CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mercyone Des Moines Medical Center

Billing Code: 92507 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 92507
  • Insurance Median: $76
  • Cash Discount Price: $233
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Speech therapy (language evaluation) at Mercyone Des Moines Medical Center is $76. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $76.15, this hospital’s rate is 1.00x the Medicare baseline. Located in 1111 6Th Ave, Des Moines, IA.
Cash / Self-Pay
$233

Average discount available for prompt cash payment at this facility.

Insurance Median
$76

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$76.15

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $76.15 (100%)
Cash / Self-Pay: $233 (306%)
Insurance Median: $76 (100%)
Cash: $233 (306% of Medicare)
Ins. Median: $76 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $76.15 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Medicaid / KanCare $17 - $79 22%
Nebraska Total Care $17 22%
Aetna $51 - $235 67%
Champva $61 - $72 80%
Humana $61 - $117 80%
Tricare $61 - $72 80%
Triwest Health Alliance $61 - $72 80%
Us Family Health Plan $61 - $72 80%
Veterans Eval Services $61 - $72 80%
American Health Plan $64 - $75 84%
Wc Corvel $70 92%
Align Senior Care $72 95%
Ally Align Care Adv $72 95%
American Health Advantage Of Idaho $72 95%
Aurora Special Needs $72 95%
Blue Care Network Advantage $72 95%
Blue Cross Blue Shield $72 - $114 95%
Blue Shield - De (Highmark) Medciare Advantage $72 95%
Care Dimensions $72 95%
Care Improvement Plus $72 95%
Care Resources Pace $72 95%
Careplus Health Plans $72 95%
Cca - Zing Health $72 95%
Cca Senior Care Options $72 95%
Central Valley Medical Services Corp Pace $72 95%
Champion Health Plan Mcr Advantage $72 95%
Cigna $72 - $214 95%
Clear Spring Health $72 95%
Clover Health $72 95%
Commonwealth Care Alliance $72 95%
Community Pace At Home $72 95%
Eddy Senior Care-Pace $72 95%
Eddy Seniorcare Pace $72 95%
Elementcare $72 95%
Evercare $72 95%
Everence $72 95%
Gateway Health Plan $72 95%
Genesys Pace Of Genesee County $72 95%
Georgia Health Advantage $72 95%
Gold Advantage $72 95%
Gpa Croell Redi Mix $72 95%
Health America Advantra $72 95%
Health Choices $72 - $132 95%
Highmark Health Options Dual Plan $72 95%
Hope Select Pace $72 95%
Horizon Nj Total Care $72 95%
Hudson Headwaters Pace $72 95%
Huron Valley Pace $72 95%
Innovative Integrated Health Community Plans $72 95%
Johns Hopkins Advantage Md $72 95%
Lasso Healthcare Msa $72 95%
Life St Marys Pace $72 95%
Lifecircles Pace $72 95%
Longevity Health Plan $72 95%
Longevity Ipa Of Michigan Llc Health Plan Isnp $72 95%
Martins Point Generations Advantage $72 95%
Mass General Brigham Mcr Adv $72 95%
Medical Associates $72 - $122 95%
Medicare (plans) $72 - $78 95%
Medipak Advantage $72 95%
Mercy Life $72 95%
Mercyone Cedar Valley $72 95%
Meridian Complete $72 95%
Michigan Complete Health $72 95%
Nascentia Health Plus $72 95%
New Centry Health Careplus $72 95%
Osu Prime Care Advantage $72 95%
Pace Cny $72 95%
Pace Iowa Immanuel Pathways $72 95%
Pace Of Southwest Michigan $72 - $76 95%
Pace Southeast $72 95%
Pace-Trinity Health $72 95%
Peak Pace Solutions $72 95%
Perennial Advantage $72 95%
Preferred Care Partners $72 95%
Presbyterian Senior Plan $72 95%
Provider Partners Health Plan Of Illinois $72 95%
Provider Partners Health Plan Of Indiana $72 95%
Pruitthealth Premier $72 95%
Reliance Community Care Partners Care Resources Pace $72 95%
Rx Allwin $72 95%
Rx Grane Grnmedd $72 95%
Rx Retiree Rx Care $72 95%
Scan Health Plan Mcr Ipa Meritage Oon $72 95%
Secure Horizons Ma Pffs $72 95%
Serenity Pace $72 95%
Siouxland Pace $72 95%
Solis Health Plans $72 95%
Sunnyview-Pace Finance Dept $72 95%
Texan Plus $72 95%
The Health Plan $72 95%
Thome Pace $72 95%
Todays Options $72 95%
Tribute Health Plans $72 95%
Um Health Advantage $72 95%
Union Health Service $72 95%
UnitedHealthcare $72 - $356 95%
Welbe Health $72 95%
Wellmed $72 95%
Veterans Administration $73 96%
Iowa Health Advantage $75 98%
Albany County Correctional Facility $76 100%
Ambetter / Centene $76 - $124 100%
Amish Mennonite $76 100%
Ascension St. Vincent Public Safety Medical $76 100%
Bcccp-Michigan $76 100%
Bccp $76 100%
Bmc Healthnet $76 100%
Breast Grant-Connecticut $76 100%
Broward County Dept Of Health $76 100%
California Health And Wellness $76 100%
Can Community Health Inc $76 100%
Cardinal Innovations Lme $76 100%
Care Connections Of Northern Iowa $76 100%
Care Oregon Ohp $76 100%
Cencal Health Plan $76 100%
Cenpatico $76 100%
Chhuny $76 100%
Childrens Comm Health Plan $76 100%
Childrens Medical Services Title 19 $76 100%
City Of Philadelphia $76 100%
Cmh Allegan County $76 100%
Cmh Ausable Valley $76 100%
Cmh Barry County $76 100%
Cmh Bay-Arenac County $76 100%
Cmh Berrien County $76 100%
Cmh Cass County $76 100%
Cmh Central Mi County $76 100%
Cmh Clinton-Eaton-Ingham County $76 100%
Cmh Detroit Wayne Integrated Health Network $76 100%
Cmh Genesee County $76 100%
Cmh Ionia County $76 100%
Cmh Jackson County/Lifeways $76 100%
Cmh Kalamazoo $76 100%
Cmh Kent County $76 100%
Cmh Lenawee County $76 100%
Cmh Livingston County $76 100%
Cmh Macomb $76 100%
Cmh Misc $76 100%
Cmh Monroe County $76 100%
Cmh Montcalm County $76 100%
Cmh Muskegon County $76 100%
Cmh Newaygo County $76 100%
Cmh North Country $76 100%
Cmh Northern Lakes County $76 100%
Cmh Oakland County $76 100%
Cmh Ottawa County $76 100%
Cmh Van Buren County $76 100%
Cmh Washtenaw County $76 100%
Cmh Wayne County/Carelink $76 100%
Cmh Wayne Cty/Com Liv Svcs $76 100%
Cmh West Mi County $76 100%
Community Benefit Health $76 100%
Community Care Behavorial Health $76 100%
Community Care Partners $76 100%
Community Health Choice $76 100%
Connections Csp $76 100%
County Coroner $76 100%
County Funding Generic $76 100%
Covid19 Hrsa Uninsured Testing And Treatment Fund $76 100%
Dean Wi Badgercare $76 100%
Delaware County Department Of Health $76 100%
Delaware First Health $76 100%
Delta Dental Nj $76 100%
Dph Tb Program $76 100%
Dscc $76 100%
Eastpointe Lme $76 100%
Family Health Network $76 100%
Freedom First Healthcare $76 100%
Fresno County Ccs $76 100%
Ghc Scw Wi Badgercare $76 100%
Harbor Health $76 100%
Health Safety Net $76 100%
Healthy Blue Ne $76 100%
Hennepin Health $76 100%
Id County Ada $76 100%
Id County Canyon $76 100%
Id County Cat Fund $76 100%
Id County Other $76 100%
Id County Payette $76 100%
Idaho Dept Health And Wellfare $76 100%
Idaho Womens Health Check $76 100%
Indiana Breast Cervical Cancer $76 100%
Inland Empire Health Plan $76 100%
Intercommunity Health Ohp $76 100%
Jai Medical System $76 100%
Kern Family Health Plan $76 100%
Keystone First $76 100%
Keystone First Chip $76 100%
La Care Health Plan $76 100%
Lakeland Care Inc $76 100%
Managed Health Services - Indiana $76 100%
Maryland Breast & Cervical Program $76 100%
Maryland Healthy Smiles - Scion Dental $76 100%
Maryland Physicians Care $76 100%
Massachusetts Behavioral Health Partnership $76 100%
Mdwise $76 100%
Medi-Cal $76 100%
Medi-Cal Healthnet $76 100%
Medstar Dc Healthy Family $76 100%
Medstar Md Health Choice $76 100%
Mo Home State Health Plan $76 100%
Molina Centennial Care $76 100%
Nascentia Health Options $76 100%
New York Cancer Services Program $76 100%
Nextlevel Health $76 100%
Oregon Screenwise $76 100%
Paramount Advantage $76 100%
Parkland Community Health Plan $76 100%
Partners Behavioral Lme $76 100%
Peach State Healthplan $76 100%
Philadelphia County Funding $76 100%
Presbyterian Centennial Care $76 100%
Prestige Health Choice $76 100%
Priority Partners $76 100%
Robert F Sing Program $76 100%
Rx 340B Pass Along $76 100%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $76 100%
Rx Medi-Cal $76 100%
Rx Meridian Rx $76 100%
Ryan White Florida Mssrp $76 100%
Sandhills Center Lme $76 100%
Screening For Life $76 100%
St Joseph County Hlth Dpt $76 100%
Sunshine State Health Plan $76 100%
Superior Health $76 100%
Tenncare $76 100%
Texas Children'S Health Plan $76 100%
Trillium Community Ohp $76 100%
Tufts Health Public Plans $76 100%
Vaya Health Lme $76 100%
Washtenaw Health Plan $76 100%
Wellsense Health Plan $76 100%
Wi Womens Wellness $76 100%
Stephenson Cty Health $77 101%
Iowa Total Care $78 102%
Amps $79 - $99 104%
Wellpoint $79 104%
Amish Hospital Aid $97 - $98 127%
Bcn Domestic $97 - $114 127%
Blue Benefit Administrators Of Massachusetts $97 - $114 127%
Blue Care Network $97 - $114 127%
Blue Distinction Transplant $97 - $114 127%
Blue Shield - Ca $97 - $114 127%
Blue Shield - Id (Regence) $97 - $114 127%
Blue Shield - Ny Highmark Northeastern $97 - $114 127%
Blue Shield - Ny Highmark Western $97 - $114 127%
Blue Shield - Pa (Highmark) $97 - $114 127%
Blue Shield - Wa (Regence) $97 - $114 127%
Kaiser Domestic $97 - $114 127%
Pre-Employment $97 - $114 127%
Wc Domestic $97 - $114 127%
Oscar $99 - $105 130%
Meritain $100 - $124 131%
Newton Correctional Facility $101 - $153 133%
Centivo $106 - $143 139%
Avera $114 150%
Genex Wc $116 - $176 152%
Sanford Health Plan $122 160%
1199 National Benefit Fund $124 163%
Allied Benefit Systems $124 - $132 163%
Asr Health Benefits $124 163%
Christian Brother Services $124 163%
Coventry $124 163%
First Health $124 163%
Lucent Health $124 - $132 163%
Luminare Health $124 163%
Medical Mutual $124 163%
Trustmark Small Business Benefits $124 163%
Wc Align Network $124 - $188 163%
Webtpa $124 163%
The Alliance $131 - $154 172%
Auxiant $132 - $231 173%
First Choice Health $132 173%
Group Administrators $132 173%
Midlands $132 - $231 173%
Midlands Choice $132 - $231 173%
Wc Praxis Health Network $132 - $200 173%
Ucare $135 177%
Wc Reny Company $135 - $204 177%
Wc Velocity $135 - $204 177%
Wc O'Hara Corp $140 - $212 184%
Auto Velocity $141 - $212 185%
Health Smart $141 - $212 185%
Usa Managed Care $142 - $303 186%
Quiktrip $143 188%
Claimdoc $148 - $153 194%
Nova $148 194%
Health Partners $149 - $230 196%
Preferred One $152 200%
Andrie Inc $155 - $235 204%
East Greenbush Central School District $155 - $235 204%
Global Excel $155 - $165 204%
Healthsmart Workers Comp $155 - $235 204%
Jag Source $155 - $235 204%
Multiplan $155 - $235 204%
New York State Insurance Fund $155 - $235 204%
Njm Insurance Group $155 - $235 204%
Rx Heatlhcomp $155 - $235 204%
Rx Restat $155 - $235 204%
Rx Saif Opdp Wc $155 - $235 204%
Rx Worker'S Comp $155 - $235 204%
Wc Accident Fund $155 - $235 204%
Wc Ace $155 - $235 204%
Wc Acs Federal Employees $155 - $235 204%
Wc Acuity $155 - $235 204%
Wc Advantage $155 - $235 204%
Wc Aegis $155 - $235 204%
Wc Aig $155 - $235 204%
Wc Aims $155 - $235 204%
Wc Alaska National Ins $155 - $235 204%
Wc Allied $155 - $235 204%
Wc Am Trust N America $155 - $235 204%
Wc American Claims Mgmt $155 - $235 204%
Wc Amerisure $155 - $235 204%
Wc Amtrust $155 - $235 204%
Wc Asu Risk Mgt $155 - $235 204%
Wc Benetech $155 - $235 204%
Wc Berkley Admin $155 - $235 204%
Wc Broadspire $155 - $235 204%
Wc Broward County $155 - $235 204%
Wc Bunch & Associates $155 - $235 204%
Wc California State Comp Ins $155 - $235 204%
Wc California State Ins Fund $155 - $235 204%
Wc Capitol Area Health Consortium $155 - $235 204%
Wc Ccmsi $155 - $235 204%
Wc Chartis $155 - $235 204%
Wc Chubb $155 - $235 204%
Wc Cirma $155 - $235 204%
Wc City Of Albany $155 - $235 204%
Wc City Of Sioux City $155 - $235 204%
Wc Claims Mgmt Inc $155 - $235 204%
Wc Cna $155 - $235 204%
Wc Comp One Admin C/O Manageability $155 - $235 204%
Wc Compone Admin $155 - $235 204%
Wc Ct Healthcare Trust $155 - $235 204%
Wc Donegal Insurance Group $155 - $235 204%
Wc Emc Insurance Company $155 - $235 204%
Wc Employee Mutual $155 - $235 204%
Wc Enablecomp $155 - $235 204%
Wc Encore Health Network $155 - $235 204%
Wc Erie $155 - $235 204%
Wc Esis $155 - $235 204%
Wc Evolutions $155 - $235 204%
Wc Fcci $155 - $235 204%
Wc Fed Ex $155 - $235 204%
Wc Federal Black Lung $155 - $235 204%
Wc Federated $155 - $235 204%
Wc Finley Occupational Health $155 - $235 204%
Wc First Agency/Occunet $155 - $235 204%
Wc Ford Motor $155 - $235 204%
Wc Fresno Unified Emp $155 - $235 204%
Wc Gallagher Bassett $155 - $235 204%
Wc General Motors $155 - $235 204%
Wc Generic $155 - $235 204%
Wc Genex Care For Ohio $155 - $235 204%
Wc Great West Casualty $155 - $235 204%
Wc Guarantee Insurance $155 - $235 204%
Wc Guard Insurance Company $155 - $235 204%
Wc Hab $155 - $235 204%
Wc Hartford $155 - $235 204%
Wc Hastings $155 - $235 204%
Wc Health Management $155 - $235 204%
Wc Heritage Summit $155 - $235 204%
Wc Hireright $155 - $235 204%
Wc Horizon $155 - $235 204%
Wc Icw Group $155 - $235 204%
Wc Idaho State Ins Fund $155 - $235 204%
Wc Intercare Insurance $155 - $235 204%
Wc Intermountain $155 - $235 204%
Wc Johns Eastern $155 - $235 204%
Wc Kemberton $155 - $235 204%
Wc Key Ins & Benefit Solutions $155 - $235 204%
Wc Liberty Mutual $155 - $235 204%
Wc Mac Risk Management $155 - $235 204%
Wc Massachusetts $155 - $235 204%
Wc Mdia $155 - $235 204%
Wc Meadowbrook Claim $155 - $235 204%
Wc Medical Administrators $155 - $235 204%
Wc Meijers $155 - $235 204%
Wc Memic $155 - $235 204%
Wc Mercy Workcare $155 - $235 204%
Wc Michigan $155 - $235 204%
Wc Michigan Millers Mutual $155 - $235 204%
Wc Mitchell Frankenmuth $155 - $235 204%
Wc Mra $155 - $235 204%
Wc Nationwide $155 - $235 204%
Wc Nca Comp $155 - $235 204%
Wc New York $155 - $235 204%
Wc New York Special Funds $155 - $235 204%
Wc North American Rishces $155 - $235 204%
Wc Northeast Health $155 - $235 204%
Wc Notre Dame $155 - $235 204%
Wc Novanet $155 - $235 204%
Wc Occ Health Allen $155 - $235 204%
Wc Ohio Bureau $155 - $235 204%
Wc One Call Medical $155 - $235 204%
Wc Paradigm $155 - $235 204%
Wc Peerless $155 - $235 204%
Wc Pma $155 - $235 204%
Wc Price Chopper $155 - $235 204%
Wc Procura Management $155 - $235 204%
Wc Qualcare $155 - $235 204%
Wc Quiktrip $155 - $235 204%
Wc Rev Claims $155 - $235 204%
Wc Risico $155 - $235 204%
Wc Rural Mutual $155 - $235 204%
Wc Saif Oregon $155 - $235 204%
Wc Secura $155 - $235 204%
Wc Sedgwick $155 - $235 204%
Wc Sentry $155 - $235 204%
Wc Sheakley Unicomp $155 - $235 204%
Wc Smile Lodge $155 - $235 204%
Wc Society $155 - $235 204%
Wc Srs $155 - $235 204%
Wc Taconic (Mro) $155 - $235 204%
Wc Taconic Farms $155 - $235 204%
Wc Travelers $155 - $235 204%
Wc Triad Group $155 - $235 204%
Wc Tristar $155 - $235 204%
Wc Troy Ny $155 - $235 204%
Wc Tyson $155 - $235 204%
Wc Unified Health Services $155 - $235 204%
Wc United Heartland $155 - $235 204%
Wc Us Dept Of Labor $155 - $235 204%
Wc Walmart $155 - $235 204%
Wc West Bend $155 - $235 204%
Wc West Bend Mutual/Argent $155 - $235 204%
Wc Winnebago Industries $155 - $235 204%
Wc Yankee Trails $155 - $235 204%
Wc York Risk $155 - $235 204%
Wc Zenith $155 - $235 204%
Wc Zurich $155 - $235 204%
Geha $156 - $210 205%
Iowa Dept Of Public Health $156 - $356 205%
Velocity $156 - $172 205%
Medica $231 303%
Crime Victim Assistance $356 467%

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