MercyOne Des Moines Medical Center
1111 6th Ave, Des Moines, IA · MercyOne · Nonprofit · NPI 1234567893
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $63.05 | $97.00 | $19.50 – $97.00 | 43 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $230.00 | $230.00 | $51.55 – $194.00 | 768 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,416.35 | $2,179.00 | $437.98 – $2,179.00 | 106 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $2,015.00 | $3,100.00 | $530.00 – $3,100.00 | 106 |
| 2nd order venous cath CPT 36012 | $2,679.95 | $4,123.00 | $19.70 – $2,749.00 | 779 |
| 3d ech img cgen car anomal CPT 93319 | $8,046.75 | $2,041.00 | $13.21 – $2,041.00 | 780 |
| 3-d radiotherapy plan CPT 77295 | $3,647.00 | $4,077.00 | $143.35 – $4,077.00 | 780 |
| 3d recon without postprocess indpndt CPT 76376 | $432.90 | $666.00 | $1.86 – $666.00 | 779 |
| 5' nucleotidase - sendout CPT 83915 | $626.60 | $964.00 | $10.80 – $964.00 | 43 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $83,244.26 | $182.00 | $19.65 – $12,891.30 | 109 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $10,149.00 | $10,149.00 | $926.55 – $10,149.00 | 768 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $7,377.95 | $7,377.95 | $43.87 – $7,377.95 | 109 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $65.00 | $100.00 | $11.64 – $100.00 | 43 |
| Abd aorta w/runoff s&i CPT 75630 | $4,300.40 | $6,616.00 | $58.15 – $6,616.00 | 780 |
| Abd/low ext cath 1st CPT 36245 | $58,945.80 | $5,338.00 | $9.09 – $35,589.27 | 780 |
| Abd/low ext cath 2nd CPT 36246 | $33,368.56 | $4,498.00 | $9.09 – $2,999.00 | 780 |
| Abd/low ext cath 3rd CPT 36247 | $76,884.85 | $7,755.00 | $0.96 – $35,719.73 | 780 |
| Abd/low ext cath addl CPT 36248 | $941.20 | $1,448.00 | $17.70 – $1,448.00 | 779 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,188.85 | $1,829.00 | $33.87 – $1,829.00 | 780 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $998.40 | $1,536.00 | $23.64 – $1,536.00 | 780 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,388.10 | $3,674.00 | $165.56 – $3,674.00 | 109 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,863.55 | $2,867.00 | $165.56 – $2,867.00 | 109 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,441.05 | $2,217.00 | $98.68 – $2,217.00 | 109 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,996.20 | $6,148.00 | $329.29 – $6,148.00 | 109 |
| Abdominal MRI (without contrast) CPT 74181 | $3,046.55 | $4,687.00 | $225.21 – $4,687.00 | 109 |
| Abdominal paracentesis w/image guidance CPT 49083 | $6,659.90 | $10,246.00 | $29.61 – $10,246.00 | 780 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,186.90 | $1,826.00 | $23.86 – $1,826.00 | 780 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,829.00 | $1,259.00 | $17.47 – $1,259.00 | 780 |
| Abdominal X-ray (2 views) CPT 74019 | $579.00 | $579.00 | $6.82 – $579.00 | 780 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $246.35 | $379.00 | $76.18 – $379.00 | 109 |
| Abdominal X-ray (single view) CPT 74018 | $24,276.30 | $463.00 | $0.36 – $463.00 | 780 |
| Abdominoplasty 15830 CPT 15830 | $49,996.41 | $3,823.00 | $9.09 – $12,891.30 | 769 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,619.80 | $2,492.00 | $3.63 – $2,492.00 | 780 |
| Abl1 gene CPT 81170 | $863.85 | $1,329.00 | $267.13 – $1,329.00 | 43 |
| Ablate arrhythmia add on CPT 93655 | $6,212.05 | $9,557.00 | $166.35 – $9,557.00 | 779 |
| Ablate atria without bypass ext CPT 33255 | $5,272.00 | $5,272.00 | $494.38 – $5,272.00 | 768 |
| Ablate atria x10sv endo 33266 CPT 33266 | $5,966.00 | $5,966.00 | $37.48 – $954.56 | 768 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $10,920.00 | $16,800.00 | $2,251.20 – $11,200.00 | 27 |
| Ablate heart dysrhythm focus CPT 93650 | $14,627.60 | $22,504.00 | $158.47 – $22,504.00 | 780 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $41,193.95 | $656.00 | $0.96 – $6,436.67 | 769 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $13,143.65 | $20,221.00 | $121.46 – $762.00 | 108 |
| Ablation cryo adrenal tumor CPT 60699 | $43,405.09 | not published | $71.76 – $11,736.86 | 82 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | $10,455.90 | $16,086.00 | $3,233.29 – $16,086.00 | 27 |
| Ablation of upper extremity nerves rf CPT 64999 | $11,168.00 | $2,208.00 | $289.73 – $2,208.00 | 108 |
| Abscess drain retroperitoneal surg code CPT 49406 | $380.25 | $585.00 | $117.59 – $3,206.43 | 108 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $792.00 | $792.00 | $70.29 – $396.00 | 768 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $13,269.65 | $2,532.65 | $0.20 – $2,323.17 | 109 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $55.20 | $55.20 | $11.10 – $55.20 | 94 |
| Acetone qualitative CPT 82009 | $27.95 | $43.00 | $4.38 – $43.00 | 43 |
| Acetylcholine receptor modulating antibody CPT 86043 | $45.50 | $70.00 | $11.68 – $70.00 | 43 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $172.50 | $172.50 | $22.20 – $172.50 | 94 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $384.15 | $591.00 | $118.79 – $591.00 | 109 |
| Actinotherapy uv light CPT 96900 | $68.90 | $106.00 | $21.31 – $189.00 | 109 |
| Acute hepatitis panel CPT 80074 | $602.55 | $927.00 | $46.16 – $927.00 | 43 |
| Acyclovir 400 mg tablet HCPCS J8499 | $64.85 | $64.85 | $0.16 – $1.00 | 32 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $10.40 | $10.40 | $0.84 – $4.20 | 94 |
| #acylcarnitineprfl CPT 82017 | $84.50 | $130.00 | $16.35 – $130.00 | 43 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,860.90 | $30,555.23 | $0.01 – $13.86 | 28 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $695.70 | $695.70 | $1.51 – $7.50 | 28 |
| Adh-sendout CPT 84588 | $72.80 | $112.00 | $22.51 – $112.00 | 43 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,514.00 | $2,514.00 | $208.10 – $1,787.38 | 768 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $56.45 | $56.45 | $0.20 – $1.00 | 94 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $446.55 | $687.00 | $67.96 – $687.00 | 109 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $393.25 | $605.00 | $67.96 – $605.00 | 109 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $531.70 | $818.00 | $164.42 – $818.00 | 109 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $356.20 | $548.00 | $110.15 – $641.26 | 109 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $328.90 | $506.00 | $67.96 – $506.00 | 109 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $315.90 | $486.00 | $67.96 – $486.00 | 109 |
| Administration immunization each additional component CPT 90461 | $20.80 | $32.00 | $3.96 – $81.00 | 43 |
| Administration immunization each additional vaccine CPT 90472 | $45.50 | $70.00 | $3.96 – $29.00 | 778 |
| Administration immunization first component each vaccine CPT 90460 | $42.90 | $66.00 | $3.96 – $81.00 | 43 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $39.65 | $61.00 | $3.96 – $139.78 | 109 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $23.40 | $36.00 | $3.96 – $81.00 | 28 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $39.00 | $60.00 | $3.96 – $81.00 | 43 |
| Administration vaccine hepatitis b HCPCS G0010 | $125.45 | $193.00 | $3.96 – $90.91 | 779 |
| Administration vaccine influenza virus HCPCS G0008 | $115.05 | $177.00 | $3.96 – $90.91 | 779 |
| Administration vaccine pneumococcal HCPCS G0009 | $115.05 | $177.00 | $3.96 – $90.91 | 779 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $36.40 | $56.00 | $3.96 – $81.00 | 43 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $19,916.25 | $19,916.25 | $38.66 – $12,447.70 | 109 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $178.00 | $178.00 | $39.48 – $151.00 | 768 |
| Aep hearing status deter i&r CPT 92651 | $267.15 | $411.00 | $82.61 – $411.00 | 28 |
| Aep thrshld est mlt freq i&r CPT 92652 | $1,288.95 | $1,983.00 | $189.00 – $1,983.00 | 109 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $18,756.30 | $18,756.30 | $213.59 – $18,756.30 | 109 |
| Air injection into abdomen 49400 CPT 49400 | $1,032.20 | $1,588.00 | $319.19 – $1,588.00 | 27 |
| Albumin body fluid quantitative each specimen CPT 82042 | $77.35 | $119.00 | $7.54 – $119.00 | 43 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $871.00 | $871.00 | $40.20 – $200.00 | 28 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $332.50 | $332.50 | $43.72 – $217.50 | 28 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $62.40 | $96.00 | $5.60 – $96.00 | 43 |
| Albumin serum plasma or whole blood CPT 82040 | $4,225.00 | $130.00 | $4.79 – $130.00 | 43 |
| Albuterol non-comp unit HCPCS J7613 | $2,386.00 | $1.00 | $0.05 – $724.45 | 768 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $94.90 | $146.00 | $16.74 – $146.00 | 43 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $89,232.75 | $89,232.75 | $2,398.16 – $89,232.75 | 109 |
| Alkaline phosphatase CPT 84075 | $14,517.85 | $188.00 | $5.02 – $2,520.00 | 109 |
| Allergen alpha lactalbumin ige CPT 86008 | $42.25 | $65.00 | $9.65 – $48.00 | 43 |
| Allergen egg white ige CPT 86003 | $53.95 | $83.00 | $5.06 – $83.00 | 43 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $43.26 | $66.55 | $10.86 – $66.55 | 36 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $424.66 | $653.33 | $37.83 – $231.82 | 36 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $3,961.09 | $6,093.98 | $18.57 – $113.80 | 36 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $3,663.49 | $5,636.14 | $6.05 – $37.10 | 36 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $159.49 | $245.37 | $4.71 – $28.85 | 36 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.