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 |
|---|---|---|---|---|
| Exploration of chest 39010 CPT 39010 | $2,327.00 | $2,327.00 | $37.48 – $272.00 | 768 |
| Explore chest vessels 35820 CPT 35820 | $6,515.00 | $6,515.00 | $358.59 – $6,515.00 | 768 |
| Explore limb vessels 35860 CPT 35860 | $2,715.00 | $2,715.00 | $29.85 – $376.92 | 768 |
| Explore neck vessels 35800 CPT 35800 | $2,431.00 | $2,431.00 | $22.22 – $254.40 | 768 |
| Explore parathyroid glands CPT 60500 | $41,819.43 | $2,902.00 | $9.09 – $11,492.83 | 769 |
| Explore small intestine 44020 CPT 44020 | $3,478.00 | $3,478.00 | $291.81 – $2,533.75 | 768 |
| Explore/treat knee joint CPT 27331 | $24,572.80 | not published | $366.82 – $6,352.30 | 82 |
| Explore wound abdomen 20102 CPT 20102 | $861.00 | $861.00 | $6.42 – $89.76 | 768 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $1,343.00 | $1,343.00 | $118.64 – $1,074.00 | 768 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $18,536.75 | $899.00 | $31.45 – $3,206.43 | 769 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $759.00 | $759.00 | $14.59 – $121.44 | 768 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $80.00 | $80.00 | $14.48 – $80.00 | 771 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $105.30 | $162.00 | $32.56 – $530.00 | 109 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | $87.00 | $87.00 | $15.76 – $87.00 | 771 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $198.90 | $306.00 | $61.51 – $530.00 | 28 |
| Extensive removal of liver CPT 47122 | $12,166.00 | $12,166.00 | $953.92 – $10,613.50 | 768 |
| Extensive thyroid surgery CPT 60254 | $4,985.00 | $4,985.00 | $472.44 – $4,721.00 | 768 |
| External chromosome analysis 20-25 cells CPT 88264 | $159.25 | $245.00 | $49.25 – $290.67 | 43 |
| External newborn metabolic screening panel HCPCS S3620 | $123.50 | $190.00 | $31.01 – $190.00 | 35 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $61.10 | $94.00 | $18.89 – $94.00 | 109 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $3,003.00 | $4,620.00 | $928.62 – $7,784.73 | 43 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $737.75 | $1,135.00 | $139.29 – $1,135.00 | 43 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $204.10 | $314.00 | $17.37 – $169.00 | 43 |
| Eye implant band 40 HCPCS C1784 | $1,141.56 | $1,756.25 | $10.70 – $53.25 | 28 |
| Eye Socket (Orbit) X-ray CPT 70200 | $313.95 | $483.00 | $97.08 – $483.00 | 109 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,624.35 | $2,499.00 | $165.56 – $2,499.00 | 109 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,510.60 | $2,324.00 | $165.56 – $2,324.00 | 109 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $3,491.00 | $2,682.00 | $88.61 – $2,682.00 | 109 |
| F-18 fdg pet diag HCPCS A9552 | $1,768.20 | $1,768.20 | $355.41 – $1,768.20 | 28 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $15,145.00 | $15,145.00 | $1,789.13 – $15,145.00 | 106 |
| F-18 fluciclovine per mci HCPCS A9588 | $27,455.00 | $27,455.00 | $315.82 – $27,455.00 | 106 |
| F-18 sodium fluoride HCPCS A9580 | $1,391.25 | $1,391.25 | $279.64 – $1,391.25 | 28 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $3,935.75 | $6,055.00 | $329.29 – $6,055.00 | 109 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $3,188.25 | $4,905.00 | $225.21 – $4,905.00 | 109 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $211.90 | $326.00 | $65.53 – $326.00 | 109 |
| Facial Bones X-ray (complete) CPT 70150 | $406.90 | $626.00 | $7.88 – $626.00 | 780 |
| Factor ix CPT 85250 | $371.80 | $572.00 | $18.45 – $572.00 | 43 |
| Factor ix complex HCPCS J7194 | $6,714.85 | $6,714.85 | $1,349.68 – $6,714.85 | 94 |
| Factor ix recombinant nos HCPCS J7195 | $8,262.25 | $8,262.25 | $1.80 – $8,262.25 | 106 |
| Factor viii CPT 85240 | $427.05 | $657.00 | $17.35 – $411.00 | 43 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $4.10 | $4.10 | $0.60 – $3.00 | 94 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $9,722.40 | $9,722.40 | $27.37 – $9,722.40 | 109 |
| Fat/lipids feces qualitative CPT 82705 | $42.25 | $65.00 | $4.95 – $65.00 | 43 |
| Fatty acids nonesterified CPT 82725 | $81.25 | $125.00 | $18.19 – $125.00 | 43 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $28,233.45 | $28,233.45 | $61.99 – $28,233.45 | 109 |
| #fecal-sodium CPT 84302 | $13.00 | $20.00 | $4.02 – $20.00 | 43 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $90.35 | $139.00 | $18.06 – $139.00 | 43 |
| Fem/popl revasc w/stent CPT 37226 | $63,304.80 | $97,392.00 | $9.09 – $64,928.00 | 108 |
| Feno poc CPT 95012 | $2,068.00 | $2,068.00 | $12.03 – $408.96 | 780 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $15,915.09 | $53.25 | $0.60 – $11,492.83 | 109 |
| Fern test HCPCS Q0114 | $204.75 | $315.00 | $9.55 – $315.00 | 40 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $5,262.00 | $5,262.00 | $1.86 – $5,262.00 | 31 |
| Ferritin CPT 82728 | $235.30 | $362.00 | $13.21 – $362.00 | 43 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $712.85 | $712.85 | $0.35 – $712.85 | 109 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,010.10 | $1,554.00 | $31.95 – $1,554.00 | 780 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $1,592.50 | $2,450.00 | $492.45 – $2,450.00 | 43 |
| Fetal fibronectin CPT 82731 | $614.25 | $945.00 | $62.41 – $945.00 | 43 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $48.75 | $75.00 | $7.49 – $75.00 | 43 |
| Fetal hemoglobin rosette CPT 85461 | $130.00 | $200.00 | $9.07 – $200.00 | 43 |
| Fetal non stress test CPT 59025 | $28,428.10 | $887.00 | $3.95 – $887.00 | 780 |
| Fibrin degradation d dimer quantitative CPT 85379 | $213.20 | $328.00 | $9.86 – $328.00 | 43 |
| Fibrinogen activity CPT 85384 | $164.45 | $253.00 | $9.41 – $253.00 | 43 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $130.00 | $200.00 | $15.00 – $200.00 | 43 |
| Fibrinolytic antiplasmin CPT 85410 | $154.05 | $237.00 | $7.47 – $237.00 | 43 |
| Fibrinolytic plasminogen CPT 85415 | $113.10 | $174.00 | $16.66 – $174.00 | 43 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $155.35 | $239.00 | $6.32 – $239.00 | 43 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $1,611.50 | $1,611.50 | $0.27 – $1,007.20 | 109 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $1,447.95 | $1,447.95 | $0.98 – $1,447.95 | 109 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $2,018.90 | $2,018.90 | $0.34 – $1,261.80 | 109 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $17,509.15 | $26,937.16 | $537.13 – $2,672.31 | 28 |
| Filter vena cava fem denali HCPCS C1880 | $12,444.85 | $19,145.92 | $72.96 – $363.00 | 28 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $23,926.33 | not published | $80.26 – $13,701.44 | 82 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $471.25 | $725.00 | $27.48 – $725.00 | 780 |
| Fine needle asp without image guide 10021 CPT 10021 | $507.00 | $780.00 | $14.70 – $789.21 | 780 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | $2,105.74 | $3,239.60 | $177.92 – $885.15 | 28 |
| Finger X-ray (both hands) CPT 73140 | $459.00 | $689.00 | $4.26 – $459.00 | 780 |
| Fl exam g/colon tube w contrast CPT 49465 | $570.05 | $877.00 | $176.28 – $877.00 | 108 |
| Flexible Sigmoidoscopy CPT 45330 | $15,655.55 | $204.00 | $0.96 – $1,805.43 | 769 |
| Flow cytometry marker each additional CPT 88185 | $191.10 | $294.00 | $8.84 – $44.00 | 28 |
| Flow cytometry one marker technical component CPT 88184 | $276.90 | $426.00 | $59.90 – $695.89 | 109 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $20.00 | $20.00 | $3.72 – $18.50 | 28 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $434.65 | $434.65 | $57.53 – $286.20 | 94 |
| Fluorescent antibody titer dna CPT 86256 | $78.00 | $120.00 | $11.81 – $120.00 | 43 |
| Fluoroestradiol f 18 HCPCS A9591 | $25,191.30 | $25,191.30 | $37.72 – $25,191.30 | 109 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $4,729.15 | $1,113.00 | $9.09 – $1,113.00 | 109 |
| Fluoroguide needle placement CPT 77002 | $3,783.76 | $1,070.00 | $92.05 – $1,070.00 | 108 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $5,453.75 | $722.00 | $8.44 – $722.00 | 780 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $24.90 | $24.90 | $3.76 – $24.90 | 94 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $71.75 | $71.75 | $5.10 – $71.75 | 778 |
| Fmri brain by tech CPT 70554 | $3,913.00 | $6,020.00 | $525.42 – $4,013.00 | 28 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,810.25 | $2,785.00 | $97.01 – $2,785.00 | 108 |
| Fna bx w/ct gdn ea addl CPT 10010 | $126.75 | $195.00 | $39.20 – $195.00 | 27 |
| Fna bx w/mr gdn ea addl CPT 10012 | $362.05 | $557.00 | $65.04 – $557.00 | 27 |
| Folic acid CPT 82746 | $130.65 | $201.00 | $14.25 – $201.00 | 43 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $161.00 | $161.00 | $30.00 – $161.00 | 94 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $6,898.50 | $6,898.50 | $893.20 – $6,898.50 | 94 |
| Fondaparinux sodium HCPCS J1652 | $133.75 | $133.75 | $3.60 – $43.30 | 94 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $275.11 | $423.24 | $12.61 – $77.24 | 36 |
| Foot X-ray CPT 73630 | $3,290.00 | $947.00 | $5.11 – $631.00 | 780 |
| Foot X-ray (2 views, both feet) CPT 73620 | $505.05 | $777.00 | $4.90 – $518.00 | 780 |
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.