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 |
|---|---|---|---|---|
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $232.05 | $357.00 | $71.76 – $357.00 | 109 |
| Immunoglobulin assay CPT 86023 | $184.60 | $284.00 | $12.08 – $284.00 | 43 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $5,473.00 | $8,420.00 | $452.98 – $2,253.62 | 28 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $913.25 | $1,405.00 | $282.41 – $1,405.00 | 28 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,241.57 | $6,525.50 | $10.89 – $54.20 | 28 |
| Implant cochlear osia osi300 HCPCS L8690 | $6,357.14 | $9,780.21 | $87.77 – $436.67 | 28 |
| Implant neuroelectrodes CPT 63655 | $72,943.01 | not published | $9.09 – $59,907.52 | 82 |
| Implant neuroelectrodes CPT 64561 | $1,206.00 | $1,206.00 | $61.44 – $998.40 | 768 |
| Implant neurostim arrays CPT 61886 | $74,433.58 | $2,660.00 | $9.09 – $59,907.52 | 769 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $2,283.12 | $3,512.50 | $706.01 – $3,512.50 | 28 |
| Implant pulse generator remede el HCPCS C1823 | $12,314.25 | $18,945.00 | $1,970.96 – $9,805.78 | 28 |
| Implant single ventricular device 33975 CPT 33975 | $4,187.00 | $4,187.00 | $375.63 – $3,781.00 | 768 |
| Implant spine infusion pump CPT 62362 | $1,180.00 | $1,180.00 | $18.97 – $139.20 | 768 |
| Implant ureth bulk agent HCPCS L8606 | $2,100.47 | $3,231.50 | $299.63 – $1,490.71 | 28 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $3,704.37 | $5,699.03 | $593.41 – $3,210.00 | 36 |
| Impl eye bio-eye 16mm HCPCS L8042 | $1,657.55 | $2,550.08 | $105.16 – $523.17 | 28 |
| Impl neurostim electr perc CPT 63650 | $4,620.85 | $7,109.00 | $1,428.91 – $12,372.61 | 108 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $137,357.92 | $1,392.00 | $31.45 – $15,867.92 | 769 |
| Implnt spinl canal catheter 62350 CPT 62350 | $49,540.59 | $1,227.00 | $9.09 – $17,037.54 | 769 |
| In-111 autologous plt stdy dx HCPCS A9571 | $1,494.95 | $1,494.95 | $298.99 – $4,336.26 | 95 |
| In-111 autol wbc diag per dose HCPCS A9570 | $16,886.35 | $10,776.60 | $377.34 – $10,776.60 | 109 |
| In-111 capromab pendet HCPCS A9507 | $7,024.00 | $7,024.00 | $1,411.82 – $7,024.00 | 28 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $7,246.75 | $7,246.75 | $1,157.13 – $7,246.75 | 28 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $10,776.60 | $10,776.60 | $814.83 – $10,776.60 | 106 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $11,163.95 | $11,163.95 | $730.71 – $11,163.95 | 106 |
| In-111 pentetreotide HCPCS A9572 | $15,327.00 | $15,327.00 | $1,960.92 – $15,327.00 | 106 |
| In-111 satumomab pend HCPCS A4642 | $3,524.25 | $3,524.25 | $708.37 – $3,524.25 | 28 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $16,120.67 | $14,292.00 | $0.96 – $14,292.00 | 780 |
| Incision of anal sphincter CPT 46080 | $13,854.62 | $574.00 | $4.80 – $5,388.70 | 769 |
| Incision of breast lesion CPT 19020 | $28,862.50 | $1,020.00 | $80.32 – $7,601.47 | 769 |
| Incision of metatarsal CPT 28308 | $36,080.51 | not published | $0.96 – $24,925.18 | 82 |
| Incision of rectal abscess CPT 46060 | $1,779.00 | $1,779.00 | $156.77 – $1,376.67 | 768 |
| Incision of spinal nerve 64772 CPT 64772 | $26,900.10 | not published | $0.96 – $3,791.04 | 82 |
| Incision of tendon & muscle CPT 23405 | $2,136.00 | $2,136.00 | $183.18 – $1,912.67 | 768 |
| Incision of tendon sheath CPT 25000 | $12,910.25 | not published | $1,517.76 – $3,121.78 | 81 |
| Incision of tongue fold CPT 41010 | $13,057.60 | $510.00 | $23.72 – $3,012.26 | 769 |
| Incisn windpipe CPT 31600 | $1,201.00 | $1,201.00 | $12.01 – $107.20 | 768 |
| Incobotulinumtoxin a HCPCS J0588 | $4,343.50 | $4,343.50 | $778.60 – $4,343.50 | 767 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $137.15 | $211.00 | $42.41 – $211.00 | 40 |
| Infect ag drug suscept pheno predict CPT 87900 | $685.10 | $1,054.00 | $126.31 – $1,054.00 | 43 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $395.20 | $608.00 | $122.21 – $608.00 | 43 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $341.25 | $525.00 | $105.53 – $525.00 | 43 |
| Infect ag na hpv high-risk types CPT 87624 | $154.70 | $238.00 | $34.01 – $238.00 | 43 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $56.55 | $87.00 | $17.49 – $87.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $12,044.15 | $86.00 | $3.70 – $1,222.56 | 109 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $216.45 | $333.00 | $13.01 – $333.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $185.90 | $286.00 | $13.39 – $286.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $9,774.25 | $285.00 | $11.61 – $558.25 | 109 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $137.15 | $211.00 | $13.93 – $211.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $162.50 | $250.00 | $10.01 – $163.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $177.45 | $273.00 | $10.01 – $273.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $190.45 | $293.00 | $23.34 – $293.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $270.40 | $416.00 | $11.61 – $61.00 | 43 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $189.15 | $291.00 | $11.61 – $291.00 | 43 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $985.00 | $145.00 | $29.15 – $145.00 | 109 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $332.15 | $511.00 | $34.01 – $292.00 | 43 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $372.00 | $372.00 | $36.12 – $372.00 | 43 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $783.25 | $1,205.00 | $242.21 – $1,205.00 | 43 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $829.00 | $417.00 | $34.01 – $414.00 | 43 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $243.10 | $374.00 | $34.01 – $374.00 | 43 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $181.35 | $279.00 | $40.39 – $279.00 | 43 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $226.85 | $349.00 | $34.01 – $342.00 | 43 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $130.00 | $200.00 | $40.20 – $200.00 | 43 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $361.40 | $556.00 | $111.76 – $556.00 | 43 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $5,847.00 | $449.00 | $9.09 – $608.43 | 109 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $193.00 | $193.00 | $34.01 – $193.00 | 43 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $170.95 | $263.00 | $10.65 – $70.53 | 43 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $137.15 | $211.00 | $42.41 – $211.00 | 40 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $97.50 | $150.00 | $30.15 – $154.31 | 40 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | $1,325.35 | $2,039.00 | $409.84 – $2,039.00 | 40 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $4,739.00 | $818.00 | $74.50 – $818.00 | 109 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $130.65 | $201.00 | $40.40 – $257.86 | 43 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $311.00 | $311.00 | $62.51 – $528.61 | 43 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $5,338.00 | $560.00 | $0.06 – $483.00 | 109 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $351.65 | $541.00 | $41.51 – $541.00 | 43 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $356.85 | $549.00 | $41.51 – $549.00 | 43 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $445.25 | $685.00 | $82.47 – $685.00 | 43 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $254.80 | $392.00 | $78.79 – $392.00 | 43 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $3,222.55 | $3,222.55 | $31.77 – $3,222.55 | 109 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $1,379.70 | $1,379.70 | $23.33 – $1,379.70 | 109 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $2,739.55 | $2,739.55 | $23.74 – $2,739.55 | 109 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $299.65 | $461.00 | $92.66 – $461.00 | 109 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $13,758.25 | $13,758.25 | $7.03 – $10,183.70 | 109 |
| Inj alymsys 10 mg HCPCS Q5126 | $1,199.10 | $1,199.10 | $32.35 – $1,199.10 | 109 |
| Inj., aristada initio, 1 mg HCPCS J1943 | $11,871.55 | $11,871.55 | $2,200.50 – $11,871.55 | 94 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $18,067.45 | $18,067.45 | $189.79 – $18,067.45 | 31 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $45.80 | $45.80 | $9.21 – $45.80 | 94 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $1,135.10 | $1,135.10 | $2.16 – $1,135.10 | 109 |
| Inj ceftolozane tazobactam HCPCS J0695 | $881.35 | $881.35 | $177.15 – $881.35 | 94 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $384.15 | $591.00 | $79.19 – $394.00 | 27 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,069.55 | $2,069.55 | $415.98 – $2,069.55 | 94 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | $1,920.00 | $32.00 | $12.80 – $32.00 | 503 |
| Inj dx for sinogram CPT 20501 | $451.75 | $695.00 | $139.70 – $695.00 | 27 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,688.70 | $2,598.00 | $347.93 – $1,731.00 | 108 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $761.15 | $1,171.00 | $156.78 – $780.00 | 27 |
| Injection during cath supravalvular aortography CPT 93567 | $494.00 | $760.00 | $19.40 – $760.00 | 779 |
| Injection epidural blood patch or clot CPT 62273 | $9,638.25 | $8,073.00 | $9.09 – $8,073.00 | 108 |
| Injection for arthrography wrist (both sides) CPT 25246 | $713.70 | $1,098.00 | $147.13 – $732.00 | 27 |
| Injection for bladder x-ray CPT 51600 | $1,408.55 | $2,167.00 | $435.57 – $2,167.00 | 27 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $711.75 | $1,095.00 | $146.73 – $730.00 | 27 |
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.