CMS Price Transparency Data

Occupational therapy (self-care training)

Facility: Mercyone Des Moines Medical Center

Billing Code: 97535 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.8× the $32 Medicare rate · typically $21–$51
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
about $2 over the fair price · 0.9× Medicare
Medicare pays $32 Fair price $26 This hospital $28 Cash price $66 Hospital's list price $113

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 6 of 8 other IA hospitals charge more for the same procedure.

Cheapest $26 Priciest $32

Black dot = this hospital, among the 9 IA hospitals with a price for this procedure. Full list below.

A fair price for a Occupational therapy (self-care training) is about $26 (about 0.8× the $32 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $28, or about $66 in cash — about the fair price. Located in Des Moines, IA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $23 - $211 71%
Blue Cross Blue Shieldmajor $23 - $45 71%
Aetnamajor $22 - $66 68%
Cignamajor $23 - $96 71%
Humanamajor $23 - $49 71%
Kaiser Permanentemajor $41 - $45 127%
Ambetter (Centene) $23 - $52 71%
Clover Health $26 - $30 80%
GEHA $29 - $189 90%
Health Net $23 - $66 71%
HealthPartners $23 - $102 71%
Medica $104 321%
Medical Mutual $56 173%
Meridian $23 - $30 71%
Molina $23 - $28 71%
Oscar Health $35 - $44 108%
Paramount $23 - $28 71%
Presbyterian $23 - $30 71%
Sanford Health Plan $44 - $45 136%
Tufts Health Plan $23 - $28 71%
UCare $45 - $49 139%
WellMed $26 - $30 80%
WellSense $23 - $28 71%
+ 362 smaller / regional plans $23 - $160
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 14 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

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