CMS Price Transparency Data

Physical therapy (manual therapy)

Facility: Mercyone Des Moines Medical Center

Billing Code: 97140 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97140
  • Insurance Median: $29
  • Cash Discount Price: $119
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Physical therapy (manual therapy) at Mercyone Des Moines Medical Center is $29. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $27.72, this hospital’s rate is 1.05x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$119

Average discount available for prompt cash payment at this facility.

Insurance Median
$29

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$27.72

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $27.72 (100%)
Cash / Self-Pay: $119 (429%)
Insurance Median: $29 (105%)
Cash: $119 (429% of Medicare)
Ins. Median: $29 (105% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $27.72 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
Aetna $18 - $65 65%
Medicaid / KanCare $18 - $55 65%
Align Senior Care $22 - $26 79%
Ally Align Care Adv $22 - $26 79%
American Health Advantage Of Idaho $22 - $26 79%
Aurora Special Needs $22 - $26 79%
Blue Care Network Advantage $22 - $26 79%
Blue Cross Blue Shield $22 - $41 79%
Blue Shield - De (Highmark) Medciare Advantage $22 - $26 79%
Care Dimensions $22 - $26 79%
Care Improvement Plus $22 - $26 79%
Care Resources Pace $22 - $26 79%
Careplus Health Plans $22 - $26 79%
Cca - Zing Health $22 - $26 79%
Cca Senior Care Options $22 - $26 79%
Central Valley Medical Services Corp Pace $22 - $26 79%
Champion Health Plan Mcr Advantage $22 - $26 79%
Champva $22 - $26 79%
Cigna $22 - $112 79%
Clear Spring Health $22 - $26 79%
Clover Health $22 - $26 79%
Commonwealth Care Alliance $22 - $26 79%
Community Pace At Home $22 - $26 79%
Eddy Senior Care-Pace $22 - $26 79%
Eddy Seniorcare Pace $22 - $26 79%
Elementcare $22 - $26 79%
Evercare $22 - $26 79%
Everence $22 - $26 79%
Gateway Health Plan $22 - $26 79%
Genesys Pace Of Genesee County $22 - $26 79%
Georgia Health Advantage $22 - $26 79%
Gold Advantage $22 - $26 79%
Gpa Croell Redi Mix $22 - $26 79%
Health America Advantra $22 - $26 79%
Highmark Health Options Dual Plan $22 - $26 79%
Hope Select Pace $22 - $26 79%
Horizon Nj Total Care $22 - $26 79%
Hudson Headwaters Pace $22 - $26 79%
Humana $22 - $42 79%
Huron Valley Pace $22 - $26 79%
Innovative Integrated Health Community Plans $22 - $26 79%
Johns Hopkins Advantage Md $22 - $26 79%
Lasso Healthcare Msa $22 - $26 79%
Life St Marys Pace $22 - $26 79%
Lifecircles Pace $22 - $26 79%
Longevity Health Plan $22 - $26 79%
Longevity Ipa Of Michigan Llc Health Plan Isnp $22 - $26 79%
Martins Point Generations Advantage $22 - $26 79%
Mass General Brigham Mcr Adv $22 - $26 79%
Medicare (plans) $22 - $28 79%
Medipak Advantage $22 - $26 79%
Mercy Life $22 - $26 79%
Mercyone Cedar Valley $22 - $26 79%
Meridian Complete $22 - $26 79%
Michigan Complete Health $22 - $26 79%
Nascentia Health Plus $22 - $26 79%
New Centry Health Careplus $22 - $26 79%
Osu Prime Care Advantage $22 - $26 79%
Pace Cny $22 - $26 79%
Pace Iowa Immanuel Pathways $22 - $26 79%
Pace Of Southwest Michigan $22 - $29 79%
Pace Southeast $22 - $26 79%
Pace-Trinity Health $22 - $26 79%
Peak Pace Solutions $22 - $26 79%
Perennial Advantage $22 - $26 79%
Preferred Care Partners $22 - $26 79%
Presbyterian Senior Plan $22 - $26 79%
Provider Partners Health Plan Of Illinois $22 - $26 79%
Provider Partners Health Plan Of Indiana $22 - $26 79%
Pruitthealth Premier $22 - $26 79%
Reliance Community Care Partners Care Resources Pace $22 - $26 79%
Rx Allwin $22 - $26 79%
Rx Grane Grnmedd $22 - $26 79%
Rx Retiree Rx Care $22 - $26 79%
Scan Health Plan Mcr Ipa Meritage Oon $22 - $26 79%
Secure Horizons Ma Pffs $22 - $26 79%
Serenity Pace $22 - $26 79%
Siouxland Pace $22 - $26 79%
Solis Health Plans $22 - $26 79%
Sunnyview-Pace Finance Dept $22 - $26 79%
Texan Plus $22 - $26 79%
The Health Plan $22 - $26 79%
Thome Pace $22 - $26 79%
Todays Options $22 - $26 79%
Tribute Health Plans $22 - $26 79%
Tricare $22 - $26 79%
Triwest Health Alliance $22 - $26 79%
Um Health Advantage $22 - $26 79%
Union Health Service $22 - $26 79%
UnitedHealthcare $22 - $211 79%
Us Family Health Plan $22 - $26 79%
Veterans Administration $22 - $26 79%
Veterans Eval Services $22 - $26 79%
Welbe Health $22 - $26 79%
Wellmed $22 - $26 79%
American Health Plan $23 - $27 83%
Iowa Health Advantage $23 - $27 83%
Geha $24 - $189 87%
Iowa Total Care $24 - $47 87%
Albany County Correctional Facility $25 - $29 90%
Ambetter / Centene $25 - $45 90%
Amish Mennonite $25 - $29 90%
Ascension St. Vincent Public Safety Medical $25 - $29 90%
Bcccp-Michigan $25 - $29 90%
Bccp $25 - $29 90%
Bmc Healthnet $25 - $29 90%
Breast Grant-Connecticut $25 - $29 90%
Broward County Dept Of Health $25 - $29 90%
California Health And Wellness $25 - $29 90%
Can Community Health Inc $25 - $29 90%
Cardinal Innovations Lme $25 - $29 90%
Care Connections Of Northern Iowa $25 - $29 90%
Care Oregon Ohp $25 - $29 90%
Cencal Health Plan $25 - $29 90%
Cenpatico $25 - $29 90%
Chhuny $25 - $29 90%
Childrens Comm Health Plan $25 - $29 90%
Childrens Medical Services Title 19 $25 - $29 90%
City Of Philadelphia $25 - $29 90%
Cmh Allegan County $25 - $29 90%
Cmh Ausable Valley $25 - $29 90%
Cmh Barry County $25 - $29 90%
Cmh Bay-Arenac County $25 - $29 90%
Cmh Berrien County $25 - $29 90%
Cmh Cass County $25 - $29 90%
Cmh Central Mi County $25 - $29 90%
Cmh Clinton-Eaton-Ingham County $25 - $29 90%
Cmh Detroit Wayne Integrated Health Network $25 - $29 90%
Cmh Genesee County $25 - $29 90%
Cmh Ionia County $25 - $29 90%
Cmh Jackson County/Lifeways $25 - $29 90%
Cmh Kalamazoo $25 - $29 90%
Cmh Kent County $25 - $29 90%
Cmh Lenawee County $25 - $29 90%
Cmh Livingston County $25 - $29 90%
Cmh Macomb $25 - $29 90%
Cmh Misc $25 - $29 90%
Cmh Monroe County $25 - $29 90%
Cmh Montcalm County $25 - $29 90%
Cmh Muskegon County $25 - $29 90%
Cmh Newaygo County $25 - $29 90%
Cmh North Country $25 - $29 90%
Cmh Northern Lakes County $25 - $29 90%
Cmh Oakland County $25 - $29 90%
Cmh Ottawa County $25 - $29 90%
Cmh Van Buren County $25 - $29 90%
Cmh Washtenaw County $25 - $29 90%
Cmh Wayne County/Carelink $25 - $29 90%
Cmh Wayne Cty/Com Liv Svcs $25 - $29 90%
Cmh West Mi County $25 - $29 90%
Community Benefit Health $25 - $29 90%
Community Care Behavorial Health $25 - $29 90%
Community Care Partners $25 - $29 90%
Community Health Choice $25 - $29 90%
Connections Csp $25 - $29 90%
County Coroner $25 - $29 90%
County Funding Generic $25 - $29 90%
Covid19 Hrsa Uninsured Testing And Treatment Fund $25 - $29 90%
Dean Wi Badgercare $25 - $29 90%
Delaware County Department Of Health $25 - $29 90%
Delaware First Health $25 - $29 90%
Delta Dental Nj $25 - $29 90%
Dph Tb Program $25 - $29 90%
Dscc $25 - $29 90%
Eastpointe Lme $25 - $29 90%
Family Health Network $25 - $29 90%
Freedom First Healthcare $25 - $29 90%
Fresno County Ccs $25 - $29 90%
Ghc Scw Wi Badgercare $25 - $29 90%
Harbor Health $25 - $29 90%
Health Safety Net $25 - $29 90%
Healthy Blue Ne $25 - $29 90%
Hennepin Health $25 - $29 90%
Id County Ada $25 - $29 90%
Id County Canyon $25 - $29 90%
Id County Cat Fund $25 - $29 90%
Id County Other $25 - $29 90%
Id County Payette $25 - $29 90%
Idaho Dept Health And Wellfare $25 - $29 90%
Idaho Womens Health Check $25 - $29 90%
Indiana Breast Cervical Cancer $25 - $29 90%
Inland Empire Health Plan $25 - $29 90%
Intercommunity Health Ohp $25 - $29 90%
Jai Medical System $25 - $29 90%
Kern Family Health Plan $25 - $29 90%
Keystone First $25 - $29 90%
Keystone First Chip $25 - $29 90%
La Care Health Plan $25 - $29 90%
Lakeland Care Inc $25 - $29 90%
Managed Health Services - Indiana $25 - $29 90%
Maryland Breast & Cervical Program $25 - $29 90%
Maryland Healthy Smiles - Scion Dental $25 - $29 90%
Maryland Physicians Care $25 - $29 90%
Massachusetts Behavioral Health Partnership $25 - $29 90%
Mdwise $25 - $29 90%
Medi-Cal $25 - $29 90%
Medi-Cal Healthnet $25 - $29 90%
Medstar Dc Healthy Family $25 - $29 90%
Medstar Md Health Choice $25 - $29 90%
Mo Home State Health Plan $25 - $29 90%
Molina Centennial Care $25 - $29 90%
Nascentia Health Options $25 - $29 90%
New York Cancer Services Program $25 - $29 90%
Nextlevel Health $25 - $29 90%
Oregon Screenwise $25 - $29 90%
Paramount Advantage $25 - $29 90%
Parkland Community Health Plan $25 - $29 90%
Partners Behavioral Lme $25 - $29 90%
Peach State Healthplan $25 - $29 90%
Philadelphia County Funding $25 - $29 90%
Presbyterian Centennial Care $25 - $29 90%
Prestige Health Choice $25 - $29 90%
Priority Partners $25 - $29 90%
Robert F Sing Program $25 - $29 90%
Rx 340B Pass Along $25 - $29 90%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $25 - $29 90%
Rx Medi-Cal $25 - $29 90%
Rx Meridian Rx $25 - $29 90%
Ryan White Florida Mssrp $25 - $29 90%
Sandhills Center Lme $25 - $29 90%
Screening For Life $25 - $29 90%
St Joseph County Hlth Dpt $25 - $29 90%
Sunshine State Health Plan $25 - $29 90%
Superior Health $25 - $29 90%
Tenncare $25 - $29 90%
Texas Children'S Health Plan $25 - $29 90%
Trillium Community Ohp $25 - $29 90%
Tufts Health Public Plans $25 - $29 90%
Vaya Health Lme $25 - $29 90%
Washtenaw Health Plan $25 - $29 90%
Wc Corvel $25 90%
Wellpoint $25 - $30 90%
Wellsense Health Plan $25 - $29 90%
Wi Womens Wellness $25 - $29 90%
Stephenson Cty Health $28 101%
Amps $29 - $36 105%
Amish Hospital Aid $30 - $35 108%
Oscar $30 - $38 108%
Newton Correctional Facility $33 - $36 119%
Avera $35 - $41 126%
Bcn Domestic $35 - $41 126%
Blue Benefit Administrators Of Massachusetts $35 - $41 126%
Blue Care Network $35 - $41 126%
Blue Distinction Transplant $35 - $41 126%
Blue Shield - Ca $35 - $41 126%
Blue Shield - Id (Regence) $35 - $41 126%
Blue Shield - Ny Highmark Northeastern $35 - $41 126%
Blue Shield - Ny Highmark Western $35 - $41 126%
Blue Shield - Pa (Highmark) $35 - $41 126%
Blue Shield - Wa (Regence) $35 - $41 126%
Health Choices $35 - $47 126%
Kaiser Domestic $35 - $41 126%
Pre-Employment $35 - $41 126%
Wc Domestic $35 - $41 126%
Medical Associates $36 - $44 130%
Centivo $38 - $51 137%
Health Partners $38 - $118 137%
Sanford Health Plan $38 - $44 137%
Lucent Health $40 - $65 144%
Ucare $41 - $49 148%
Quiktrip $44 - $51 159%
Usa Managed Care $44 - $158 159%
Wc Praxis Health Network $44 - $47 159%
Wc Reny Company $45 - $48 162%
Wc Velocity $45 - $48 162%
Auto Velocity $46 - $50 166%
Health Smart $46 - $50 166%
Preferred One $46 - $51 166%
Wc O'Hara Corp $46 - $50 166%
Allied Benefit Systems $47 - $65 170%
Auxiant $47 - $121 170%
Claimdoc $47 - $53 170%
First Choice Health $47 170%
Group Administrators $47 170%
Midlands $47 - $121 170%
Midlands Choice $47 - $121 170%
The Alliance $47 - $51 170%
Meritain $49 - $65 177%
Andrie Inc $51 - $55 184%
East Greenbush Central School District $51 - $55 184%
Genex Wc $51 - $55 184%
Global Excel $51 184%
Healthsmart Workers Comp $51 - $55 184%
Iowa Dept Of Public Health $51 - $186 184%
Jag Source $51 - $55 184%
Multiplan $51 - $55 184%
Nebraska Total Care $51 - $55 184%
New York State Insurance Fund $51 - $55 184%
Njm Insurance Group $51 - $55 184%
Rx Heatlhcomp $51 - $55 184%
Rx Restat $51 - $55 184%
Rx Saif Opdp Wc $51 - $55 184%
Rx Worker'S Comp $51 - $55 184%
Velocity $51 - $53 184%
Wc Accident Fund $51 - $55 184%
Wc Ace $51 - $55 184%
Wc Acs Federal Employees $51 - $55 184%
Wc Acuity $51 - $55 184%
Wc Advantage $51 - $55 184%
Wc Aegis $51 - $55 184%
Wc Aig $51 - $55 184%
Wc Aims $51 - $55 184%
Wc Alaska National Ins $51 - $55 184%
Wc Align Network $51 - $55 184%
Wc Allied $51 - $55 184%
Wc Am Trust N America $51 - $55 184%
Wc American Claims Mgmt $51 - $55 184%
Wc Amerisure $51 - $55 184%
Wc Amtrust $51 - $55 184%
Wc Asu Risk Mgt $51 - $55 184%
Wc Benetech $51 - $55 184%
Wc Berkley Admin $51 - $55 184%
Wc Broadspire $51 - $55 184%
Wc Broward County $51 - $55 184%
Wc Bunch & Associates $51 - $55 184%
Wc California State Comp Ins $51 - $55 184%
Wc California State Ins Fund $51 - $55 184%
Wc Capitol Area Health Consortium $51 - $55 184%
Wc Ccmsi $51 - $55 184%
Wc Chartis $51 - $55 184%
Wc Chubb $51 - $55 184%
Wc Cirma $51 - $55 184%
Wc City Of Albany $51 - $55 184%
Wc City Of Sioux City $51 - $55 184%
Wc Claims Mgmt Inc $51 - $55 184%
Wc Cna $51 - $55 184%
Wc Comp One Admin C/O Manageability $51 - $55 184%
Wc Compone Admin $51 - $55 184%
Wc Ct Healthcare Trust $51 - $55 184%
Wc Donegal Insurance Group $51 - $55 184%
Wc Emc Insurance Company $51 - $55 184%
Wc Employee Mutual $51 - $55 184%
Wc Enablecomp $51 - $55 184%
Wc Encore Health Network $51 - $55 184%
Wc Erie $51 - $55 184%
Wc Esis $51 - $55 184%
Wc Evolutions $51 - $55 184%
Wc Fcci $51 - $55 184%
Wc Fed Ex $51 - $55 184%
Wc Federal Black Lung $51 - $55 184%
Wc Federated $51 - $55 184%
Wc Finley Occupational Health $51 - $55 184%
Wc First Agency/Occunet $51 - $55 184%
Wc Ford Motor $51 - $55 184%
Wc Fresno Unified Emp $51 - $55 184%
Wc Gallagher Bassett $51 - $55 184%
Wc General Motors $51 - $55 184%
Wc Generic $51 - $55 184%
Wc Genex Care For Ohio $51 - $55 184%
Wc Great West Casualty $51 - $55 184%
Wc Guarantee Insurance $51 - $55 184%
Wc Guard Insurance Company $51 - $55 184%
Wc Hab $51 - $55 184%
Wc Hartford $51 - $55 184%
Wc Hastings $51 - $55 184%
Wc Health Management $51 - $55 184%
Wc Heritage Summit $51 - $55 184%
Wc Hireright $51 - $55 184%
Wc Horizon $51 - $55 184%
Wc Icw Group $51 - $55 184%
Wc Idaho State Ins Fund $51 - $55 184%
Wc Intercare Insurance $51 - $55 184%
Wc Intermountain $51 - $55 184%
Wc Johns Eastern $51 - $55 184%
Wc Kemberton $51 - $55 184%
Wc Key Ins & Benefit Solutions $51 - $55 184%
Wc Liberty Mutual $51 - $55 184%
Wc Mac Risk Management $51 - $55 184%
Wc Massachusetts $51 - $55 184%
Wc Mdia $51 - $55 184%
Wc Meadowbrook Claim $51 - $55 184%
Wc Medical Administrators $51 - $55 184%
Wc Meijers $51 - $55 184%
Wc Memic $51 - $55 184%
Wc Mercy Workcare $51 - $55 184%
Wc Michigan $51 - $55 184%
Wc Michigan Millers Mutual $51 - $55 184%
Wc Mitchell Frankenmuth $51 - $55 184%
Wc Mra $51 - $55 184%
Wc Nationwide $51 - $55 184%
Wc Nca Comp $51 - $55 184%
Wc New York $51 - $55 184%
Wc New York Special Funds $51 - $55 184%
Wc North American Rishces $51 - $55 184%
Wc Northeast Health $51 - $55 184%
Wc Notre Dame $51 - $55 184%
Wc Novanet $51 - $55 184%
Wc Occ Health Allen $51 - $55 184%
Wc Ohio Bureau $51 - $55 184%
Wc One Call Medical $51 - $55 184%
Wc Paradigm $51 - $55 184%
Wc Peerless $51 - $55 184%
Wc Pma $51 - $55 184%
Wc Price Chopper $51 - $55 184%
Wc Procura Management $51 - $55 184%
Wc Qualcare $51 - $55 184%
Wc Quiktrip $51 - $55 184%
Wc Rev Claims $51 - $55 184%
Wc Risico $51 - $55 184%
Wc Rural Mutual $51 - $55 184%
Wc Saif Oregon $51 - $55 184%
Wc Secura $51 - $55 184%
Wc Sedgwick $51 - $55 184%
Wc Sentry $51 - $55 184%
Wc Sheakley Unicomp $51 - $55 184%
Wc Smile Lodge $51 - $55 184%
Wc Society $51 - $55 184%
Wc Srs $51 - $55 184%
Wc Taconic (Mro) $51 - $55 184%
Wc Taconic Farms $51 - $55 184%
Wc Travelers $51 - $55 184%
Wc Triad Group $51 - $55 184%
Wc Tristar $51 - $55 184%
Wc Troy Ny $51 - $55 184%
Wc Tyson $51 - $55 184%
Wc Unified Health Services $51 - $55 184%
Wc United Heartland $51 - $55 184%
Wc Us Dept Of Labor $51 - $55 184%
Wc Walmart $51 - $55 184%
Wc West Bend $51 - $55 184%
Wc West Bend Mutual/Argent $51 - $55 184%
Wc Winnebago Industries $51 - $55 184%
Wc Yankee Trails $51 - $55 184%
Wc York Risk $51 - $55 184%
Wc Zenith $51 - $55 184%
Wc Zurich $51 - $55 184%
Nova $53 191%
1199 National Benefit Fund $62 - $65 224%
Asr Health Benefits $62 - $65 224%
Christian Brother Services $62 - $65 224%
Coventry $62 - $65 224%
First Health $62 - $65 224%
Luminare Health $62 - $65 224%
Medical Mutual $62 - $65 224%
Trustmark Small Business Benefits $62 - $65 224%
Webtpa $62 - $65 224%
Medica $116 - $121 418%
Crime Victim Assistance $179 - $186 646%

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