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 |
|---|---|---|---|---|
| Repos sq defib eltrd CPT 33273 | $4,213.95 | $6,483.00 | $1,303.08 – $6,483.00 | 27 |
| Reptilase test CPT 85635 | $169.00 | $260.00 | $9.55 – $260.00 | 43 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | $6,559.00 | $6,559.00 | $607.16 – $6,559.00 | 768 |
| Resect inferior turbinate CPT 30140 | $27,321.23 | $2,256.00 | $0.96 – $6,436.67 | 769 |
| Resect mediastinal tumor 39220 CPT 39220 | $3,350.00 | $3,350.00 | $37.48 – $390.40 | 768 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $10.84 – $5,680.00 | 31 |
| Respirator motion mgmt simul CPT 77293 | $1,306.00 | $1,306.00 | $66.46 – $1,231.00 | 779 |
| Resuscitation delivery/birthing room CPT 99465 | $1,343.55 | $2,067.00 | $415.47 – $2,067.00 | 28 |
| Reticulated platelet assay CPT 85055 | $169.00 | $260.00 | $34.63 – $260.00 | 43 |
| Reticulocyte automated CPT 85045 | $42.90 | $66.00 | $3.87 – $66.00 | 43 |
| Reticulocyte direct measurement automated CPT 85046 | $145.60 | $224.00 | $5.40 – $224.00 | 43 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $29.43 – $45,114.00 | 109 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | $1,534.00 | $1,534.00 | $113.53 – $767.00 | 767 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | $15,189.85 | $23,369.00 | $3,131.38 – $22,412.03 | 105 |
| Revasc evasc imvt angio sf 1st CPT 37296 | $15,189.85 | $23,369.00 | $3,131.38 – $22,412.03 | 105 |
| Revasc evasc ivt stent sf 1st CPT 37258 | $1,728.00 | $1,728.00 | $3.23 – $138.24 | 767 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | $1,210.00 | $1,210.00 | $142.71 – $1,093.55 | 767 |
| Revasc intra lithotrip-ather HCPCS C9766 | $73,325.20 | not published | $1.53 – $35,589.27 | 82 |
| Revasc intra lithotrip-stent HCPCS C9765 | $57,890.60 | not published | $9.09 – $35,589.27 | 79 |
| Revasc intravasc lithotripsy HCPCS C9764 | $60,643.17 | $14,209.00 | $9.09 – $22,412.03 | 105 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $55,611.42 | not published | $9.09 – $22,412.03 | 79 |
| Revise arm/leg nerve CPT 64708 | $52,755.97 | not published | $9.09 – $24,925.18 | 82 |
| Revise breast reconst 19380 CPT 19380 | $49,715.25 | $5,294.00 | $2.28 – $15,867.92 | 769 |
| Revise graft w/vein 35881 CPT 35881 | $3,289.00 | $3,289.00 | $297.99 – $2,780.33 | 768 |
| Revise middle ear bone CPT 69660 | $19,773.08 | $3,312.00 | $1.92 – $11,492.83 | 769 |
| Revise ulnar nerve at wrist CPT 64719 | $21,012.74 | not published | $2.28 – $6,632.15 | 82 |
| Revision of cervix CPT 59320 | $18,583.15 | $485.00 | $7.00 – $6,284.60 | 769 |
| Revision of ileostomy; simple 44312 CPT 44312 | $2,154.00 | $2,154.00 | $171.75 – $1,845.17 | 768 |
| Revision of neck muscle/rib CPT 21705 | $2,030.00 | $2,030.00 | $157.62 – $1,671.40 | 768 |
| Revision of nose CPT 30462 | $38,267.32 | not published | $0.96 – $11,492.83 | 82 |
| Revision open av fistula without thromb CPT 36832 | $40,024.35 | $2,438.00 | $9.09 – $10,802.96 | 769 |
| Revj fem anast nonautog grf CPT 35883 | $3,842.00 | $3,842.00 | $345.49 – $3,192.75 | 768 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $47,033.55 | not published | $9.09 – $14,087.30 | 82 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $649.00 | $649.00 | $43.35 – $347.92 | 768 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $603.00 | $603.00 | $29.94 – $494.18 | 768 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $10.60 – $10,657.15 | 106 |
| Rheumatoid factor qualitative CPT 86430 | $26.00 | $40.00 | $6.14 – $40.00 | 28 |
| Rheumatoid factor quantitative CPT 86431 | $114.40 | $176.00 | $5.50 – $176.00 | 43 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $59.28 – $294.95 | 94 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $159.25 | $245.00 | $49.25 – $245.00 | 94 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $210.60 | $324.00 | $8.09 – $324.00 | 780 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $481.00 | $740.00 | $9.59 – $740.00 | 780 |
| Rib cartilage graft CPT 21230 | $54,741.22 | $2,593.00 | $1.92 – $11,492.83 | 769 |
| Rib X-ray (3 views, both sides) CPT 71110 | $505.05 | $777.00 | $8.52 – $777.00 | 780 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $342.55 | $342.55 | $9.60 – $82.10 | 94 |
| Right ventric recording CPT 93603 | $3,106.35 | $4,779.00 | $960.58 – $4,779.00 | 108 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $0.66 | $1.01 | $0.20 – $1.01 | 28 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,052.12 | $1,618.64 | $22.91 – $114.00 | 28 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.33 | $0.51 | $0.10 – $0.51 | 28 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $14.63 – $30,071.50 | 109 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $6,314.65 | $6,314.65 | $10.96 – $3,157.10 | 109 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $73.27 – $2,818.60 | 109 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $36.14 – $19,729.75 | 109 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $29.54 – $2,407.05 | 109 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $74.05 – $1,660.15 | 31 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $22,301.75 | $9,889.65 | $2.28 – $1,978.00 | 109 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $3,717.00 | $3,717.00 | $335.05 – $2,720.33 | 768 |
| Rmvl ext fixj sys under anes CPT 20694 | $35,380.54 | not published | $5.76 – $14,087.30 | 82 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,538.33 | $1,267.00 | $97.52 – $1,267.00 | 768 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $835.00 | $835.00 | $54.86 – $518.00 | 768 |
| Rmvl icd by tv extr CPT 33244 | $3,618.55 | $5,567.00 | $244.42 – $7,254.98 | 780 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $85,371.17 | $56,934.00 | $0.96 – $56,934.00 | 780 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $61,606.20 | $30,610.00 | $2.28 – $60,938.73 | 780 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $55,028.36 | $30,610.00 | $2.28 – $43,183.96 | 780 |
| Rmvl icd pulse gen only CPT 33241 | $3,721.25 | $5,725.00 | $63.05 – $7,254.98 | 780 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $550.55 | $847.00 | $170.25 – $1,217.85 | 108 |
| Rmvl perm pm pulse gen CPT 33233 | $3,931.20 | $6,048.00 | $67.74 – $16,065.94 | 780 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $53,670.17 | $18,881.00 | $2.28 – $37,394.89 | 780 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $11,781.90 | $18,126.00 | $96.28 – $18,126.00 | 780 |
| Rmvl pq iabp CPT 33968 | $6,342.70 | $9,758.00 | $18.96 – $9,758.00 | 779 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $16,554.85 | $25,469.00 | $52.61 – $25,469.00 | 779 |
| Rmvl sq defib electrode CPT 33272 | $4,382.30 | $6,742.00 | $98.94 – $7,254.98 | 780 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,255.15 | $1,931.00 | $23.86 – $1,931.00 | 780 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $28,862.50 | $2,510.00 | $7.38 – $7,601.47 | 769 |
| Rmvl tv pm lead dual CPT 33235 | $50,400.77 | $15,462.00 | $4.56 – $15,462.00 | 780 |
| Rmvl tv pm lead sgl CPT 33234 | $4,466.80 | $6,872.00 | $136.86 – $7,254.98 | 780 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $21,075.65 | not published | $0.36 – $434.04 | 82 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $30.29 – $8,826.40 | 109 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $10.83 – $4,336.10 | 106 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $8.99 – $13,801.85 | 779 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $3.25 | 94 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $22.32 – $56,796.70 | 109 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $5,099.90 | $7,846.00 | $13.57 – $7,846.00 | 780 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $2,150.20 | $3,308.00 | $377.34 – $3,308.00 | 109 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,263.95 | $3,483.00 | $41.54 – $3,483.00 | 780 |
| Rpl tun-cvad w subq port CPT 36582 | $5,007.60 | $7,704.00 | $1,548.50 – $7,704.00 | 108 |
| Rpl tun cvc wo subq port CPT 36581 | $4,141.80 | $6,372.00 | $1,280.77 – $6,372.00 | 108 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $122.00 | $122.00 | $16.83 – $122.00 | 771 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $3,648.00 | $3,648.00 | $21.23 – $353.76 | 768 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $2,745.00 | $2,745.00 | $16.00 – $266.72 | 768 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $2,655.00 | $2,655.00 | $15.44 – $257.28 | 768 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $21,758.47 | $2,041.00 | $0.96 – $12,568.36 | 769 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $17,531.41 | $1,218.00 | $0.96 – $6,951.03 | 769 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $20,869.61 | $1,693.00 | $2.28 – $11,736.86 | 769 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $4,418.00 | $4,418.00 | $26.27 – $437.76 | 768 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $33,625.16 | $2,278.00 | $0.96 – $12,568.36 | 769 |
| Rpr fem hernia init blocked CPT 49553 | $2,271.00 | $2,271.00 | $23.55 – $222.88 | 768 |
| Rpr ing hernia baby reduc CPT 49495 | $19,785.92 | $1,469.00 | $0.96 – $6,951.03 | 769 |
| Rpr ing hernia init reduce CPT 49500 | $18,452.97 | $1,498.00 | $0.96 – $12,568.36 | 769 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $2,663.00 | $2,663.00 | $15.56 – $259.36 | 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.