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 |
|---|---|---|---|---|
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $17.20 | $17.20 | $3.46 – $17.20 | 28 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $55.60 | $55.60 | $11.18 – $55.60 | 28 |
| Lactate dehydrogenase (ldh) CPT 83615 | $139.10 | $214.00 | $5.85 – $105.00 | 43 |
| Lactated ringers intravenous solution HCPCS J7120 | $21,417.26 | $20.00 | $0.96 – $6,843.44 | 109 |
| Lactic acid CPT 83605 | $33,298.60 | $318.00 | $0.96 – $3,312.15 | 109 |
| Lactoferrin fecal qualitative CPT 83630 | $104.00 | $160.00 | $19.09 – $160.00 | 43 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $87,409.86 | $769.00 | $9.09 – $52,678.33 | 769 |
| Lam facetec & foramot crv CPT 63045 | $46,853.48 | $3,879.00 | $9.09 – $24,925.18 | 769 |
| Lam facetec & foramot lumbar CPT 63047 | $44,570.34 | $3,337.00 | $9.09 – $14,087.30 | 769 |
| Lam facetec & foramot thrc CPT 63046 | $3,699.00 | $3,699.00 | $37.48 – $438.72 | 768 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $94,188.36 | $680.00 | $9.09 – $52,678.33 | 769 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | $6,613.78 | $6,329.00 | $37.48 – $1,012.64 | 768 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $5,178.00 | $5,178.00 | $37.48 – $610.56 | 768 |
| Laminotomy single lumbar CPT 63042 | $37,135.09 | $5,742.00 | $1.92 – $14,087.30 | 769 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $29,832.00 | $29,832.00 | $93.06 – $29,832.00 | 31 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $5.15 | $5.15 | $1.03 – $13.05 | 99 |
| Laparo cholecystectomy/explr CPT 47564 | $3,994.00 | $3,994.00 | $37.48 – $391.68 | 768 |
| Laparo cholecystectomy/graph CPT 47563 | $27,547.87 | $2,574.00 | $0.96 – $11,736.86 | 769 |
| Laparo partial colectomy 44204 CPT 44204 | $5,500.00 | $5,500.00 | $37.48 – $529.28 | 768 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $73,145.78 | not published | $366.78 – $11,736.86 | 82 |
| Laparoscopic proc CPT 45400 | $4,108.00 | $4,108.00 | $23.28 – $390.24 | 768 |
| Laparoscopy adrenalectomy CPT 60650 | $3,535.00 | $3,535.00 | $37.48 – $420.64 | 768 |
| Laparoscopy aspiration CPT 49322 | $1,350.00 | $1,350.00 | $17.34 – $131.36 | 768 |
| Laparoscopy biopsy CPT 49321 | $1,241.00 | $1,241.00 | $16.16 – $120.96 | 768 |
| Laparoscopy gastrostomy CPT 43653 | $2,076.00 | $2,076.00 | $180.20 – $1,280.00 | 768 |
| Laparoscopy lymphadenectomy CPT 38571 | $55,341.27 | not published | $366.82 – $20,636.89 | 82 |
| Laparoscopy lymph node biop CPT 38570 | $1,759.00 | $1,759.00 | $24.52 – $180.16 | 768 |
| Laparoscopy orchiopexy CPT 54692 | $30,989.80 | $2,720.00 | $0.96 – $11,736.86 | 769 |
| Laparoscopy remove adnexa CPT 58661 | $26,981.05 | $2,826.00 | $29.91 – $11,736.86 | 769 |
| Laparo urethral suspension CPT 51990 | $53,240.39 | not published | $366.82 – $20,636.89 | 82 |
| Lap close enterostomy with resect 44227 CPT 44227 | $5,930.00 | $5,930.00 | $37.48 – $569.92 | 768 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $6,501.00 | $6,501.00 | $37.48 – $620.48 | 768 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $7,079.00 | $7,079.00 | $37.48 – $675.52 | 768 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $4,787.00 | $4,787.00 | $37.48 – $459.68 | 768 |
| Lap colostomy 44188 CPT 44188 | $4,362.00 | $4,362.00 | $37.48 – $420.96 | 768 |
| Lap enterectomy 44202 CPT 44202 | $4,954.00 | $4,954.00 | $37.48 – $480.64 | 768 |
| Lap enterolysis CPT 44180 | $3,286.00 | $3,286.00 | $37.48 – $320.80 | 768 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | $3,943.00 | $3,943.00 | $37.48 – $378.08 | 768 |
| Lap ing hernia repair init CPT 49650 | $27,411.79 | $1,922.00 | $0.96 – $11,736.86 | 769 |
| Lap ing hernia repair recur CPT 49651 | $4,060.00 | $4,060.00 | $24.47 – $200.48 | 768 |
| Lap insert tunnel ip cath CPT 49324 | $30,130.24 | $1,383.00 | $9.09 – $11,736.86 | 769 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $895.00 | $895.00 | $16.84 – $63.36 | 768 |
| Lap paraesophag hern repair CPT 43281 | $5,464.00 | $5,464.00 | $37.48 – $529.92 | 768 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $6,229.00 | $6,229.00 | $37.48 – $598.24 | 768 |
| Lap remove rectum w/pouch CPT 45397 | $7,693.00 | $7,693.00 | $388.97 – $6,944.67 | 768 |
| Lap resect s/intestine addl 44203 CPT 44203 | $856.00 | $856.00 | $137.81 – $811.00 | 768 |
| Lap revision perm ip cath CPT 49325 | $29,563.15 | $1,476.00 | $9.09 – $11,736.86 | 769 |
| Laps surg prst8ect rpbic rad CPT 55866 | $55,659.64 | not published | $366.82 – $20,636.89 | 82 |
| Lap tot proctocolectomy 44210 CPT 44210 | $6,386.00 | $6,386.00 | $37.48 – $624.64 | 768 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $27,637.05 | $664.00 | $9.09 – $11,736.86 | 769 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $3,070.65 | $1,949.00 | $2.03 – $1,299.00 | 780 |
| Laryngoscope w/vc inj CPT 31570 | $728.00 | $728.00 | $62.62 – $728.00 | 768 |
| Laryngoscop w/vc inj + scope CPT 31571 | $793.00 | $793.00 | $67.42 – $755.00 | 768 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $13,360.75 | $509.00 | $0.36 – $3,455.52 | 769 |
| Laryngoscopy w/biopsy CPT 31535 | $19,917.10 | $602.00 | $51.66 – $7,238.26 | 769 |
| Laryngoscopy w/bx & op scope CPT 31536 | $17,407.85 | $671.00 | $57.09 – $7,238.26 | 769 |
| Laryngoscopy w/exc of tumor CPT 31540 | $17,319.70 | $770.00 | $62.90 – $7,238.26 | 769 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $382.00 | $382.00 | $8.52 – $382.00 | 768 |
| Larynscop w/tumr exc + scope CPT 31541 | $19,006.14 | $840.00 | $35.88 – $7,238.26 | 769 |
| Laser surgery of prostate CPT 52648 | $29,358.70 | not published | $0.96 – $10,409.46 | 82 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,873.32 | $4,420.50 | $20.32 – $101.07 | 28 |
| Lead capillary CPT 83655 | $89.70 | $138.00 | $11.73 – $109.00 | 43 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $4,159.75 | $6,399.62 | $0.05 – $0.26 | 28 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,202.66 | $12,619.48 | $18.78 – $93.42 | 28 |
| Lefort i-1 piece without graft CPT 21141 | $4,663.00 | $4,663.00 | $37.48 – $746.08 | 768 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,285.05 | $1,977.00 | $23.43 – $1,977.00 | 780 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $9,744.15 | $3,439.00 | $165.56 – $2,292.00 | 109 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,942.85 | $2,989.00 | $98.68 – $1,993.00 | 109 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,449.50 | $2,230.00 | $20.45 – $2,230.00 | 780 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $419.25 | $645.00 | $10.05 – $50.00 | 28 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $692.25 | $1,065.00 | $10.05 – $50.00 | 28 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $354.25 | $545.00 | $10.05 – $50.00 | 28 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $396.40 | $396.40 | $2.76 – $13.75 | 94 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $37,312.35 | $37,312.35 | $70.48 – $473.02 | 109 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $5,218.50 | $5,218.50 | $1,048.92 – $5,218.50 | 109 |
| Levalbuterol non-comp con HCPCS J7612 | $6.00 | $3.00 | $0.25 – $3.00 | 767 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $13.80 | $13.80 | $1.60 – $7.95 | 94 |
| Levetiracetam therapeutic drug level CPT 80177 | $159.25 | $245.00 | $12.84 – $245.00 | 43 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $137.40 | $137.40 | $1.31 – $6.50 | 94 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $3,075.10 | $3,075.10 | $77.00 – $434.65 | 94 |
| Liberta rc ipg HCPCS C1820 | $29,884.39 | $45,975.98 | $13.81 – $68.71 | 28 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $37.50 | $37.50 | $7.54 – $37.50 | 28 |
| Lidocaine therapeutic drug level CPT 80176 | $259.35 | $399.00 | $14.69 – $399.00 | 28 |
| Lift heel adj small gl60404sm HCPCS L3332 | $38.34 | $58.98 | $11.85 – $58.98 | 28 |
| Lift heel adjustable med HCPCS L3334 | $3.03 | $4.66 | $0.94 – $4.66 | 28 |
| Ligate/strip long leg vein CPT 37722 | $1,507.00 | $1,507.00 | $126.29 – $973.00 | 768 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $27,154.10 | $1,358.00 | $42.36 – $3,206.43 | 769 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,282.00 | $1,282.00 | $117.79 – $846.76 | 768 |
| Lig/band angioaccess av fistula CPT 37607 | $1,218.00 | $1,218.00 | $17.65 – $127.84 | 768 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $36.00 | $36.00 | $7.24 – $36.00 | 94 |
| Lipase CPT 83690 | $176.80 | $272.00 | $6.68 – $266.00 | 43 |
| Lipoprotein blood high res frac & quant CPT 83701 | $95.55 | $147.00 | $29.55 – $147.00 | 43 |
| Lipoprotein blood quant CPT 83704 | $137.80 | $212.00 | $33.13 – $212.00 | 43 |
| Lipoprotein direct measurement hdl CPT 83718 | $70.20 | $108.00 | $7.94 – $108.00 | 43 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.20 | $88.00 | $10.18 – $88.00 | 43 |
| Lithium therapeutic drug level CPT 80178 | $114.40 | $176.00 | $6.41 – $176.00 | 43 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $463.00 | $463.00 | $32.96 – $463.00 | 779 |
| Liver elastography 91200 CPT 91200 | $331.50 | $510.00 | $102.51 – $510.00 | 108 |
| Liver Function Test CPT 80076 | $31,970.05 | $464.00 | $7.92 – $8,904.00 | 109 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $87,089.35 | $87,089.35 | $197.84 – $87,089.35 | 109 |
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.