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 |
|---|---|---|---|---|
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $257.40 | $396.00 | $79.20 – $535.02 | 102 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $226.20 | $348.00 | $69.60 – $348.00 | 36 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $149.50 | $230.00 | $46.23 – $230.00 | 109 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $303.40 | $303.40 | $17.49 – $183.00 | 779 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $21.45 | $33.00 | $6.60 – $33.00 | 106 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $102.45 | $102.45 | $6.43 – $49.00 | 779 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $42.90 | $66.00 | $13.27 – $66.00 | 109 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $157.95 | $243.00 | $48.84 – $243.00 | 109 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $20.80 | $32.00 | $6.43 – $32.00 | 106 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $73.00 | $73.00 | $14.07 – $73.00 | 555 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $22.10 | $34.00 | $6.83 – $34.00 | 106 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $56.55 | $87.00 | $17.49 – $87.00 | 106 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $149.50 | $230.00 | $46.23 – $230.00 | 109 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $524.55 | $807.00 | $33.39 – $807.00 | 109 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $32.50 | $50.00 | $10.05 – $50.00 | 106 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $1,156.10 | $1,156.10 | $58.40 – $381.96 | 552 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $169.00 | $260.00 | $52.26 – $330.83 | 94 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $149.50 | $230.00 | $46.00 – $299.00 | 102 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $813.00 | $813.00 | $123.40 – $617.00 | 102 |
| Vaccine mmr live subcutaneous CPT 90707 | $466.05 | $466.05 | $25.73 – $156.00 | 549 |
| Vaccine mmrv live subcutaneous CPT 90710 | $423.80 | $652.00 | $130.40 – $652.00 | 102 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $556.15 | $556.15 | $84.02 – $418.00 | 779 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $524.55 | $807.00 | $162.21 – $807.00 | 109 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $501.15 | $771.00 | $154.97 – $771.00 | 109 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $1,419.70 | $1,419.70 | $181.50 – $903.00 | 779 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $100.00 | $100.00 | $11.86 – $75.24 | 549 |
| Vaccine rabies im CPT 90675 | $1,998.80 | $1,998.80 | $206.63 – $1,028.00 | 109 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $263.90 | $406.00 | $81.20 – $513.30 | 102 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $2,736.70 | $2,736.70 | $136.20 – $1,808.73 | 102 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $442.65 | $681.00 | $136.20 – $904.37 | 102 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $250.90 | $386.00 | $77.20 – $511.56 | 102 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $120.90 | $186.00 | $37.20 – $186.00 | 102 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $102.70 | $158.00 | $31.76 – $171.72 | 94 |
| Vaccine tdap >=7 years im CPT 90715 | $231.55 | $231.55 | $16.48 – $82.00 | 778 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $211.80 | $211.80 | $18.49 – $92.00 | 778 |
| Vaccine typhoid vicps im CPT 90691 | $312.00 | $312.00 | $36.98 – $225.44 | 549 |
| Vaccine varicella live subcutaneous CPT 90716 | $960.60 | $960.60 | $48.00 – $242.00 | 552 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $458.00 | $458.00 | $42.41 – $315.89 | 549 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $6,388.06 | $9,827.78 | $1,975.38 – $9,827.78 | 28 |
| Vaginal Delivery (full care) CPT 59400 | $7,499.00 | $7,499.00 | $682.23 – $5,277.00 | 768 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $29.90 | $29.90 | $0.72 – $3.60 | 28 |
| Valproic acid total therapeutic drug level CPT 80164 | $218.40 | $336.00 | $13.12 – $336.00 | 43 |
| Valvuloplasty aortic CPT 92986 | $6,036.55 | $9,287.00 | $372.43 – $11,049.67 | 780 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $47,350.07 | $215.00 | $0.15 – $24,925.18 | 109 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $151.40 | $151.40 | $21.00 – $151.40 | 94 |
| Vancomycin hcl injection HCPCS J3370 | $34.50 | $34.50 | $5.63 – $34.50 | 31 |
| Vancomycin peak therapeutic drug level CPT 80202 | $235.30 | $362.00 | $13.12 – $198.00 | 43 |
| Varicella zoster antibody igg CPT 86787 | $105.95 | $163.00 | $12.48 – $133.00 | 43 |
| Varicella-zoster immue globin im CPT 90396 | $133.90 | $206.00 | $41.41 – $3,265.81 | 94 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $109.50 | $109.50 | $22.01 – $109.50 | 28 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $30,326.10 | $30,326.10 | $20.94 – $30,326.10 | 109 |
| Veeg cont 2-12 hrs CPT 95713 | $1,061.45 | $1,633.00 | $328.23 – $1,633.00 | 109 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,985.10 | $3,054.00 | $613.85 – $3,054.00 | 109 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $551.85 | $849.00 | $170.65 – $1,068.00 | 109 |
| Veeg unmon 12-26 hrs CPT 95714 | $1,061.45 | $1,633.00 | $328.23 – $1,633.00 | 109 |
| Veeg unmon 2-12 hrs CPT 95711 | $551.85 | $849.00 | $170.65 – $1,068.00 | 109 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $4,627.00 | $4,627.00 | $37.48 – $495.20 | 768 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $5,351.00 | $5,351.00 | $37.48 – $556.00 | 768 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $5,330.00 | $5,330.00 | $37.48 – $552.64 | 768 |
| Vein x-ray liver without hemodyn CPT 75887 | $3,025.10 | $4,654.00 | $935.45 – $6,702.68 | 109 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $7,637.95 | $7,637.95 | $1,520.72 – $7,637.95 | 94 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $8,560.13 | $845.00 | $2.90 – $11,049.67 | 780 |
| Venogram ext bil s&i CPT 75822 | $1,936.35 | $2,979.00 | $43.03 – $3,056.08 | 780 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $4,547.49 | $2,310.00 | $30.67 – $3,056.08 | 780 |
| Venous mech thrombectomy CPT 37187 | $16,784.95 | $25,823.00 | $26.46 – $22,412.03 | 780 |
| Ventilator each subsequent day CPT 94003 | $3,350.10 | $5,154.00 | $189.00 – $5,154.00 | 109 |
| Ventilator Management (first day) CPT 94002 | $86,785.96 | $5,047.00 | $69.55 – $5,047.00 | 109 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | $7,190.00 | $6,550.00 | $606.52 – $6,550.00 | 768 |
| Verify external neurostimulato HCPCS A4290 | $730.60 | $1,124.00 | $225.92 – $1,124.00 | 28 |
| Version cephalic external CPT 59412 | $1,407.25 | $2,165.00 | $435.17 – $6,284.60 | 108 |
| Vest large holster HCPCS Q0498 | $779.19 | $1,198.75 | $240.95 – $1,198.75 | 28 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | $134.93 | $207.59 | $37.39 – $186.02 | 28 |
| Video Swallow Study (Modified Barium Swallow) CPT 74230 | $538.20 | $828.00 | $165.56 – $828.00 | 109 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $244.80 | $244.80 | $49.20 – $244.80 | 94 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $87.15 | $87.15 | $8.60 – $85.75 | 94 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $202.65 | $202.65 | $12.48 – $62.10 | 28 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $1,769.00 | $840.00 | $8.04 – $147.00 | 109 |
| Vitamin b-12 CPT 82607 | $204.75 | $315.00 | $14.62 – $315.00 | 43 |
| Vitamin D Test CPT 82306 | $9,354.40 | $282.00 | $9.09 – $1,819.20 | 109 |
| Volume measurement urine timed CPT 81050 | $26.00 | $40.00 | $3.53 – $40.00 | 43 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $561.40 | $561.40 | $15.60 – $161.00 | 94 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $272,036.50 | $272,036.50 | $4,909.37 – $272,036.50 | 109 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $2,401.00 | $151.00 | $22.00 – $189.00 | 43 |
| Warde 1003990 aldosterone CPT 82088 | $213.20 | $328.00 | $39.48 – $328.00 | 43 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $189.15 | $291.00 | $26.94 – $208.00 | 43 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $135.20 | $208.00 | $12.51 – $208.00 | 43 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $186.55 | $287.00 | $24.47 – $287.00 | 43 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $148.85 | $229.00 | $15.02 – $105.00 | 43 |
| Warde 1015200 kappa light chain free CPT 83521 | $3,277.00 | $192.00 | $9.09 – $721.17 | 109 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $53,382.60 | $202.00 | $7.77 – $3,110.00 | 109 |
| Warde 3008005 oligoclonal bands CPT 83916 | $128.05 | $197.00 | $26.54 – $197.00 | 43 |
| Warde 3016000 west nile virus antibody CPT 86788 | $165.10 | $254.00 | $16.33 – $142.00 | 43 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $143.65 | $221.00 | $13.94 – $221.00 | 43 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $90.35 | $139.00 | $11.87 – $126.00 | 43 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $54.60 | $84.00 | $8.63 – $75.00 | 43 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $48.75 | $75.00 | $15.08 – $75.00 | 43 |
| Warde 3400852 arsenic CPT 82175 | $234.00 | $360.00 | $18.38 – $99.00 | 43 |
| Warde 3708165 mercury urine CPT 83825 | $78.65 | $121.00 | $15.76 – $121.00 | 43 |
| Warde acetylcholine receptor blocking antibody CPT 86042 | $42.25 | $65.00 | $13.07 – $65.00 | 43 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $130.65 | $201.00 | $11.68 – $201.00 | 43 |
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.