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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Mercyone Des Moines Medical Center

MercyOne · Des Moines, IA

1111 6th Avenue, Des Moines, IA 50314(515) 247-3121

1 of 5

CMS star rating

519

Beds

24,331

Inpatient discharges a year

$992.8M

Net patient revenue a year

34

In-network payers

About this hospital

Mercyone Des Moines Medical Center is a 519-bed voluntary non-profit - private hospital in Des Moines, IA, affiliated with MercyOne. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 204 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
  • Helipad
CCN
160083
NPI
1508964883
Health system
MercyOne
Teaching
Teaching hospital
County
Polk County
Metro area
Des Moines-West Des Moines, IA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05001)
In Medicare since
1966
Last CMS survey
2017

Prices for common services

The 24 services Mercyone Des Moines Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,430 - $8,086

from 2 insurers · median $6,258

UnitedHealthcare$8,086
Insurer A*$4,430

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$5,999 - $11,144

from 2 insurers · median $8,571

UnitedHealthcare$11,144
Insurer A*$5,999

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$356 - $4,866

from 4 insurers · median $2,030

Aetna$542
Insurer A*$356
Insurer B*$3,518
Insurer C*$4,866
Medicare $318Nearby hospitals $810150% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$43,144 - $55,785

from 2 insurers · median $49,465

Blue Cross$55,785
Insurer A*$43,144
Medicare $22,964Nearby hospitals $58,09715% below nearby hospitals

24 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Mercyone Des Moines Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*12
742%
00
Insurer B*24
455%
127
Insurer C*21
100%
416
Insurer D*18
97%
113

How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercyone Des Moines Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    1 of 5 stars

    • 244 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.26%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 52 services, including trauma & transplant care
    • 1,224 affiliated clinicians
    See doctors and services
  • Finances

    $992.8M net patient revenue

    • Operating margin on patient care -24.5%
    • $95.1M unreimbursed and uncompensated care
    • -$17.4M net income
    See finances
  • Ownership and leadership

    Owned by Mercy Health Network Inc

    • Private (not for profit)
    • Kurt A Andersen, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Mercyone Des Moines Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
42-0680448Mercy Medical Center60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 55 more1104982743 Catholic Health Initiatives-iowa Corp1508964883 Catholic Health Initiatives-iowa Corp1720145840 Catholic Health Initiatives-iowa Corpand 31 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1111 6th Avenue, Des Moines, IA 50314

(515) 247-3121

Get directions

Frequently asked questions

About Mercyone Des Moines Medical Center's rates and hospital price transparency.

How much does an MRI cost at Mercyone Des Moines Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercyone Des Moines Medical Center range from $356 to $6,234 across 4 insurers. Aetna's rate is $359. The median at nearby comparable hospitals is $754. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Mercyone Des Moines Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercyone Des Moines Medical Center range from $356 to $4,866 across 4 insurers. Aetna's rate is $542. The median at nearby comparable hospitals is $810. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Mercyone Des Moines Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercyone Des Moines Medical Center range from $4,430 to $8,086 across 2 insurers. UnitedHealthcare's rate is $8,086. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Mercyone Des Moines Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercyone Des Moines Medical Center range from $175 to $459 across 4 insurers. Cigna's rate is $415. The median at nearby comparable hospitals is $185. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Mercyone Des Moines Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercyone Des Moines Medical Center range from $12,763 to $35,551 across 3 insurers. Blue Cross Blue Shield's rate is $35,551. The median at nearby comparable hospitals is $27,890. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Mercyone Des Moines Medical Center's CMS star rating?

Mercyone Des Moines Medical Center has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is Mercyone Des Moines Medical Center a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Mercyone Des Moines Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Mercyone Des Moines Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercyone Des Moines Medical Center's base inpatient payments by an estimated 0.26% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Mercyone Des Moines Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (529 discharges), heart failure and shock with mcc (241 discharges), percutaneous and other intracardiac procedures without mcc (169 discharges).

What is Mercyone Des Moines Medical Center's case mix index?

Mercyone Des Moines Medical Center's Medicare case mix index is 2.30 for fiscal year 2027, higher than 90% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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