CMS Price Transparency Data

Physical therapy (therapeutic exercise)

Facility: Mercyone Des Moines Medical Center

Billing Code: 97110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 97110
  • Insurance Median: $27
  • Cash Discount Price: $99
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Physical therapy (therapeutic exercise) at Mercyone Des Moines Medical Center is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $99. Compared to the federal Medicare reimbursement reference rate of $29.06, this hospital’s rate is 0.93x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$99

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$29.06

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $29.06 (100%)
Cash / Self-Pay: $99 (341%)
Insurance Median: $27 (93%)
Cash: $99 (341% of Medicare)
Ins. Median: $27 (93% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $29.06 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 $19 - $60 65%
Medicaid / KanCare $19 - $60 65%
Albany County Correctional Facility $22 - $26 76%
Ambetter / Centene $22 - $47 76%
Amish Mennonite $22 - $26 76%
Ascension St. Vincent Public Safety Medical $22 - $26 76%
Bcccp-Michigan $22 - $26 76%
Bccp $22 - $26 76%
Blue Cross Blue Shield $22 - $44 76%
Bmc Healthnet $22 - $26 76%
Breast Grant-Connecticut $22 - $26 76%
Broward County Dept Of Health $22 - $26 76%
California Health And Wellness $22 - $26 76%
Can Community Health Inc $22 - $26 76%
Cardinal Innovations Lme $22 - $26 76%
Care Connections Of Northern Iowa $22 - $26 76%
Care Oregon Ohp $22 - $26 76%
Cencal Health Plan $22 - $26 76%
Cenpatico $22 - $26 76%
Chhuny $22 - $26 76%
Childrens Comm Health Plan $22 - $26 76%
Childrens Medical Services Title 19 $22 - $26 76%
Cigna $22 - $93 76%
City Of Philadelphia $22 - $26 76%
Cmh Allegan County $22 - $26 76%
Cmh Ausable Valley $22 - $26 76%
Cmh Barry County $22 - $26 76%
Cmh Bay-Arenac County $22 - $26 76%
Cmh Berrien County $22 - $26 76%
Cmh Cass County $22 - $26 76%
Cmh Central Mi County $22 - $26 76%
Cmh Clinton-Eaton-Ingham County $22 - $26 76%
Cmh Detroit Wayne Integrated Health Network $22 - $26 76%
Cmh Genesee County $22 - $26 76%
Cmh Ionia County $22 - $26 76%
Cmh Jackson County/Lifeways $22 - $26 76%
Cmh Kalamazoo $22 - $26 76%
Cmh Kent County $22 - $26 76%
Cmh Lenawee County $22 - $26 76%
Cmh Livingston County $22 - $26 76%
Cmh Macomb $22 - $26 76%
Cmh Misc $22 - $26 76%
Cmh Monroe County $22 - $26 76%
Cmh Montcalm County $22 - $26 76%
Cmh Muskegon County $22 - $26 76%
Cmh Newaygo County $22 - $26 76%
Cmh North Country $22 - $26 76%
Cmh Northern Lakes County $22 - $26 76%
Cmh Oakland County $22 - $26 76%
Cmh Ottawa County $22 - $26 76%
Cmh Van Buren County $22 - $26 76%
Cmh Washtenaw County $22 - $26 76%
Cmh Wayne County/Carelink $22 - $26 76%
Cmh Wayne Cty/Com Liv Svcs $22 - $26 76%
Cmh West Mi County $22 - $26 76%
Community Benefit Health $22 - $26 76%
Community Care Behavorial Health $22 - $26 76%
Community Care Partners $22 - $26 76%
Community Health Choice $22 - $26 76%
Connections Csp $22 - $26 76%
County Coroner $22 - $26 76%
County Funding Generic $22 - $26 76%
Covid19 Hrsa Uninsured Testing And Treatment Fund $22 - $26 76%
Dean Wi Badgercare $22 - $26 76%
Delaware County Department Of Health $22 - $26 76%
Delaware First Health $22 - $26 76%
Delta Dental Nj $22 - $26 76%
Dph Tb Program $22 - $26 76%
Dscc $22 - $26 76%
Eastpointe Lme $22 - $26 76%
Family Health Network $22 - $26 76%
Freedom First Healthcare $22 - $26 76%
Fresno County Ccs $22 - $26 76%
Ghc Scw Wi Badgercare $22 - $26 76%
Harbor Health $22 - $26 76%
Health Safety Net $22 - $26 76%
Healthy Blue Ne $22 - $26 76%
Hennepin Health $22 - $26 76%
Humana $22 - $44 76%
Id County Ada $22 - $26 76%
Id County Canyon $22 - $26 76%
Id County Cat Fund $22 - $26 76%
Id County Other $22 - $26 76%
Id County Payette $22 - $26 76%
Idaho Dept Health And Wellfare $22 - $26 76%
Idaho Womens Health Check $22 - $26 76%
Indiana Breast Cervical Cancer $22 - $26 76%
Inland Empire Health Plan $22 - $26 76%
Intercommunity Health Ohp $22 - $26 76%
Iowa Total Care $22 - $51 76%
Jai Medical System $22 - $26 76%
Kern Family Health Plan $22 - $26 76%
Keystone First $22 - $26 76%
Keystone First Chip $22 - $26 76%
La Care Health Plan $22 - $26 76%
Lakeland Care Inc $22 - $26 76%
Managed Health Services - Indiana $22 - $26 76%
Maryland Breast & Cervical Program $22 - $26 76%
Maryland Healthy Smiles - Scion Dental $22 - $26 76%
Maryland Physicians Care $22 - $26 76%
Massachusetts Behavioral Health Partnership $22 - $26 76%
Mdwise $22 - $26 76%
Medi-Cal $22 - $26 76%
Medi-Cal Healthnet $22 - $26 76%
Medstar Dc Healthy Family $22 - $26 76%
Medstar Md Health Choice $22 - $26 76%
Mo Home State Health Plan $22 - $26 76%
Molina Centennial Care $22 - $26 76%
Nascentia Health Options $22 - $26 76%
New York Cancer Services Program $22 - $26 76%
Nextlevel Health $22 - $26 76%
Oregon Screenwise $22 - $26 76%
Pace Of Southwest Michigan $22 - $27 76%
Paramount Advantage $22 - $26 76%
Parkland Community Health Plan $22 - $26 76%
Partners Behavioral Lme $22 - $26 76%
Peach State Healthplan $22 - $26 76%
Philadelphia County Funding $22 - $26 76%
Presbyterian Centennial Care $22 - $26 76%
Prestige Health Choice $22 - $26 76%
Priority Partners $22 - $26 76%
Robert F Sing Program $22 - $26 76%
Rx 340B Pass Along $22 - $26 76%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $22 - $26 76%
Rx Medi-Cal $22 - $26 76%
Rx Meridian Rx $22 - $26 76%
Ryan White Florida Mssrp $22 - $26 76%
Sandhills Center Lme $22 - $26 76%
Screening For Life $22 - $26 76%
St Joseph County Hlth Dpt $22 - $26 76%
Sunshine State Health Plan $22 - $26 76%
Superior Health $22 - $26 76%
Tenncare $22 - $26 76%
Texas Children'S Health Plan $22 - $26 76%
Trillium Community Ohp $22 - $26 76%
Tufts Health Public Plans $22 - $26 76%
UnitedHealthcare $22 - $211 76%
Vaya Health Lme $22 - $26 76%
Washtenaw Health Plan $22 - $26 76%
Wellpoint $22 - $26 76%
Wellsense Health Plan $22 - $26 76%
Wi Womens Wellness $22 - $26 76%
Align Senior Care $23 - $27 79%
Ally Align Care Adv $23 - $27 79%
American Health Advantage Of Idaho $23 - $27 79%
Aurora Special Needs $23 - $27 79%
Blue Care Network Advantage $23 - $27 79%
Blue Shield - De (Highmark) Medciare Advantage $23 - $27 79%
Care Dimensions $23 - $27 79%
Care Improvement Plus $23 - $27 79%
Care Resources Pace $23 - $27 79%
Careplus Health Plans $23 - $27 79%
Cca - Zing Health $23 - $27 79%
Cca Senior Care Options $23 - $27 79%
Central Valley Medical Services Corp Pace $23 - $27 79%
Champion Health Plan Mcr Advantage $23 - $27 79%
Champva $23 - $27 79%
Clear Spring Health $23 - $27 79%
Clover Health $23 - $27 79%
Commonwealth Care Alliance $23 - $27 79%
Community Pace At Home $23 - $27 79%
Eddy Senior Care-Pace $23 - $27 79%
Eddy Seniorcare Pace $23 - $27 79%
Elementcare $23 - $27 79%
Evercare $23 - $27 79%
Everence $23 - $27 79%
Gateway Health Plan $23 - $27 79%
Genesys Pace Of Genesee County $23 - $27 79%
Georgia Health Advantage $23 - $27 79%
Gold Advantage $23 - $27 79%
Gpa Croell Redi Mix $23 - $27 79%
Health America Advantra $23 - $27 79%
Highmark Health Options Dual Plan $23 - $27 79%
Hope Select Pace $23 - $27 79%
Horizon Nj Total Care $23 - $27 79%
Hudson Headwaters Pace $23 - $27 79%
Huron Valley Pace $23 - $27 79%
Innovative Integrated Health Community Plans $23 - $27 79%
Johns Hopkins Advantage Md $23 - $27 79%
Lasso Healthcare Msa $23 - $27 79%
Life St Marys Pace $23 - $27 79%
Lifecircles Pace $23 - $27 79%
Longevity Health Plan $23 - $27 79%
Longevity Ipa Of Michigan Llc Health Plan Isnp $23 - $27 79%
Martins Point Generations Advantage $23 - $27 79%
Mass General Brigham Mcr Adv $23 - $27 79%
Medicare (plans) $23 - $29 79%
Medipak Advantage $23 - $27 79%
Mercy Life $23 - $27 79%
Mercyone Cedar Valley $23 - $27 79%
Meridian Complete $23 - $27 79%
Michigan Complete Health $23 - $27 79%
Nascentia Health Plus $23 - $27 79%
New Centry Health Careplus $23 - $27 79%
Osu Prime Care Advantage $23 - $27 79%
Pace Cny $23 - $27 79%
Pace Iowa Immanuel Pathways $23 - $27 79%
Pace Southeast $23 - $27 79%
Pace-Trinity Health $23 - $27 79%
Peak Pace Solutions $23 - $27 79%
Perennial Advantage $23 - $27 79%
Preferred Care Partners $23 - $27 79%
Presbyterian Senior Plan $23 - $27 79%
Provider Partners Health Plan Of Illinois $23 - $27 79%
Provider Partners Health Plan Of Indiana $23 - $27 79%
Pruitthealth Premier $23 - $27 79%
Reliance Community Care Partners Care Resources Pace $23 - $27 79%
Rx Allwin $23 - $27 79%
Rx Grane Grnmedd $23 - $27 79%
Rx Retiree Rx Care $23 - $27 79%
Scan Health Plan Mcr Ipa Meritage Oon $23 - $27 79%
Secure Horizons Ma Pffs $23 - $27 79%
Serenity Pace $23 - $27 79%
Siouxland Pace $23 - $27 79%
Solis Health Plans $23 - $27 79%
Sunnyview-Pace Finance Dept $23 - $27 79%
Texan Plus $23 - $27 79%
The Health Plan $23 - $27 79%
Thome Pace $23 - $27 79%
Todays Options $23 - $27 79%
Tribute Health Plans $23 - $27 79%
Tricare $23 - $27 79%
Triwest Health Alliance $23 - $27 79%
Um Health Advantage $23 - $27 79%
Union Health Service $23 - $27 79%
Us Family Health Plan $23 - $27 79%
Veterans Eval Services $23 - $27 79%
Welbe Health $23 - $27 79%
Wellmed $23 - $27 79%
American Health Plan $24 - $28 83%
Iowa Health Advantage $24 - $28 83%
Veterans Administration $24 - $28 83%
Geha $26 - $189 89%
Wc Corvel $26 89%
Amps $30 - $37 103%
Health Choices $30 - $50 103%
Medical Associates $30 - $46 103%
Stephenson Cty Health $30 103%
Amish Hospital Aid $31 - $37 107%
Oscar $32 - $40 110%
Newton Correctional Facility $35 - $39 120%
Avera $37 - $43 127%
Bcn Domestic $37 - $44 127%
Blue Benefit Administrators Of Massachusetts $37 - $44 127%
Blue Care Network $37 - $44 127%
Blue Distinction Transplant $37 - $44 127%
Blue Shield - Ca $37 - $44 127%
Blue Shield - Id (Regence) $37 - $44 127%
Blue Shield - Ny Highmark Northeastern $37 - $44 127%
Blue Shield - Ny Highmark Western $37 - $44 127%
Blue Shield - Pa (Highmark) $37 - $44 127%
Blue Shield - Wa (Regence) $37 - $44 127%
Kaiser Domestic $37 - $44 127%
Pre-Employment $37 - $44 127%
Wc Domestic $37 - $44 127%
Centivo $40 - $54 138%
Sanford Health Plan $40 - $46 138%
Health Partners $42 - $98 145%
Lucent Health $42 - $54 145%
Ucare $43 - $51 148%
Quiktrip $46 - $54 158%
Usa Managed Care $46 - $132 158%
Wc Praxis Health Network $46 - $51 158%
Wc Reny Company $47 - $52 162%
Wc Velocity $47 - $52 162%
Auto Velocity $49 - $54 169%
Claimdoc $49 - $56 169%
Health Smart $49 - $54 169%
The Alliance $49 - $54 169%
Wc O'Hara Corp $49 - $54 169%
Allied Benefit Systems $50 - $54 172%
Auxiant $50 - $101 172%
First Choice Health $50 172%
Group Administrators $50 172%
Midlands $50 - $101 172%
Midlands Choice $50 - $101 172%
Preferred One $50 - $54 172%
1199 National Benefit Fund $52 - $54 179%
Asr Health Benefits $52 - $54 179%
Christian Brother Services $52 - $54 179%
Coventry $52 - $54 179%
First Health $52 - $54 179%
Luminare Health $52 - $54 179%
Medical Mutual $52 - $54 179%
Meritain $52 - $54 179%
Trustmark Small Business Benefits $52 - $54 179%
Webtpa $52 - $54 179%
Global Excel $53 - $54 182%
Andrie Inc $54 - $60 186%
East Greenbush Central School District $54 - $60 186%
Genex Wc $54 - $60 186%
Healthsmart Workers Comp $54 - $60 186%
Iowa Dept Of Public Health $54 - $155 186%
Jag Source $54 - $60 186%
Multiplan $54 - $60 186%
Nebraska Total Care $54 - $60 186%
New York State Insurance Fund $54 - $60 186%
Njm Insurance Group $54 - $60 186%
Rx Heatlhcomp $54 - $60 186%
Rx Restat $54 - $60 186%
Rx Saif Opdp Wc $54 - $60 186%
Rx Worker'S Comp $54 - $60 186%
Velocity $54 - $55 186%
Wc Accident Fund $54 - $60 186%
Wc Ace $54 - $60 186%
Wc Acs Federal Employees $54 - $60 186%
Wc Acuity $54 - $60 186%
Wc Advantage $54 - $60 186%
Wc Aegis $54 - $60 186%
Wc Aig $54 - $60 186%
Wc Aims $54 - $60 186%
Wc Alaska National Ins $54 - $60 186%
Wc Align Network $54 - $60 186%
Wc Allied $54 - $60 186%
Wc Am Trust N America $54 - $60 186%
Wc American Claims Mgmt $54 - $60 186%
Wc Amerisure $54 - $60 186%
Wc Amtrust $54 - $60 186%
Wc Asu Risk Mgt $54 - $60 186%
Wc Benetech $54 - $60 186%
Wc Berkley Admin $54 - $60 186%
Wc Broadspire $54 - $60 186%
Wc Broward County $54 - $60 186%
Wc Bunch & Associates $54 - $60 186%
Wc California State Comp Ins $54 - $60 186%
Wc California State Ins Fund $54 - $60 186%
Wc Capitol Area Health Consortium $54 - $60 186%
Wc Ccmsi $54 - $60 186%
Wc Chartis $54 - $60 186%
Wc Chubb $54 - $60 186%
Wc Cirma $54 - $60 186%
Wc City Of Albany $54 - $60 186%
Wc City Of Sioux City $54 - $60 186%
Wc Claims Mgmt Inc $54 - $60 186%
Wc Cna $54 - $60 186%
Wc Comp One Admin C/O Manageability $54 - $60 186%
Wc Compone Admin $54 - $60 186%
Wc Ct Healthcare Trust $54 - $60 186%
Wc Donegal Insurance Group $54 - $60 186%
Wc Emc Insurance Company $54 - $60 186%
Wc Employee Mutual $54 - $60 186%
Wc Enablecomp $54 - $60 186%
Wc Encore Health Network $54 - $60 186%
Wc Erie $54 - $60 186%
Wc Esis $54 - $60 186%
Wc Evolutions $54 - $60 186%
Wc Fcci $54 - $60 186%
Wc Fed Ex $54 - $60 186%
Wc Federal Black Lung $54 - $60 186%
Wc Federated $54 - $60 186%
Wc Finley Occupational Health $54 - $60 186%
Wc First Agency/Occunet $54 - $60 186%
Wc Ford Motor $54 - $60 186%
Wc Fresno Unified Emp $54 - $60 186%
Wc Gallagher Bassett $54 - $60 186%
Wc General Motors $54 - $60 186%
Wc Generic $54 - $60 186%
Wc Genex Care For Ohio $54 - $60 186%
Wc Great West Casualty $54 - $60 186%
Wc Guarantee Insurance $54 - $60 186%
Wc Guard Insurance Company $54 - $60 186%
Wc Hab $54 - $60 186%
Wc Hartford $54 - $60 186%
Wc Hastings $54 - $60 186%
Wc Health Management $54 - $60 186%
Wc Heritage Summit $54 - $60 186%
Wc Hireright $54 - $60 186%
Wc Horizon $54 - $60 186%
Wc Icw Group $54 - $60 186%
Wc Idaho State Ins Fund $54 - $60 186%
Wc Intercare Insurance $54 - $60 186%
Wc Intermountain $54 - $60 186%
Wc Johns Eastern $54 - $60 186%
Wc Kemberton $54 - $60 186%
Wc Key Ins & Benefit Solutions $54 - $60 186%
Wc Liberty Mutual $54 - $60 186%
Wc Mac Risk Management $54 - $60 186%
Wc Massachusetts $54 - $60 186%
Wc Mdia $54 - $60 186%
Wc Meadowbrook Claim $54 - $60 186%
Wc Medical Administrators $54 - $60 186%
Wc Meijers $54 - $60 186%
Wc Memic $54 - $60 186%
Wc Mercy Workcare $54 - $60 186%
Wc Michigan $54 - $60 186%
Wc Michigan Millers Mutual $54 - $60 186%
Wc Mitchell Frankenmuth $54 - $60 186%
Wc Mra $54 - $60 186%
Wc Nationwide $54 - $60 186%
Wc Nca Comp $54 - $60 186%
Wc New York $54 - $60 186%
Wc New York Special Funds $54 - $60 186%
Wc North American Rishces $54 - $60 186%
Wc Northeast Health $54 - $60 186%
Wc Notre Dame $54 - $60 186%
Wc Novanet $54 - $60 186%
Wc Occ Health Allen $54 - $60 186%
Wc Ohio Bureau $54 - $60 186%
Wc One Call Medical $54 - $60 186%
Wc Paradigm $54 - $60 186%
Wc Peerless $54 - $60 186%
Wc Pma $54 - $60 186%
Wc Price Chopper $54 - $60 186%
Wc Procura Management $54 - $60 186%
Wc Qualcare $54 - $60 186%
Wc Quiktrip $54 - $60 186%
Wc Rev Claims $54 - $60 186%
Wc Risico $54 - $60 186%
Wc Rural Mutual $54 - $60 186%
Wc Saif Oregon $54 - $60 186%
Wc Secura $54 - $60 186%
Wc Sedgwick $54 - $60 186%
Wc Sentry $54 - $60 186%
Wc Sheakley Unicomp $54 - $60 186%
Wc Smile Lodge $54 - $60 186%
Wc Society $54 - $60 186%
Wc Srs $54 - $60 186%
Wc Taconic (Mro) $54 - $60 186%
Wc Taconic Farms $54 - $60 186%
Wc Travelers $54 - $60 186%
Wc Triad Group $54 - $60 186%
Wc Tristar $54 - $60 186%
Wc Troy Ny $54 - $60 186%
Wc Tyson $54 - $60 186%
Wc Unified Health Services $54 - $60 186%
Wc United Heartland $54 - $60 186%
Wc Us Dept Of Labor $54 - $60 186%
Wc Walmart $54 - $60 186%
Wc West Bend $54 - $60 186%
Wc West Bend Mutual/Argent $54 - $60 186%
Wc Winnebago Industries $54 - $60 186%
Wc Yankee Trails $54 - $60 186%
Wc York Risk $54 - $60 186%
Wc Zenith $54 - $60 186%
Wc Zurich $54 - $60 186%
Nova $56 193%
Medica $98 - $101 337%
Crime Victim Assistance $151 - $155 520%

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