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 |
|---|---|---|---|---|
| EKG (Electrocardiogram) CPT 93000 | $63.00 | $63.00 | $9.44 – $63.00 | 770 |
| EKG (Tracing Only) CPT 93005 | $21,608.00 | $314.00 | $5.46 – $314.00 | 109 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $40,426.78 | $793.00 | $0.36 – $528.00 | 109 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $36,246.74 | $923.00 | $2.88 – $615.00 | 780 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $796.25 | $1,225.00 | $18.74 – $1,225.00 | 780 |
| Elect analysis of infusion pump 62367 CPT 62367 | $487.50 | $750.00 | $13.63 – $750.00 | 781 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $269.75 | $415.00 | $18.96 – $596.28 | 781 |
| Electrd sq emblem s-icd HCPCS C1896 | $7,374.87 | $11,345.95 | $601.73 – $2,993.66 | 28 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $78.00 | $120.00 | $13.77 – $189.00 | 43 |
| Electrolyte panel CPT 80051 | $28,745.10 | $282.00 | $6.79 – $3,307.24 | 109 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $130.00 | $131.00 | $23.64 – $131.00 | 780 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $230.00 | $230.00 | $26.84 – $230.00 | 781 |
| Electron microscopy diagnostic CPT 88348 | $1,743.95 | $2,683.00 | $133.87 – $1,564.16 | 109 |
| Electrophysiologic study CPT 93624 | $5,272.80 | $8,112.00 | $1,630.51 – $15,142.36 | 108 |
| Electrophysiology evaluation CPT 93619 | $13,134.55 | $20,207.00 | $4,061.61 – $20,207.00 | 108 |
| Electrophysiology evaluation CPT 93620 | $18,014.10 | $27,714.00 | $192.34 – $27,714.00 | 780 |
| Electrophysiology evaluation CPT 93621 | $7,939.10 | $12,214.00 | $50.69 – $12,214.00 | 779 |
| Electrophysiology evaluation CPT 93622 | $6,043.70 | $9,298.00 | $0.01 – $9,298.00 | 779 |
| Electrophysiology evaluation CPT 93641 | $2,329.60 | $3,584.00 | $720.38 – $3,584.00 | 27 |
| Electrophysiology evaluation CPT 93642 | $2,819.70 | $4,338.00 | $49.83 – $4,338.00 | 780 |
| Electrophys map 3d add-on CPT 93613 | $2,377.05 | $3,657.00 | $158.05 – $3,657.00 | 779 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $7.38 – $7,102.80 | 109 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $184.75 – $42,858.30 | 106 |
| Embedded ip cath exit-site 49436 CPT 49436 | $666.00 | $666.00 | $56.66 – $3,725.39 | 783 |
| Embolization s&i CPT 75894 | $122.20 | $188.00 | $37.79 – $188.00 | 27 |
| Embo or occlude vascular arterial s&i CPT 37242 | $62,768.30 | $46,472.00 | $21.10 – $46,472.00 | 780 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $30,206.80 | $46,472.00 | $9,340.87 – $46,472.00 | 108 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $80,498.89 | $2,816.00 | $9.09 – $82,395.60 | 109 |
| Embo or occlude vascular venous s&i CPT 37241 | $24,179.35 | $37,199.00 | $7,477.00 – $37,199.00 | 108 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $4,392.00 | $4,392.00 | $30.40 – $351.36 | 768 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $3,046.00 | $3,046.00 | $37.23 – $317.76 | 768 |
| Emb without cervical dilation 58100 CPT 58100 | $1,376.05 | $2,117.00 | $17.58 – $2,117.00 | 780 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $599.30 | $922.00 | $125.59 – $922.00 | 109 |
| Encephalitis, california igg/igm CPT 86651 | $79.95 | $123.00 | $12.78 – $123.00 | 43 |
| Encephalitis, st louis igg/igm CPT 86653 | $432.90 | $666.00 | $12.78 – $666.00 | 43 |
| Encephalitis, western equine igg/igm CPT 86654 | $55.25 | $85.00 | $12.78 – $85.00 | 43 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $10,250.50 | $15,770.00 | $36.35 – $10,513.00 | 783 |
| Endo cath bile duct s&i CPT 74328 | $1,021.15 | $1,571.00 | $15.34 – $1,571.00 | 779 |
| Endo cath panc duct s&i CPT 74329 | $969.80 | $1,492.00 | $15.55 – $1,492.00 | 779 |
| Endo cholangiopancreatograph CPT 43261 | $25,329.78 | $1,231.00 | $31.45 – $11,786.12 | 769 |
| Endo cholangiopancreatograph CPT 43262 | $22,807.97 | $1,299.00 | $0.96 – $7,485.06 | 769 |
| Endoluminal bx biliary tree CPT 47543 | $897.00 | $1,380.00 | $277.38 – $1,380.00 | 27 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $2,474.55 | $3,807.00 | $510.14 – $2,538.00 | 27 |
| Endoluminl ivus oct c 1st CPT 92978 | $73,188.45 | $4,983.00 | $0.96 – $22,412.03 | 780 |
| Endoluminl ivus oct c ea CPT 92979 | $1,100.45 | $1,693.00 | $46.86 – $1,693.00 | 779 |
| Endoscopic injection/implant CPT 51715 | $22,705.82 | not published | $0.96 – $6,843.44 | 82 |
| Endoscopic pancreatoscopy CPT 43273 | $15,463.95 | $433.00 | $0.96 – $3,725.39 | 769 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $11,647.90 | $713.00 | $0.96 – $3,725.39 | 769 |
| Endoscopic vein harvest 33508 CPT 33508 | $52.00 | $52.00 | $1.25 – $8.32 | 768 |
| Endoscopy bowel pouch/biop CPT 44386 | $376.00 | $376.00 | $25.88 – $212.13 | 768 |
| Endoscopy maxillary sinus CPT 31267 | $34,393.75 | $2,032.00 | $0.96 – $13,701.44 | 769 |
| Endoscopy swallow (fees) vid CPT 92612 | $247.00 | $380.00 | $51.13 – $380.00 | 43 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $19,038.60 | $1,068.00 | $0.96 – $3,455.52 | 769 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $4,904.00 | $4,904.00 | $37.48 – $507.68 | 768 |
| Endovenous rf abl vein addl CPT 36476 | $1,229.80 | $1,892.00 | $253.46 – $1,261.00 | 27 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $7,047.30 | $10,842.00 | $50.59 – $10,802.96 | 783 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $35.57 – $8,427.00 | 109 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $115.05 | $115.05 | $1.61 – $8.00 | 28 |
| Enterectomy small intestine addl 44121 CPT 44121 | $854.00 | $854.00 | $22.08 – $82.08 | 768 |
| Enterectomy small intestine single 44120 CPT 44120 | $4,357.00 | $4,357.00 | $37.48 – $423.68 | 768 |
| Enteroenterostomy fusion 44130 CPT 44130 | $4,699.00 | $4,699.00 | $36.93 – $457.44 | 768 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $5,012.00 | $5,012.00 | $32.08 – $484.16 | 768 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $3,008.00 | $3,008.00 | $27.42 – $293.60 | 768 |
| Enzyme histochemistry CPT 88319 | $652.60 | $1,004.00 | $201.80 – $1,564.16 | 109 |
| Ep & ablate supravent arrhyt CPT 93653 | $20,038.20 | $30,828.00 | $226.85 – $50,744.36 | 780 |
| Ep & ablate ventric tachy CPT 93654 | $20,038.20 | $30,828.00 | $273.39 – $50,744.36 | 780 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $52.43 – $4,202.50 | 109 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $6,992.00 | $2,069.00 | $277.18 – $1,717.13 | 108 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,419.95 | $3,723.00 | $134.83 – $3,723.00 | 780 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $11.66 – $58.00 | 28 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $7.40 – $36.80 | 94 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $919.80 | $919.80 | $5.80 – $50.40 | 94 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $487.50 | $487.50 | $7.08 – $35.20 | 94 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 94 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $10,044.45 | $15,453.00 | $3,055.47 – $15,453.00 | 108 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,079.00 | $2,079.00 | $7.42 – $104.00 | 109 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $7.59 – $152.50 | 109 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $156.15 | $156.15 | $13.58 – $67.55 | 28 |
| Epstein barr early antigen antibody CPT 86663 | $48.75 | $75.00 | $12.71 – $75.00 | 43 |
| Epstein barr nuclear antigen antibody CPT 86664 | $123.50 | $190.00 | $14.82 – $190.00 | 43 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $184.60 | $284.00 | $17.57 – $284.00 | 43 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $209.50 | $209.50 | $3.45 – $178.20 | 109 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $17.65 – $10,020.45 | 109 |
| Ercp biliary & pancreas CPT 74330 | $20,650.28 | $1,579.00 | $0.36 – $11,786.12 | 780 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $22,774.31 | $1,682.00 | $0.96 – $11,786.12 | 769 |
| Ercp ea duct/ampulla dilate CPT 43277 | $1,376.00 | $1,376.00 | $105.22 – $1,375.25 | 768 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $21,311.60 | not published | $31.45 – $7,485.06 | 82 |
| Ercp lithotripsy calculi CPT 43265 | $1,574.00 | $1,574.00 | $120.13 – $1,387.33 | 768 |
| Ercp remove duct calculi 43264 CPT 43264 | $22,807.97 | $1,324.00 | $0.96 – $7,485.06 | 769 |
| Ercp remove forgn body duct 43275 CPT 43275 | $16,511.02 | $1,368.00 | $31.45 – $3,725.39 | 769 |
| Ercp stent exchange w/dilate CPT 43276 | $19,722.94 | $1,752.00 | $0.36 – $11,786.12 | 769 |
| Ercp w/specimen collection CPT 43260 | $20,215.60 | $1,172.00 | $62.90 – $7,485.06 | 769 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $71.16 – $7,050.00 | 109 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $138.00 | $138.00 | $0.60 – $18.04 | 94 |
| ER Visit (level 1, minor) CPT 99281 | $560.00 | $560.00 | $5.86 – $560.00 | 780 |
| ER Visit (level 2) CPT 99282 | $1,139.10 | $926.00 | $25.77 – $926.00 | 780 |
| ER Visit (level 3) CPT 99283 | $2,448.05 | $1,603.00 | $44.30 – $1,603.00 | 780 |
| ER Visit (level 4) CPT 99284 | $5,171.60 | $7,109.00 | $9.09 – $2,603.00 | 780 |
| ER Visit (level 5, high severity) CPT 99285 | $8,360.80 | $9,622.00 | $9.09 – $4,201.00 | 780 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $908.50 | $908.50 | $25.21 – $125.40 | 94 |
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.