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 |
|---|---|---|---|---|
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $771.00 | $771.00 | $49.52 – $646.53 | 768 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $38,957.10 | $59,934.00 | $90.63 – $59,934.00 | 780 |
| Insrt/redo neurostim 1 array CPT 61885 | $104,749.90 | $3,196.00 | $9.09 – $59,907.52 | 769 |
| Ins subq extnsn pertneal cath CPT 49435 | $32,983.09 | $418.00 | $9.09 – $11,736.86 | 769 |
| Inst fibrinolysis agent ini day CPT 32561 | $699.40 | $1,076.00 | $19.17 – $1,217.85 | 780 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $193.00 | $193.00 | $2.74 – $20.00 | 768 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $25,493.40 | $1,234.00 | $183.41 – $1,353.74 | 108 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $5,476.90 | $8,426.00 | $32.05 – $5,618.00 | 779 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $11,543.18 | $10,666.00 | $9.09 – $7,111.00 | 108 |
| Inst via cath agent pleurds CPT 32560 | $402.12 | $273.00 | $19.53 – $273.00 | 768 |
| Insulin total CPT 83525 | $95.55 | $147.00 | $11.08 – $130.00 | 43 |
| Ins vag brachytx device CPT 57156 | $549.25 | $845.00 | $40.47 – $845.00 | 780 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $2,333.79 | $3,590.44 | $585.96 – $3,590.44 | 36 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $146.76 | $225.79 | $45.38 – $225.79 | 28 |
| Interdiscal perq aspir dx CPT 62267 | $410.80 | $632.00 | $127.03 – $1,374.78 | 108 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $10,427.90 | $10,427.90 | $2,096.01 – $10,427.90 | 94 |
| Interrogate subq defib CPT 93261 | $182.65 | $281.00 | $22.58 – $281.00 | 783 |
| Interrogation vad in person CPT 93750 | $141.00 | $186.00 | $21.73 – $186.00 | 780 |
| Interrog dev eval icpms ip CPT 93290 | $95.55 | $147.00 | $29.55 – $147.00 | 108 |
| Interrog dev eval scrms ip CPT 93291 | $149.00 | $149.00 | $11.08 – $77.00 | 780 |
| Interrog device eval heart CPT 93289 | $218.00 | $218.00 | $22.58 – $118.00 | 783 |
| Interrog evl pm/ldls pm ip CPT 93288 | $169.00 | $169.00 | $12.78 – $118.00 | 783 |
| Interstitial brachy inter CPT 77799 | $2,291.25 | $3,525.00 | $96.31 – $3,525.00 | 109 |
| Int hrhc lig 2+hroid without img CPT 46946 | $1,396.00 | $1,396.00 | $73.01 – $990.70 | 768 |
| Intra-atrial pacing CPT 93610 | $3,384.55 | $5,207.00 | $530.00 – $15,142.36 | 109 |
| Intra-atrial recording CPT 93602 | $4,279.60 | $6,584.00 | $55.94 – $15,142.36 | 780 |
| Intracard echo interv w/s&i CPT 93662 | $2,537.60 | $3,904.00 | $43.88 – $3,904.00 | 779 |
| Intranasal biopsy 30100 CPT 30100 | $517.50 | $217.00 | $11.22 – $217.00 | 768 |
| Intrapul surf admin endo tube CPT 94610 | $319.80 | $492.00 | $98.89 – $492.00 | 28 |
| Intraventricular pacing CPT 93612 | $3,201.25 | $4,925.00 | $989.93 – $15,142.36 | 108 |
| Intrinsic factor antibody CPT 86340 | $92.30 | $142.00 | $14.62 – $142.00 | 43 |
| Intro cath dialysis circuit CPT 36901 | $3,548.39 | $3,120.00 | $9.09 – $3,120.00 | 780 |
| Intro cath dialysis circuit w/pta CPT 36902 | $28,014.72 | $23,982.00 | $9.09 – $23,982.00 | 108 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,938.25 | $19,905.00 | $4,000.91 – $22,412.03 | 108 |
| Intro catheter aorta CPT 36200 | $80,438.55 | $5,215.00 | $9.09 – $3,477.00 | 780 |
| Intro cath svc/ivc CPT 36010 | $2,800.85 | $4,309.00 | $14.08 – $2,873.00 | 779 |
| Intro long gi tube CPT 44500 | $1,149.20 | $1,768.00 | $355.37 – $1,768.00 | 108 |
| Intro long gi tube w/mult fluo CPT 74340 | $710.45 | $1,093.00 | $219.69 – $1,093.00 | 27 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $37,946.34 | $4,296.00 | $9.09 – $22,412.03 | 780 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,171.95 | $1,803.00 | $39.83 – $1,803.00 | 779 |
| Intubation endotracheal emergency procedure CPT 31500 | $40,968.65 | $1,662.00 | $0.96 – $1,662.00 | 780 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $4,712.45 | $103.75 | $9.43 – $1,717.13 | 109 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $690.75 | $690.75 | $2.36 – $11.75 | 28 |
| Io rad tx delivery by x-ray CPT 77424 | $5,638.10 | $8,674.00 | $638.00 – $8,674.00 | 28 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $110,829.85 | $110,829.85 | $172.83 – $27,707.50 | 109 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $138.25 | $138.25 | $27.79 – $138.25 | 28 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $9,268.95 | $9,268.95 | $64.64 – $9,268.95 | 109 |
| Iron CPT 83540 | $172.90 | $266.00 | $6.27 – $91.00 | 43 |
| Iron binding capacity CPT 83550 | $1,810.55 | $158.00 | $8.47 – $158.00 | 109 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $185.90 | $185.90 | $17.46 – $185.90 | 31 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $2,311.20 | $174.00 | $22.00 – $412.94 | 109 |
| Irradiation of blood product each unit reference CPT 86945 | $32.50 | $50.00 | $10.05 – $72.51 | 43 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $172.25 | $265.00 | $53.27 – $427.00 | 109 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $2,779.35 | $2,779.35 | $77.83 – $2,779.35 | 109 |
| Ivc venogram s&i CPT 75825 | $4,728.10 | $7,274.00 | $33.23 – $7,274.00 | 780 |
| IV Fluids (each additional hour) CPT 96361 | $8,281.68 | $274.00 | $9.09 – $427.00 | 109 |
| IV Fluids (first hour) CPT 96360 | $3,653.40 | $890.00 | $178.89 – $890.00 | 109 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $12,890.95 | $226.00 | $9.09 – $957.20 | 109 |
| IV Medicine Infusion (additional drug) CPT 96367 | $60,145.45 | $293.00 | $9.09 – $427.00 | 109 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $15,170.65 | $308.00 | $9.09 – $308.00 | 779 |
| IV Medicine Infusion (first hour) CPT 96365 | $9,446.60 | $889.00 | $40.36 – $889.00 | 779 |
| IV njx tst vasc flo flap/grf CPT 15860 | $151,359.68 | $346.00 | $4.75 – $26,754.51 | 769 |
| IV Push Injection (each additional drug) CPT 96375 | $29,708.30 | $259.00 | $9.09 – $427.00 | 109 |
| IV Push Injection (first drug) CPT 96374 | $3,475.40 | $438.00 | $26.82 – $438.00 | 779 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $18,131.05 | $18,131.05 | $127.12 – $6,043.70 | 109 |
| Jak2 targeted sequence analysis CPT 81279 | $512.85 | $789.00 | $158.59 – $789.00 | 40 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $492.05 | $757.00 | $82.14 – $757.00 | 109 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $378.95 | $583.00 | $7.46 – $583.00 | 780 |
| Jkt lso inter HCPCS L0560 | $41.27 | $63.49 | $12.76 – $63.49 | 28 |
| John cunningham antibody CPT 86711 | $74.10 | $114.00 | $16.55 – $114.00 | 40 |
| J-tube placement CPT 44015 | $502.00 | $502.00 | $12.92 – $43.84 | 768 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $105.30 | $162.00 | $7.92 – $120.00 | 43 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $30.05 | $30.05 | $0.30 – $6.20 | 778 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,647.75 | $2,535.00 | $509.54 – $2,535.00 | 109 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $910.65 | $1,401.00 | $98.68 – $1,401.00 | 109 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $520.00 | $800.00 | $98.68 – $800.00 | 109 |
| Kit case 4.2mm spinejack HCPCS C1062 | $5,934.85 | $9,130.54 | $589.37 – $2,932.18 | 28 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $257.21 | $395.71 | $68.48 – $340.71 | 28 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $1.31 | $2.02 | $0.27 – $1.33 | 28 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $6,430.77 | $9,893.50 | $1,163.54 – $5,788.75 | 28 |
| Kit hfx iq ipg bundle HCPCS C1822 | $28,492.42 | $43,834.50 | $7,911.40 – $39,360.18 | 28 |
| Kit ipg optimizer smart HCPCS C1824 | $29,051.10 | $44,694.00 | $7,946.94 – $39,537.00 | 28 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | $2.05 | $3.16 | $0.64 – $3.16 | 28 |
| Kit lead specify 5-6-5 HCPCS C1778 | $13,454.45 | $20,699.16 | $28.81 – $143.33 | 28 |
| Kit monitr cath camino icp w/integratd licox bolt fitting HCPCS A9279 | $1,313.77 | $2,021.18 | $406.26 – $2,021.18 | 28 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,391.79 | $2,141.22 | $403.84 – $2,009.15 | 28 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $234.08 | $360.12 | $34.41 – $210.83 | 36 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $6,106.28 | $9,394.28 | $1,038.85 – $6,365.52 | 36 |
| Kit trach suct cls 30.5cm HCPCS A4605 | $3,140.14 | $4,830.98 | $8.41 – $41.85 | 28 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | $5,597.25 | $13,859.85 | $2,934.80 – $5,759.97 | 7 |
| Knee arthroscopy/surgery CPT 29879 | $24,961.90 | not published | $1.92 – $6,352.30 | 82 |
| Knee MRI (with and without contrast) CPT 73723 | $5,636.80 | $8,672.00 | $329.29 – $5,781.00 | 109 |
| Knee MRI (with contrast) CPT 73722 | $5,196.75 | $7,995.00 | $739.93 – $5,330.00 | 109 |
| Knee MRI (without contrast) CPT 73721 | $3,822.00 | $5,880.00 | $225.21 – $3,920.00 | 109 |
| Knee X-ray CPT 73564 | $674.70 | $1,038.00 | $7.03 – $692.00 | 780 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $32,148.99 | $822.00 | $0.96 – $548.00 | 780 |
| Knee X-ray (3 views, both knees) CPT 73562 | $2,247.00 | $1,027.00 | $5.96 – $685.00 | 780 |
| Knee X-ray (standing, both knees) CPT 73565 | $319.80 | $492.00 | $5.33 – $492.00 | 780 |
| Kras gene addl variants CPT 81276 | $604.50 | $930.00 | $186.93 – $930.00 | 43 |
| Kras gene variants exon 2 CPT 81275 | $657.80 | $1,012.00 | $187.26 – $1,012.00 | 43 |
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.