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 |
|---|---|---|---|---|
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $106.00 | $106.00 | $28.12 – $104.00 | 768 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $35,768.75 | $19,338.00 | $9.09 – $35,589.27 | 780 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $12,569.70 | $19,338.00 | $3,886.94 – $19,338.00 | 27 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $4,918.00 | $3,635.00 | $9.47 – $3,635.00 | 780 |
| Pr incision & drainage abscess simple/single CPT 10060 | $2,054.00 | $1,880.00 | $26.46 – $1,880.00 | 781 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,361.75 | $2,095.00 | $37.28 – $2,095.00 | 780 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $14,205.50 | $545.00 | $0.36 – $789.21 | 780 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $549.00 | $549.00 | $61.31 – $401.00 | 780 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $374.00 | $374.00 | $61.31 – $374.00 | 783 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $14,934.45 | $37.00 | $5.94 – $1,760.83 | 769 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $21,012.74 | not published | $0.96 – $3,791.04 | 82 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $4,097.91 | $6,304.48 | $84.72 – $421.50 | 28 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $2,889.60 | $2,889.60 | $8.51 – $692.51 | 109 |
| Procalcitonin CPT 84145 | $250.90 | $386.00 | $26.38 – $369.00 | 43 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $21.20 | $21.20 | $2.52 – $21.20 | 94 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | $1.00 | $1.00 | $0.20 – $1.15 | 94 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $2,074.15 | $3,191.00 | $10.22 – $3,191.00 | 781 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $4,071.00 | $3,755.00 | $16.38 – $3,755.00 | 780 |
| Progesterone CPT 84144 | $215.80 | $332.00 | $12.86 – $64.00 | 43 |
| Prolactin CPT 84146 | $270.40 | $416.00 | $18.78 – $416.00 | 43 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $99.00 | $99.00 | $22.00 – $83.00 | 555 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $156.00 | $240.00 | $16.83 – $240.00 | 567 |
| Prolonged IV inf, req pump HCPCS C8957 | $524.55 | $807.00 | $162.21 – $807.00 | 106 |
| Prolong service without contact CPT 99358 | $267.00 | $267.00 | $54.43 – $187.00 | 554 |
| Promethazine 25 mg tablet HCPCS Q0169 | $10.90 | $10.90 | $0.06 – $1.00 | 94 |
| Promethazine hcl injection HCPCS J2550 | $7.65 | $7.65 | $2.95 – $7.65 | 767 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $21,392.58 | $75.00 | $1.87 – $15,142.36 | 109 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $45.50 | $45.50 | $1.85 – $14.65 | 94 |
| Prostatectomy (turp) CPT 52601 | $26,911.90 | not published | $31.45 – $10,409.46 | 82 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $2,365.32 | $3,638.95 | $0.15 – $0.89 | 36 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | $462.69 | $711.83 | $12.21 – $60.73 | 28 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $150.50 | $150.50 | $8.20 – $50.15 | 94 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,580.71 | $5,508.79 | $1,097.26 – $5,459.00 | 28 |
| Protein c activity CPT 85303 | $141.70 | $218.00 | $13.41 – $218.00 | 43 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $322.40 | $496.00 | $8.59 – $185.00 | 780 |
| Protein s total CPT 85305 | $157.30 | $242.00 | $11.25 – $242.00 | 43 |
| Protein total 24 hour urine CPT 84156 | $6,094.15 | $150.00 | $3.56 – $608.43 | 109 |
| Protein total body fluid CPT 84157 | $100.10 | $154.00 | $3.88 – $113.00 | 43 |
| Protein total serum plasma whole blood CPT 84155 | $2,923.00 | $138.00 | $3.56 – $136.02 | 109 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $65.00 | $100.00 | $3.81 – $100.00 | 43 |
| Provide inr test mater/equip HCPCS G0249 | $305.00 | $305.00 | $42.20 – $305.00 | 782 |
| Provox xtraflange 17fr HCPCS L8499 | $84.23 | $129.58 | $20.85 – $103.73 | 28 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $1,609.00 | $1,609.00 | $130.78 – $1,278.00 | 768 |
| Prp i/hern init block >5 yr CPT 49507 | $2,594.00 | $2,594.00 | $25.02 – $207.52 | 768 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $190.00 | $190.00 | $41.96 – $159.00 | 768 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $81.00 | $81.00 | $17.47 – $81.00 | 769 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $19,166.00 | $19,166.00 | $2.83 – $121.12 | 768 |
| Prq cardiac angio addl art CPT 92921 | $4,585.10 | $7,054.00 | $119.35 – $7,054.00 | 779 |
| Prq card revasc mi 1 vsl CPT 92941 | $7,335.25 | $11,285.00 | $187.98 – $11,285.00 | 779 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $22,922.90 | $35,266.00 | $7,088.47 – $35,266.00 | 27 |
| Prq card stent w/angio addl CPT 92929 | $8,816.60 | $13,564.00 | $206.66 – $13,564.00 | 515 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $5,877.95 | $9,043.00 | $166.99 – $22,412.03 | 780 |
| Prq revasc byp graft addl CPT 92938 | $12,673.05 | $19,497.00 | $3,918.90 – $19,497.00 | 27 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $71,950.04 | $28,608.00 | $2.28 – $28,608.00 | 780 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $9,130.55 | $14,047.00 | $161.14 – $35,589.27 | 779 |
| Prq trlml c athrc st angiop1 CPT 92933 | $5,877.95 | $9,043.00 | $176.47 – $35,589.27 | 780 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $10,126.35 | $15,579.00 | $3,131.38 – $15,579.00 | 27 |
| Prq trluml c angiop 1art&/br CPT 92920 | $101,927.04 | $10,933.00 | $2.28 – $11,049.67 | 780 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $14,212.25 | $21,865.00 | $149.64 – $22,412.03 | 780 |
| Prq trluml revsc ch occ ant CPT 92943 | $8,816.60 | $13,564.00 | $202.14 – $22,412.03 | 780 |
| Pr removal drug delivery implant CPT 11982 | $11,731.70 | $156.00 | $0.96 – $867.28 | 769 |
| Pr removal intrauterine device CPT 58301 | $141.00 | $141.00 | $11.08 – $141.00 | 768 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $627.00 | $627.00 | $44.29 – $427.00 | 768 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $265.00 | $265.00 | $17.36 – $149.00 | 768 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $351.00 | $351.00 | $17.79 – $274.44 | 768 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $1,707.00 | $1,707.00 | $14.06 – $1,707.00 | 780 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $330.00 | $330.00 | $18.32 – $277.63 | 768 |
| Pr robotic surgical system HCPCS S2900 | $35,743.02 | not published | $183.41 – $20,636.89 | 82 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $26,071.97 | $2,334.00 | $0.96 – $4,005.68 | 769 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $101.00 | $101.00 | $22.58 – $84.00 | 768 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,828.45 | $2,813.00 | $7.11 – $3,056.08 | 780 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $42.00 | $42.00 | $0.02 – $42.00 | 780 |
| PSA (Prostate) Test CPT 84153 | $189.80 | $292.00 | $17.82 – $230.00 | 43 |
| Psychotherapy group therapy CPT 90853 | $83.00 | $83.00 | $10.16 – $78.47 | 768 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $208.00 | $208.00 | $41.75 – $189.00 | 769 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $299.00 | $460.00 | $61.17 – $460.00 | 780 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $612.95 | $943.00 | $74.50 – $943.00 | 780 |
| Psycl/nrpsyc tech 1st CPT 96138 | $67.60 | $104.00 | $20.90 – $418.45 | 94 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $83.85 | $129.00 | $25.93 – $320.00 | 94 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $345.15 | $531.00 | $106.73 – $531.00 | 28 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $67.60 | $104.00 | $20.90 – $320.00 | 28 |
| Psytx complex interactive CPT 90785 | $42.00 | $42.00 | $4.12 – $41.46 | 768 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $219.70 | $338.00 | $27.63 – $338.00 | 780 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $52.00 | $80.00 | $9.61 – $189.00 | 36 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $74.10 | $114.00 | $13.90 – $189.00 | 43 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $61.75 | $95.00 | $10.53 – $189.00 | 43 |
| Pt application of modality traction mechanical CPT 97012 | $70.85 | $109.00 | $12.97 – $189.00 | 43 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $1,933.00 | $651.00 | $28.35 – $651.00 | 43 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $87.10 | $134.00 | $11.77 – $189.00 | 41 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $56.55 | $87.00 | $17.49 – $189.00 | 43 |
| Pt wheelchair management each 15 minutes CPT 97542 | $276.00 | $70.00 | $13.87 – $189.00 | 43 |
| Pulmonary decortication partial 32225 CPT 32225 | $3,072.00 | $3,072.00 | $37.48 – $341.76 | 768 |
| Pulmonary vent imaging CPT 78579 | $885.95 | $1,363.00 | $273.96 – $1,363.00 | 109 |
| Pulse ox continuous overnight monitoring CPT 94762 | $11,603.80 | $1,203.00 | $74.50 – $1,203.00 | 109 |
| Pulse ox multiple CPT 94761 | $150.00 | $228.00 | $1.08 – $228.00 | 779 |
| Pulse ox single CPT 94760 | $59.15 | $91.00 | $18.29 – $189.00 | 28 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $367.13 | $564.81 | $38.61 – $192.09 | 28 |
| Punc of shunt for asp or inj CPT 61070 | $591.50 | $910.00 | $16.40 – $1,370.41 | 780 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $5,978.55 | $231.00 | $0.72 – $258.30 | 109 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $6,097.55 | $2,242.00 | $9.09 – $2,242.00 | 780 |
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.