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 |
|---|---|---|---|---|
| Head CT scan (with and without contrast) CPT 70470 | $1,675.05 | $2,577.00 | $165.56 – $2,577.00 | 109 |
| Head CT scan (with contrast) CPT 70460 | $1,418.95 | $2,183.00 | $165.56 – $2,183.00 | 109 |
| Head CT scan (without contrast) CPT 70450 | $2,453.00 | $1,993.00 | $98.68 – $1,993.00 | 109 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $448.50 | $690.00 | $4.90 – $460.00 | 780 |
| Helicobacter pylori antibody igm CPT 86677 | $90.35 | $139.00 | $16.33 – $139.00 | 43 |
| Hematocrit CPT 85014 | $16,254.42 | $96.00 | $2.30 – $6,048.05 | 109 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $34,281.50 | $34,281.50 | $34.60 – $34,281.50 | 106 |
| Hemodialysis one evaluation CPT 90935 | $1,727.05 | $2,657.00 | $252.66 – $1,332.42 | 109 |
| Hemodialysis repeated eval CPT 90937 | $1,975.35 | $3,039.00 | $610.84 – $3,039.00 | 28 |
| Hemoglobin CPT 85018 | $7,766.45 | $105.00 | $2.30 – $600.00 | 109 |
| Hemoglobin fetal qualitative CPT 83033 | $198.25 | $305.00 | $8.00 – $305.00 | 28 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $218.40 | $336.00 | $7.95 – $236.00 | 43 |
| Hemoglobin plasma CPT 83051 | $85.15 | $131.00 | $7.08 – $131.00 | 43 |
| Hemophilus influenza antibdy CPT 86684 | $34.45 | $53.00 | $10.65 – $53.00 | 43 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,719.00 | $2,558.00 | $8.04 – $2,558.00 | 781 |
| Heparin assay CPT 85520 | $100.75 | $155.00 | $12.69 – $155.00 | 43 |
| Heparin bolus from bag HCPCS J1644 | $38,322.59 | $75.00 | $0.31 – $6,293.93 | 779 |
| Heparin neutralization CPT 85525 | $78.00 | $120.00 | $11.48 – $120.00 | 43 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $3.35 | $3.35 | $0.50 – $3.35 | 778 |
| Hepatectomy removal of liver 47120 CPT 47120 | $8,322.00 | $8,322.00 | $37.48 – $809.28 | 768 |
| Hepatitis a antibody igm CPT 86709 | $135.20 | $208.00 | $10.91 – $208.00 | 43 |
| Hepatitis b core antibody igm CPT 86705 | $158.60 | $244.00 | $11.40 – $244.00 | 43 |
| Hepatitis b core antibody total CPT 86704 | $92.95 | $143.00 | $11.68 – $143.00 | 43 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $3,148.75 | $3,148.75 | $77.94 – $605.10 | 109 |
| Hepatitis b surface antibody CPT 86706 | $140.40 | $216.00 | $10.40 – $216.00 | 43 |
| Hepatitis c antibody CPT 86803 | $157.95 | $243.00 | $13.83 – $243.00 | 43 |
| Hernia Repair (Inguinal) CPT 49505 | $19,064.84 | $2,314.00 | $0.96 – $6,951.03 | 769 |
| Herpes simplex type 1 antibody igg CPT 86695 | $80.60 | $124.00 | $12.78 – $124.00 | 43 |
| Herpes simplex type 2 antibody igg CPT 86696 | $68.90 | $106.00 | $18.75 – $106.00 | 43 |
| Heterophile antibodies screening CPT 86308 | $91.65 | $141.00 | $5.02 – $141.00 | 43 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $362.05 | $557.00 | $6.82 – $557.00 | 780 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $193.70 | $298.00 | $8.95 – $298.00 | 780 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $299.65 | $461.00 | $82.14 – $461.00 | 109 |
| Hip X-ray CPT 73502 | $45,741.97 | $641.00 | $6.82 – $641.00 | 780 |
| Histamine CPT 83088 | $125.45 | $193.00 | $28.61 – $193.00 | 43 |
| Histochemical stains add-on CPT 88314 | $55.90 | $86.00 | $17.29 – $86.00 | 28 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | $67.55 | $67.55 | $13.58 – $143.37 | 109 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | $1.00 | $1.00 | $0.20 – $1.37 | 37 |
| Hla class i high defin qual CPT 86832 | $360.10 | $554.00 | $111.35 – $650.74 | 43 |
| Hla class ii high defin qual CPT 86833 | $360.10 | $554.00 | $111.35 – $654.86 | 43 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $359.45 | $553.00 | $111.15 – $553.00 | 43 |
| Hla i typing low res one locus ea CPT 81373 | $255.45 | $393.00 | $78.99 – $393.00 | 43 |
| Hldr trach tb tie ad HCPCS A7526 | $1,057.54 | $1,626.99 | $0.12 – $0.59 | 28 |
| Hlth bhv assmt/reassessment CPT 96156 | $144.30 | $222.00 | $44.62 – $222.00 | 94 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | $0.78 | $1.20 | $0.24 – $1.20 | 28 |
| Home sleep test/type 3 porta HCPCS G0399 | $1,079.58 | $737.00 | $0.05 – $737.00 | 779 |
| Home sleep test/type 4 porta HCPCS G0400 | $650.00 | $1,000.00 | $71.66 – $1,000.00 | 555 |
| Homocysteine CPT 83090 | $160.55 | $247.00 | $17.36 – $247.00 | 43 |
| Homogenization tissue CPT 87176 | $65.00 | $100.00 | $5.70 – $100.00 | 43 |
| Human epididymis protein 4 (he4) CPT 86305 | $183.30 | $282.00 | $20.17 – $282.00 | 43 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $1,829.90 | $1,829.90 | $1.67 – $1,829.90 | 106 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $154.70 | $154.70 | $31.09 – $154.70 | 94 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $236.10 | $236.10 | $47.46 – $236.10 | 94 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $34,180.99 | not published | $10.38 – $2,977.96 | 84 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $243.25 | $243.25 | $8.84 – $44.00 | 94 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $185.75 | $185.75 | $0.73 – $3.65 | 94 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $105.00 | $105.00 | $0.05 – $105.00 | 778 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | $1.00 | $1.00 | $0.10 – $2.81 | 94 |
| Hyperbaric oxygen therapy CPT 99183 | $1,708.20 | $2,628.00 | $99.56 – $2,628.00 | 40 |
| Hysteroscopy ablation CPT 58563 | $24,726.74 | not published | $9.09 – $9,711.82 | 82 |
| Hysteroscopy biopsy CPT 58558 | $22,553.45 | not published | $9.09 – $6,284.60 | 82 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $177.45 | $273.00 | $54.60 – $273.00 | 101 |
| I-123 iobenguane diag HCPCS A9582 | $24,445.60 | $24,445.60 | $17.29 – $24,445.60 | 109 |
| I-123 ioflupane diag HCPCS A9584 | $15,741.10 | $12,340.00 | $512.50 – $12,340.00 | 109 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $412.50 | $412.50 | $80.65 – $401.25 | 28 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $6,709.35 | $6,709.35 | $1,348.58 – $6,709.35 | 28 |
| I-131 sod iodide sol diag per mci HCPCS A9529 | $417.75 | $417.75 | $83.97 – $417.75 | 27 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $1,149.75 | $1,149.75 | $92.40 – $1,149.75 | 94 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $2,574.70 | $2,574.70 | $194.54 – $2,574.70 | 109 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $20,112.30 | $30,942.00 | $0.01 – $834.66 | 28 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $27,933.75 | $42,975.00 | $32.72 – $162.77 | 28 |
| Icd crtp serena MRI HCPCS C2621 | $9,235.69 | $14,208.75 | $599.21 – $2,981.16 | 28 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $4,621.95 | $7,110.69 | $18.29 – $90.99 | 28 |
| Idarubicin hcl injection HCPCS J9211 | $247.90 | $247.90 | $40.54 – $247.90 | 94 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $494.70 | $494.70 | $24.03 – $119.55 | 94 |
| Igh gene rearrange amp meth CPT 81261 | $1,127.75 | $1,735.00 | $194.03 – $1,735.00 | 40 |
| Igh@ var region somatic mutation analy CPT 81263 | $906.75 | $1,395.00 | $280.40 – $1,395.00 | 40 |
| Igk rearrangeabn clonal pop CPT 81264 | $336.70 | $518.00 | $104.12 – $518.00 | 40 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $17,831.05 | $400.00 | $59.30 – $1,374.78 | 109 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $9,332.42 | $444.00 | $89.24 – $695.89 | 109 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $38,689.65 | $434.00 | $69.55 – $400.00 | 109 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $3,733.00 | $3,733.00 | $37.33 – $360.16 | 768 |
| Iliac/fem angio cath insert HCPCS G0278 | $3,833.05 | $5,897.00 | $1,185.30 – $5,897.00 | 27 |
| Iliac revasc add-on 37222 CPT 37222 | $34,365.68 | $654.00 | $4.92 – $498.50 | 767 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | $2,649.00 | $2,649.00 | $278.29 – $2,146.57 | 768 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $31,931.40 | $31,931.40 | $57.14 – $7,982.85 | 106 |
| Immob elbow child sm HCPCS L3762 | $25,716.10 | $44.70 | $0.61 – $9,605.95 | 109 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $525.01 | $807.71 | $17.21 – $85.60 | 28 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $171.43 | $263.74 | $0.40 – $2.44 | 36 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $136.42 | $209.88 | $0.70 – $4.02 | 36 |
| Immobilizer shldr sling med HCPCS L3660 | $34.03 | $52.36 | $10.52 – $52.36 | 28 |
| Immt breast prosthesis 19340 CPT 19340 | $85,509.21 | $5,194.00 | $205.43 – $26,754.51 | 769 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $22,553.60 | $336.90 | $9.09 – $336.90 | 109 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $4,576.15 | $4,576.15 | $77.31 – $3,813.45 | 109 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $6,381.00 | $6,381.00 | $46.44 – $1,063.50 | 109 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $271.70 | $418.00 | $20.17 – $418.00 | 43 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $195.65 | $301.00 | $20.17 – $301.00 | 43 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $26.00 | $40.00 | $8.04 – $40.00 | 43 |
| Immunofixation electrophoresis serum CPT 86334 | $250.25 | $385.00 | $21.64 – $385.00 | 43 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $245.05 | $377.00 | $7.84 – $89.12 | 28 |
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.