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 |
|---|---|---|---|---|
| Tc-99m diag per dose HCPCS A4641 | $575.50 | $575.50 | $115.68 – $575.50 | 27 |
| Tc-99m disofenin HCPCS A9510 | $339.80 | $339.80 | $68.30 – $339.80 | 28 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $8,194.15 | $8,194.15 | $915.45 – $8,194.15 | 106 |
| Tc-99m exametazime diag HCPCS A9521 | $7,382.05 | $7,382.05 | $909.16 – $7,382.05 | 106 |
| Tc-99m fanolesomab diag HCPCS A9566 | $17,688.75 | $17,688.75 | $3,555.44 – $17,688.75 | 27 |
| Tc-99m gluceptate HCPCS A9550 | $1,105.40 | $1,105.40 | $222.19 – $1,105.40 | 27 |
| Tc-99m labeled rbc HCPCS A9560 | $857.40 | $857.40 | $152.90 – $857.40 | 28 |
| Tc-99m maa HCPCS A9540 | $760.95 | $760.95 | $42.69 – $760.95 | 28 |
| Tc-99m mebrofenin HCPCS A9537 | $308.25 | $308.25 | $61.96 – $308.25 | 28 |
| Tc-99m medronate HCPCS A9503 | $2,287.35 | $210.35 | $42.28 – $776.12 | 109 |
| Tc-99m mertiatide HCPCS A9562 | $1,340.90 | $1,340.90 | $269.52 – $2,227.87 | 28 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $1.00 | $1.00 | $0.16 – $14.50 | 36 |
| Tc-99m oxidronate HCPCS A9561 | $199.60 | $199.60 | $40.12 – $199.60 | 28 |
| Tc-99m pentetate dtpa HCPCS A9539 | $627.25 | $627.25 | $36.58 – $627.25 | 28 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $627.25 | $627.25 | $29.55 – $627.25 | 28 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $99.30 | $99.30 | $19.96 – $534.62 | 28 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $335.80 | $335.80 | $55.81 – $335.80 | 28 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $221.60 | $221.60 | $44.54 – $653.34 | 28 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $2,988.10 | $2,988.10 | $600.61 – $2,988.10 | 106 |
| Tc-99m sulfur colloid HCPCS A9541 | $3,100.40 | $855.40 | $171.94 – $1,089.53 | 109 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $198.05 | $198.05 | $39.81 – $228.88 | 28 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,740.00 | $2,740.00 | $550.74 – $2,740.00 | 27 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $99.45 | $153.00 | $30.75 – $153.00 | 43 |
| T cells total count CPT 86359 | $73.45 | $113.00 | $22.71 – $113.00 | 43 |
| Tcranial magn stim tx deli CPT 90868 | $457.00 | $496.00 | $21.33 – $496.00 | 557 |
| Tcranial magn stim tx plan CPT 90867 | $711.00 | $763.00 | $78.65 – $763.00 | 557 |
| Tcran magn stim redetemine CPT 90869 | $322.40 | $496.00 | $99.70 – $496.00 | 109 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $107,550.00 | $107,550.00 | $203.61 – $107,550.00 | 109 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $2,333.50 | $3,590.00 | $530.00 – $3,590.00 | 28 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $1,431.95 | $2,203.00 | $442.80 – $2,203.00 | 106 |
| Telehealth original site facility fee HCPCS Q3014 | $25.35 | $39.00 | $7.80 – $39.00 | 36 |
| Telethx isodose plan cplx CPT 77307 | $513.50 | $790.00 | $96.92 – $790.00 | 780 |
| Temozolomide HCPCS J8700 | $235.25 | $235.25 | $0.39 – $11.60 | 94 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $5,015.55 | $5,015.55 | $1,008.13 – $5,015.55 | 94 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $10,501.70 | $10,501.70 | $53.30 – $10,501.70 | 31 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $23,582.35 | $23,582.35 | $4,298.50 – $23,273.85 | 94 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $19,275.90 | not published | $1,517.76 – $3,121.78 | 81 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $6.90 | $6.90 | $1.39 – $6.90 | 28 |
| Test for chlorohydrocarbons CPT 82441 | $68.90 | $106.00 | $6.01 – $106.00 | 28 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $104.00 | $160.00 | $32.16 – $160.00 | 109 |
| Test stress cardiovascular tracing only CPT 93017 | $889.20 | $1,368.00 | $27.90 – $1,368.00 | 779 |
| Tetanus immune globulin inj HCPCS J1670 | $2,622.15 | $2,622.15 | $527.05 – $2,622.15 | 109 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $22,937.05 | $22,937.05 | $18.16 – $22,937.05 | 31 |
| Theophylline therapeutic drug level CPT 80198 | $173.55 | $267.00 | $13.70 – $267.00 | 43 |
| Therapeutic procd strg endur HCPCS G0237 | $44.85 | $69.00 | $13.87 – $189.00 | 106 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $132.60 | $204.00 | $41.00 – $204.00 | 27 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $2,053.00 | $165.00 | $21.34 – $165.00 | 780 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $1,905.00 | $155.00 | $18.53 – $151.00 | 780 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $132.00 | $132.00 | $12.14 – $82.02 | 779 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $803.00 | $50.00 | $10.05 – $189.00 | 109 |
| Ther fx nasal inf turbinate CPT 30930 | $39,131.01 | not published | $1.92 – $13,701.44 | 82 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $557.05 | $857.00 | $172.26 – $857.00 | 28 |
| Ther/proph/diag inj ia CPT 96373 | $181.35 | $279.00 | $56.08 – $427.00 | 109 |
| Ther radiology tx plng cplx CPT 77263 | $544.00 | $544.00 | $107.35 – $496.89 | 768 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $5.80 | $5.80 | $1.17 – $5.80 | 94 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $65,462.18 | $983.00 | $5.54 – $655.00 | 780 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | $1,090.00 | $1,090.00 | $219.09 – $1,090.00 | 28 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $5,846.00 | $5,530.00 | $8.69 – $3,687.00 | 781 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $703.00 | $703.00 | $19.94 – $71.68 | 768 |
| Thoracoabdominal graft 33877 CPT 33877 | $11,598.00 | $11,598.00 | $1,049.77 – $11,598.00 | 768 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | $5,407.50 | $4,918.00 | $478.29 – $4,918.00 | 768 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $654.00 | $654.00 | $14.71 – $104.64 | 768 |
| Thoracoscopy lymph node exc CPT 32674 | $653.00 | $653.00 | $16.95 – $71.84 | 768 |
| Thoracoscopy surgical 32650 CPT 32650 | $2,884.00 | $2,884.00 | $33.18 – $230.72 | 768 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | $3,633.00 | $3,633.00 | $37.48 – $409.76 | 768 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | $5,101.00 | $5,101.00 | $37.48 – $565.76 | 768 |
| Thoracoscopy w/lobectomy CPT 32663 | $4,287.00 | $4,287.00 | $37.48 – $475.36 | 768 |
| Thoracoscopy w/mediast exc CPT 32662 | $3,199.00 | $3,199.00 | $37.48 – $307.04 | 768 |
| Thoracoscopy w/pericard exc CPT 32661 | $2,458.00 | $2,458.00 | $246.02 – $2,225.00 | 768 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | $2,477.00 | $2,477.00 | $33.79 – $396.32 | 768 |
| Thoracoscopy w/wedge resect CPT 32666 | $2,677.00 | $2,677.00 | $34.47 – $298.88 | 768 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | $477.00 | $477.00 | $14.33 – $52.16 | 768 |
| Thoracotomy w/expl CPT 32100 | $2,988.00 | $2,988.00 | $37.48 – $279.36 | 768 |
| Thoracotomy with cardiac massage CPT 32160 | $2,468.00 | $2,468.00 | $246.23 – $2,352.00 | 768 |
| Thorax spine fusion CPT 22610 | $4,285.00 | $4,285.00 | $37.48 – $459.84 | 768 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $943.00 | $943.00 | $14.11 – $104.48 | 768 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | $1,158.00 | $1,158.00 | $112.57 – $950.50 | 768 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,350.05 | $2,077.00 | $377.34 – $2,077.00 | 109 |
| Thrombectmy crnry perq mechanical CPT 92973 | $16,155.75 | $24,855.00 | $51.97 – $24,855.00 | 779 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $8,560.13 | $1,440.00 | $9.09 – $11,049.67 | 108 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $1,715.35 | $2,639.00 | $530.44 – $22,412.03 | 108 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $2,337.40 | $3,596.00 | $722.80 – $35,589.27 | 108 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $3,626.00 | $3,626.00 | $37.48 – $377.76 | 768 |
| Thrombin time CPT 85670 | $72.80 | $112.00 | $5.59 – $112.00 | 43 |
| Thromboendarterectomy common femoral CPT 35371 | $3,406.00 | $3,406.00 | $37.48 – $272.48 | 768 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $2,884.00 | $2,884.00 | $263.38 – $2,884.00 | 768 |
| Thromboendarterectomy sfa CPT 35302 | $3,595.00 | $3,595.00 | $37.48 – $372.48 | 768 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $116.35 | $179.00 | $6.27 – $179.00 | 43 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | $3,131.00 | $3,131.00 | $313.43 – $2,587.00 | 768 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | $3,322.00 | $3,322.00 | $344.74 – $3,322.00 | 768 |
| Thyroglobulin antibody CPT 86800 | $100.75 | $155.00 | $15.41 – $155.00 | 43 |
| Thyroid mets imag whole body CPT 78018 | $2,050.75 | $3,155.00 | $512.50 – $3,155.00 | 109 |
| Thyroid (TSH) Test CPT 84443 | $37,992.15 | $228.00 | $9.09 – $11,953.20 | 109 |
| Thyroid Ultrasound CPT 76536 | $785.85 | $1,209.00 | $16.83 – $1,209.00 | 780 |
| Thyroid uptake measurement CPT 78012 | $596.70 | $918.00 | $184.52 – $918.00 | 109 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $10,828.50 | $10,828.50 | $1,992.78 – $10,828.50 | 109 |
| Thyroxine binding globulin (tbg) CPT 84442 | $53.30 | $82.00 | $14.32 – $82.00 | 43 |
| Tigecycline injection HCPCS J3243 | $78.20 | $78.20 | $15.72 – $78.20 | 28 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $359.50 | $359.50 | $51.45 – $256.30 | 94 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $22,202.40 | $22,202.40 | $170.43 – $22,202.40 | 109 |
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.