CMS Price Transparency Data

Group therapy session

Facility: Mercyone Des Moines Medical Center

Billing Code: 90853 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90853
  • Insurance Median: $44
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a Group therapy session at Mercyone Des Moines Medical Center is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $103.79, this hospital’s rate is 0.42x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$103.79

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $103.79 (100%)
Cash / Self-Pay: $75 (72%)
Insurance Median: $44 (42%)
Cash: $75 (72% of Medicare)
Ins. Median: $44 (42% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $103.79 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Albany County Correctional Facility $10 - $44 10%
Ambetter / Centene $10 - $44 10%
Amish Mennonite $10 - $44 10%
Ascension St. Vincent Public Safety Medical $10 - $44 10%
Bcccp-Michigan $10 - $44 10%
Bccp $10 - $44 10%
Blue Cross Blue Shield $10 - $44 10%
Bmc Healthnet $10 - $44 10%
Breast Grant-Connecticut $10 - $44 10%
Broward County Dept Of Health $10 - $44 10%
California Health And Wellness $10 - $44 10%
Can Community Health Inc $10 - $44 10%
Cardinal Innovations Lme $10 - $44 10%
Care Connections Of Northern Iowa $10 - $44 10%
Care Oregon Ohp $10 - $44 10%
Cencal Health Plan $10 - $44 10%
Cenpatico $10 - $44 10%
Chhuny $10 - $44 10%
Childrens Comm Health Plan $10 - $44 10%
Childrens Medical Services Title 19 $10 - $44 10%
Cigna $10 - $44 10%
City Of Philadelphia $10 - $44 10%
Cmh Allegan County $10 - $44 10%
Cmh Ausable Valley $10 - $44 10%
Cmh Barry County $10 - $44 10%
Cmh Bay-Arenac County $10 - $44 10%
Cmh Berrien County $10 - $44 10%
Cmh Cass County $10 - $44 10%
Cmh Central Mi County $10 - $44 10%
Cmh Clinton-Eaton-Ingham County $10 - $44 10%
Cmh Detroit Wayne Integrated Health Network $10 - $44 10%
Cmh Genesee County $10 - $44 10%
Cmh Ionia County $10 - $44 10%
Cmh Jackson County/Lifeways $10 - $44 10%
Cmh Kalamazoo $10 - $44 10%
Cmh Kent County $10 - $44 10%
Cmh Lenawee County $10 - $44 10%
Cmh Livingston County $10 - $44 10%
Cmh Macomb $10 - $44 10%
Cmh Misc $10 - $44 10%
Cmh Monroe County $10 - $44 10%
Cmh Montcalm County $10 - $44 10%
Cmh Muskegon County $10 - $44 10%
Cmh Newaygo County $10 - $44 10%
Cmh North Country $10 - $44 10%
Cmh Northern Lakes County $10 - $44 10%
Cmh Oakland County $10 - $44 10%
Cmh Ottawa County $10 - $44 10%
Cmh Van Buren County $10 - $44 10%
Cmh Washtenaw County $10 - $44 10%
Cmh Wayne County/Carelink $10 - $44 10%
Cmh Wayne Cty/Com Liv Svcs $10 - $44 10%
Cmh West Mi County $10 - $44 10%
Community Benefit Health $10 - $44 10%
Community Care Behavorial Health $10 - $44 10%
Community Care Partners $10 - $44 10%
Community Health Choice $10 - $44 10%
Connections Csp $10 - $44 10%
County Coroner $10 - $44 10%
County Funding Generic $10 - $44 10%
Covid19 Hrsa Uninsured Testing And Treatment Fund $10 - $44 10%
Dean Wi Badgercare $10 - $44 10%
Delaware County Department Of Health $10 - $44 10%
Delaware First Health $10 - $44 10%
Delta Dental Nj $10 - $44 10%
Dph Tb Program $10 - $44 10%
Dscc $10 - $44 10%
Eastpointe Lme $10 - $44 10%
Family Health Network $10 - $44 10%
Freedom First Healthcare $10 - $44 10%
Fresno County Ccs $10 - $44 10%
Ghc Scw Wi Badgercare $10 - $44 10%
Harbor Health $10 - $44 10%
Health Safety Net $10 - $44 10%
Healthy Blue Ne $10 - $44 10%
Hennepin Health $10 - $44 10%
Humana $10 - $47 10%
Id County Ada $10 - $44 10%
Id County Canyon $10 - $44 10%
Id County Cat Fund $10 - $44 10%
Id County Other $10 - $44 10%
Id County Payette $10 - $44 10%
Idaho Dept Health And Wellfare $10 - $44 10%
Idaho Womens Health Check $10 - $44 10%
Indiana Breast Cervical Cancer $10 - $44 10%
Inland Empire Health Plan $10 - $44 10%
Intercommunity Health Ohp $10 - $44 10%
Iowa Total Care $10 - $44 10%
Jai Medical System $10 - $44 10%
Kern Family Health Plan $10 - $44 10%
Keystone First $10 - $44 10%
Keystone First Chip $10 - $44 10%
La Care Health Plan $10 - $44 10%
Lakeland Care Inc $10 - $44 10%
Managed Health Services - Indiana $10 - $44 10%
Maryland Breast & Cervical Program $10 - $44 10%
Maryland Healthy Smiles - Scion Dental $10 - $44 10%
Maryland Physicians Care $10 - $44 10%
Massachusetts Behavioral Health Partnership $10 - $44 10%
Mdwise $10 - $44 10%
Medi-Cal $10 - $44 10%
Medi-Cal Healthnet $10 - $44 10%
Medicaid / KanCare $10 - $78 10%
Medstar Dc Healthy Family $10 - $44 10%
Medstar Md Health Choice $10 - $44 10%
Mo Home State Health Plan $10 - $44 10%
Molina Centennial Care $10 - $44 10%
Nascentia Health Options $10 - $44 10%
New York Cancer Services Program $10 - $44 10%
Nextlevel Health $10 - $44 10%
Oregon Screenwise $10 - $44 10%
Pace Of Southwest Michigan $10 - $44 10%
Paramount Advantage $10 - $44 10%
Parkland Community Health Plan $10 - $44 10%
Partners Behavioral Lme $10 - $44 10%
Peach State Healthplan $10 - $44 10%
Philadelphia County Funding $10 - $44 10%
Presbyterian Centennial Care $10 - $44 10%
Prestige Health Choice $10 - $44 10%
Priority Partners $10 - $44 10%
Robert F Sing Program $10 - $44 10%
Rx 340B Pass Along $10 - $44 10%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $10 - $44 10%
Rx Medi-Cal $10 - $44 10%
Rx Meridian Rx $10 - $44 10%
Ryan White Florida Mssrp $10 - $44 10%
Sandhills Center Lme $10 - $44 10%
Screening For Life $10 - $44 10%
St Joseph County Hlth Dpt $10 - $44 10%
Sunshine State Health Plan $10 - $44 10%
Superior Health $10 - $44 10%
Tenncare $10 - $44 10%
Texas Children'S Health Plan $10 - $44 10%
Trillium Community Ohp $10 - $44 10%
Tufts Health Public Plans $10 - $44 10%
UnitedHealthcare $10 - $67 10%
Vaya Health Lme $10 - $44 10%
Washtenaw Health Plan $10 - $44 10%
Wellpoint $10 - $45 10%
Wellsense Health Plan $10 - $44 10%
Wi Womens Wellness $10 - $44 10%
Veterans Administration $18 - $24 17%
Champva $20 - $24 19%
Tricare $20 - $24 19%
Triwest Health Alliance $20 - $24 19%
Us Family Health Plan $20 - $24 19%
Veterans Eval Services $20 - $24 19%
Aetna $22 - $83 21%
Align Senior Care $22 - $24 21%
Ally Align Care Adv $22 - $24 21%
American Health Advantage Of Idaho $22 - $24 21%
Aurora Special Needs $22 - $24 21%
Blue Care Network Advantage $22 - $24 21%
Blue Shield - De (Highmark) Medciare Advantage $22 - $24 21%
Care Dimensions $22 - $24 21%
Care Improvement Plus $22 - $24 21%
Care Resources Pace $22 - $24 21%
Careplus Health Plans $22 - $24 21%
Cca - Zing Health $22 - $24 21%
Cca Senior Care Options $22 - $24 21%
Central Valley Medical Services Corp Pace $22 - $24 21%
Champion Health Plan Mcr Advantage $22 - $24 21%
Clear Spring Health $22 - $24 21%
Clover Health $22 - $24 21%
Commonwealth Care Alliance $22 - $24 21%
Community Pace At Home $22 - $24 21%
Eddy Senior Care-Pace $22 - $24 21%
Eddy Seniorcare Pace $22 - $24 21%
Elementcare $22 - $24 21%
Evercare $22 - $24 21%
Everence $22 - $24 21%
Gateway Health Plan $22 - $24 21%
Genesys Pace Of Genesee County $22 - $24 21%
Georgia Health Advantage $22 - $24 21%
Gold Advantage $22 - $24 21%
Gpa Croell Redi Mix $22 - $24 21%
Health America Advantra $22 - $24 21%
Highmark Health Options Dual Plan $22 - $24 21%
Hope Select Pace $22 - $24 21%
Horizon Nj Total Care $22 - $24 21%
Hudson Headwaters Pace $22 - $24 21%
Huron Valley Pace $22 - $24 21%
Innovative Integrated Health Community Plans $22 - $24 21%
Johns Hopkins Advantage Md $22 - $24 21%
Lasso Healthcare Msa $22 - $24 21%
Life St Marys Pace $22 - $24 21%
Lifecircles Pace $22 - $24 21%
Longevity Health Plan $22 - $24 21%
Longevity Ipa Of Michigan Llc Health Plan Isnp $22 - $24 21%
Martins Point Generations Advantage $22 - $24 21%
Mass General Brigham Mcr Adv $22 - $24 21%
Medicare (plans) $22 - $30 21%
Medipak Advantage $22 - $24 21%
Mercy Life $22 - $24 21%
Mercyone Cedar Valley $22 - $24 21%
Meridian Complete $22 - $24 21%
Michigan Complete Health $22 - $24 21%
Nascentia Health Plus $22 - $24 21%
New Centry Health Careplus $22 - $24 21%
Osu Prime Care Advantage $22 - $24 21%
Pace Cny $22 - $24 21%
Pace Iowa Immanuel Pathways $22 - $24 21%
Pace Southeast $22 - $24 21%
Pace-Trinity Health $22 - $24 21%
Peak Pace Solutions $22 - $24 21%
Perennial Advantage $22 - $24 21%
Preferred Care Partners $22 - $24 21%
Presbyterian Senior Plan $22 - $24 21%
Provider Partners Health Plan Of Illinois $22 - $24 21%
Provider Partners Health Plan Of Indiana $22 - $24 21%
Pruitthealth Premier $22 - $24 21%
Reliance Community Care Partners Care Resources Pace $22 - $24 21%
Rx Allwin $22 - $24 21%
Rx Grane Grnmedd $22 - $24 21%
Rx Retiree Rx Care $22 - $24 21%
Scan Health Plan Mcr Ipa Meritage Oon $22 - $24 21%
Secure Horizons Ma Pffs $22 - $24 21%
Serenity Pace $22 - $24 21%
Siouxland Pace $22 - $24 21%
Solis Health Plans $22 - $24 21%
Sunnyview-Pace Finance Dept $22 - $24 21%
Texan Plus $22 - $24 21%
The Health Plan $22 - $24 21%
Thome Pace $22 - $24 21%
Todays Options $22 - $24 21%
Tribute Health Plans $22 - $24 21%
Um Health Advantage $22 - $24 21%
Union Health Service $22 - $24 21%
Welbe Health $22 - $24 21%
Wellmed $22 - $24 21%
Iowa Health Advantage $23 - $25 22%
Wc Corvel $23 - $28 22%
American Health Plan $25 - $26 24%
Amish Hospital Aid $29 - $32 28%
Stephenson Cty Health $31 30%
Amps $32 31%
Bcn Domestic $32 - $35 31%
Blue Benefit Administrators Of Massachusetts $32 - $35 31%
Blue Care Network $32 - $35 31%
Blue Distinction Transplant $32 - $35 31%
Blue Shield - Ca $32 - $35 31%
Blue Shield - Id (Regence) $32 - $35 31%
Blue Shield - Ny Highmark Northeastern $32 - $35 31%
Blue Shield - Ny Highmark Western $32 - $35 31%
Blue Shield - Pa (Highmark) $32 - $35 31%
Blue Shield - Wa (Regence) $32 - $35 31%
Health Choices $32 - $38 31%
Kaiser Domestic $32 - $35 31%
Pre-Employment $32 - $35 31%
Wc Domestic $32 - $35 31%
Allied Benefit Systems $34 - $38 33%
Auxiant $34 - $38 33%
Avera $34 - $36 33%
First Choice Health $34 - $38 33%
Group Administrators $34 - $38 33%
Health Partners $34 - $51 33%
Midlands $34 - $38 33%
Midlands Choice $34 - $38 33%
Nebraska Total Care $36 - $69 35%
Sanford Health Plan $36 - $39 35%
Medical Associates $37 - $40 36%
Lucent Health $40 - $43 39%
Meritain $40 - $47 39%
Ucare $40 - $42 39%
Quiktrip $43 - $58 41%
Usa Managed Care $43 - $47 41%
Claimdoc $46 - $50 44%
Preferred One $46 - $47 44%
Centivo $47 - $58 45%
The Alliance $47 - $50 45%
Global Excel $50 - $54 48%
Genex Wc $51 - $62 49%
Newton Correctional Facility $51 - $54 49%
Velocity $52 - $56 50%
Wc Align Network $54 - $66 52%
Wc Praxis Health Network $58 - $71 56%
Wc Reny Company $59 - $72 57%
Wc Velocity $59 - $72 57%
Wc O'Hara Corp $61 - $75 59%
Auto Velocity $62 - $75 60%
Health Smart $62 - $75 60%
Geha $63 - $67 61%
Andrie Inc $68 - $83 66%
East Greenbush Central School District $68 - $83 66%
Healthsmart Workers Comp $68 - $83 66%
Jag Source $68 - $83 66%
New York State Insurance Fund $68 - $83 66%
Njm Insurance Group $68 - $83 66%
Rx Heatlhcomp $68 - $83 66%
Rx Restat $68 - $83 66%
Rx Saif Opdp Wc $68 - $83 66%
Rx Worker'S Comp $68 - $83 66%
Wc Accident Fund $68 - $83 66%
Wc Ace $68 - $83 66%
Wc Acs Federal Employees $68 - $83 66%
Wc Acuity $68 - $83 66%
Wc Advantage $68 - $83 66%
Wc Aegis $68 - $83 66%
Wc Aig $68 - $83 66%
Wc Aims $68 - $83 66%
Wc Alaska National Ins $68 - $83 66%
Wc Allied $68 - $83 66%
Wc Am Trust N America $68 - $83 66%
Wc American Claims Mgmt $68 - $83 66%
Wc Amerisure $68 - $83 66%
Wc Amtrust $68 - $83 66%
Wc Asu Risk Mgt $68 - $83 66%
Wc Benetech $68 - $83 66%
Wc Berkley Admin $68 - $83 66%
Wc Broadspire $68 - $83 66%
Wc Broward County $68 - $83 66%
Wc Bunch & Associates $68 - $83 66%
Wc California State Comp Ins $68 - $83 66%
Wc California State Ins Fund $68 - $83 66%
Wc Capitol Area Health Consortium $68 - $83 66%
Wc Ccmsi $68 - $83 66%
Wc Chartis $68 - $83 66%
Wc Chubb $68 - $83 66%
Wc Cirma $68 - $83 66%
Wc City Of Albany $68 - $83 66%
Wc City Of Sioux City $68 - $83 66%
Wc Claims Mgmt Inc $68 - $83 66%
Wc Cna $68 - $83 66%
Wc Comp One Admin C/O Manageability $68 - $83 66%
Wc Compone Admin $68 - $83 66%
Wc Ct Healthcare Trust $68 - $83 66%
Wc Donegal Insurance Group $68 - $83 66%
Wc Emc Insurance Company $68 - $83 66%
Wc Employee Mutual $68 - $83 66%
Wc Enablecomp $68 - $83 66%
Wc Encore Health Network $68 - $83 66%
Wc Erie $68 - $83 66%
Wc Esis $68 - $83 66%
Wc Evolutions $68 - $83 66%
Wc Fcci $68 - $83 66%
Wc Fed Ex $68 - $83 66%
Wc Federal Black Lung $68 - $83 66%
Wc Federated $68 - $83 66%
Wc Finley Occupational Health $68 - $83 66%
Wc First Agency/Occunet $68 - $83 66%
Wc Ford Motor $68 - $83 66%
Wc Fresno Unified Emp $68 - $83 66%
Wc Gallagher Bassett $68 - $83 66%
Wc General Motors $68 - $83 66%
Wc Generic $68 - $83 66%
Wc Genex Care For Ohio $68 - $83 66%
Wc Great West Casualty $68 - $83 66%
Wc Guarantee Insurance $68 - $83 66%
Wc Guard Insurance Company $68 - $83 66%
Wc Hab $68 - $83 66%
Wc Hartford $68 - $83 66%
Wc Hastings $68 - $83 66%
Wc Health Management $68 - $83 66%
Wc Heritage Summit $68 - $83 66%
Wc Hireright $68 - $83 66%
Wc Horizon $68 - $83 66%
Wc Icw Group $68 - $83 66%
Wc Idaho State Ins Fund $68 - $83 66%
Wc Intercare Insurance $68 - $83 66%
Wc Intermountain $68 - $83 66%
Wc Johns Eastern $68 - $83 66%
Wc Kemberton $68 - $83 66%
Wc Key Ins & Benefit Solutions $68 - $83 66%
Wc Liberty Mutual $68 - $83 66%
Wc Mac Risk Management $68 - $83 66%
Wc Massachusetts $68 - $83 66%
Wc Mdia $68 - $83 66%
Wc Meadowbrook Claim $68 - $83 66%
Wc Medical Administrators $68 - $83 66%
Wc Meijers $68 - $83 66%
Wc Memic $68 - $83 66%
Wc Mercy Workcare $68 - $83 66%
Wc Michigan $68 - $83 66%
Wc Michigan Millers Mutual $68 - $83 66%
Wc Mitchell Frankenmuth $68 - $83 66%
Wc Mra $68 - $83 66%
Wc Nationwide $68 - $83 66%
Wc Nca Comp $68 - $83 66%
Wc New York $68 - $83 66%
Wc New York Special Funds $68 - $83 66%
Wc North American Rishces $68 - $83 66%
Wc Northeast Health $68 - $83 66%
Wc Notre Dame $68 - $83 66%
Wc Novanet $68 - $83 66%
Wc Occ Health Allen $68 - $83 66%
Wc Ohio Bureau $68 - $83 66%
Wc One Call Medical $68 - $83 66%
Wc Paradigm $68 - $83 66%
Wc Peerless $68 - $83 66%
Wc Pma $68 - $83 66%
Wc Price Chopper $68 - $83 66%
Wc Procura Management $68 - $83 66%
Wc Qualcare $68 - $83 66%
Wc Quiktrip $68 - $83 66%
Wc Rev Claims $68 - $83 66%
Wc Risico $68 - $83 66%
Wc Rural Mutual $68 - $83 66%
Wc Saif Oregon $68 - $83 66%
Wc Secura $68 - $83 66%
Wc Sedgwick $68 - $83 66%
Wc Sentry $68 - $83 66%
Wc Sheakley Unicomp $68 - $83 66%
Wc Smile Lodge $68 - $83 66%
Wc Society $68 - $83 66%
Wc Srs $68 - $83 66%
Wc Taconic (Mro) $68 - $83 66%
Wc Taconic Farms $68 - $83 66%
Wc Travelers $68 - $83 66%
Wc Triad Group $68 - $83 66%
Wc Tristar $68 - $83 66%
Wc Troy Ny $68 - $83 66%
Wc Tyson $68 - $83 66%
Wc Unified Health Services $68 - $83 66%
Wc United Heartland $68 - $83 66%
Wc Us Dept Of Labor $68 - $83 66%
Wc Walmart $68 - $83 66%
Wc West Bend $68 - $83 66%
Wc West Bend Mutual/Argent $68 - $83 66%
Wc Winnebago Industries $68 - $83 66%
Wc Yankee Trails $68 - $83 66%
Wc York Risk $68 - $83 66%
Wc Zenith $68 - $83 66%
Wc Zurich $68 - $83 66%
Iowa Dept Of Public Health $69 - $83 66%
Oscar $69 - $73 66%
Multiplan $78 - $83 75%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1111 6Th Ave, Des Moines, IA 50314
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals