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 |
|---|---|---|---|---|
| CT hrt w/3d image CPT 75572 | $2,984.15 | $4,591.00 | $51.12 – $4,591.00 | 780 |
| CT limited or localized follow-up study CPT 76380 | $1,323.00 | $1,269.00 | $78.30 – $1,269.00 | 109 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,700.75 | $4,155.00 | $165.56 – $2,770.00 | 109 |
| CT scan for localization CPT 77011 | $912.60 | $1,404.00 | $282.20 – $1,404.00 | 27 |
| CT scan for therapy guide CPT 77014 | $365.00 | $365.00 | $29.95 – $134.38 | 767 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,191.85 | $6,449.00 | $329.29 – $6,449.00 | 109 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,810.95 | $5,863.00 | $329.29 – $5,863.00 | 109 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $6,869.00 | $4,689.00 | $50.91 – $4,689.00 | 780 |
| CT uppr extremity w/o&w/dye CPT 73202 | $4,316.00 | $6,640.00 | $405.77 – $4,427.00 | 28 |
| Culture aerobic additional method definitive id each CPT 87077 | $6,350.40 | $143.00 | $7.83 – $415.32 | 109 |
| Culture afb any source CPT 87116 | $290.55 | $447.00 | $10.47 – $447.00 | 43 |
| Culture anaerobic additional method definitive id each CPT 87076 | $83.85 | $129.00 | $7.83 – $129.00 | 43 |
| Culture anaerobic except blood CPT 87075 | $38,260.44 | $390.00 | $9.18 – $926.63 | 109 |
| Culture body fluid CPT 87070 | $10,414.80 | $317.00 | $8.35 – $298.00 | 109 |
| Culture fungi definitive id mold CPT 87107 | $103.35 | $159.00 | $10.00 – $152.00 | 43 |
| Culture fungi definitive id yeast CPT 87106 | $81.25 | $125.00 | $10.00 – $125.00 | 43 |
| Culture fungi other (except blood) CPT 87102 | $19,263.20 | $277.00 | $8.15 – $1,818.45 | 109 |
| Culture fungi skin/hair/nail CPT 87101 | $60.45 | $93.00 | $7.47 – $93.00 | 43 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $122.20 | $188.00 | $14.16 – $114.00 | 43 |
| Culture quantitative aerobic other source CPT 87071 | $92.30 | $142.00 | $9.59 – $142.00 | 43 |
| Culture screening strep group a CPT 87081 | $38,260.44 | $140.00 | $6.43 – $755.08 | 109 |
| Culture typing immunologic CPT 87147 | $6,350.40 | $76.00 | $5.02 – $415.32 | 109 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $354.25 | $545.00 | $109.55 – $545.00 | 43 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $133.90 | $206.00 | $34.01 – $206.00 | 43 |
| Culture urine each isolate CPT 87088 | $80.60 | $124.00 | $7.84 – $124.00 | 43 |
| Cutter lead HCPCS C1773 | $3,329.03 | $5,121.59 | $71.94 – $357.89 | 28 |
| Cv line/pic reposition CPT 36597 | $1,457.95 | $2,243.00 | $450.84 – $3,056.08 | 108 |
| Cv stress test i&r only 93018 CPT 93018 | $47.00 | $47.00 | $8.73 – $47.00 | 771 |
| Cv stress test/supervision only 93016 CPT 93016 | $70.00 | $70.00 | $13.21 – $70.00 | 768 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $16.40 | $16.40 | $0.20 – $16.40 | 778 |
| Cyclic citrullinated peptide antibody CPT 86200 | $92.95 | $143.00 | $12.55 – $143.00 | 43 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2,577.10 | $2,577.10 | $18.44 – $91.75 | 28 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $10.85 | $10.85 | $1.22 – $6.25 | 94 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $344.85 | $344.85 | $69.31 – $344.85 | 28 |
| Cyclosporine 2 hour CPT 80158 | $167.70 | $258.00 | $17.49 – $250.00 | 43 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $3.35 | $3.35 | $0.20 – $1.20 | 94 |
| Cyclosporine oral 100 mg HCPCS J7502 | $95.05 | $95.05 | $0.31 – $3.19 | 94 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $15,794.15 | $24,298.69 | $10.05 – $50.00 | 28 |
| Cyp2c19 gene com variants CPT 81225 | $880.75 | $1,355.00 | $272.36 – $1,355.00 | 43 |
| Cystatin c CPT 82610 | $76.05 | $117.00 | $17.94 – $117.00 | 43 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $696.15 | $1,071.00 | $215.27 – $1,071.00 | 109 |
| Cystoscopy and treatment CPT 52234 | $31,608.70 | not published | $183.41 – $6,843.44 | 82 |
| Cystoscopy and treatment CPT 52235 | $27,406.81 | not published | $183.41 – $6,843.44 | 82 |
| Cystoscopy and treatment CPT 52240 | $26,271.60 | not published | $183.41 – $10,409.46 | 82 |
| Cystoscopy (Bladder Scope) CPT 52000 | $23,090.95 | not published | $62.90 – $6,843.44 | 82 |
| Cystoscopy & ureter catheter CPT 52005 | $45,616.33 | not published | $9.09 – $4,058.30 | 82 |
| Cystouretero & or pyeloscope CPT 52351 | $25,355.05 | not published | $0.36 – $6,843.44 | 82 |
| Cystouretero w/biopsy CPT 52354 | $24,526.57 | not published | $122.26 – $10,409.46 | 82 |
| Cysto/uretero w/lithotripsy CPT 52356 | $29,639.48 | not published | $0.96 – $10,409.46 | 82 |
| Cystouretero w/stone remove CPT 52352 | $23,719.93 | not published | $0.96 – $6,843.44 | 82 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $22,689.31 | not published | $0.96 – $4,058.30 | 82 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $25,580.88 | not published | $31.45 – $6,843.44 | 82 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $135.00 | $135.00 | $0.88 – $30.20 | 94 |
| Cytogenetics 25-99 CPT 88274 | $111.80 | $172.00 | $34.57 – $172.00 | 43 |
| Cytogenomic neo microra alys CPT 81277 | $3,591.90 | $5,526.00 | $1,110.73 – $5,526.00 | 28 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $101.40 | $156.00 | $7.04 – $35.00 | 43 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $185.90 | $286.00 | $16.33 – $278.00 | 43 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $10,310.00 | $348.00 | $49.19 – $348.00 | 109 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $172.90 | $266.00 | $25.79 – $266.00 | 43 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $131.95 | $203.00 | $19.64 – $203.00 | 43 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $4,658.35 | $171.00 | $9.09 – $171.00 | 109 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $139.75 | $215.00 | $33.96 – $215.00 | 109 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $141.05 | $217.00 | $8.13 – $217.00 | 28 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $18,756.94 | $319.00 | $19.34 – $330.76 | 109 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $17,802.90 | $450.00 | $49.19 – $450.00 | 109 |
| Cytopath smear other source CPT 88160 | $97.50 | $150.00 | $24.96 – $150.00 | 106 |
| Cytopath tbs c/v manual CPT 88164 | $63.70 | $98.00 | $17.31 – $98.00 | 43 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $56.45 | $56.45 | $4.18 – $30.40 | 94 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $13,542.70 | $13,542.70 | $301.83 – $13,542.70 | 109 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,069.55 | $2,069.55 | $15.28 – $2,262.00 | 109 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $127.00 | $127.00 | $15.00 – $79.35 | 94 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $33,713.70 | $33,713.70 | $52.34 – $33,713.70 | 31 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $18,648.65 | $18,648.65 | $2.96 – $932.45 | 109 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $34,410.00 | $34,410.00 | $230.33 – $34,410.00 | 109 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $603.20 | $603.20 | $121.24 – $603.20 | 28 |
| D&c after delivery 59160 CPT 59160 | $10,362.30 | $15,942.00 | $8.55 – $15,942.00 | 780 |
| Dch pulmonary stress test CPT 94621 | $553.80 | $852.00 | $43.24 – $852.00 | 780 |
| Deamidated gliadin antibody iga CPT 86258 | $127.40 | $196.00 | $11.68 – $196.00 | 43 |
| Debridement (>20 cm) charge pt CPT 97598 | $2,724.70 | $775.00 | $13.85 – $775.00 | 780 |
| Debridement bone <= 20 sq cm CPT 11044 | $13,583.40 | $5,325.00 | $1.92 – $5,325.00 | 780 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $3,798.60 | $827.00 | $3.83 – $1,434.84 | 780 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $24,300.10 | $314.00 | $1.92 – $5,639.25 | 769 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,907.00 | $1,264.00 | $15.02 – $1,264.00 | 780 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,836.00 | $1,836.00 | $160.92 – $1,093.00 | 768 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $2,844.00 | $643.00 | $14.06 – $789.21 | 780 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $13,364.95 | $2,163.00 | $2.88 – $2,163.00 | 780 |
| Decalcification CPT 88311 | $114.40 | $176.00 | $8.47 – $176.00 | 28 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $459.90 | $459.90 | $92.44 – $459.90 | 28 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,079.00 | $1,660.00 | $311.77 – $1,660.00 | 108 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $2,068.00 | $2,068.00 | $22.65 – $165.44 | 768 |
| Decompression of leg CPT 27894 | $2,781.00 | $2,781.00 | $241.44 – $2,781.00 | 768 |
| Decompression of lower leg CPT 27600 | $905.00 | $905.00 | $119.82 – $905.00 | 768 |
| Decompressive craniotomy CPT 61322 | $7,941.84 | $7,175.00 | $734.53 – $7,175.00 | 768 |
| Decompress spinal cord lmbr CPT 63056 | $36,239.74 | $4,486.00 | $9.09 – $14,087.30 | 769 |
| Deep muscle biopsy 20205 CPT 20205 | $517.00 | $517.00 | $7.50 – $54.24 | 768 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $98.80 | $98.80 | $9.02 – $65.35 | 94 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $4,556.35 | $4,556.35 | $4.36 – $1,460.15 | 109 |
| Delayed breast prosthesis 19342 CPT 19342 | $45,769.55 | $4,992.00 | $2.28 – $15,867.92 | 769 |
| Delivery of placenta 59414 CPT 59414 | $1,133.60 | $1,744.00 | $350.54 – $6,284.60 | 108 |
| Demonstrate use home inr mon HCPCS G0248 | $242.00 | $277.00 | $55.68 – $277.00 | 779 |
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.