CMS Price Transparency Data

Physical therapy (neuromuscular re-education)

Facility: Mercyone Des Moines Medical Center

Billing Code: 97112 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$26
about 0.8× the $33 Medicare rate · typically $22–$56
modeled estimate · not a bill or quote
What this hospital charges insurers
$27
About the fair price
about $1 over the fair price · 0.8× Medicare
Medicare pays $33 Fair price $26 This hospital $27 Cash price $106 Hospital's list price $160

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 $33

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 Physical therapy (neuromuscular re-education) is about $26 (about 0.8× the $33 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $27, or about $106 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 70%
Blue Cross Blue Shieldmajor $23 - $48 70%
Aetnamajor $22 - $68 67%
Cignamajor $23 - $100 70%
Humanamajor $23 - $50 70%
Kaiser Permanentemajor $41 - $48 125%
Ambetter (Centene) $23 - $53 70%
Clover Health $26 - $31 79%
GEHA $30 - $189 92%
Health Net $23 - $68 70%
HealthPartners $23 - $105 70%
Medica $104 - $108 318%
Medical Mutual $56 - $58 171%
Meridian $23 - $31 70%
Molina $23 - $27 70%
Oscar Health $36 - $45 110%
Paramount $23 - $27 70%
Presbyterian $23 - $31 70%
Sanford Health Plan $45 - $52 137%
Tufts Health Plan $23 - $27 70%
UCare $49 - $58 150%
WellMed $26 - $31 79%
WellSense $23 - $27 70%
+ 362 smaller / regional plans $23 - $166
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