CMS Price Transparency Data

Occupational therapy (therapeutic activities)

Facility: Mercyone Des Moines Medical Center

Billing Code: 97530 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$28
about 0.8× the $35 Medicare rate · typically $20–$57
modeled estimate · not a bill or quote
What this hospital charges insurers
$28
About the fair price
0.8× Medicare
Medicare pays $35 Fair price $28 This hospital $28 Cash price $107 Hospital's list price $120

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 7 of 8 other IA hospitals charge more for the same procedure.

Cheapest $26 Priciest $36

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Occupational therapy (therapeutic activities) is about $28 (about 0.8× the $35 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $28, or about $107 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 $21 - $211 60%
Blue Cross Blue Shieldmajor $21 - $52 60%
Aetnamajor $24 - $74 68%
Cignamajor $21 - $99 60%
Humanamajor $21 - $53 60%
Kaiser Permanentemajor $45 - $52 128%
Ambetter (Centene) $21 - $56 60%
Clover Health $28 - $33 80%
GEHA $33 - $189 94%
Health Net $21 - $74 60%
HealthPartners $21 - $105 60%
Medica $107 305%
Medical Mutual $57 163%
Meridian $21 - $33 60%
Molina $21 - $26 60%
Oscar Health $38 - $47 108%
Paramount $21 - $26 60%
Presbyterian $21 - $33 60%
Sanford Health Plan $48 - $56 137%
Tufts Health Plan $21 - $26 60%
UCare $53 - $59 151%
WellMed $28 - $33 80%
WellSense $21 - $26 60%
+ 362 smaller / regional plans $21 - $165
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