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 |
|---|---|---|---|---|
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $273.50 | $273.50 | $54.52 – $271.25 | 94 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $2,338.75 | $2,338.75 | $1.85 – $9.20 | 94 |
| Esophagoscop stent placement CPT 43212 | $682.00 | $682.00 | $54.10 – $536.00 | 768 |
| Esophagoscp rig trnso rem fb CPT 43194 | $700.00 | $700.00 | $51.55 – $700.00 | 768 |
| Esophagus motility study CPT 91010 | $674.05 | $1,037.00 | $208.44 – $1,037.00 | 108 |
| Esoph balloon distension tst CPT 91040 | $18,075.07 | $8,062.00 | $32.80 – $8,062.00 | 780 |
| Esoph egd dilation <30 mm CPT 43249 | $17,734.62 | $558.00 | $1.92 – $3,725.39 | 769 |
| Esoph imped function test CPT 91037 | $525.85 | $809.00 | $162.61 – $809.00 | 108 |
| Establish access to aorta CPT 36160 | $1,624.35 | $2,499.00 | $502.30 – $2,499.00 | 27 |
| Establish brain cavity shunt CPT 62223 | $3,133.00 | $3,133.00 | $37.48 – $368.80 | 768 |
| Established Patient Office Visit (level 1) CPT 99211 | $54.00 | $54.00 | $4.90 – $25.00 | 769 |
| Established Patient Office Visit (level 2) CPT 99212 | $24,050.00 | $76.00 | $8.04 – $76.00 | 770 |
| Established Patient Office Visit (level 3) CPT 99213 | $4,372.00 | $141.00 | $30.61 – $141.00 | 770 |
| Established Patient Office Visit (level 4) CPT 99214 | $209.00 | $209.00 | $41.71 – $209.00 | 769 |
| Established Patient Office Visit (level 5) CPT 99215 | $307.00 | $307.00 | $76.90 – $307.00 | 769 |
| Estradiol total CPT 82670 | $191.10 | $294.00 | $27.07 – $294.00 | 43 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $68.60 | $68.60 | $13.79 – $68.60 | 94 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $423.80 | $652.00 | $91.16 – $652.00 | 43 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $214.50 | $330.00 | $66.33 – $330.00 | 40 |
| Evaluation heart device CPT 93640 | $1,276.00 | $1,276.00 | $54.96 – $488.59 | 768 |
| Evaluation of speech fluency 92521 CPT 92521 | $250.25 | $385.00 | $77.39 – $385.00 | 43 |
| Evaluation psychiatric diagnostic CPT 90791 | $377.00 | $570.00 | $89.25 – $570.00 | 780 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $3,984.50 | $3,967.00 | $354.75 – $3,967.00 | 768 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $1,420.00 | $1,420.00 | $40.49 – $184.32 | 768 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $4,418.00 | $4,418.00 | $37.48 – $456.96 | 768 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $3,752.00 | $3,752.00 | $335.05 – $2,893.20 | 768 |
| Event monitor CPT 93270 | $201.50 | $310.00 | $35.23 – $530.00 | 109 |
| Evoked oa emissions ltd CPT 92587 | $168.35 | $259.00 | $52.06 – $419.20 | 109 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $702.00 | $1,080.00 | $176.26 – $1,080.00 | 36 |
| Evoked potential visual not glaucoma CPT 95930 | $520.00 | $800.00 | $160.80 – $800.00 | 109 |
| Evok oa screening qual CPT 92558 | $302.90 | $466.00 | $76.05 – $466.00 | 36 |
| Exam of vagina w/scope 57420 CPT 57420 | $195.00 | $195.00 | $25.88 – $195.00 | 768 |
| Exc abdl tum deep < 5 cm CPT 22900 | $1,928.00 | $1,928.00 | $17.57 – $201.28 | 768 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $1,814.00 | $1,814.00 | $17.49 – $145.12 | 768 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $3,429.40 | $5,276.00 | $77.80 – $3,517.00 | 781 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,249.00 | $1,249.00 | $81.41 – $1,249.00 | 769 |
| Exc back tum deep 5 cm/> CPT 21933 | $2,513.00 | $2,513.00 | $27.87 – $346.87 | 768 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $588.00 | $588.00 | $52.61 – $440.33 | 768 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $190.00 | $190.00 | $22.55 – $190.00 | 768 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $14,782.52 | $352.00 | $31.21 – $1,374.78 | 769 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $15,533.00 | $485.00 | $0.36 – $1,374.78 | 769 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $17,368.75 | $590.00 | $0.96 – $3,206.43 | 769 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $3,514.00 | $2,118.00 | $31.53 – $2,118.00 | 781 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,102.75 | $3,235.00 | $5.98 – $3,235.00 | 780 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $907.40 | $1,396.00 | $28.70 – $1,396.00 | 781 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $2,052.00 | $2,052.00 | $38.53 – $2,052.00 | 781 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $1,801.00 | $1,801.00 | $22.56 – $189.76 | 768 |
| Exchange biliary drg cath CPT 47536 | $9,207.90 | $14,166.00 | $2,847.37 – $14,166.00 | 108 |
| Exchange drainage catheter CPT 49423 | $6,311.50 | $9,710.00 | $1,811.23 – $9,710.00 | 108 |
| Exchange nephrostomy cath CPT 50435 | $7,411.95 | $11,403.00 | $1,528.00 – $7,602.00 | 108 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $17,928.15 | $940.00 | $9.09 – $5,639.25 | 769 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $5,188.30 | $7,982.00 | $29.10 – $7,982.00 | 780 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $18,038.08 | $2,382.00 | $0.96 – $5,639.25 | 769 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $6,759.00 | $6,759.00 | $622.28 – $5,319.06 | 768 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $46,870.38 | $5,277.00 | $9.09 – $5,277.00 | 769 |
| Excise anal ext tag/papilla CPT 46220 | $6,479.00 | $6,313.00 | $11.34 – $6,313.00 | 781 |
| Excise inferior turbinate CPT 30130 | $27,557.93 | $2,700.00 | $0.96 – $6,436.67 | 769 |
| Excise intrspinl lesion lmbr CPT 63267 | $35,117.54 | $4,133.00 | $9.09 – $14,087.30 | 769 |
| Excise parotid gland/lesion CPT 42415 | $3,900.00 | $3,900.00 | $293.41 – $3,900.00 | 768 |
| Excise pharynx lesion CPT 42808 | $29,852.45 | $614.00 | $31.45 – $7,238.26 | 769 |
| Excise/repair mouth lesion CPT 40812 | $14,360.85 | $680.00 | $26.27 – $3,012.26 | 769 |
| Excise submaxillary gland CPT 42440 | $27,092.44 | $1,536.00 | $18.90 – $11,492.83 | 769 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $16,380.55 | $440.00 | $0.96 – $1,374.78 | 769 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $18,323.85 | $4,400.00 | $0.09 – $4,400.00 | 781 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $17,109.60 | $1,410.00 | $0.96 – $1,410.00 | 781 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $8,150.00 | $5,048.00 | $59.65 – $5,048.00 | 781 |
| Excision lesion mouth roof CPT 42106 | $600.00 | $600.00 | $38.40 – $345.00 | 768 |
| Excision of anal lesion(s) CPT 46922 | $19,149.80 | $502.00 | $16.70 – $5,388.70 | 769 |
| Excision of mouth lesion complex 40816 CPT 40816 | $1,118.00 | $1,118.00 | $82.22 – $1,118.00 | 768 |
| Excision of neck cyst CPT 42815 | $1,994.00 | $1,994.00 | $24.40 – $197.28 | 768 |
| Excision of neck cyst confined 42810 CPT 42810 | $26,928.52 | not published | $0.18 – $6,436.67 | 82 |
| Excision of tongue lesion CPT 41112 | $16,038.05 | $898.00 | $43.13 – $6,436.67 | 769 |
| Excision of uvula CPT 42140 | $597.00 | $597.00 | $25.57 – $421.67 | 768 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $14,067.10 | $1,600.00 | $0.96 – $3,206.43 | 770 |
| Excl laa open any method 33267 CPT 33267 | $3,391.00 | $3,391.00 | $37.48 – $542.56 | 768 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $423.00 | $423.00 | $74.76 – $423.00 | 768 |
| Excl laa thrscp any method CPT 33269 | $2,682.00 | $2,682.00 | $253.90 – $1,665.15 | 768 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $3,110.90 | $4,786.00 | $961.99 – $4,786.00 | 108 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $534.00 | $534.00 | $41.93 – $534.00 | 768 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,004.25 | $1,545.00 | $310.55 – $1,545.00 | 108 |
| Exc neck tum deep 5 cm/> CPT 21554 | $2,501.00 | $2,501.00 | $31.94 – $258.24 | 768 |
| Exc of rectal prlpse 45130 CPT 45130 | $3,936.00 | $3,936.00 | $37.48 – $374.56 | 768 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $602.00 | $602.00 | $40.77 – $536.94 | 768 |
| Exc rect tum transanal full CPT 45172 | $18,379.90 | not published | $183.41 – $5,388.70 | 82 |
| Exc rect tum transanal part CPT 45171 | $2,249.00 | $2,249.00 | $25.76 – $219.04 | 768 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $558.00 | $558.00 | $10.63 – $89.28 | 768 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $17,890.00 | $9,538.00 | $0.96 – $9,538.00 | 780 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,057.00 | $1,057.00 | $92.24 – $865.65 | 768 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $1,858.00 | $1,858.00 | $17.88 – $148.64 | 768 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $1,436.00 | $1,436.00 | $18.02 – $152.64 | 768 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $29,327.00 | $24,279.00 | $0.96 – $16,186.00 | 781 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $3,744.00 | $5,760.00 | $90.79 – $3,840.00 | 781 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $2,004.00 | $1,786.00 | $31.76 – $2,323.17 | 781 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $1,129.00 | $1,129.00 | $65.80 – $741.00 | 768 |
| Exc trchntr pr ulc prep ostc CPT 15958 | $3,858.00 | $3,858.00 | $345.60 – $3,858.00 | 768 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,033.00 | $1,033.00 | $70.44 – $945.64 | 768 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $49,715.25 | $3,723.25 | $0.02 – $13,262.74 | 109 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $2,952.42 | $4,542.19 | $5.03 – $25.00 | 28 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $2,755.00 | $2,755.00 | $34.00 – $268.80 | 768 |
| Exploration maxillary sinus CPT 31256 | $30,794.80 | $1,152.00 | $0.36 – $13,701.44 | 769 |
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.