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.
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | $13,122 | $60,835 | 4.6× | $11,168 |
| Shoulder replacement | $17,273 | $75,388 | 4.4× | $15,698 |
| Hip replacement after a fracture (DRG 522) | $15,220 | $76,349 | 5.0× | — |
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $18,372 | 1.4× | $13,244–$28,221 | 10 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Claimdoc | $28,221 | 2.2× | 1 |
| Nova | $28,221 | 2.2× | 1 |
| UnitedHealthcare | $23,328 | 1.8× | 1 |
| Centivo | $22,156 | 1.7× | 1 |
| Amish Hospital Aid | $18,674 | 1.4× | 1 |
| Oscar | $18,070 | 1.4× | 1 |
| Auxiant | $13,244 | 1.0× | 1 |
| Medica | $13,244 | 1.0× | 1 |
| Midlands | $13,244 | 1.0× | 1 |
| Midlands Choice | $13,244 | 1.0× | 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.
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.
Open the interactive price tagBuild a reportAll Iowa hospitals
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).
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.
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.
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.
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.