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 |
|---|---|---|---|---|
| Puncture spinal lumbar diagnostic CPT 62270 | $1,157.00 | $1,780.00 | $18.75 – $1,780.00 | 780 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $19.55 | $19.55 | $3.93 – $22.88 | 94 |
| Pyruvate CPT 84210 | $90.35 | $139.00 | $14.04 – $139.00 | 43 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,660.75 | $2,555.00 | $512.50 – $2,555.00 | 109 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,615.25 | $2,485.00 | $377.34 – $2,485.00 | 109 |
| Quest t3 uptake CPT 84479 | $84.50 | $130.00 | $6.27 – $130.00 | 43 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,213.80 | $3,213.80 | $274.35 – $3,213.80 | 109 |
| Radiation physics consult CPT 77336 | $47,187.00 | $644.00 | $126.87 – $644.00 | 109 |
| Radiation therapy dose plan CPT 77300 | $630.00 | $340.00 | $20.87 – $340.00 | 780 |
| Radiation therapy management CPT 77431 | $345.00 | $345.00 | $67.95 – $305.39 | 768 |
| Radiation treatment aid(s) CPT 77332 | $286.65 | $441.00 | $15.12 – $441.00 | 780 |
| Radiation treatment aid(s) CPT 77334 | $652.60 | $1,004.00 | $38.34 – $1,004.00 | 780 |
| Radiation treatment delivery CPT 77402 | $2,277.60 | $3,504.00 | $96.31 – $3,504.00 | 109 |
| Radiation treatment delivery CPT 77412 | $22,296.00 | $5,230.00 | $521.53 – $5,230.00 | 109 |
| Radiation tx management x5 CPT 77427 | $616.00 | $616.00 | $124.61 – $566.24 | 768 |
| Radiology port images(s) CPT 77417 | $76.05 | $117.00 | $23.52 – $638.00 | 28 |
| Radiotherapy dose plan imrt CPT 77301 | $6,917.95 | $10,643.00 | $267.32 – $10,643.00 | 780 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $507.10 | $507.10 | $101.93 – $507.10 | 109 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,181.40 | $3,356.00 | $512.50 – $3,356.00 | 109 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,022.45 | $1,573.00 | $316.17 – $2,986.36 | 109 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,202.85 | $3,389.00 | $512.50 – $3,389.00 | 109 |
| Radphm lcl tumor plr sgl day CPT 78800 | $947.05 | $1,457.00 | $19.60 – $1,457.00 | 780 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $22,849.50 | $22,849.50 | $71.62 – $4,569.90 | 109 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $16,770.95 | $16,770.95 | $375.70 – $3,354.20 | 106 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $73,649.25 | $73,649.25 | $220.31 – $20,086.15 | 109 |
| Rbc count only automated CPT 85041 | $72.15 | $111.00 | $2.93 – $111.00 | 43 |
| Rbc deglycerolized each unit HCPCS P9039 | $767.00 | $1,180.00 | $237.18 – $1,180.00 | 28 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | $63,294.31 | not published | $1.92 – $11,492.83 | 82 |
| Rechanneling of artery CPT 35361 | $9,754.00 | $9,754.00 | $441.34 – $4,877.00 | 768 |
| Rechanneling of artery 35341 CPT 35341 | $4,439.00 | $4,439.00 | $396.61 – $4,439.00 | 768 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $4,692.00 | $4,692.00 | $405.24 – $4,692.00 | 768 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $4,070.00 | $4,070.00 | $37.48 – $325.60 | 768 |
| Reconstruct cleft palate CPT 42200 | $25,716.10 | $3,379.00 | $0.96 – $11,492.83 | 769 |
| Reconstruct cleft palate CPT 42210 | $29,023.04 | $3,923.00 | $9.09 – $11,492.83 | 769 |
| Reconstruction of nose CPT 30420 | $26,593.32 | not published | $0.72 – $11,492.83 | 82 |
| Reconstruct shoulder joint CPT 23472 | $56,731.04 | not published | $31.45 – $34,040.37 | 82 |
| Rectal sensation test CPT 91120 | $234.00 | $148.00 | $32.18 – $148.00 | 767 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $787.15 | $1,211.00 | $243.41 – $1,211.00 | 28 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $877.50 | $1,350.00 | $230.41 – $1,350.00 | 109 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $3,437.00 | $709.00 | $9.09 – $709.00 | 109 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $462.15 | $711.00 | $142.91 – $711.00 | 109 |
| Red blood cells washed each unit HCPCS P9022 | $604.50 | $930.00 | $186.93 – $930.00 | 109 |
| Re-exploration of chest 32120 CPT 32120 | $2,691.00 | $2,691.00 | $270.73 – $2,335.33 | 768 |
| Refill/maint pump/resvr syst CPT 96522 | $384.15 | $591.00 | $118.79 – $591.00 | 109 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $36.80 | $36.80 | $7.40 – $36.80 | 94 |
| Reimplant artery each 35697 CPT 35697 | $470.00 | $470.00 | $84.14 – $403.00 | 768 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | $4,380.00 | $4,380.00 | $37.48 – $462.56 | 768 |
| Release of lung 32220 CPT 32220 | $4,919.00 | $4,919.00 | $37.48 – $548.96 | 768 |
| Release of ureter CPT 50715 | $5,326.00 | $5,326.00 | $37.48 – $426.08 | 768 |
| Release palm contracture CPT 26123 | $28,900.35 | not published | $0.96 – $6,352.30 | 82 |
| Relocation skin pocket aicd CPT 33223 | $3,580.85 | $5,509.00 | $116.09 – $5,509.00 | 780 |
| Relocation skin pocket pm CPT 33222 | $2,897.05 | $4,457.00 | $98.94 – $4,457.00 | 780 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,543.15 | $3,543.15 | $5.91 – $3,543.15 | 109 |
| Rem endovas vena cava filter CPT 37193 | $26,612.09 | $20,812.00 | $9.09 – $20,812.00 | 108 |
| Rem interrog dev eval icpms CPT 93297 | $164.00 | $164.00 | $15.55 – $110.00 | 783 |
| Rem interrog dev eval scrms CPT 93298 | $274.00 | $274.00 | $15.55 – $104.00 | 783 |
| Rem interrog evl pm/ids CPT 93296 | $95.55 | $147.00 | $15.10 – $147.00 | 782 |
| Rem interrog evl pm/ldls pm CPT 93294 | $92.00 | $110.00 | $18.74 – $110.00 | 782 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $146.00 | $146.00 | $19.30 – $146.00 | 782 |
| Rem mntr wrls p-art prs snr CPT 93264 | $158.00 | $158.00 | $18.96 – $158.00 | 771 |
| Remote 30 day ecg rev/report CPT 93228 | $82.00 | $82.00 | $15.98 – $58.34 | 768 |
| Remote 30 day ecg tech supp CPT 93229 | $3,258.00 | $3,258.00 | $352.22 – $3,258.00 | 109 |
| Removal anal seton other marker 46030 CPT 46030 | $414.00 | $317.00 | $16.99 – $211.00 | 767 |
| Removal biliary drg cath CPT 47537 | $2,577.90 | $3,966.00 | $797.17 – $3,966.00 | 108 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,604.85 | $2,469.00 | $6.39 – $2,469.00 | 780 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $20,954.16 | $8,814.00 | $9.09 – $8,814.00 | 781 |
| Removal cerclage w/anes CPT 59871 | $9,501.05 | $14,617.00 | $38.45 – $14,617.00 | 779 |
| Removal cerumen impacted (both sides) CPT 69210 | $8,544.00 | $116.00 | $8.63 – $116.00 | 769 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $1,909.00 | $1,909.00 | $171.68 – $1,241.00 | 768 |
| Removal clot in graft xcp 35876 CPT 35876 | $3,031.00 | $3,031.00 | $273.07 – $3,031.00 | 768 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $1,125.90 | $254.00 | $41.45 – $325.56 | 109 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $12,897.20 | $341.00 | $0.96 – $3,206.43 | 769 |
| Removal foreign body foot subcutaneous right CPT 28190 | $12,455.55 | not published | $9.09 – $1,374.78 | 82 |
| Removal implant superficial separate procedure CPT 20670 | $586.00 | $586.00 | $24.02 – $431.76 | 768 |
| Removal mamma implant mat 19330 CPT 19330 | $96,603.30 | $4,240.00 | $62.90 – $12,891.30 | 769 |
| Removal of adenoids CPT 42830 | $18,754.17 | $785.00 | $0.18 – $6,436.67 | 769 |
| Removal of adenoids CPT 42831 | $904.60 | $855.00 | $67.84 – $855.00 | 768 |
| Removal of adenoids <12yrs 42835 CPT 42835 | $16,166.40 | $732.00 | $0.96 – $6,436.67 | 769 |
| Removal of anal fissure CPT 46200 | $14,619.47 | not published | $9.09 – $5,388.70 | 82 |
| Removal of anal tags CPT 46230 | $11,152.10 | $6,545.00 | $0.96 – $6,545.00 | 781 |
| Removal of arm artery clot 34111 CPT 34111 | $1,933.00 | $1,933.00 | $173.49 – $1,621.70 | 768 |
| Removal of artery clot 34101 CPT 34101 | $1,925.00 | $1,925.00 | $27.74 – $200.80 | 768 |
| Removal of artery clot 34151 CPT 34151 | $4,479.00 | $4,479.00 | $402.79 – $4,479.00 | 768 |
| Removal of bone for graft CPT 20900 | $74,019.93 | not published | $9.09 – $24,925.18 | 82 |
| Removal of brain lesion CPT 61520 | $11,221.00 | $11,221.00 | $37.48 – $1,351.04 | 768 |
| Removal of brain lesion 61510 CPT 61510 | $6,640.00 | $6,640.00 | $37.48 – $785.60 | 768 |
| Removal of breast lesion CPT 19120 | $20,187.71 | $1,860.00 | $130.04 – $7,601.47 | 769 |
| Removal of foreign body CPT 27372 | $1,382.00 | $1,382.00 | $120.02 – $1,204.00 | 768 |
| Removal of heel spur CPT 28119 | $33,021.56 | not published | $9.09 – $6,352.30 | 82 |
| Removal of implant deep CPT 20680 | $24,917.10 | $1,446.00 | $8.91 – $5,639.25 | 769 |
| Removal of intranasal lesion CPT 30117 | $18,724.40 | $1,073.00 | $0.96 – $6,436.67 | 769 |
| Removal of lung lesion 32540 CPT 32540 | $5,304.00 | $5,304.00 | $491.31 – $5,304.00 | 768 |
| Removal of lymph nodes neck CPT 38724 | $37,835.95 | $10,006.00 | $366.21 – $4,895.00 | 769 |
| Removal of neck wrinkles CPT 15825 | $54,831.84 | not published | $2.88 – $6,879.83 | 79 |
| Removal of nose polyp(s) 30115 CPT 30115 | $1,543.50 | $1,514.00 | $136.43 – $1,514.00 | 768 |
| Removal of rectum and colon CPT 45121 | $6,216.00 | $6,216.00 | $519.83 – $6,216.00 | 768 |
| Removal of salivary stone 42335 CPT 42335 | $969.00 | $969.00 | $64.11 – $714.00 | 768 |
| Removal of stomach partial 43631 CPT 43631 | $5,163.00 | $5,163.00 | $37.48 – $514.24 | 768 |
| Removal of testis CPT 54520 | $1,440.00 | $1,440.00 | $97.45 – $720.00 | 768 |
| Removal of thyroid CPT 60240 | $43,633.41 | $2,743.00 | $9.09 – $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.