Unitypoint Health - Des Moines Iowa Methodist Medi: charges and Medicare payments

Unitypoint Health - Des Moines Iowa Methodist Medi reported 6,688 Medicare inpatient stays across 159 DRGs in 2024. Across them it charged 4.42 times what it was paid — among the higher ratios in Iowa, number 3 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: 914 stays at an average charge of $53,561, 41% below the national average. It also billed 7,133 outpatient services, charging 7.1 times what Medicare paid.

1Medicare inpatient stays 6,688
2Charge ÷ paid, inpatient 4.42×
3Rank in IA (highest ratio = 1) 3 of 27
4CMS price-transparency actions 0

Average charge per stay at Unitypoint Health - Des Moines Iowa Methodist Medi, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 159 DRGs that can be compared with the national average, Unitypoint Health - Des Moines Iowa Methodist Medi charged more than the national average in 5 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	914	$53,561	-41%	$14,478
291 Heart Failure and Shock with MCC	260	$38,023	-33%	$9,827
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	176	$33,224	-32%	$7,979
189 Pulmonary Edema and Respiratory Failure	175	$37,935	-34%	$9,898
853 Infectious and Parasitic Diseases with O.R. Procedures with...	140	$132,263	-42%	$34,318
280 Acute Myocardial Infarction, Discharged Alive with MCC	120	$52,742	-30%	$12,125
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	110	$40,411	-27%	$7,759
193 Simple Pneumonia and Pleurisy with MCC	104	$37,847	-37%	$10,205
322 Percutaneous Cardiovascular Procedures with Intraluminal...	101	$86,471	-25%	$13,633
177 Respiratory Infections and Inflammations with MCC	91	$46,449	-34%	$12,955
481 Hip and Femur Procedures except Major Joint with CC	89	$73,918	-27%	$14,988
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	88	$52,843	-12%	$10,164
274 Percutaneous and Other Intracardiac Procedures without MCC	87	$124,124	-21%	$22,649
378 Gastrointestinal Hemorrhage with CC	87	$32,797	-32%	$7,651
321 Percutaneous Cardiovascular Procedures with Intraluminal...	82	$108,620	-34%	$20,990
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	81	$54,270	-46%	$14,810
470 Major Hip and Knee Joint Replacement or Reattachment of...	79	$69,009	-26%	$13,679
698 Other Kidney and Urinary Tract Diagnoses with MCC	79	$44,811	-39%	$11,893
552 Medical Back Problems without MCC	78	$32,154	-34%	$7,354
682 Renal Failure with MCC	78	$43,203	-34%	$11,383
885 Psychoses	73	$43,056	-2%	$12,448
329 Major Small and Large Bowel Procedures with MCC	72	$125,876	-41%	$34,291
683 Renal Failure with CC	70	$28,435	-30%	$6,980
689 Kidney and Urinary Tract Infections with MCC	66	$37,048	-28%	$8,909
690 Kidney and Urinary Tract Infections without MCC	66	$27,295	-28%	$6,359
330 Major Small and Large Bowel Procedures with CC	65	$70,591	-41%	$17,425
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	62	$73,288	-28%	$15,558
312 Syncope and Collapse	61	$38,438	-16%	$7,442
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	61	$30,489	-24%	$6,168
480 Hip and Femur Procedures except Major Joint with MCC	61	$98,196	-29%	$20,616
287 Circulatory Disorders except AMI, with Cardiac...	59	$44,214	-31%	$8,383
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	58	$28,987	-22%	$6,179
948 Signs and Symptoms without MCC	51	$30,854	-19%	$6,441
267 Endovascular Cardiac Valve Replacement and Supplement...	47	$233,663	+6%	$33,912
377 Gastrointestinal Hemorrhage with MCC	47	$52,730	-38%	$13,147
281 Acute Myocardial Infarction, Discharged Alive with CC	46	$34,589	-31%	$6,980
286 Circulatory Disorders except AMI, with Cardiac...	46	$65,046	-42%	$16,861
460 Spinal Fusion except Cervical without MCC	46	$150,597	-12%	$26,537
854 Infectious and Parasitic Diseases with O.R. Procedures with...	46	$59,338	-40%	$14,799
331 Major Small and Large Bowel Procedures without CC/MCC	43	$51,031	-41%	$12,435
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	42	$78,701	-42%	$20,959
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	41	$26,955	-37%	$6,707
603 Cellulitis without MCC	41	$25,678	-31%	$7,057
308 Cardiac Arrhythmia and Conduction Disorders with MCC	39	$45,931	-19%	$9,465
025 Craniotomy and Endovascular Intracranial Procedures with MCC	38	$164,371	-29%	$35,707
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	38	$48,172	-26%	$10,650
309 Cardiac Arrhythmia and Conduction Disorders with CC	36	$28,144	-22%	$6,138
467 Revision of Hip or Knee Replacement with CC	36	$118,519	-25%	$24,580
551 Medical Back Problems with MCC	36	$53,315	-32%	$12,881
208 Respiratory System Diagnosis with Ventilator Support <=96...	35	$79,055	-42%	$20,868
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	34	$35,461	-42%	$9,818
652 Kidney Transplant	34	$177,385	-47%	$21,640
184 Major Chest Trauma with CC	33	$34,764	-37%	$8,338
070 Other Cerebrovascular Disorders with MCC	32	$52,251	-31%	$12,637
699 Other Kidney and Urinary Tract Diagnoses with CC	32	$29,654	-38%	$7,651
092 Other Disorders of Nervous System with CC	31	$35,433	-31%	$8,455
242 Permanent Cardiac Pacemaker Implant with MCC	31	$119,704	-25%	$27,109
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	31	$147,432	-32%	$34,984
071 Other Cerebrovascular Disorders with CC	30	$51,345	+2%	$9,518
243 Permanent Cardiac Pacemaker Implant with CC	30	$74,357	-33%	$16,688

Showing the 60 most frequent of 159 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 5 Musculoskeletal Procedures	1,145	$57,163	$11,208
Comprehensive Observation Services	658	$19,515	$2,334
Level 1 Intraocular Procedures	465	$6,657	$1,989
Level 2 Excision/ Biopsy/ Incision and Drainage	463	$8,635	$1,386
Level 1 Endovascular Procedures	413	$25,168	$2,765
Level 2 Upper GI Procedures	310	$11,548	$1,623
Level 1 Laparoscopy and Related Services	248	$31,086	$4,881
Level 3 Vascular Procedures	242	$15,661	$2,701
Level 6 Musculoskeletal Procedures	234	$93,038	$15,788
Level 3 Urology and Related Services	227	$10,946	$1,727
Level 5 Urology and Related Services	225	$29,979	$4,428
Level 4 Urology and Related Services	221	$20,729	$2,983
Level 3 Endovascular Procedures	214	$62,461	$9,405
Level 2 Laparoscopy and Related Services	177	$53,659	$8,797
Level 3 Excision/ Biopsy/ Incision and Drainage	170	$13,122	$2,376
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	162	$13,830	$2,883
Level 4 Musculoskeletal Procedures	150	$37,211	$6,111
Level 4 Airway Endoscopy	135	$18,317	$3,216
Level 3 Electrophysiologic Procedures	96	$135,325	$19,955
Level 3 Pacemaker and Similar Procedures	86	$43,501	$9,165
Level 3 Musculoskeletal Procedures	81	$17,597	$2,752
Level 2 Endovascular Procedures	77	$38,667	$4,732
Level 5 Airway Endoscopy	69	$32,732	$5,877
Level 4 Endovascular Procedures	69	$103,472	$14,687
Level 2 Vascular Procedures	68	$6,114	$1,376

Against the Iowa average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Unitypoint Health - Des Moines Iowa Methodist Medi charged $53,561 on average, 7% more than the Iowa average of $49,919, and was paid $14,478 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Unitypoint Health - Des Moines Iowa Methodist Medi charged $38,023 on average, 9% more than the Iowa average of $34,817, and was paid $9,827 against a state average of $9,846. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Unitypoint Health - Des Moines Iowa Methodist Medi charged $33,224 on average, 15% more than the Iowa average of $28,872, and was paid $7,979 against a state average of $8,049. For Pulmonary Edema and Respiratory Failure (DRG 189), Unitypoint Health - Des Moines Iowa Methodist Medi charged $37,935 on average, 4% less than the Iowa average of $39,347, and was paid $9,898 against a state average of $10,151. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,163 was 16% above the state average of $49,177. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,515 was 12% above the state average of $17,461. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,657 was 30% below the state average of $9,485. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,635 was 7% above the state average of $8,055.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.