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 |
|---|---|---|---|---|
| Mr sfty med physics xm cstmz CPT 76017 | $329.55 | $507.00 | $101.91 – $543.87 | 28 |
| Mthfr gene analy common variants CPT 81291 | $104.00 | $160.00 | $32.16 – $160.00 | 43 |
| Multiple sleep latency test CPT 95805 | $4,963.40 | $7,636.00 | $36.85 – $7,636.00 | 780 |
| Mumps antibody igg CPT 86735 | $91.00 | $140.00 | $12.65 – $140.00 | 43 |
| Muscle-skin graft leg CPT 15738 | $46,870.38 | $4,138.00 | $9.09 – $3,056.08 | 769 |
| Muscle-skin graft trunk CPT 15734 | $4,864.00 | $4,864.00 | $37.48 – $525.92 | 768 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $3,386.00 | $3,386.00 | $289.58 – $2,252.00 | 768 |
| Mycobacteria dna amp probe CPT 87551 | $247.65 | $381.00 | $46.75 – $381.00 | 43 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $330.90 | $330.90 | $0.16 – $1.00 | 94 |
| Mycophenolic acid HCPCS J7518 | $2.20 | $2.20 | $0.20 – $1.00 | 94 |
| Mycoplasma antibody igm CPT 86738 | $195.00 | $300.00 | $12.83 – $300.00 | 43 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $316.55 | $487.00 | $97.89 – $487.00 | 43 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $544.70 | $838.00 | $168.44 – $1,521.91 | 108 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,212.60 | $3,404.00 | $684.20 – $3,404.00 | 108 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,614.95 | $4,023.00 | $739.93 – $4,023.00 | 108 |
| Myelography via inj w/s&i thoracic CPT 62303 | $454.35 | $699.00 | $140.50 – $1,521.91 | 108 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $234.00 | $360.00 | $11.17 – $75.00 | 43 |
| Myocrd img pet 1 std w/ct CPT 78429 | $3,060.85 | $4,709.00 | $49.63 – $4,709.00 | 780 |
| Myocrd img pet 2rtracer CT CPT 78433 | $7,533.50 | $11,590.00 | $2,085.07 – $11,590.00 | 109 |
| Myringoplasty CPT 69620 | $14,140.30 | $3,536.00 | $0.96 – $6,436.67 | 769 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $27.30 | $27.30 | $3.00 – $20.30 | 94 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $49.40 | $49.40 | $3.51 – $28.50 | 94 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $144.20 | $144.20 | $5.30 – $26.35 | 94 |
| Naltrexone, depot form HCPCS J2315 | $8,240.35 | $8,240.35 | $4.15 – $8,240.35 | 31 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $17,030.45 | $207.00 | $0.96 – $387.52 | 769 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $23,951.15 | $1,022.00 | $0.96 – $3,455.52 | 769 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $26,741.15 | $1,498.00 | $9.09 – $13,701.44 | 769 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $26,809.04 | $1,016.00 | $0.96 – $6,436.67 | 769 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $31,943.36 | $1,556.00 | $0.96 – $13,701.44 | 769 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $27,321.23 | $2,584.00 | $0.96 – $13,701.44 | 769 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $46,485.78 | $3,280.00 | $0.96 – $13,701.44 | 769 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $240.50 | $370.00 | $20.87 – $387.52 | 780 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $26,637.70 | $26,637.70 | $24.02 – $26,637.70 | 109 |
| Natriuretic peptide CPT 83880 | $244.40 | $376.00 | $38.05 – $376.00 | 43 |
| Natural killer cells total count CPT 86357 | $121.55 | $187.00 | $36.56 – $187.00 | 43 |
| Navigational bronchoscopy 31627 CPT 31627 | $25,416.96 | $1,159.00 | $5.12 – $13,701.44 | 769 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $250.90 | $386.00 | $77.59 – $386.00 | 109 |
| Ndl round specialty proguide HCPCS C1715 | $1,221.47 | $1,879.19 | $7.13 – $35.45 | 28 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | $558.00 | $558.00 | $13.59 – $73.13 | 768 |
| Nebulizer Breathing Treatment CPT 94640 | $2,386.00 | $399.00 | $5.87 – $425.12 | 779 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $270.40 | $416.00 | $5.54 – $416.00 | 780 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,842.80 | $5,912.00 | $165.56 – $5,912.00 | 109 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,498.25 | $2,305.00 | $329.29 – $2,305.00 | 109 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,498.25 | $2,305.00 | $98.68 – $2,305.00 | 109 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,331.60 | $6,664.00 | $329.29 – $6,664.00 | 109 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $2,352.35 | $3,619.00 | $329.29 – $3,619.00 | 109 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,585.70 | $3,978.00 | $225.21 – $3,978.00 | 109 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $49,327.32 | $658.00 | $6.60 – $658.00 | 780 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $557.05 | $857.00 | $8.31 – $857.00 | 780 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $627.25 | $965.00 | $98.68 – $965.00 | 109 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,695.25 | $5,685.00 | $52.61 – $5,685.00 | 780 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $2,302.30 | $3,542.00 | $329.29 – $3,542.00 | 109 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,727.70 | $2,658.00 | $225.21 – $2,658.00 | 109 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,792.70 | $2,758.00 | $165.56 – $2,758.00 | 109 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,645.15 | $2,531.00 | $40.47 – $2,531.00 | 780 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,332.50 | $2,050.00 | $37.70 – $2,050.00 | 780 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $5,885.00 | $376.00 | $6.28 – $376.00 | 781 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $16.75 | $16.75 | $0.60 – $3.00 | 28 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $202.15 | $311.00 | $62.51 – $320.00 | 94 |
| Nerve conduction 7-8 studies CPT 95910 | $2,391.00 | $1,441.00 | $67.73 – $1,441.00 | 781 |
| Nerve conduction studies 11-12 CPT 95912 | $763.00 | $763.00 | $99.70 – $724.45 | 781 |
| Nerve conduction studies 1-2 CPT 95907 | $695.50 | $1,070.00 | $34.08 – $1,070.00 | 780 |
| Nerve conduction studies 13+ CPT 95913 | $961.35 | $1,479.00 | $119.71 – $1,479.00 | 781 |
| Nerve conduction studies 3-4 CPT 95908 | $936.65 | $1,441.00 | $42.81 – $1,441.00 | 781 |
| Nerve conduction studies 5-6 CPT 95909 | $2,462.00 | $1,512.00 | $51.12 – $1,512.00 | 781 |
| Nerve conduction studies 9-10 CPT 95911 | $1,348.10 | $2,074.00 | $84.56 – $2,074.00 | 781 |
| Neuroendoscopy add-on CPT 62160 | $34,460.60 | not published | $9.09 – $567.00 | 79 |
| Neurolysis celiac plexus CPT 64680 | $2,172.30 | $3,342.00 | $671.74 – $3,342.00 | 108 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $113.10 | $174.00 | $34.97 – $343.00 | 109 |
| New Patient Office Visit (level 2) CPT 99202 | $120.00 | $120.00 | $26.20 – $120.00 | 769 |
| New Patient Office Visit (level 3) CPT 99203 | $180.00 | $180.00 | $45.58 – $180.00 | 769 |
| New Patient Office Visit (level 4) CPT 99204 | $307.00 | $307.00 | $74.55 – $307.00 | 769 |
| New Patient Office Visit (level 5) CPT 99205 | $16,558.00 | $402.00 | $102.24 – $402.00 | 770 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $27.30 | $27.30 | $5.49 – $29.00 | 94 |
| N-invas est c ffr sw aly cta CPT 75580 | $2,854.80 | $4,392.00 | $21.94 – $4,392.00 | 780 |
| Nipple/areola reconst 19350 CPT 19350 | $19,688.20 | $4,416.00 | $0.96 – $7,601.47 | 769 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $112.50 | $112.50 | $13.87 – $69.00 | 94 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $24,305.85 | $24,305.85 | $31.59 – $4,051.00 | 109 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | $94,382.55 | $94,382.55 | $183.98 – $94,382.55 | 109 |
| Njx cth slct p-art angrp uni CPT 93569 | $3,052.40 | $4,696.00 | $943.90 – $4,696.00 | 27 |
| Njx interlaminar crv/thrc CPT 62324 | $1,653.60 | $2,544.00 | $511.34 – $2,544.00 | 27 |
| Njx interlaminar lmbr/sac CPT 62326 | $2,080.00 | $3,200.00 | $643.20 – $3,200.00 | 27 |
| Njx interlaminar lmbr/sac CPT 62327 | $5,796.70 | $8,918.00 | $1,792.52 – $8,918.00 | 27 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $1,218.10 | $1,874.00 | $376.67 – $1,874.00 | 109 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $913.90 | $1,406.00 | $282.61 – $1,406.00 | 109 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,680.90 | $2,586.00 | $512.50 – $2,586.00 | 109 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,405.30 | $2,162.00 | $434.56 – $2,162.00 | 109 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $607.75 | $935.00 | $187.94 – $935.00 | 109 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $3,868.20 | $2,413.00 | $51.97 – $2,413.00 | 781 |
| Nose (Nasal Bone) X-ray (complete) CPT 70160 | $350.35 | $539.00 | $5.33 – $539.00 | 780 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $75.40 | $116.00 | $23.32 – $116.00 | 28 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $241.80 | $372.00 | $74.77 – $381.24 | 94 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $323.05 | $497.00 | $99.90 – $497.00 | 28 |
| Nras gene variants exon 2&3 CPT 81311 | $971.75 | $1,495.00 | $286.62 – $1,495.00 | 43 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $10,934.95 | $16,823.00 | $1,542.00 – $16,823.00 | 109 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $56,090.33 | not published | $1.92 – $17,037.54 | 82 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $46,485.78 | $3,014.00 | $0.96 – $13,701.44 | 769 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $1,832.00 | $1,832.00 | $48.57 – $1,094.00 | 768 |
| Nsl/sins ndsc surg max sins CPT 31295 | $26,809.04 | $3,608.00 | $0.96 – $13,701.44 | 769 |
| Nsl/sins ndsc total CPT 31253 | $43,108.60 | $3,196.00 | $0.96 – $13,701.44 | 769 |
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.