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 |
|---|---|---|---|---|
| Loop ostmy bridg ster HCPCS A4421 | $45.43 | $69.90 | $0.07 – $0.36 | 28 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $60.90 | $60.90 | $1.87 – $9.30 | 94 |
| Low back disk surgery CPT 63030 | $35,322.64 | $5,520.00 | $9.09 – $14,087.30 | 769 |
| Low cost skin substitute app HCPCS C5271 | $909.35 | $1,399.00 | $228.32 – $1,434.84 | 103 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $1,140.75 | $1,755.00 | $98.68 – $1,755.00 | 109 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $3,981.90 | $6,126.00 | $165.56 – $6,126.00 | 109 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,692.60 | $2,604.00 | $329.29 – $2,604.00 | 109 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,498.25 | $2,305.00 | $98.68 – $2,305.00 | 109 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,317.30 | $6,642.00 | $329.29 – $6,642.00 | 109 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,331.55 | $3,587.00 | $329.29 – $3,587.00 | 109 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,589.60 | $3,984.00 | $110.18 – $3,984.00 | 109 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $479.05 | $737.00 | $6.82 – $737.00 | 780 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $671.45 | $1,033.00 | $8.09 – $1,033.00 | 780 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $193.70 | $298.00 | $59.90 – $298.00 | 109 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $44,659.62 | $869.00 | $4.90 – $580.00 | 780 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $72,824.34 | $5,321.00 | $9.09 – $34,040.37 | 769 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $421.85 | $649.00 | $6.60 – $724.45 | 781 |
| Lung function test (mbc/mvv) CPT 94200 | $1,444.00 | $336.00 | $1.25 – $336.00 | 780 |
| Lung Function Test (Spirometry) CPT 94010 | $1,479.00 | $268.00 | $5.06 – $419.20 | 781 |
| Lung perfusion imaging CPT 78580 | $942.50 | $1,450.00 | $291.45 – $1,450.00 | 109 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,230.00 | $25,230.00 | $202.23 – $25,230.00 | 109 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $39.26 – $12,586.20 | 109 |
| Lvad shower bag heartmate HCPCS Q0501 | $887.68 | $1,365.66 | $274.50 – $1,365.66 | 28 |
| Lymphatics/lymph node imaging CPT 78195 | $5,041.00 | $2,301.00 | $462.50 – $2,301.00 | 109 |
| Lysis penil circumic lesion CPT 54162 | $723.00 | $723.00 | $58.79 – $723.00 | 768 |
| Macroscopic exam parasite CPT 87169 | $44.85 | $69.00 | $4.17 – $69.00 | 43 |
| Magnesium CPT 83735 | $15,149.00 | $123.00 | $6.50 – $217.31 | 109 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $522.50 | $522.50 | $1.00 – $11.90 | 94 |
| Mammosite ced HCPCS C1728 | $1,437.46 | $2,211.47 | $444.51 – $2,211.47 | 28 |
| Manipulate wrist w/anesthes CPT 25259 | $29,674.60 | not published | $9.09 – $3,121.78 | 82 |
| Mapping io sentinel lymph node CPT 38900 | $42,109.03 | $588.00 | $12.47 – $12,891.30 | 769 |
| Map tachycard site(s) CPT 93609 | $3,604.25 | $5,545.00 | $1,114.55 – $5,545.00 | 27 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $46.45 – $8,622.65 | 109 |
| Marker biop eviva buckle ss HCPCS A4648 | $11,784.43 | $5,096.73 | $0.01 – $3,206.43 | 109 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,430.15 | $2,200.23 | $359.08 – $2,200.23 | 36 |
| Mask full face lg af531 HCPCS A7030 | $47.34 | $72.83 | $14.28 – $71.04 | 28 |
| Mastectomy partial CPT 19301 | $42,831.61 | $4,262.00 | $0.96 – $7,601.47 | 769 |
| Mast mod rad CPT 19307 | $87,678.31 | $3,804.00 | $37.48 – $26,754.51 | 769 |
| Mastopexy CPT 19316 | $49,204.70 | $5,180.00 | $2.28 – $12,891.30 | 769 |
| Mast simple complete CPT 19303 | $83,187.43 | $6,174.00 | $37.37 – $12,891.30 | 769 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $6,518.34 | $10,028.22 | $2,015.67 – $10,028.22 | 28 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $72.92 | $112.19 | $0.59 – $3.61 | 36 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $104.65 | $161.00 | $14.01 – $161.00 | 43 |
| Mayo aathr protein s free CPT 85306 | $126.75 | $195.00 | $14.84 – $174.00 | 43 |
| Mayo activated protein c resistance assay CPT 85307 | $161.20 | $248.00 | $14.84 – $248.00 | 43 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $141.05 | $217.00 | $37.37 – $217.00 | 43 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $85.80 | $132.00 | $26.53 – $132.00 | 36 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $145.60 | $224.00 | $45.02 – $224.00 | 39 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $257.40 | $396.00 | $14.32 – $396.00 | 43 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $180.70 | $278.00 | $55.88 – $278.00 | 39 |
| Mayo alpha 1 antitrypsin CPT 82103 | $120.90 | $186.00 | $13.03 – $186.00 | 43 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $40.95 | $63.00 | $12.66 – $63.00 | 43 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $76.05 | $117.00 | $23.52 – $117.00 | 39 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $169.65 | $261.00 | $52.46 – $261.00 | 36 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $637.00 | $980.00 | $117.86 – $980.00 | 43 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $618.80 | $952.00 | $88.82 – $952.00 | 43 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $411.45 | $633.00 | $127.23 – $633.00 | 43 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,625.00 | $2,500.00 | $502.50 – $2,500.00 | 43 |
| Mayo androstenedione CPT 82157 | $137.80 | $212.00 | $28.38 – $212.00 | 43 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $193.70 | $298.00 | $14.15 – $176.00 | 43 |
| Mayo antithrombin iii antigen CPT 85301 | $158.60 | $244.00 | $10.48 – $244.00 | 43 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $28.60 | $44.00 | $8.84 – $44.00 | 43 |
| Mayo avwpr vw factor activity CPT 85397 | $172.25 | $265.00 | $29.91 – $265.00 | 43 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $82.55 | $127.00 | $25.53 – $127.00 | 43 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $135.85 | $209.00 | $42.01 – $209.00 | 36 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $102.70 | $158.00 | $9.86 – $144.00 | 43 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $308.75 | $475.00 | $89.24 – $444.00 | 43 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $232.70 | $358.00 | $71.96 – $431.39 | 43 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $95.55 | $147.00 | $12.51 – $147.00 | 43 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $58.50 | $90.00 | $18.09 – $116.72 | 39 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $101.40 | $156.00 | $12.78 – $156.00 | 43 |
| Mayo brcmg brucella antibody igm CPT 86622 | $113.10 | $174.00 | $8.65 – $174.00 | 43 |
| Mayo c1 esterase inhibitor CPT 83883 | $78.00 | $120.00 | $13.18 – $120.00 | 43 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $141.05 | $217.00 | $43.62 – $217.00 | 39 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $121.55 | $187.00 | $16.35 – $187.00 | 43 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $250.25 | $385.00 | $26.24 – $385.00 | 40 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $478.40 | $736.00 | $119.78 – $736.00 | 40 |
| Mayo ceruloplasmin CPT 82390 | $127.40 | $196.00 | $10.40 – $196.00 | 43 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $117.00 | $180.00 | $13.68 – $180.00 | 43 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $106.60 | $164.00 | $12.48 – $164.00 | 43 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $81.25 | $125.00 | $11.45 – $125.00 | 43 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $66.95 | $103.00 | $12.29 – $103.00 | 43 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $589.55 | $907.00 | $112.88 – $907.00 | 43 |
| Mayo chromium CPT 82495 | $108.55 | $167.00 | $19.66 – $167.00 | 43 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $98.80 | $152.00 | $30.55 – $152.00 | 36 |
| Mayo coccidioides antibody CPT 86635 | $80.60 | $124.00 | $11.12 – $124.00 | 43 |
| Mayo cocou cortisone urine CPT 82542 | $217.10 | $334.00 | $23.35 – $185.00 | 43 |
| Mayo cortisol free CPT 82530 | $118.95 | $183.00 | $16.19 – $174.00 | 43 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $91.65 | $141.00 | $28.34 – $141.00 | 43 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $97.50 | $150.00 | $11.74 – $150.00 | 43 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $105.30 | $162.00 | $17.69 – $116.72 | 39 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $24.05 | $37.00 | $7.44 – $116.72 | 36 |
| Mayo cyanide CPT 82600 | $153.40 | $236.00 | $18.80 – $236.00 | 43 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $918.45 | $1,413.00 | $157.25 – $1,413.00 | 109 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $119.60 | $184.00 | $12.84 – $184.00 | 43 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $155.35 | $239.00 | $24.49 – $239.00 | 43 |
| Mayo dihydrotestosterone CPT 82642 | $68.25 | $105.00 | $21.11 – $105.00 | 40 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $848.25 | $1,305.00 | $9.34 – $1,305.00 | 43 |
| Mayo efpo chloride stool CPT 82438 | $92.30 | $142.00 | $4.85 – $142.00 | 43 |
| Mayo estriol CPT 82677 | $48.75 | $75.00 | $15.08 – $75.00 | 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.