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 |
|---|---|---|---|---|
| Application lower leg splint 29515 CPT 29515 | $171.00 | $171.00 | $13.39 – $111.00 | 768 |
| Application multi layer compression below knee (both sides) CPT 29581 | $3,671.60 | $990.00 | $7.35 – $562.00 | 780 |
| Application of paste boot 29580 CPT 29580 | $3,799.80 | $721.00 | $7.46 – $481.00 | 780 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $9,380.70 | $6,238.00 | $4.29 – $6,238.00 | 780 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $7,361.90 | $2,079.00 | $23.97 – $2,079.00 | 780 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $2,783.02 | $4,281.57 | $0.53 – $2.64 | 28 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $55.25 | $85.00 | $5.42 – $189.00 | 43 |
| Apply rigid leg cast 29445 CPT 29445 | $896.35 | $1,379.00 | $184.72 – $919.00 | 108 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 109 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $330.85 | $509.00 | $36.56 – $509.00 | 43 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $111.15 | $171.00 | $27.67 – $189.00 | 43 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | $18,713.10 | $18,713.10 | $3.27 – $7,756.05 | 109 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $4,230.90 | $3,298.00 | $329.29 – $2,199.00 | 109 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,743.95 | $2,683.00 | $98.68 – $1,788.00 | 109 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $621.40 | $956.00 | $9.14 – $956.00 | 780 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $29.58 – $147.15 | 94 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | $5,926.00 | $5,926.00 | $533.78 – $5,926.00 | 768 |
| Art bypass aortobifemoral 35646 CPT 35646 | $5,470.00 | $5,470.00 | $37.48 – $567.04 | 768 |
| Art bypass aortobi-iliac 35638 CPT 35638 | $5,564.00 | $5,564.00 | $504.17 – $5,135.33 | 768 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | $4,374.00 | $4,374.00 | $37.48 – $455.84 | 768 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | $4,144.00 | $4,144.00 | $37.48 – $430.08 | 768 |
| Art bypass femoral-femoral 35661 CPT 35661 | $6,964.00 | $6,964.00 | $37.48 – $362.24 | 768 |
| Art bypass femoral-popliteal 35656 CPT 35656 | $3,450.00 | $3,450.00 | $37.48 – $357.60 | 768 |
| Art bypass iliofemoral 35665 CPT 35665 | $3,770.00 | $3,770.00 | $339.95 – $2,787.88 | 768 |
| Art byp grft carotid-vertbrl CPT 35508 | $4,258.00 | $4,258.00 | $386.17 – $4,258.00 | 768 |
| Art byp grft fem-popliteal 35556 CPT 35556 | $4,472.00 | $4,472.00 | $37.48 – $464.80 | 768 |
| Art byp grft subclav-carotid CPT 35506 | $1,016.00 | $1,016.00 | $369.56 – $1,016.00 | 768 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | $4,244.00 | $4,244.00 | $37.48 – $441.28 | 768 |
| Arterial blood draw/perc 36620 CPT 36620 | $702.00 | $1,080.00 | $13.00 – $1,080.00 | 779 |
| Artery transpose/endovas taa CPT 33889 | $2,544.00 | $2,544.00 | $263.33 – $2,544.00 | 767 |
| Artery-vein nonautograft CPT 36830 | $47,977.90 | $2,149.00 | $9.09 – $10,802.96 | 769 |
| Artery xray each vessel 7577426 CPT 75774 | $87,321.68 | $4,169.00 | $9.09 – $35,719.73 | 108 |
| Artery xray of abdomen 75726-26 CPT 75726 | $87,321.68 | $7,358.00 | $9.09 – $10,802.96 | 780 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $31,253.40 | $7,493.00 | $9.09 – $7,493.00 | 780 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $42,318.61 | $7,566.00 | $9.09 – $7,566.00 | 780 |
| Artery x-rays lung CPT 75741 | $2,858.70 | $4,398.00 | $884.00 – $6,702.68 | 109 |
| Artery x-rays lungs CPT 75743 | $4,765.80 | $7,332.00 | $1,473.73 – $7,332.00 | 109 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $4,728.75 | $7,275.00 | $1,462.28 – $11,564.46 | 109 |
| Artery x-rays spine CPT 75705 | $5,958.55 | $9,167.00 | $1,842.57 – $11,564.46 | 109 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | $49,327.32 | $4,216.00 | $9.09 – $24,925.18 | 769 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | $81,838.10 | $5,134.00 | $9.09 – $52,678.33 | 769 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | $5,597.00 | $5,597.00 | $37.48 – $596.64 | 768 |
| Arthrd ant ntrbdy cervical CPT 22551 | $49,327.32 | $5,660.00 | $9.09 – $24,925.18 | 769 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | $84,158.55 | $6,036.00 | $9.09 – $52,678.33 | 769 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | $74,586.07 | $5,173.00 | $9.09 – $52,678.33 | 769 |
| Arthrd pst tq atlas-axis CPT 22595 | $5,036.00 | $5,036.00 | $477.97 – $5,036.00 | 768 |
| Arthrd si jt perq/min nvas CPT 27279 | $55,757.07 | not published | $9.09 – $34,040.37 | 82 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $724.75 | $1,115.00 | $10.23 – $743.00 | 780 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | $1,924.00 | $2,960.00 | $396.57 – $1,973.00 | 108 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,936.90 | $1,871.00 | $88.83 – $1,247.00 | 108 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | $54,159.15 | $1,303.00 | $9.09 – $24,925.18 | 769 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | $1,078.00 | $1,078.00 | $29.34 – $111.84 | 768 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | $92,133.01 | not published | $9.09 – $52,678.33 | 82 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | $1,050.00 | $1,050.00 | $29.34 – $114.40 | 768 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | $6,675.00 | $6,675.00 | $640.28 – $4,644.00 | 768 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | $4,344.00 | $4,344.00 | $37.48 – $467.36 | 768 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | $96,004.56 | $1,288.00 | $9.09 – $52,678.33 | 769 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | $25,647.04 | not published | $0.36 – $14,087.30 | 82 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | $7,872.00 | $7,872.00 | $37.48 – $1,259.52 | 768 |
| Ascenda two piece catheter HCPCS C1772 | $15,324.40 | $23,576.00 | $17.37 – $86.44 | 28 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | $5,294.00 | $5,294.00 | $489.16 – $3,876.89 | 768 |
| Asp core fat pad CPT 17999 | $3,565.90 | $5,486.00 | $189.38 – $5,486.00 | 108 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,992.95 | $6,143.00 | $1,234.74 – $6,143.00 | 108 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | $398.45 | $613.00 | $123.21 – $613.00 | 108 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,725.10 | $2,654.00 | $355.57 – $1,769.00 | 108 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $4,770.55 | $2,785.00 | $19.67 – $2,785.00 | 781 |
| Assay of interleukin-6 (il-6) CPT 83529 | $243.75 | $375.00 | $16.74 – $375.00 | 43 |
| Assay of leflunomide CPT 80193 | $227.50 | $350.00 | $37.37 – $350.00 | 43 |
| Assay of osteocalcin CPT 83937 | $183.95 | $283.00 | $28.93 – $283.00 | 43 |
| Assay of urine sulfate CPT 84392 | $22.75 | $35.00 | $5.32 – $35.00 | 43 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $363.35 | $559.00 | $58.94 – $559.00 | 43 |
| Assess cyst contrast inject CPT 49424 | $6,044.40 | $1,945.00 | $390.95 – $1,945.00 | 108 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $32.50 | $50.00 | $4.14 – $50.00 | 43 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | $35,322.64 | $696.00 | $9.09 – $14,087.30 | 769 |
| Ast/sgot CPT 84450 | $16,679.20 | $177.00 | $5.02 – $3,110.00 | 109 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $89.08 – $35,811.20 | 109 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $58,330.75 | $9,370.00 | $9.09 – $9,370.00 | 767 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $53.40 | $53.40 | $10.58 – $52.65 | 28 |
| Augmentation of facial bones CPT 21208 | $49,745.42 | $2,900.00 | $0.96 – $11,492.83 | 769 |
| Augment injectable kit 3.0cc HCPCS C1734 | $4,652.05 | $7,157.00 | $84.02 – $417.99 | 28 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $37,827.08 | not published | $183.41 – $24,925.18 | 82 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $29,607.15 | $6,165.00 | $144.63 – $14,087.30 | 769 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $94.26 – $6,470.55 | 109 |
| Av fuse uppr arm basilic CPT 36819 | $50,564.69 | $2,352.00 | $9.09 – $10,802.96 | 769 |
| Av fuse uppr arm cephalic CPT 36818 | $2,223.00 | $2,223.00 | $32.07 – $232.00 | 768 |
| Av fusion direct any site CPT 36821 | $37,895.30 | $2,132.00 | $9.09 – $6,129.97 | 769 |
| Av fusion/forearm vein 36820 CPT 36820 | $38,194.00 | $2,335.00 | $9.09 – $10,802.96 | 769 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $11,653.20 | not published | $0.36 – $389.51 | 82 |
| Azacitidine injection HCPCS J9025 | $75.85 | $75.85 | $15.25 – $75.85 | 28 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $0.20 – $2.14 | 94 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $23.50 | $23.50 | $1.76 – $8.75 | 94 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $225.40 | $225.40 | $22.19 – $110.40 | 94 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $4,725.70 | $4,725.70 | $127.66 – $1,181.50 | 779 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $33.13 – $164.85 | 28 |
| Baclofen eval charges CPT 97750 | $72.15 | $111.00 | $22.31 – $189.00 | 43 |
| Bacterial meningitis antigen CPT 86403 | $40.95 | $63.00 | $11.18 – $63.00 | 43 |
| Bacterial vaginosis pcr CPT 87801 | $338.65 | $521.00 | $68.02 – $521.00 | 43 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $63.46 | $97.63 | $14.10 – $70.16 | 28 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $2,041.00 | $166.00 | $20.87 – $160.00 | 780 |
| Balloon dilate urtrl strix CPT 50706 | $250.90 | $386.00 | $51.66 – $257.00 | 27 |
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.