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 |
|---|---|---|---|---|
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $2,097.63 | $3,227.12 | $10.27 – $62.95 | 36 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $238.13 | $366.35 | $32.64 – $200.01 | 36 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $5,609.82 | $8,630.50 | $126.11 – $772.75 | 36 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $232.74 | $358.06 | $56.37 – $345.41 | 36 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $815.54 | $1,254.67 | $98.26 – $602.10 | 36 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $2,450.00 | $2,450.00 | $5.33 – $2,435.40 | 31 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $221.65 | $341.00 | $62.41 – $341.00 | 43 |
| Alpha-fetoprotein tumor marker CPT 82105 | $223.60 | $344.00 | $16.25 – $206.00 | 43 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $25,477.05 | $25,477.05 | $53.07 – $264.05 | 109 |
| Alt/sgpt CPT 84460 | $10,327.40 | $158.00 | $5.14 – $3,529.60 | 109 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,066.00 | $1,640.00 | $89.73 – $1,640.00 | 109 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $36.80 | $36.80 | $1.05 – $5.20 | 94 |
| Amino acids quant 2-5 CPT 82136 | $48.75 | $75.00 | $15.08 – $75.00 | 43 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $33.20 | $33.20 | $5.53 – $27.50 | 94 |
| Aminolevulinic acid delta CPT 82135 | $299.00 | $460.00 | $15.94 – $460.00 | 43 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $101.15 | $101.15 | $3.69 – $18.35 | 28 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $212.00 | $212.00 | $13.05 – $159.50 | 94 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $73.00 | $73.00 | $1.85 – $9.20 | 94 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $11,933.95 | $11,933.95 | $19.77 – $11,933.95 | 109 |
| Ammonia CPT 82140 | $216.45 | $333.00 | $14.12 – $333.00 | 43 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,690.00 | $2,600.00 | $19.51 – $2,600.00 | 780 |
| Amphetamine confirm urine -sendout CPT 80324 | $58.50 | $90.00 | $18.09 – $116.72 | 36 |
| Amphetamines 5 or more CPT 80326 | $23.40 | $36.00 | $7.24 – $116.72 | 36 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $174.55 | $174.55 | $1.76 – $72.60 | 94 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $1,171.60 | $1,171.60 | $52.63 – $562.35 | 31 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $38.85 | $38.85 | $0.49 – $3.05 | 94 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $302.65 | $302.65 | $1.28 – $6.35 | 94 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $512.85 | $789.00 | $158.59 – $789.00 | 40 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $1,460.00 | $1,460.00 | $126.52 – $1,159.77 | 768 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $2,415.00 | $2,415.00 | $210.45 – $1,594.00 | 768 |
| Amputate leg at thigh CPT 27592 | $2,261.00 | $2,261.00 | $32.05 – $234.56 | 768 |
| Amputate thigh through femur 27590 CPT 27590 | $3,370.00 | $3,370.00 | $36.79 – $269.60 | 768 |
| Amputation follow-up surgery CPT 27884 | $2,538.00 | $2,538.00 | $174.66 – $1,269.00 | 768 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $3,870.00 | $3,870.00 | $37.48 – $309.60 | 768 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $2,193.00 | $2,193.00 | $191.92 – $1,417.00 | 768 |
| Amputation of lower leg CPT 27882 | $2,624.00 | $2,624.00 | $28.18 – $209.92 | 768 |
| Amputation thru metatarsal CPT 28805 | $17,656.75 | not published | $31.45 – $6,352.30 | 82 |
| Amputation toe interphalangeal joint CPT 28825 | $25,001.35 | $1,194.00 | $31.45 – $6,352.30 | 769 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $16,875.20 | $1,318.00 | $31.45 – $6,352.30 | 769 |
| Amylase CPT 82150 | $98.15 | $151.00 | $6.28 – $120.00 | 43 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $380.25 | $585.00 | $110.88 – $553.00 | 39 |
| Anal pressure record CPT 91122 | $2,094.30 | $3,222.00 | $60.20 – $3,222.00 | 779 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $230.10 | $354.00 | $27.05 – $354.00 | 780 |
| Analysis gene f2 20210g>a variant CPT 81240 | $176.80 | $272.00 | $54.67 – $272.00 | 43 |
| Analysis gene f5 leiden variant CPT 81241 | $237.25 | $365.00 | $71.09 – $365.00 | 43 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $119.00 | $119.00 | $20.24 – $119.00 | 781 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $76.70 | $118.00 | $23.72 – $118.00 | 43 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | $8,019.00 | $8,019.00 | $594.79 – $4,889.00 | 768 |
| An cholangiogram percutaneous compl CPT 47531 | $9,207.90 | $14,166.00 | $2,847.37 – $14,166.00 | 108 |
| Anchor suture 3.5mm pushlock HCPCS C1741 | $2,155.00 | $3,315.38 | $338.46 – $1,683.89 | 28 |
| An fluoro guide for cvp CPT 77001 | $20,954.16 | $1,162.00 | $1.81 – $6,129.97 | 780 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $994.50 | $1,530.00 | $307.53 – $1,530.00 | 27 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $44,155.24 | $21,426.00 | $4.12 – $14,284.00 | 779 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $13,203.45 | $20,313.00 | $133.70 – $13,542.00 | 779 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $646.00 | $646.00 | $3.79 – $67.68 | 767 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $46,106.57 | $1,746.00 | $5.17 – $184.64 | 767 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $41,271.19 | $4,681.00 | $0.96 – $11,049.67 | 780 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $17,893.20 | $27,528.00 | $3,688.75 – $18,352.00 | 27 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $40,054.95 | $3,415.00 | $9.09 – $11,049.67 | 780 |
| Ankle X-ray CPT 73610 | $44,899.30 | $972.00 | $5.33 – $648.00 | 780 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $26,952.60 | $796.00 | $2.88 – $530.00 | 109 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $964.60 | $1,484.00 | $289.90 – $1,484.00 | 42 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $182.00 | $182.00 | $53.05 – $182.00 | 555 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $198.00 | $198.00 | $42.50 – $198.00 | 555 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $199.00 | $199.00 | $58.24 – $199.00 | 555 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $241.00 | $241.00 | $66.40 – $241.00 | 555 |
| Anora (draw only) CPT 99001 | $23.40 | $36.00 | $3.22 – $36.00 | 36 |
| Anoscopy and biopsy CPT 46606 | $13,518.17 | not published | $157.25 – $2,323.17 | 82 |
| Anoscopy control bleeding 46614 CPT 46614 | $321.00 | $321.00 | $19.60 – $295.50 | 768 |
| Antibody elution rbc reference CPT 86860 | $204.75 | $315.00 | $63.00 – $330.76 | 109 |
| Antibody htlv/hiv confirm test CPT 86689 | $162.50 | $250.00 | $18.75 – $250.00 | 43 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $451.75 | $695.00 | $17.80 – $471.00 | 43 |
| Antibody id rbc panel CPT 86870 | $219.70 | $338.00 | $67.94 – $695.89 | 109 |
| Antibody screen rbc CPT 86850 | $128.05 | $197.00 | $9.77 – $197.00 | 109 |
| Antidepressant not specified CPT 80338 | $48.75 | $75.00 | $15.08 – $116.72 | 39 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $1.46 – $2,670.45 | 109 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $46.80 | $72.00 | $11.68 – $72.00 | 43 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $84.50 | $130.00 | $11.68 – $130.00 | 43 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $46,998.01 | $2,391.00 | $9.09 – $24,925.18 | 769 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $52,967.83 | $2,487.00 | $9.09 – $24,925.18 | 769 |
| Antinuclear antibodies CPT 86038 | $182.00 | $280.00 | $11.72 – $113.00 | 43 |
| Antinuclear antibodies titer CPT 86039 | $219.70 | $338.00 | $10.81 – $338.00 | 43 |
| Antiphosphatidylserine antibody CPT 86148 | $131.95 | $203.00 | $15.58 – $203.00 | 43 |
| Antistreptolysin o screen CPT 86063 | $48.75 | $75.00 | $5.59 – $75.00 | 43 |
| Antistreptolysin o titer CPT 86060 | $42.90 | $66.00 | $7.08 – $66.00 | 43 |
| Antithrombin iii activity CPT 85300 | $165.75 | $255.00 | $11.49 – $255.00 | 43 |
| Antithrombin iii injection HCPCS J7197 | $9,274.05 | $9,274.05 | $1,864.08 – $9,274.05 | 94 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $2,947.56 – $14,664.50 | 94 |
| Antithymocyte globuln rabbit HCPCS J7511 | $3,442.40 | $3,442.40 | $691.92 – $3,442.40 | 94 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $326.95 | $503.00 | $16.40 – $503.00 | 780 |
| Aortic circulation assist 33971 CPT 33971 | $2,302.00 | $2,302.00 | $214.07 – $1,769.93 | 768 |
| Aortic hemiarch graft 33866 CPT 33866 | $2,966.00 | $2,966.00 | $533.57 – $2,192.78 | 768 |
| Apl(pml-rara) quant - sendout CPT 81315 | $778.05 | $1,197.00 | $203.16 – $1,197.00 | 40 |
| Appendectomy CPT 44950 | $2,298.00 | $2,298.00 | $25.36 – $224.16 | 768 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $3,134.00 | $3,134.00 | $31.13 – $313.12 | 768 |
| Appendix Removal (Laparoscopic) CPT 44970 | $35,271.38 | $2,161.00 | $1.92 – $11,736.86 | 769 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $2,082.60 | $3,204.00 | $644.00 – $3,204.00 | 27 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,135.25 | $3,285.00 | $54.74 – $4,005.68 | 780 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $144.00 | $144.00 | $24.92 – $112.00 | 768 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $1,351.35 | $2,079.00 | $9.37 – $2,079.00 | 779 |
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.