CMS Price Transparency Data

Speech therapy (language evaluation)

Facility: Mercyone Des Moines Medical Center

Billing Code: 92507 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$42
about 0.6× the $76 Medicare rate · typically $34–$71
modeled estimate · not a bill or quote
What this hospital charges insurers
$76
Well above the fair price
about $34 over the fair price · 1.0× Medicare
Medicare pays $76 Fair price $42 This hospital $76 Cash price $233 Hospital's list price $296

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 4 of 8 other IA hospitals charge more for the same procedure.

Cheapest $75 Priciest $79

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 Speech therapy (language evaluation) is about $42 (about 0.6× the $76 Medicare rate). Mercyone Des Moines Medical Center charges insurers about $76, or about $233 in cash — well above the fair price. Located in Des Moines, IA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $42. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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 $72 - $356 95%
Blue Cross Blue Shieldmajor $72 - $114 95%
Aetnamajor $51 - $235 67%
Cignamajor $72 - $214 95%
Humanamajor $61 - $117 80%
Kaiser Permanentemajor $97 - $114 127%
Ambetter (Centene) $76 - $124 100%
Clover Health $72 95%
GEHA $156 - $210 205%
Health Net $76 - $235 100%
HealthPartners $76 - $230 100%
Medica $231 303%
Medical Mutual $124 163%
Meridian $72 - $76 95%
Molina $76 100%
Oscar Health $99 - $105 130%
Paramount $76 100%
Presbyterian $72 - $76 95%
Sanford Health Plan $122 160%
Tufts Health Plan $76 100%
UCare $135 177%
WellMed $72 95%
WellSense $76 100%
+ 362 smaller / regional plans $17 - $356
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.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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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