Iowa / Mercyone Des Moines Medical Center

CMS certification 160083 · Des Moines, IA · 2 entries in CMS's price-transparency list

Mercyone Des Moines Medical Center: charges and Medicare payments

Mercyone Des Moines Medical Center reported 5,130 Medicare inpatient stays across 142 DRGs in 2024. Across them it charged 5.16 times what it was paid — among the higher ratios in Iowa, number 2 of 27 hospitals with at least 100 stays (state median 3.32×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 529 stays at an average charge of $75,365, 17% below the national average. It also billed 5,308 outpatient services, charging 6.84 times what Medicare paid.

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  1. 1Medicare inpatient stays 5,130
  2. 2Charge ÷ paid, inpatient 5.16×
  3. 3Rank in IA (highest ratio = 1) 2 of 27
  4. 4CMS price-transparency actions 2
DRG 871$75,365DRG 291$53,687DRG 274$78,695DRG 193$50,306DRG 064$77,001DRG 267$142,690DRG 065$51,450DRG 853$194,653DRG 189$54,129DRG 322$96,030
Average charge per stay at Mercyone Des Moines Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 142 DRGs that can be compared with the national average, Mercyone Des Moines Medical Center charged more than the national average in 23 (16%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC529$75,365-17%$14,172
291 Heart Failure and Shock with MCC241$53,687-5%$9,536
274 Percutaneous and Other Intracardiac Procedures without MCC169$78,695-50%$22,026
193 Simple Pneumonia and Pleurisy with MCC114$50,306-16%$9,536
064 Intracranial Hemorrhage or Cerebral Infarction with MCC101$77,001-23%$14,180
267 Endovascular Cardiac Valve Replacement and Supplement...101$142,690-36%$33,174
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...88$51,450-8%$7,642
853 Infectious and Parasitic Diseases with O.R. Procedures with...88$194,653-15%$37,012
189 Pulmonary Edema and Respiratory Failure85$54,129-6%$9,259
322 Percutaneous Cardiovascular Procedures with Intraluminal...82$96,030-16%$13,383
177 Respiratory Infections and Inflammations with MCC79$71,686+2%$12,324
378 Gastrointestinal Hemorrhage with CC73$51,357+6%$7,309
481 Hip and Femur Procedures except Major Joint with CC73$84,293-16%$14,388
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC68$46,913-4%$7,618
235 Coronary Bypass without Cardiac Catheterization with MCC64$195,506-33%$41,006
690 Kidney and Urinary Tract Infections without MCC64$38,059+1%$5,908
219 Cardiac Valve and Other Major Cardiothoracic Procedures...63$272,872-32%$58,097
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...56$64,552+7%$10,829
280 Acute Myocardial Infarction, Discharged Alive with MCC55$73,237-3%$12,017
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...55$38,856-3%$5,968
233 Coronary Bypass with Cardiac Catheterization or Open...53$274,388-29%$54,558
309 Cardiac Arrhythmia and Conduction Disorders with CC52$29,194-19%$5,865
308 Cardiac Arrhythmia and Conduction Disorders with MCC51$49,326-13%$9,319
522 Hip Replacement with Principal Diagnosis of Hip Fracture...51$76,349-25%$15,220
552 Medical Back Problems without MCC50$37,422-23%$7,187
682 Renal Failure with MCC47$63,769-3%$10,800
266 Endovascular Cardiac Valve Replacement and Supplement...45$181,350-36%$41,598
312 Syncope and Collapse45$44,841-2%$6,488
377 Gastrointestinal Hemorrhage with MCC45$79,546-7%$12,685
603 Cellulitis without MCC44$33,013-11%$6,494
286 Circulatory Disorders except AMI, with Cardiac...43$105,836-6%$15,895
480 Hip and Femur Procedures except Major Joint with MCC42$109,964-21%$21,722
689 Kidney and Urinary Tract Infections with MCC42$44,859-13%$8,924
190 Chronic Obstructive Pulmonary Disease with MCC41$49,057-3%$7,752
236 Coronary Bypass without Cardiac Catheterization without MCC40$161,232-23%$28,133
039 Extracranial Procedures without CC/MCC39$48,808-24%$8,169
208 Respiratory System Diagnosis with Ventilator Support <=96...39$114,149-16%$21,138
163 Major Chest Procedures with MCC37$116,179-45%$32,537
698 Other Kidney and Urinary Tract Diagnoses with MCC37$76,700+4%$13,509
281 Acute Myocardial Infarction, Discharged Alive with CC36$46,177-9%$6,685
321 Percutaneous Cardiovascular Procedures with Intraluminal...36$116,100-29%$20,883
470 Major Hip and Knee Joint Replacement or Reattachment of...36$60,835-35%$13,122
683 Renal Failure with CC36$41,715+2%$7,131
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...36$36,964-45%$9,317
023 Craniotomy with Major Device Implant or Acute Complex Cns...35$132,315-53%$38,791
092 Other Disorders of Nervous System with CC34$46,149-10%$7,418
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...33$40,105+8%$6,008
330 Major Small and Large Bowel Procedures with CC31$75,239-37%$16,063
483 Major Joint or Limb Reattachment Procedures of Upper...31$75,388-40%$17,273
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...30$51,242-16%$9,527
025 Craniotomy and Endovascular Intracranial Procedures with MCC29$186,244-20%$32,736
331 Major Small and Large Bowel Procedures without CC/MCC29$59,418-31%$12,645
194 Simple Pneumonia and Pleurisy with CC28$35,433-8%$6,032
220 Cardiac Valve and Other Major Cardiothoracic Procedures...28$185,808-33%$36,708
521 Hip Replacement with Principal Diagnosis of Hip Fracture...28$72,791-46%$19,832
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC27$20,305-29%$4,214
329 Major Small and Large Bowel Procedures with MCC27$219,463+2%$36,142
091 Other Disorders of Nervous System with MCC26$78,097-6%$12,964
287 Circulatory Disorders except AMI, with Cardiac...26$56,121-12%$7,823
314 Other Circulatory System Diagnoses with MCC26$61,009-36%$14,410

Showing the 60 most frequent of 142 DRGs.

Outpatient services

Against the Iowa average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercyone Des Moines Medical Center charged $75,365 on average, 51% more than the Iowa average of $49,919, and was paid $14,172 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Mercyone Des Moines Medical Center charged $53,687 on average, 54% more than the Iowa average of $34,817, and was paid $9,536 against a state average of $9,846. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Mercyone Des Moines Medical Center charged $78,695 on average, 18% less than the Iowa average of $96,006, and was paid $22,026 against a state average of $24,014. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercyone Des Moines Medical Center charged $50,306 on average, 49% more than the Iowa average of $33,652, and was paid $9,536 against a state average of $10,047. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $26,390 was 51% above the state average of $17,461. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,350 was 4% below the state average of $49,177. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $24,124 was 22% above the state average of $19,798. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $82,511 was 22% below the state average of $105,141.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Mercyone Des Moines Medical Center in Des Moines, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.