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 |
|---|---|---|---|---|
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | $0.47 | $0.73 | $0.15 – $0.73 | 28 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $94.94 | $146.06 | $22.54 – $112.15 | 28 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $46.92 | $72.19 | $9.37 – $46.60 | 28 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $6,228.55 | $9,582.38 | $14.94 – $74.31 | 36 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $16.74 | $25.75 | $0.79 – $3.91 | 28 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $247.88 | $381.35 | $40.11 – $199.54 | 28 |
| Drug admin & hemodynmic meas CPT 93463 | $2,235.35 | $3,439.00 | $52.82 – $3,439.00 | 779 |
| Drug assay posaconazole CPT 80187 | $53.30 | $82.00 | $16.48 – $82.00 | 43 |
| Drug assay vedolizumab CPT 80280 | $124.80 | $192.00 | $37.37 – $192.00 | 43 |
| Drug assay voriconazole CPT 80285 | $155.35 | $239.00 | $26.27 – $239.00 | 43 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $6,543.90 | $331.00 | $4.22 – $2,672.15 | 109 |
| Drvvt confirm - quest CPT 85597 | $234.00 | $360.00 | $17.42 – $360.00 | 43 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,372.55 | $6,727.00 | $901.49 – $4,485.00 | 105 |
| Duplex scan bilateral study 93985 CPT 93985 | $219.05 | $337.00 | $23.64 – $463.22 | 780 |
| Duplex scan unilateral study 93986 CPT 93986 | $435.00 | $435.00 | $14.70 – $337.00 | 780 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $1,518.00 | $1,344.00 | $14.11 – $1,344.00 | 780 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $529.75 | $815.00 | $15.12 – $815.00 | 780 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,227.85 | $1,889.00 | $23.64 – $1,889.00 | 780 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $1,503.57 | $2,313.19 | $122.42 – $609.04 | 28 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | $171.82 | $264.34 | $5.48 – $27.25 | 28 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $13,206.10 | $13,206.10 | $81.58 – $3,169.50 | 109 |
| Dxa bone density axl vrt fx CPT 77085 | $244.40 | $376.00 | $75.58 – $376.00 | 109 |
| Dx bronchoscope/brush 31623 CPT 31623 | $19,263.20 | $422.00 | $31.45 – $3,455.52 | 769 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $24,534.75 | $4,838.00 | $38.56 – $4,838.00 | 780 |
| Dx bronchoscope/wash 31622 CPT 31622 | $19,408.65 | $4,511.00 | $6.13 – $7,238.26 | 780 |
| Dx laryngoscopy w/oper scope CPT 31526 | $506.67 | $500.00 | $43.14 – $500.00 | 768 |
| Ear and throat examination CPT 92502 | $10,998.25 | $285.00 | $31.45 – $1,047.06 | 769 |
| Ear cartilage graft CPT 21235 | $21,026.70 | $1,979.00 | $0.36 – $11,492.83 | 769 |
| Ear irrigation 69209 CPT 69209 | $24,035.82 | not published | $0.96 – $6,436.67 | 82 |
| Ecg < 30 days transmission & analysis CPT 93271 | $201.50 | $310.00 | $62.31 – $530.00 | 109 |
| Ecg external < 48 hours recording CPT 93225 | $475.15 | $731.00 | $125.59 – $731.00 | 109 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $687.70 | $1,058.00 | $55.68 – $1,058.00 | 109 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $59.80 | $92.00 | $18.49 – $530.00 | 109 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $98.80 | $152.00 | $8.46 – $152.00 | 779 |
| Ecg/review interpret only CPT 93272 | $80.00 | $80.00 | $15.12 – $80.00 | 771 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,697.00 | $2,697.00 | $43.03 – $2,697.00 | 783 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $990.60 | $1,524.00 | $15.76 – $1,524.00 | 780 |
| Echocardiography doppler color flow mapping CPT 93325 | $679.25 | $1,045.00 | $2.13 – $1,045.00 | 779 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,124.85 | $3,269.00 | $530.00 – $3,269.00 | 109 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $990.60 | $1,524.00 | $306.32 – $1,524.00 | 106 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $384.15 | $591.00 | $4.69 – $591.00 | 779 |
| Echo exam of fetal heart CPT 76825 | $993.85 | $1,529.00 | $50.27 – $1,529.00 | 780 |
| Echo exam of fetal heart CPT 76826 | $859.95 | $1,323.00 | $225.21 – $1,323.00 | 109 |
| Echo exam of fetal heart CPT 76827 | $557.05 | $857.00 | $98.68 – $857.00 | 109 |
| Echo guide for amniocentesis CPT 76946 | $502.45 | $773.00 | $11.72 – $773.00 | 779 |
| Echo guide for artery repair CPT 76936 | $941.85 | $1,449.00 | $203.81 – $1,449.00 | 109 |
| Echo stress CPT 93350 | $2,176.20 | $3,348.00 | $43.03 – $3,348.00 | 780 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $1,261.00 | $1,940.00 | $389.94 – $1,940.00 | 28 |
| Echo tee guidance CPT 93355 | $48,915.61 | $2,776.00 | $2.28 – $2,776.00 | 780 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $8,185.85 | $3,157.00 | $67.10 – $3,157.00 | 780 |
| Echo transesophageal CPT 93314 | $1,043.25 | $1,605.00 | $56.45 – $1,605.00 | 779 |
| Echo transesophageal intraop CPT 93318 | $1,145.30 | $1,762.00 | $354.16 – $1,762.00 | 43 |
| Echo transthoracic CPT 93303 | $1,402.05 | $2,157.00 | $433.56 – $2,157.00 | 109 |
| Echo transthoracic CPT 93304 | $875.55 | $1,347.00 | $270.75 – $1,347.00 | 109 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $2,098.85 | $3,229.00 | $27.48 – $3,229.00 | 780 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $763.00 | $763.00 | $115.17 – $763.00 | 779 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $786.00 | $786.00 | $119.19 – $786.00 | 779 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $1,184.30 | $1,822.00 | $196.60 – $1,822.00 | 779 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $1,008.00 | $1,008.00 | $178.28 – $984.25 | 768 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $674.05 | $1,037.00 | $208.44 – $1,037.00 | 27 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,534.00 | $1,534.00 | $137.71 – $1,238.00 | 768 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $3,214.90 | $4,946.00 | $122.69 – $4,946.00 | 779 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $914.00 | $914.00 | $82.43 – $914.00 | 768 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $765.00 | $765.00 | $68.80 – $707.25 | 779 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $594.00 | $594.00 | $54.21 – $594.00 | 779 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $18,199.20 | $18,199.20 | $44.13 – $18,199.20 | 106 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $778.05 | $1,197.00 | $37.28 – $1,197.00 | 780 |
| Eeg during surgery CPT 95955 | $527.80 | $812.00 | $163.21 – $1,068.00 | 28 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,181.05 | $1,817.00 | $36.00 – $1,817.00 | 780 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $979.55 | $1,507.00 | $203.81 – $1,507.00 | 109 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $2,093.00 | $2,093.00 | $136.53 – $665.10 | 768 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $2,944.00 | $2,944.00 | $173.38 – $2,944.00 | 769 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $852.00 | $852.00 | $109.48 – $672.00 | 768 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $396.00 | $396.00 | $71.14 – $396.00 | 768 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $852.00 | $852.00 | $85.41 – $468.00 | 768 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,223.00 | $1,223.00 | $25.53 – $173.00 | 768 |
| Eeg recording awake and asleep CPT 95819 | $1,356.03 | $1,729.00 | $36.21 – $1,729.00 | 780 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $551.85 | $849.00 | $170.65 – $1,068.00 | 28 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $982.15 | $1,511.00 | $303.71 – $1,511.00 | 109 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $551.85 | $849.00 | $170.65 – $1,068.00 | 109 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $1,061.45 | $1,633.00 | $328.23 – $1,633.00 | 109 |
| E equine encephalitis igg CPT 86652 | $79.95 | $123.00 | $12.78 – $123.00 | 43 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $31.34 – $18,942.60 | 109 |
| Egd control bleeding any CPT 43255 | $13,693.13 | $730.00 | $56.45 – $3,725.39 | 769 |
| Egd dilate stricture CPT 43245 | $13,299.97 | $636.00 | $50.06 – $3,725.39 | 769 |
| Egd endo mucosal resection CPT 43254 | $21,311.60 | not published | $31.45 – $7,485.06 | 82 |
| Egd endoscopic stent place CPT 43266 | $22,485.27 | $789.00 | $0.36 – $11,786.12 | 769 |
| Egd guide wire insertion CPT 43248 | $14,839.00 | $604.00 | $47.18 – $1,760.83 | 769 |
| Egd injection varices CPT 43243 | $862.00 | $862.00 | $66.67 – $862.00 | 768 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $516.00 | $516.00 | $40.47 – $474.76 | 768 |
| Egd lesion ablation CPT 43270 | $12,686.05 | $817.00 | $63.05 – $3,725.39 | 769 |
| Egd remove foreign body CPT 43247 | $13,905.90 | $642.00 | $0.96 – $1,760.83 | 769 |
| Egd remove lesion snare CPT 43251 | $17,552.85 | $713.00 | $55.17 – $3,725.39 | 769 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $1,008.00 | $616.00 | $48.67 – $616.00 | 768 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $12,413.10 | $822.00 | $0.36 – $3,725.39 | 769 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $13,575.65 | $846.00 | $65.18 – $3,725.39 | 769 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $12,081.33 | $1,158.00 | $73.27 – $3,725.39 | 769 |
| Egd varices ligation CPT 43244 | $13,871.45 | $893.00 | $68.70 – $3,725.39 | 769 |
| Egfr gene com variants CPT 81235 | $312.65 | $481.00 | $96.68 – $652.41 | 43 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $76.70 | $118.00 | $23.72 – $118.00 | 43 |
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.