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 |
|---|---|---|---|---|
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $117.00 | $180.00 | $9.86 – $166.00 | 43 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $194.35 | $299.00 | $12.01 – $240.00 | 43 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $72.80 | $112.00 | $22.51 – $116.72 | 36 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $139.75 | $215.00 | $43.22 – $215.00 | 40 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $89.70 | $138.00 | $13.72 – $138.00 | 43 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $66.95 | $103.00 | $13.12 – $103.00 | 43 |
| Mayo vasoactive intestinal peptide CPT 84586 | $286.00 | $440.00 | $34.23 – $440.00 | 43 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $43.55 | $67.00 | $13.47 – $67.00 | 43 |
| Mayo vitamin b3 (niacin) CPT 84591 | $156.00 | $240.00 | $16.53 – $240.00 | 43 |
| Mayo vitamin k CPT 84597 | $151.45 | $233.00 | $13.29 – $233.00 | 43 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $130.00 | $200.00 | $12.84 – $200.00 | 43 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | $2,754.00 | $2,754.00 | $523.55 – $2,754.00 | 768 |
| Md inr test revie inter mgmt HCPCS G0250 | $28.00 | $28.00 | $6.28 – $28.00 | 770 |
| Measurement post void urine by ultrasound CPT 51798 | $29,726.28 | $237.00 | $4.32 – $227.00 | 779 |
| #mec-opiates CPT 80356 | $54.60 | $84.00 | $16.88 – $116.72 | 36 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $252.95 | $252.95 | $3.70 – $252.95 | 549 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $362.03 | $556.97 | $90.90 – $556.97 | 36 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $350.14 | $538.68 | $55.64 – $340.94 | 36 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $2,873.32 | $4,420.50 | $75.66 – $376.43 | 28 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $607.31 | $934.33 | $49.32 – $245.37 | 28 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $65,273.35 | $100,420.54 | $16,388.63 – $100,420.54 | 36 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $617.54 | $950.06 | $59.05 – $361.84 | 36 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $266.36 | $409.78 | $66.88 – $409.78 | 36 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $31.25 – $18,374.40 | 109 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $22.70 | 94 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $0.90 | $1.38 | $0.28 – $1.38 | 28 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,527.78 | $10,042.74 | $2,018.59 – $10,042.74 | 28 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 94 |
| Metabolic Blood Panel (Basic) CPT 80048 | $35,506.89 | $421.00 | $8.20 – $7,413.38 | 109 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $3,152.10 | $469.00 | $10.23 – $469.00 | 109 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $418.55 | $418.55 | $1.61 – $173.00 | 94 |
| Methadone injection HCPCS J1230 | $2,234.50 | $2,234.50 | $449.13 – $2,234.50 | 94 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $1,450.00 | $1,450.00 | $3.07 – $15.25 | 94 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.00 | $1.00 | $0.20 – $1.00 | 94 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $30.75 – $153.00 | 28 |
| Methotrexate therapeutic drug level CPT 80204 | $228.80 | $352.00 | $37.37 – $352.00 | 43 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $689.85 | $689.85 | $18.19 – $234.55 | 31 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $75.65 | $75.65 | $15.21 – $75.65 | 94 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $106.08 – $572.60 | 102 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.35 | $1.35 | $0.20 – $1.00 | 94 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $2,656.55 | $93.70 | $0.73 – $595.92 | 779 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $107,595.20 | $500.65 | $0.20 – $141.07 | 517 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $35,560.64 | $4.60 | $0.60 – $24,925.18 | 109 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $17.14 | $17.14 | $0.08 – $6.80 | 514 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.50 | $14.50 | $2.91 – $14.50 | 28 |
| Mgmt promoter methylation analysis CPT 81287 | $452.40 | $696.00 | $120.78 – $696.00 | 43 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $90.10 | $90.10 | $12.09 – $60.15 | 28 |
| Microalbumin urine screen CPT 82044 | $19.50 | $30.00 | $6.03 – $30.00 | 43 |
| Microdissection laser CPT 88380 | $701.35 | $1,079.00 | $71.84 – $1,079.00 | 28 |
| Microdissection manual CPT 88381 | $42.25 | $65.00 | $13.07 – $180.62 | 28 |
| Microsatellite instability CPT 81301 | $552.50 | $850.00 | $170.85 – $850.00 | 43 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $648.00 | $648.00 | $20.21 – $75.68 | 768 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $62,338.03 | $418.00 | $9.09 – $418.00 | 109 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $14,250.80 | $4.25 | $0.06 – $5,639.25 | 109 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $38.50 | $38.50 | $7.74 – $38.50 | 28 |
| Middle cerebral artery echo CPT 76821 | $360.75 | $555.00 | $21.30 – $555.00 | 780 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $43.50 | $43.50 | $5.53 – $27.50 | 28 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $64.26 – $20,601.45 | 109 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $25.58 – $621.75 | 109 |
| Mitomycin instillation HCPCS J9281 | $66,330.00 | $66,330.00 | $299.94 – $66,330.00 | 109 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $30.26 – $1,048.45 | 109 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $9,063.00 | $9,063.00 | $836.35 – $9,063.00 | 768 |
| Mlh1 gene CPT 81288 | $283.40 | $436.00 | $87.64 – $436.00 | 43 |
| Mobilization of colon 44139 CPT 44139 | $428.00 | $428.00 | $10.91 – $40.96 | 768 |
| Modified maze/limited 33254 CPT 33254 | $4,407.00 | $4,407.00 | $37.48 – $705.12 | 768 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,896.00 | $1,896.00 | $362.95 – $1,896.00 | 768 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $487.50 | $750.00 | $36.56 – $573.00 | 43 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $6,223.72 | $9,574.95 | $19.14 – $95.24 | 28 |
| Mopath procedure level 3 CPT 81402 | $276.90 | $426.00 | $85.63 – $426.00 | 43 |
| Mopath procedure level 5 CPT 81404 | $461.50 | $710.00 | $142.71 – $710.00 | 43 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $207.75 | $207.75 | $1.85 – $9.20 | 94 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $10.50 | $10.50 | $5.89 – $8.13 | 68 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $48.00 | $48.00 | $0.60 – $10.79 | 94 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $20,654.05 | $478.00 | $96.08 – $478.00 | 109 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $290.55 | $447.00 | $65.41 – $695.89 | 109 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $108,313.84 | $431.00 | $49.85 – $330.76 | 109 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $58,093.20 | $58,093.20 | $389.23 – $1,936.45 | 109 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $428.35 | $659.00 | $51.46 – $330.76 | 109 |
| MRA chest wwo IV cont HCPCS C8911 | $2,689.05 | $4,137.00 | $305.55 – $4,137.00 | 43 |
| MRA w/cont, abd HCPCS C8900 | $2,247.05 | $3,457.00 | $329.29 – $3,457.00 | 109 |
| MRA without fol w/cont, abd HCPCS C8902 | $3,305.90 | $5,086.00 | $307.19 – $5,086.00 | 43 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,521.70 | $5,418.00 | $308.40 – $3,612.00 | 43 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,347.80 | $3,612.00 | $329.29 – $3,612.00 | 109 |
| MRI breast c- unilateral CPT 77046 | $1,391.65 | $2,141.00 | $30.31 – $2,141.00 | 109 |
| MRI breast without cont bi CPT 77047 | $440.70 | $678.00 | $128.14 – $808.15 | 109 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $2,883.40 | $4,436.00 | $155.45 – $4,436.00 | 109 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $3,897.40 | $5,996.00 | $330.23 – $5,996.00 | 109 |
| MRI chest without contrast CPT 71550 | $2,861.30 | $4,402.00 | $225.21 – $4,402.00 | 109 |
| MRI chest without & w/contrast CPT 71552 | $3,392.35 | $5,219.00 | $329.29 – $5,219.00 | 109 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,013.10 | $6,174.00 | $225.21 – $4,116.00 | 109 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $6,314.75 | $9,715.00 | $329.29 – $6,476.00 | 109 |
| MRI tmj CPT 70336 | $2,467.40 | $3,796.00 | $225.21 – $3,796.00 | 109 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $4,129.45 | $6,353.00 | $225.21 – $4,235.00 | 109 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $7,237.10 | $11,134.00 | $329.29 – $7,422.00 | 109 |
| MRI without fol w/cont, breast HCPCS C8908 | $651.30 | $1,002.00 | $200.40 – $1,002.00 | 104 |
| Mr safety determination physician/other qhp CPT 76016 | $120.25 | $185.00 | $37.19 – $198.11 | 28 |
| Mr safety implant elec prepj CPT 76018 | $125.45 | $193.00 | $38.79 – $206.53 | 28 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $66.95 | $103.00 | $20.70 – $103.00 | 27 |
| Mr safety implt pos&/immoblj CPT 76019 | $81.25 | $125.00 | $25.13 – $133.65 | 28 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $33.15 | $51.00 | $10.25 – $55.10 | 28 |
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.