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 |
|---|---|---|---|---|
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $29,856.06 | $1,424.00 | $0.96 – $13,701.44 | 769 |
| Ntrk translocation analysis CPT 81194 | $1,010.75 | $1,555.00 | $312.56 – $1,555.00 | 40 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $103.00 | $103.00 | $19.17 – $89.50 | 768 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $68,954.00 | $5,230.00 | $165.20 – $5,230.00 | 109 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,277.60 | $3,504.00 | $571.85 – $3,504.00 | 36 |
| Nuclear rx intra-arterial CPT 79445 | $761.80 | $1,172.00 | $220.24 – $1,172.00 | 109 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,688.10 | $5,674.00 | $47.50 – $5,674.00 | 783 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $455,355.55 | $455,355.55 | $1,187.16 – $455,355.55 | 109 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $28,351.00 | $28,351.00 | $79.99 – $28,351.00 | 109 |
| Observation direct referral from physician office for admission HCPCS G0379 | $134.55 | $207.00 | $41.61 – $4,658.00 | 109 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $519.00 | $519.00 | $120.98 – $438.00 | 768 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $318.00 | $318.00 | $56.23 – $206.00 | 768 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $404.00 | $404.00 | $91.16 – $335.00 | 768 |
| Observation per hour HCPCS G0378 | $12,195.10 | $331.00 | $9.09 – $4,658.00 | 109 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $384.80 | $592.00 | $36.00 – $592.00 | 780 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $596.70 | $918.00 | $30.25 – $918.00 | 779 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $264.55 | $407.00 | $72.58 – $407.00 | 43 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $54,115.63 | $407.00 | $9.09 – $13,116.76 | 109 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $264.55 | $407.00 | $72.58 – $407.00 | 43 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $132,117.95 | $65,142.90 | $58.14 – $65,142.90 | 109 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $32.20 | $32.20 | $0.43 – $2.35 | 94 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $19,011.30 | $19,011.30 | $124.01 – $12,696.00 | 779 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $1,810.15 | $1,810.15 | $363.84 – $1,810.15 | 94 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $725.10 | $1,115.54 | $224.22 – $1,115.54 | 28 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $64.40 | $64.40 | $12.94 – $64.40 | 28 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $7,768.80 | $7,768.80 | $44.59 – $7,768.80 | 109 |
| Omental flap intra-abdom 49905 CPT 49905 | $1,254.00 | $1,254.00 | $32.14 – $120.00 | 768 |
| Oncology colon mrna CPT 81525 | $11,381.50 | $17,510.00 | $3,116.00 – $17,510.00 | 28 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $10.00 | $10.00 | $0.02 – $1.00 | 94 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $24,909.39 | $3.00 | $0.25 – $13,701.44 | 779 |
| Open bx/exc inguinofem nodes CPT 38531 | $1,974.00 | $1,974.00 | $20.58 – $157.92 | 768 |
| Open bx of lung pleura 32098 CPT 32098 | $2,340.00 | $2,340.00 | $34.60 – $266.88 | 768 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | $742.00 | $742.00 | $18.16 – $118.72 | 768 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $50,565.70 | $4,404.00 | $0.96 – $14,087.30 | 769 |
| Open skull for drainage 61312 CPT 61312 | $6,238.00 | $6,238.00 | $37.48 – $734.56 | 768 |
| Open tx compl front sinus fx CPT 21344 | $52,504.09 | not published | $2.88 – $11,492.83 | 82 |
| Opn exc/dst ntra-abd CPT 49189 | $8,083.00 | $8,083.00 | $18.90 – $807.68 | 768 |
| Opn tx complx malar fx CPT 21365 | $30,936.59 | not published | $1.92 – $11,492.83 | 82 |
| Opn tx dprsd zygomatic arch CPT 21356 | $1,393.00 | $1,393.00 | $105.93 – $1,117.00 | 768 |
| Opn tx orbit periorbtl implt CPT 21390 | $2,791.00 | $2,791.00 | $36.14 – $281.60 | 768 |
| Opscpy extnd on/mac draw CPT 92202 | $89.05 | $137.00 | $27.54 – $137.00 | 28 |
| Opscpy extnd rta draw uni/bi CPT 92201 | $89.05 | $137.00 | $27.54 – $137.00 | 28 |
| Optx clavicular fx w/int fix CPT 23515 | $39,084.35 | not published | $3.84 – $14,087.30 | 82 |
| Optx complicated mndblr fx CPT 21470 | $4,031.00 | $4,031.00 | $331.43 – $4,031.00 | 768 |
| Optx medial ankle fx CPT 27766 | $37,160.63 | not published | $9.09 – $14,087.30 | 82 |
| Optx mndblr/max alv ridge fx CPT 21445 | $2,222.00 | $2,222.00 | $162.34 – $2,222.00 | 768 |
| Optx prox humrl fx w/int fix CPT 23615 | $41,276.81 | not published | $9.09 – $24,925.18 | 82 |
| Oral aprepitant HCPCS J8501 | $48.50 | $48.50 | $9.75 – $48.50 | 94 |
| Oral everolimus HCPCS J7527 | $2.85 | $2.85 | $0.57 – $3.36 | 94 |
| Orchiopexy ingun/scrot appr CPT 54640 | $30,668.55 | $1,553.00 | $0.96 – $6,951.03 | 769 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | $28,018.60 | $28,018.60 | $42.20 – $28,018.60 | 109 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $5,978.20 | $5,978.20 | $29.11 – $5,978.20 | 31 |
| Oropharyngeal biopsy 42800 CPT 42800 | $16,825.20 | $430.00 | $0.96 – $6,436.67 | 769 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $17.60 | $17.60 | $3.54 – $20.29 | 94 |
| Orthopantogram CPT 70355 | $362.70 | $558.00 | $82.14 – $558.00 | 109 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $899.04 | $1,383.14 | $278.01 – $1,383.14 | 28 |
| Oscillation chest wall mechanical per session CPT 94669 | $141.05 | $217.00 | $43.62 – $425.12 | 109 |
| Osmolality blood CPT 83930 | $130.00 | $200.00 | $6.41 – $200.00 | 43 |
| Osmolality urine CPT 83935 | $128.70 | $198.00 | $6.61 – $198.00 | 43 |
| Oth resp proc, group HCPCS G0239 | $253.50 | $390.00 | $35.25 – $390.00 | 109 |
| Oth resp proc, indiv HCPCS G0238 | $128.70 | $198.00 | $27.38 – $198.00 | 106 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $92.95 | $143.00 | $28.74 – $189.00 | 43 |
| Ot re-evaluation patient/family CPT 97168 | $1,699.00 | $179.00 | $35.98 – $189.00 | 43 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $176.80 | $272.00 | $17.81 – $272.00 | 43 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $3,494.00 | $272.00 | $18.89 – $272.00 | 43 |
| Ovarian cystectomy 58925 CPT 58925 | $24,558.12 | not published | $183.41 – $9,711.82 | 82 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $14.50 | $14.50 | $2.91 – $14.50 | 94 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $1,200.00 | $1,200.00 | $10.93 – $54.40 | 28 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.20 | $7.20 | $0.60 – $3.00 | 94 |
| P-32 chromic phos ther per mci HCPCS A9564 | $1,730.00 | $1,730.00 | $347.73 – $3,292.52 | 28 |
| P-32 sod phosphate ther per mci HCPCS A9563 | $1,383.10 | $1,383.10 | $179.12 – $1,383.10 | 94 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $14,528.90 | $22,352.16 | $4,492.78 – $22,352.16 | 28 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $276.00 | $276.00 | $3.60 – $36.70 | 94 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,189.90 | $1,189.90 | $8.02 – $1,963.30 | 109 |
| Pad repl cerv collr univ adult HCPCS L0999 | $89.26 | $137.33 | $10.96 – $54.55 | 28 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | $16,808.50 | $16,808.50 | $14.78 – $5,602.65 | 31 |
| Palonosetron hcl HCPCS J2469 | $41.40 | $41.40 | $8.32 – $41.40 | 28 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $42.80 | $42.80 | $8.60 – $42.80 | 94 |
| Pancreatectomy 48153 CPT 48153 | $11,036.00 | $11,036.00 | $912.81 – $6,692.00 | 768 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $20,996.10 | $20,996.10 | $162.13 – $5,249.05 | 109 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $10.25 | $10.25 | $0.91 – $14.18 | 94 |
| Papaverin hcl injection HCPCS J2440 | $29.90 | $29.90 | $5.98 – $39.27 | 32 |
| Parathormone (pth) intact CPT 83970 | $44,375.30 | $620.00 | $35.88 – $6,048.05 | 109 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $4,175.00 | $4,175.00 | $382.66 – $4,175.00 | 768 |
| Parathyrd planar w/spect&ct CPT 78072 | $3,048.50 | $4,690.00 | $512.50 – $4,690.00 | 109 |
| Parathyroid autotransplantation 60512 CPT 60512 | $44,057.34 | $718.00 | $134.62 – $11,736.86 | 769 |
| Parathyroid planar imaging CPT 78070 | $798.85 | $1,229.00 | $23.22 – $1,229.00 | 780 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,668.55 | $2,567.00 | $377.34 – $2,567.00 | 109 |
| Parial mast w/lymph removal 19302 CPT 19302 | $44,756.10 | $2,924.00 | $36.26 – $12,891.30 | 769 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $183.30 | $282.00 | $56.68 – $389.51 | 108 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $11,214.35 | not published | $9.09 – $6,284.60 | 82 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $27,017.20 | not published | $9.09 – $6,352.30 | 82 |
| Partial hip replacement CPT 27125 | $36,320.05 | not published | $31.45 – $24,925.18 | 82 |
| Partial removal of heart sac 33030 CPT 33030 | $6,471.00 | $6,471.00 | $37.48 – $677.44 | 768 |
| Partial removal of liver CPT 47125 | $10,926.00 | $10,926.00 | $869.89 – $8,864.67 | 768 |
| Partial removal of lung 32480 CPT 32480 | $4,544.00 | $4,544.00 | $37.48 – $504.32 | 768 |
| Partial removal of pancreas CPT 48150 | $11,084.00 | $11,084.00 | $37.48 – $1,077.44 | 768 |
| Partial removal of thyroid CPT 60220 | $39,533.02 | $2,118.00 | $204.16 – $11,736.86 | 769 |
| Partial removal of thyroid CPT 60225 | $2,799.00 | $2,799.00 | $270.83 – $2,799.00 | 768 |
| Partial thyroid excision CPT 60210 | $40,969.94 | $2,119.00 | $33.02 – $11,736.86 | 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.