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Mercyone Des Moines Medical Center: what a joint replacement costs

Des Moines, IA 50314 · CMS Certification Number 160083. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,060
Ankeny Medical Park Surgery Center, 8.4 mi
Outpatient here
$11,168
Medicare allowed amount, 499 cases, APC 5115
Inpatient here
$13,122
Avg total payment (incl. patient share), 36 Medicare stays, MS-DRG 470

Medicare prices at Mercyone Des Moines Medical Center

OperationInpatient avg total payment
Medicare + patient share
List priceList ÷ totalOutpatient Medicare allowed
Hip or knee replacement$13,122$60,8354.6×$11,168
Shoulder replacement$17,273$75,3884.4×$15,698
Hip replacement after a fracture (DRG 522)$15,220$76,3495.0×—

Commercial negotiated rates (beta)

MS-DRG 470Median across insurers× Medicare total paymentLowest–highest insurerInsurers
Hip or knee replacement$18,3721.4×$13,244–$28,22110
InsurerMedian negotiated, MS-DRG 470× Medicare total paymentPlans
Claimdoc$28,2212.2×1
Nova$28,2212.2×1
UnitedHealthcare$23,3281.8×1
Centivo$22,1561.7×1
Amish Hospital Aid$18,6741.4×1
Oscar$18,0701.4×1
Auxiant$13,2441.0×1
Medica$13,2441.0×1
Midlands$13,2441.0×1
Midlands Choice$13,2441.0×1

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

From the hospital's price-transparency file (2026-03-31); commercial plans, dollar-amount contracts only.

Quality

Complications after hip or knee replacement: 4.5% (no different from the national rate). Readmissions: 6.5%. Overall Care Compare rating: 1 of 5 stars. Nonprofit · Acute · 649 beds

Iowa requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Mercyone Des Moines Medical Center for a knee or hip replacement?

In 2024 the average total payment to Mercyone Des Moines Medical Center for an inpatient hip or knee replacement stay was $13,122 (MS-DRG 470, 36 Medicare stays; Medicare's payment plus the patient's deductible and coinsurance), and the Medicare allowed amount averaged $11,168 per outpatient case (APC 5115, 499 cases).

What is Mercyone Des Moines Medical Center's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $60,835, 4.6× the average total payment for a Medicare stay. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Mercyone Des Moines Medical Center?

Yes for Medicare facility payments. Ankeny Medical Park Surgery Center, an orthopedic surgery center 8.4 mi away, is paid about $8,060 by Medicare for a knee replacement (CPT 27447), $5,062 less than an inpatient stay at Mercyone Des Moines Medical Center. Not every patient is a surgery-center candidate.

How does Mercyone Des Moines Medical Center compare with other Iowa hospitals?

Mercyone Des Moines Medical Center's average total payment per Medicare stay is lower than 53% of the 15 Iowa hospitals that report inpatient hip or knee replacement.

What do commercial insurers pay Mercyone Des Moines Medical Center for a hip or knee replacement?

From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $18,372 across 10 insurers, ranging from $13,244 to $28,221.