $637 28%
Wc Velocity $262 - $637 28%
Auto Velocity $271 - $667 29%
Health Smart $271 - $667 29%
Wc O'Hara Corp $271 - $659 29%
Andrie Inc $301 - $733 32%
East Greenbush Central School District $301 - $733 32%
Healthsmart Workers Comp $301 - $733 32%
Jag Source $301 - $733 32%
New York State Insurance Fund $301 - $733 32%
Njm Insurance Group $301 - $733 32%
Rx Heatlhcomp $301 - $733 32%
Rx Restat $301 - $733 32%
Rx Saif Opdp Wc $301 - $733 32%
Rx Worker'S Comp $301 - $733 32%
Wc Accident Fund $301 - $733 32%
Wc Ace $301 - $733 32%
Wc Acs Federal Employees $301 - $733 32%
Wc Acuity $301 - $733 32%
Wc Advantage $301 - $733 32%
Wc Aegis $301 - $733 32%
Wc Aig $301 - $733 32%
Wc Aims $301 - $733 32%
Wc Alaska National Ins $301 - $733 32%
Wc Allied $301 - $733 32%
Wc Am Trust N America $301 - $733 32%
Wc American Claims Mgmt $301 - $733 32%
Wc Amerisure $301 - $733 32%
Wc Amtrust $301 - $733 32%
Wc Asu Risk Mgt $301 - $733 32%
Wc Benetech $301 - $733 32%
Wc Berkley Admin $301 - $733 32%
Wc Broadspire $301 - $733 32%
Wc Broward County $301 - $733 32%
Wc Bunch & Associates $301 - $733 32%
Wc California State Comp Ins $301 - $733 32%
Wc California State Ins Fund $301 - $733 32%
Wc Capitol Area Health Consortium $301 - $733 32%
Wc Ccmsi $301 - $733 32%
Wc Chartis $301 - $733 32%
Wc Chubb $301 - $733 32%
Wc Cirma $301 - $733 32%
Wc City Of Albany $301 - $733 32%
Wc City Of Sioux City $301 - $733 32%
Wc Claims Mgmt Inc $301 - $733 32%
Wc Cna $301 - $733 32%
Wc Comp One Admin C/O Manageability $301 - $733 32%
Wc Compone Admin $301 - $733 32%
Wc Ct Healthcare Trust $301 - $733 32%
Wc Donegal Insurance Group $301 - $733 32%
Wc Emc Insurance Company $301 - $733 32%
Wc Employee Mutual $301 - $733 32%
Wc Enablecomp $301 - $733 32%
Wc Encore Health Network $301 - $733 32%
Wc Erie $301 - $733 32%
Wc Esis $301 - $733 32%
Wc Evolutions $301 - $733 32%
Wc Fcci $301 - $733 32%
Wc Fed Ex $301 - $733 32%
Wc Federal Black Lung $301 - $733 32%
Wc Federated $301 - $733 32%
Wc Finley Occupational Health $301 - $733 32%
Wc First Agency/Occunet $301 - $733 32%
Wc Ford Motor $301 - $733 32%
Wc Fresno Unified Emp $301 - $733 32%
Wc Gallagher Bassett $301 - $733 32%
Wc General Motors $301 - $733 32%
Wc Generic $301 - $733 32%
Wc Genex Care For Ohio $301 - $733 32%
Wc Great West Casualty $301 - $733 32%
Wc Guarantee Insurance $301 - $733 32%
Wc Guard Insurance Company $301 - $733 32%
Wc Hab $301 - $733 32%
Wc Hartford $301 - $733 32%
Wc Hastings $301 - $733 32%
Wc Health Management $301 - $733 32%
Wc Heritage Summit $301 - $733 32%
Wc Hireright $301 - $733 32%
Wc Horizon $301 - $733 32%
Wc Icw Group $301 - $733 32%
Wc Idaho State Ins Fund $301 - $733 32%
Wc Intercare Insurance $301 - $733 32%
Wc Intermountain $301 - $733 32%
Wc Johns Eastern $301 - $733 32%
Wc Kemberton $301 - $733 32%
Wc Key Ins & Benefit Solutions $301 - $733 32%
Wc Liberty Mutual $301 - $733 32%
Wc Mac Risk Management $301 - $733 32%
Wc Massachusetts $301 - $733 32%
Wc Mdia $301 - $733 32%
Wc Meadowbrook Claim $301 - $733 32%
Wc Medical Administrators $301 - $733 32%
Wc Meijers $301 - $733 32%
Wc Memic $301 - $733 32%
Wc Mercy Workcare $301 - $733 32%
Wc Michigan $301 - $733 32%
Wc Michigan Millers Mutual $301 - $733 32%
Wc Mitchell Frankenmuth $301 - $733 32%
Wc Mra $301 - $733 32%
Wc Nationwide $301 - $733 32%
Wc Nca Comp $301 - $733 32%
Wc New York $301 - $733 32%
Wc New York Special Funds $301 - $733 32%
Wc North American Rishces $301 - $733 32%
Wc Northeast Health $301 - $733 32%
Wc Notre Dame $301 - $733 32%
Wc Novanet $301 - $733 32%
Wc Occ Health Allen $301 - $733 32%
Wc Ohio Bureau $301 - $733 32%
Wc One Call Medical $301 - $733 32%
Wc Paradigm $301 - $733 32%
Wc Peerless $301 - $733 32%
Wc Pma $301 - $733 32%
Wc Price Chopper $301 - $733 32%
Wc Procura Management $301 - $733 32%
Wc Qualcare $301 - $733 32%
Wc Quiktrip $301 - $733 32%
Wc Rev Claims $301 - $733 32%
Wc Risico $301 - $733 32%
Wc Rural Mutual $301 - $733 32%
Wc Saif Oregon $301 - $733 32%
Wc Secura $301 - $733 32%
Wc Sedgwick $301 - $733 32%
Wc Sentry $301 - $733 32%
Wc Sheakley Unicomp $301 - $733 32%
Wc Smile Lodge $301 - $733 32%
Wc Society $301 - $733 32%
Wc Srs $301 - $733 32%
Wc Taconic (Mro) $301 - $733 32%
Wc Taconic Farms $301 - $733 32%
Wc Travelers $301 - $733 32%
Wc Triad Group $301 - $733 32%
Wc Tristar $301 - $733 32%
Wc Troy Ny $301 - $733 32%
Wc Tyson $301 - $733 32%
Wc Unified Health Services $301 - $733 32%
Wc United Heartland $301 - $733 32%
Wc Us Dept Of Labor $301 - $733 32%
Wc Walmart $301 - $733 32%
Wc West Bend $301 - $733 32%
Wc West Bend Mutual/Argent $301 - $733 32%
Wc Winnebago Industries $301 - $733 32%
Wc Yankee Trails $301 - $733 32%
Wc York Risk $301 - $733 32%
Wc Zenith $301 - $733 32%
Wc Zurich $301 - $733 32%
Nova $1,761 - $3,725 190%

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