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 |
|---|---|---|---|---|
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $2,555.89 | $3,932.14 | $415.14 – $2,065.35 | 28 |
| Tissue culture placenta CPT 88235 | $737.75 | $1,135.00 | $145.65 – $1,135.00 | 43 |
| Tissue culture skin/biopsy CPT 88233 | $748.80 | $1,152.00 | $136.36 – $1,152.00 | 43 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | $67.73 | $104.20 | $20.94 – $104.20 | 28 |
| Tissue exam koh skin/hair/nails CPT 87220 | $50.70 | $78.00 | $4.14 – $78.00 | 43 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $271.69 | $417.99 | $68.22 – $417.99 | 36 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | $49.04 | $75.45 | $12.31 – $75.45 | 36 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $38.88 | $59.82 | $12.02 – $59.82 | 28 |
| Tissue transglutaminase iga CPT 86364 | $139.75 | $215.00 | $11.17 – $215.00 | 43 |
| Tl-201 thallium diag per mci HCPCS A9505 | $80.10 | $80.10 | $16.10 – $249.52 | 28 |
| Tlh uterus 250 g or less CPT 58570 | $36,582.95 | not published | $183.41 – $20,636.89 | 82 |
| Tlh w/t/o 250 g or less CPT 58571 | $38,872.67 | not published | $183.41 – $20,636.89 | 82 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $45,203.17 | not published | $183.41 – $20,636.89 | 82 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | $7,705.00 | $7,705.00 | $37.48 – $1,138.34 | 768 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | $7,896.00 | $7,896.00 | $724.84 – $5,985.59 | 768 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $354.15 | $354.15 | $0.72 – $3.60 | 94 |
| Tobramycin peak therapeutic drug level CPT 80200 | $76.05 | $117.00 | $15.63 – $117.00 | 43 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $12,214.20 | $12,214.20 | $5.50 – $2,442.90 | 109 |
| Toe X-ray (both feet) CPT 73660 | $444.60 | $684.00 | $4.05 – $456.00 | 780 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $8,276.33 | $88.00 | $11.38 – $224.70 | 109 |
| Tomosynthesis breast screen bilateral CPT 77063 | $2,249.00 | $93.00 | $12.46 – $62.00 | 109 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $17,893.42 | $432.00 | $27.21 – $6,436.67 | 769 |
| Tonsillectomy (age 12+) CPT 42826 | $16,898.61 | $946.00 | $0.96 – $6,436.67 | 769 |
| Tonsillectomy (child under 12) CPT 42825 | $15,300.42 | $994.00 | $0.96 – $11,492.83 | 769 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $643.90 | $643.90 | $23.12 – $115.00 | 28 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | $48,786.25 | $48,786.25 | $9,480.00 – $48,786.25 | 94 |
| Total Hip Replacement CPT 27130 | $47,350.07 | not published | $9.09 – $24,925.18 | 82 |
| Total tau CPT 84394 | $183.95 | $283.00 | $56.88 – $283.00 | 40 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $45,307.54 | $5,426.00 | $9.09 – $34,040.37 | 769 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $78,304.45 | $6,025.00 | $9.09 – $34,040.37 | 769 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | $1,675.00 | $1,675.00 | $45.47 – $175.52 | 768 |
| Toxoplasma antibody igg CPT 86777 | $98.80 | $152.00 | $13.94 – $111.00 | 43 |
| Toxoplasma antibody igm CPT 86778 | $68.25 | $105.00 | $13.96 – $105.00 | 43 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $11,842.80 | $11,842.80 | $332.90 – $11,842.80 | 109 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $198.00 | $164.00 | $19.90 – $164.00 | 780 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $162.50 | $162.50 | $2.00 – $20.25 | 99 |
| Transabdom amnioinfus w/us CPT 59070 | $447.20 | $688.00 | $138.29 – $1,497.00 | 28 |
| Transcath biopsy CPT 37200 | $4,976.40 | $7,656.00 | $1,538.86 – $10,802.96 | 108 |
| Transcath closure of asd CPT 93580 | $11,856.00 | $18,240.00 | $269.13 – $35,589.27 | 780 |
| Transcatheter bx s&i CPT 75970 | $2,837.90 | $4,366.00 | $877.57 – $4,366.00 | 27 |
| Transcath mv repair addl prosthesis CPT 33419 | $1,368.00 | $1,368.00 | $37.56 – $1,087.00 | 779 |
| Transcath mv repair init prosthesis CPT 33418 | $8,461.70 | $13,018.00 | $37.48 – $13,018.00 | 779 |
| Trans cath replace aortic valve 33366 CPT 33366 | $10,405.20 | $16,008.00 | $3,217.61 – $16,008.00 | 27 |
| Transferrin CPT 84466 | $150.15 | $231.00 | $12.36 – $231.00 | 43 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $2,171.00 | $1,190.00 | $20.66 – $1,190.00 | 780 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $590.00 | $590.00 | $22.58 – $590.00 | 780 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $4,708.00 | $4,708.00 | $72.01 – $4,675.30 | 109 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $10,508.35 | $10,508.35 | $50.41 – $2,766.05 | 109 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $9,357.40 | $9,357.40 | $8.04 – $3,365.30 | 109 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $2,928.90 | $4,506.00 | $692.24 – $3,444.00 | 28 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $699.55 | $1,076.23 | $12.26 – $61.00 | 28 |
| Tray trach basic clean/care ster HCPCS A4626 | $0.51 | $0.78 | $0.16 – $0.78 | 28 |
| Treat finger fracture each CPT 26727 | $11,965.05 | not published | $0.96 – $6,352.30 | 82 |
| Treat humerus fracture CPT 24515 | $64,384.14 | not published | $9.09 – $24,925.18 | 82 |
| Treat humerus fracture CPT 24545 | $46,642.53 | not published | $9.09 – $24,925.18 | 82 |
| Treat humerus fracture CPT 24546 | $48,948.52 | not published | $9.09 – $24,925.18 | 82 |
| Treat kneecap fracture CPT 27524 | $32,148.99 | not published | $0.96 – $14,087.30 | 82 |
| Treat knee fracture CPT 27535 | $51,560.95 | not published | $9.09 – $14,087.30 | 82 |
| Treat lower jaw fracture 21462 CPT 21462 | $35,922.04 | $4,065.00 | $0.96 – $11,492.83 | 769 |
| Treat lower leg fracture CPT 27827 | $44,057.26 | not published | $9.09 – $24,925.18 | 82 |
| Treat lower leg joint CPT 27829 | $37,160.63 | not published | $1.92 – $14,087.30 | 82 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | $33,580.95 | not published | $2.88 – $14,087.30 | 82 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | $46,918.30 | not published | $1.92 – $14,087.30 | 82 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | $35,479.16 | not published | $0.96 – $14,087.30 | 82 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $18,121.70 | not published | $62.90 – $6,284.60 | 82 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $243.10 | $374.00 | $75.17 – $374.00 | 109 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $158.60 | $244.00 | $49.04 – $244.00 | 28 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $18,003.20 | $1,261.00 | $17.93 – $6,284.60 | 769 |
| Treatment of ankle fracture CPT 27792 | $34,854.68 | not published | $1.92 – $14,087.30 | 82 |
| Treatment of ankle fracture CPT 27814 | $35,786.11 | not published | $9.09 – $14,087.30 | 82 |
| Treatment of ankle fracture CPT 27822 | $35,380.54 | not published | $5.76 – $14,087.30 | 82 |
| Treatment of head injury 62010 CPT 62010 | $6,061.00 | $4,649.00 | $483.94 – $4,649.00 | 768 |
| Treatment of mouth lesion physical 40820 CPT 40820 | $642.67 | $612.00 | $14.39 – $612.00 | 768 |
| Treatment of thigh fracture CPT 27510 | $2,494.25 | $2,353.00 | $214.49 – $2,353.00 | 768 |
| Treatment of thigh fracture CPT 27511 | $69,899.13 | not published | $9.09 – $24,925.18 | 82 |
| Treatment of tibia fracture CPT 27758 | $44,057.26 | not published | $9.09 – $24,925.18 | 82 |
| Treatment of tibia fracture CPT 27759 | $51,339.26 | not published | $9.09 – $24,925.18 | 83 |
| Treatment radiation delivery level 2 CPT 77407 | $2,838.55 | $4,367.00 | $364.06 – $4,367.00 | 109 |
| Treat metacarpal fracture CPT 26608 | $15,193.20 | not published | $1.92 – $6,352.30 | 82 |
| Treat metacarpal fracture CPT 26615 | $27,149.40 | not published | $0.96 – $6,352.30 | 82 |
| Treat metatarsal fracture CPT 28485 | $30,884.28 | not published | $1.92 – $14,087.30 | 82 |
| Treat neck spine fracture CPT 22326 | $5,126.00 | $5,028.00 | $469.88 – $3,864.40 | 768 |
| Treat radius fracture CPT 24666 | $42,130.09 | not published | $31.45 – $24,925.18 | 82 |
| Treat spine fracture CPT 22325 | $3,315.00 | $3,315.00 | $37.48 – $530.40 | 768 |
| Treat thorax spine fracture CPT 22327 | $3,441.00 | $3,441.00 | $37.48 – $550.56 | 768 |
| Treat ulnar fracture CPT 24685 | $39,035.11 | not published | $0.36 – $14,087.30 | 82 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $127,265.40 | $127,265.40 | $134.29 – $10,605.45 | 109 |
| Treponema pallidum antibody CPT 86780 | $74.10 | $114.00 | $12.83 – $114.00 | 43 |
| Treprostinil injection HCPCS J3285 | $63,666.00 | $63,666.00 | $1,109.60 – $6,366.60 | 94 |
| Trg gene rearrangement anal CPT 81342 | $856.70 | $1,318.00 | $197.47 – $1,318.00 | 40 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $39.90 | $52.53 | $0.60 – $32.00 | 778 |
| Triglycerides CPT 84478 | $120.25 | $185.00 | $5.56 – $174.00 | 43 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | $8,065.15 | $8,065.15 | $5.24 – $8,065.15 | 109 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $1,672.00 | $1,672.00 | $123.28 – $1,616.33 | 768 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $12,390.30 | $19,062.00 | $2,554.31 – $12,708.00 | 27 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $14,408.55 | $22,167.00 | $37.48 – $14,778.00 | 779 |
| Trnscath plc stnt ante carotid art CPT 37218 | $17,160.00 | $26,400.00 | $3,537.60 – $17,600.00 | 27 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $13,501.15 | $20,771.00 | $94.37 – $13,847.00 | 779 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $4,068.35 | $6,259.00 | $83.92 – $4,173.00 | 779 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $45,198.40 | $69,536.00 | $86.37 – $46,358.00 | 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.