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 |
|---|---|---|---|---|
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $18,686.85 | $28,749.00 | $40.21 – $19,166.00 | 780 |
| Place slctv cath subclavian art CPT 36225 | $1,645.00 | $1,726.00 | $40.36 – $6,129.97 | 780 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $247.65 | $381.00 | $76.58 – $546.00 | 28 |
| Platelet aggregation each agent teg CPT 85576 | $201.50 | $310.00 | $24.13 – $310.00 | 43 |
| Platelet automated CPT 85049 | $20,994.66 | $139.00 | $4.35 – $3,225.87 | 109 |
| Platelet pheresis irr ea HCPCS P9036 | $1,145.95 | $1,763.00 | $354.36 – $1,763.00 | 28 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $1,996.15 | $3,071.00 | $546.00 – $3,071.00 | 109 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $2,843.05 | $377.00 | $75.78 – $546.00 | 109 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $400.40 | $616.00 | $123.82 – $616.00 | 109 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $1,787.50 | $2,750.00 | $546.00 – $2,750.00 | 28 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $1,146.60 | $1,764.00 | $354.56 – $1,764.00 | 109 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $926.90 | $1,426.00 | $286.63 – $1,426.00 | 109 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,020.50 | $1,570.00 | $315.57 – $1,570.00 | 109 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $724.75 | $1,115.00 | $224.12 – $1,220.93 | 109 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $923.00 | $1,420.00 | $285.42 – $6,951.03 | 108 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $3,158.35 | $4,859.00 | $976.66 – $4,859.00 | 27 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $1,335.10 | $2,054.00 | $275.17 – $6,843.44 | 108 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $12,468.30 | $19,182.00 | $2,570.39 – $12,788.00 | 108 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $2,558.00 | $2,558.00 | $230.36 – $1,862.63 | 768 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,715.05 | $4,177.00 | $75.66 – $2,785.00 | 108 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $235.30 | $362.00 | $38.13 – $362.00 | 27 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $1,034.00 | $1,034.00 | $184.03 – $904.20 | 768 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $56,652.59 | $2,021.00 | $37.83 – $12,891.30 | 108 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $386.10 | $594.00 | $7.67 – $724.45 | 781 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | $2,831.00 | $2,831.00 | $283.61 – $2,562.50 | 768 |
| Plmt access bil tree sm bwl CPT 47541 | $923.00 | $1,420.00 | $285.42 – $1,420.00 | 27 |
| Plmt biliary drainage cath CPT 47534 | $923.00 | $1,420.00 | $285.42 – $6,951.03 | 108 |
| Plmt nephroureteral catheter CPT 50433 | $2,794.35 | $4,299.00 | $575.87 – $6,843.44 | 108 |
| Plug insert indwelling 16f HCPCS L8511 | $153.33 | $235.90 | $47.42 – $235.90 | 28 |
| Pm device progr eval dual CPT 93280 | $239.00 | $239.00 | $22.51 – $116.00 | 783 |
| Pm device progr eval multi CPT 93281 | $254.00 | $254.00 | $22.51 – $129.00 | 783 |
| Pm phone r-strip device eval CPT 93293 | $76.70 | $118.00 | $23.72 – $118.00 | 108 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $33,073.02 | $504.00 | $9.09 – $3,312.15 | 109 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $59,184.30 | $59,184.30 | $122.12 – $12,682.40 | 109 |
| Polysom any age 1-3> param CPT 95808 | $6,304.35 | $9,699.00 | $1,949.50 – $9,699.00 | 28 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $8,876.00 | $8,876.00 | $79.02 – $8,876.00 | 780 |
| Positioner proc acufex leg acs HCPCS E0190 | $197.14 | $303.30 | $49.50 – $303.30 | 36 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $73,414.19 | $2,502.00 | $9.09 – $34,040.37 | 769 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $95,582.64 | $2,515.00 | $9.09 – $52,678.33 | 769 |
| Potassium 24 hour urine CPT 84133 | $110.50 | $170.00 | $4.58 – $170.00 | 43 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $35.00 | $35.00 | $0.15 – $3.00 | 94 |
| Potassium serum/plasma/whole blood CPT 84132 | $32,568.75 | $121.00 | $4.61 – $6,176.47 | 109 |
| Pouch high output 2pc 50mm red HCPCS A4413 | $282.29 | $434.29 | $87.29 – $434.29 | 28 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | $0.28 | $0.43 | $0.09 – $0.43 | 28 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | $0.62 | $0.95 | $0.09 – $0.47 | 28 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | $67.84 | $104.37 | $0.10 – $0.49 | 28 |
| Powder prem protct 1oz HCPCS A4371 | $0.45 | $0.70 | $0.14 – $0.70 | 28 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,067.30 | $1,642.00 | $330.04 – $1,642.00 | 27 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $6,135.00 | $6,135.00 | $21.64 – $164.32 | 768 |
| Pq thr inj ext pse CPT 36002 | $1,080.30 | $1,662.00 | $29.29 – $1,217.85 | 780 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $1,945.00 | $1,945.00 | $115.24 – $1,662.00 | 768 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $411.85 | $411.85 | $82.78 – $411.85 | 94 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $13,771.75 | not published | $3,088.40 – $6,352.30 | 81 |
| Pr application of long arm splint CPT 29105 | $154.00 | $154.00 | $12.04 – $82.00 | 768 |
| Pr application splint static short arm CPT 29125 | $139.00 | $139.00 | $10.08 – $92.00 | 768 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $11.00 | $11.00 | $3.43 – $11.00 | 767 |
| Pr biopsy skin punch single lesion CPT 11104 | $7,180.07 | $741.00 | $12.14 – $789.21 | 781 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $49,011.55 | not published | $1.92 – $24,925.18 | 82 |
| Pr correction hammertoe CPT 28285 | $24,211.02 | not published | $2.28 – $6,352.30 | 82 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $40.95 | $63.00 | $6.82 – $72.74 | 781 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $24,014.77 | not published | $1.92 – $6,843.44 | 82 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $174.00 | $174.00 | $47.71 – $173.00 | 768 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $256.00 | $256.00 | $67.95 – $245.00 | 768 |
| Prealbumin CPT 84134 | $165.10 | $254.00 | $14.14 – $254.00 | 43 |
| Pr ecg 12 lead report only CPT 93010 | $26.00 | $26.00 | $5.33 – $26.00 | 771 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $83.00 | $83.00 | $11.29 – $83.00 | 771 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $9.75 | $9.75 | $0.11 – $4.40 | 778 |
| Prednisone 1 mg tablet HCPCS J7512 | $60.25 | $60.25 | $0.01 – $1.00 | 28 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $16,246.90 | $724.00 | $0.32 – $3,725.39 | 769 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $661.05 | $1,017.00 | $30.03 – $1,017.00 | 780 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $806.00 | $1,240.00 | $29.61 – $1,240.00 | 780 |
| Pregnancy Ultrasound (limited) CPT 76815 | $16,754.60 | $623.00 | $9.09 – $623.00 | 780 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $188.00 | $188.00 | $32.15 – $188.00 | 555 |
| Prep skin to 100cm2 other CPT 15004 | $35,119.33 | $856.00 | $0.96 – $789.21 | 769 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $25,512.10 | $713.00 | $1.92 – $1,434.84 | 769 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $20,760.03 | $145.00 | $0.96 – $1,434.84 | 769 |
| Pressure max expiratory/inspiratory CPT 94799 | $227.50 | $350.00 | $70.35 – $350.00 | 109 |
| Pressure velocity wire add ves CPT 93572 | $557.05 | $857.00 | $39.15 – $857.00 | 779 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $333.45 | $513.00 | $102.60 – $513.00 | 109 |
| Pretreat rbc absorption reference CPT 86978 | $49.40 | $76.00 | $15.28 – $114.53 | 109 |
| Pretreat rbc density gradient separation reference CPT 86972 | $84.50 | $130.00 | $26.13 – $330.76 | 109 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $86.45 | $133.00 | $26.60 – $133.00 | 109 |
| Pretreat rbc w enzyme reference CPT 86971 | $75.40 | $116.00 | $23.32 – $330.76 | 109 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $421.00 | $421.00 | $72.16 – $421.00 | 779 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $277.00 | $277.00 | $80.88 – $277.00 | 767 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,044.00 | $1,044.00 | $24.28 – $273.00 | 769 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,016.30 | $3,102.00 | $47.05 – $3,206.43 | 781 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $4,853.00 | $4,853.00 | $35.19 – $473.12 | 768 |
| Prgrmg dev eval impltbl sys CPT 93260 | $230.00 | $230.00 | $16.68 – $93.64 | 780 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $204.00 | $204.00 | $19.60 – $112.00 | 783 |
| Prgrmg dev eval scrms ip CPT 93285 | $76.70 | $118.00 | $23.72 – $118.00 | 108 |
| Prgrmg eval implantable dfb CPT 93282 | $243.00 | $243.00 | $25.33 – $129.00 | 783 |
| Prgrmg eval implantable dfb CPT 93283 | $297.00 | $297.00 | $25.33 – $175.00 | 783 |
| Prgrmg eval implantable dfb CPT 93284 | $321.00 | $321.00 | $25.33 – $189.00 | 783 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,889.30 | $7,522.00 | $33.44 – $7,522.00 | 779 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $483.00 | $483.00 | $99.68 – $368.00 | 768 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $328.00 | $328.00 | $74.55 – $276.00 | 768 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $241.00 | $241.00 | $47.50 – $175.00 | 768 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $255.00 | $255.00 | $68.16 – $250.00 | 768 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $173.00 | $173.00 | $44.94 – $168.00 | 768 |
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.