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 |
|---|---|---|---|---|
| Injection for ureter x-ray CPT 50690 | $832.00 | $1,280.00 | $257.28 – $1,280.00 | 27 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $7,613.90 | $7,622.56 | $10.61 – $7,622.56 | 767 |
| Injection of sinus tract CPT 20500 | $977.60 | $1,504.00 | $302.30 – $3,012.26 | 108 |
| Injection,onabotulinumtoxina HCPCS J0585 | $6,021.75 | $6,021.75 | $5.59 – $3,255.00 | 778 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $74,932.85 | $1,691.00 | $8.74 – $1,127.00 | 780 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $2,968.75 | $2,850.00 | $9.60 – $1,899.00 | 108 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,192.75 | $1,835.00 | $245.82 – $1,370.41 | 108 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $3,677.50 | $2,548.00 | $53.57 – $1,699.00 | 108 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $4,990.65 | $4,923.00 | $1.92 – $3,282.00 | 108 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $15,040.65 | $4,870.00 | $652.65 – $3,247.00 | 108 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $6,594.25 | $10,145.00 | $834.84 – $6,763.00 | 108 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $10,550.65 | $3,333.00 | $446.62 – $2,222.00 | 108 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $9,843.40 | $6,470.00 | $834.84 – $4,313.00 | 108 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $3,069.35 | $3,008.00 | $0.96 – $3,008.00 | 108 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $3,061.65 | $3,008.00 | $604.61 – $3,008.00 | 108 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $510.90 | $786.00 | $105.32 – $595.92 | 108 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $2,031.15 | $832.00 | $11.40 – $832.00 | 780 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $2,211.45 | $1,006.00 | $53.57 – $1,006.00 | 108 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $16,995.30 | $264.00 | $9.09 – $2,542.21 | 109 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,033.85 | $3,129.00 | $628.93 – $3,129.00 | 27 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $850.20 | $1,308.00 | $262.91 – $1,308.00 | 27 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $364.60 | $364.60 | $64.50 – $364.60 | 94 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $21.95 | $21.95 | $4.41 – $21.95 | 94 |
| Inj for ext venography CPT 36005 | $24,416.36 | $2,958.00 | $9.09 – $1,972.00 | 780 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | $3,825.85 | $3,825.85 | $769.00 – $3,825.85 | 28 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $41.40 | $41.40 | $8.32 – $41.40 | 28 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,472.25 | $2,265.00 | $455.27 – $2,265.00 | 27 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $4,819.80 | $4,819.80 | $968.78 – $4,819.80 | 94 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | $13,650.95 | $3,331.05 | $1.30 – $1,332.40 | 109 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $178.80 | $178.80 | $6.14 – $37.06 | 94 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $72.00 | $72.00 | $13.02 – $64.80 | 28 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $935.25 | $935.25 | $187.99 – $935.25 | 94 |
| Inj. mycophenolate mofetil HCPCS J7519 | $78.20 | $78.20 | $15.72 – $78.20 | 94 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,681.25 | $4,125.00 | $552.75 – $2,750.00 | 108 |
| Inj proc myelogram lumbar CPT 62284 | $475.15 | $731.00 | $146.93 – $731.00 | 27 |
| Inj retro urethrocysto CPT 51610 | $2,975.05 | $4,577.00 | $919.98 – $4,577.00 | 27 |
| Inj scleros sol mult veins CPT 36471 | $817.05 | $1,257.00 | $21.30 – $838.00 | 780 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $724.75 | $1,115.00 | $224.12 – $1,115.00 | 108 |
| Inj testosterone cypionate HCPCS J1071 | $142.75 | $165.26 | $0.02 – $142.75 | 778 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | $981.40 | $981.40 | $197.26 – $981.40 | 94 |
| Inj w/fluor eval cv device CPT 36598 | $292.50 | $450.00 | $60.30 – $412.94 | 108 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $73,182.85 | $73,182.85 | $2,514.57 – $73,182.85 | 109 |
| Ins cath ren art 1st bi CPT 36252 | $35,688.18 | $10,070.00 | $9.09 – $10,070.00 | 780 |
| Ins cath ren art 1st uni CPT 36251 | $37,714.71 | $16,506.00 | $9.09 – $16,506.00 | 780 |
| Ins cath ren art 2nd+ bi CPT 36254 | $10,085.40 | $15,516.00 | $2,980.30 – $15,516.00 | 108 |
| Ins cath ren art 2nd+ uni CPT 36253 | $6,545.50 | $10,070.00 | $2,024.07 – $10,802.96 | 108 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | $408.00 | $408.00 | $34.30 – $260.00 | 768 |
| Insert cath pleura with image CPT 32557 | $5,124.60 | $7,884.00 | $11.93 – $5,256.00 | 780 |
| Insert cath pleura without image CPT 32556 | $795.00 | $795.00 | $13.03 – $262.00 | 768 |
| Insert epicardial lead open 33202 CPT 33202 | $2,510.00 | $2,510.00 | $236.33 – $1,838.70 | 768 |
| Insert hepatic shunt (tips) CPT 37182 | $17,407.00 | $26,780.00 | $5,382.78 – $35,589.27 | 108 |
| Insert intervert bimech device 22854 CPT 22854 | $1,103.00 | $1,103.00 | $30.67 – $119.36 | 768 |
| Insert intracorporeal device CPT 33979 | $6,261.00 | $6,261.00 | $37.48 – $1,001.76 | 768 |
| Insert intrauterine device iud CPT 58300 | $107.00 | $107.00 | $4.46 – $17.12 | 555 |
| Insertion catheter bladder non indwelling CPT 51701 | $263.25 | $405.00 | $81.41 – $405.00 | 108 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $11,699.64 | $6,837.00 | $9.09 – $6,951.03 | 108 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $7,256.60 | $11,164.00 | $71.68 – $11,164.00 | 779 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | $1,144.00 | $1,144.00 | $100.22 – $974.34 | 768 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,957.95 | $12,243.00 | $2,460.84 – $12,243.00 | 108 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,523.30 | $3,882.00 | $7.91 – $6,129.97 | 780 |
| Insertion of catheter vein CPT 36481 | $1,204.45 | $1,853.00 | $372.45 – $1,853.00 | 27 |
| Insertion of heart electrode 33211 CPT 33211 | $10,808.85 | $16,629.00 | $3,342.43 – $16,629.00 | 27 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $31,991.25 | $16,985.00 | $2.28 – $20,291.63 | 780 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $28,570.93 | $12,819.00 | $0.96 – $20,291.63 | 780 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $79,652.18 | $9,144.00 | $2.28 – $60,938.73 | 780 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $3,348.00 | $4,259.00 | $856.06 – $4,259.00 | 108 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $3,391.05 | $5,217.00 | $1,048.62 – $5,217.00 | 108 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $78,651.03 | $24,681.00 | $2.28 – $60,938.73 | 780 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $5,032.95 | $7,743.00 | $44.84 – $16,065.94 | 780 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $7,906.60 | $12,164.00 | $105.65 – $16,065.94 | 780 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $13,021.00 | $18,360.00 | $24.18 – $18,360.00 | 783 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $21,053.71 | $24,219.00 | $9.09 – $16,146.00 | 780 |
| Insert nasal septal button CPT 30220 | $984.00 | $411.00 | $9.62 – $411.00 | 768 |
| Insert pelv fixation device CPT 22848 | $1,193.00 | $1,193.00 | $27.55 – $149.23 | 768 |
| Insert pessary/other device CPT 57160 | $98.00 | $98.00 | $12.89 – $98.00 | 768 |
| Insert pm/icd lead dual CPT 33217 | $8,698.30 | $13,382.00 | $105.33 – $16,065.94 | 780 |
| Insert/repl sq defib w/eltrd CPT 33270 | $27,151.15 | $41,771.00 | $157.20 – $60,938.73 | 780 |
| Insert spine fixation device CPT 22843 | $2,692.00 | $2,692.00 | $63.18 – $283.20 | 768 |
| Insert swan-ganz cath CPT 93503 | $2,090.40 | $3,216.00 | $51.97 – $3,216.00 | 780 |
| Insert vad art access left hrt arterial access CPT 33990 | $11,180.00 | $17,200.00 | $99.79 – $17,200.00 | 780 |
| Ins icd gen exist mlt leads CPT 33231 | $23,665.85 | $36,409.00 | $7,318.21 – $60,938.73 | 108 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $123.50 | $190.00 | $38.19 – $190.00 | 28 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $21,073.25 | $335.00 | $67.34 – $335.00 | 109 |
| Insj biomechanical device CPT 22859 | $72,410.88 | not published | $9.09 – $52,678.33 | 82 |
| Insj biomechanical device 22853 CPT 22853 | $71,397.53 | $851.00 | $9.09 – $24,925.18 | 769 |
| Insj perq vad r hrt venous CPT 33995 | $1,162.00 | $1,162.00 | $99.69 – $910.00 | 779 |
| Insj phrnc nrv stim sys CPT 33276 | $48,912.50 | $75,250.00 | $161.14 – $85,512.38 | 780 |
| Ins lv lead exist pm/icd CPT 33224 | $7,577.70 | $11,658.00 | $2,343.26 – $20,291.63 | 108 |
| Ins mark abd/pel for right perq CPT 49411 | $3,578.90 | $5,506.00 | $1,106.71 – $5,506.00 | 108 |
| Ins mark thor for right perq CPT 32553 | $2,117.70 | $3,258.00 | $654.86 – $3,258.00 | 108 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | $44.30 | $68.15 | $13.70 – $68.15 | 28 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $1,905.80 | $2,932.00 | $589.33 – $2,932.00 | 108 |
| Ins pm gen exist dual lead CPT 33230 | $23,665.85 | $36,409.00 | $7,318.21 – $43,183.96 | 108 |
| Ins pm gen w/exist mlt leads CPT 33221 | $10,135.45 | $15,593.00 | $3,134.19 – $37,394.89 | 108 |
| Ins pq tunnld ip cath w/img CPT 49418 | $7,567.95 | $11,643.00 | $2,340.24 – $11,643.00 | 108 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $72,943.01 | $14,456.00 | $9.09 – $59,907.52 | 108 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $18,682.95 | $28,743.00 | $133.77 – $37,394.89 | 780 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $9,929.40 | $15,276.00 | $96.81 – $20,291.63 | 780 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $11,449.10 | $17,614.00 | $93.19 – $17,614.00 | 780 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $6,513.65 | $10,021.00 | $128.23 – $20,291.63 | 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.