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 |
|---|---|---|---|---|
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $930.80 | $1,432.00 | $165.56 – $1,432.00 | 109 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $744.90 | $1,146.00 | $165.56 – $1,146.00 | 109 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $356.85 | $549.00 | $110.35 – $549.00 | 109 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.23 | $0.35 | $0.07 – $0.35 | 28 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $19.11 | $29.40 | $5.91 – $29.40 | 28 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.44 | $0.67 | $0.13 – $0.67 | 28 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.26 | $0.40 | $0.08 – $0.40 | 28 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.10 | $1.69 | $0.34 – $1.69 | 28 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $47.64 | $73.30 | $0.13 – $0.67 | 28 |
| Basiliximab HCPCS J0480 | $21,814.75 | $21,814.75 | $4,384.76 – $21,814.75 | 109 |
| Bausch health Ultrasound surg HCPCS V2788 | $744.25 | $1,145.00 | $10.05 – $50.00 | 28 |
| B cells total count CPT 86355 | $170.95 | $263.00 | $36.56 – $263.00 | 43 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $3.21 – $864.15 | 109 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $16,778.25 | $4,849.40 | $3.81 – $4,849.40 | 109 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $52.79 – $3,302.00 | 109 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.49 | $0.75 | $0.15 – $0.74 | 28 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $2.01 – $14,338.95 | 109 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $13.38 – $11,945.90 | 109 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $12.58 – $8,355.30 | 109 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 94 |
| #_benzodiazconfur CPT 80346 | $155.35 | $239.00 | $48.04 – $239.00 | 36 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $89.95 | $89.95 | $18.08 – $89.95 | 28 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $173.55 | $267.00 | $24.66 – $254.00 | 43 |
| Beta-2 microglobulin CPT 82232 | $61.75 | $95.00 | $15.68 – $95.00 | 43 |
| Beta-amyloid 1-40 CPT 82233 | $121.55 | $187.00 | $37.59 – $259.13 | 40 |
| Beta-amyloid 1-42 CPT 82234 | $183.95 | $283.00 | $56.88 – $283.00 | 40 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $34.45 – $175.75 | 94 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $72.16 – $2,390.85 | 109 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $23.36 – $1,925.35 | 109 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $25.28 – $6,770.50 | 109 |
| Bilateral n block inj occipital 64405 CPT 64405 | $1,601.00 | $1,569.00 | $5.22 – $1,046.00 | 781 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,056.25 | $1,625.00 | $217.88 – $1,084.00 | 108 |
| Bilirubin direct CPT 82248 | $3,044.00 | $96.00 | $4.87 – $2,647.73 | 109 |
| Bilirubin total CPT 82247 | $2,913.00 | $150.00 | $4.87 – $2,647.73 | 109 |
| Biopsy abdominal mass CPT 49180 | $2,378.35 | $3,659.00 | $735.46 – $3,659.00 | 108 |
| Biopsy, bone open deep CPT 20245 | $1,598.00 | $1,598.00 | $14.28 – $121.60 | 768 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,670.50 | $2,570.00 | $516.57 – $3,206.43 | 108 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $164.00 | $164.00 | $14.30 – $164.00 | 768 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $18,847.10 | $9,918.00 | $366.78 – $6,612.00 | 108 |
| Biopsy lower leg soft tissue CPT 27613 | $3,660.80 | $5,632.00 | $754.76 – $3,755.00 | 108 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,828.45 | $2,813.00 | $8.73 – $3,206.43 | 781 |
| Biopsy needle liver percutaneous CPT 47000 | $1,350.70 | $2,078.00 | $417.68 – $3,206.43 | 108 |
| Biopsy needle lymph node superficial CPT 38505 | $2,226.90 | $3,426.00 | $77.42 – $3,206.43 | 108 |
| Biopsy of heart lining CPT 93505 | $4,807.40 | $7,396.00 | $52.69 – $7,396.00 | 780 |
| Biopsy of pancreas open CPT 48100 | $3,178.00 | $3,178.00 | $269.13 – $1,935.00 | 768 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $15,626.30 | $1,104.00 | $31.45 – $5,388.70 | 769 |
| Biopsy of salivary gland 42400 CPT 42400 | $4,526.60 | $6,964.00 | $668.39 – $6,964.00 | 108 |
| Biopsy/removal lymph nodes CPT 38525 | $57,219.16 | $2,972.00 | $21.96 – $12,891.30 | 769 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $3,417.05 | $5,257.00 | $704.51 – $3,505.00 | 108 |
| Biopsy roof of mouth CPT 42100 | $20,239.45 | $406.00 | $18.50 – $3,012.26 | 769 |
| Biopsy skin incisional single lesion CPT 11106 | $399.00 | $531.00 | $14.74 – $1,434.84 | 780 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $3,674.45 | $5,653.00 | $25.45 – $5,653.00 | 780 |
| Biopsy tongue anterior two-thirds CPT 41100 | $15,996.30 | $482.00 | $18.59 – $1,047.06 | 769 |
| Biotinidase - quest CPT 82261 | $106.60 | $164.00 | $16.35 – $164.00 | 43 |
| Bivalirudin HCPCS J0583 | $481.40 | $481.40 | $96.76 – $481.40 | 28 |
| Bladder Catheter Insertion (simple) CPT 51702 | $217.75 | $335.00 | $3.77 – $316.00 | 780 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $633.10 | $974.00 | $4.95 – $974.00 | 780 |
| Bld prd mix CPT 86965 | $279.50 | $430.00 | $86.43 – $430.00 | 28 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $438.45 | $438.45 | $22.87 – $209.75 | 94 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $144.64 – $17,670.55 | 109 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $9,830.88 | $15,124.43 | $0.01 – $14.40 | 28 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $4,840.11 | $7,446.33 | $8.03 – $39.95 | 28 |
| Bln dil 900ml preperitnl HCPCS C1727 | $2,036.55 | $3,133.15 | $134.77 – $670.49 | 28 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $3,619.02 | $5,567.73 | $10.75 – $53.50 | 28 |
| Bln press regulation 71-80cm HCPCS C1815 | $10,109.53 | $15,553.13 | $911.79 – $4,536.28 | 28 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $1,815.54 | $2,793.14 | $353.01 – $1,756.25 | 28 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $1.82 | $2.80 | $0.56 – $2.80 | 28 |
| Block tap inj(s) w/wo img bi CPT 64488 | $471.90 | $726.00 | $145.93 – $726.00 | 27 |
| Block tap inj(s) w/wo img uni CPT 64486 | $72.80 | $112.00 | $22.51 – $112.00 | 27 |
| Blood Clotting (PT/INR) Test CPT 85610 | $10,619.73 | $133.00 | $4.16 – $1,414.11 | 109 |
| Blood Clotting (PTT) Test CPT 85730 | $39,981.90 | $192.00 | $5.82 – $5,685.01 | 109 |
| Blood Count (CBC) Test CPT 85025 | $10,361.85 | $289.00 | $7.53 – $1,754.40 | 109 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $42,785.25 | $218.00 | $6.27 – $13,116.76 | 109 |
| Blood Culture Test CPT 87040 | $4,283.85 | $335.00 | $9.09 – $2,672.15 | 109 |
| Blood Draw (Venipuncture) CPT 36415 | $55.00 | $55.00 | $3.00 – $47.00 | 779 |
| Blood gases o2 saturation direct measurement CPT 82805 | $180.05 | $277.00 | $55.68 – $277.00 | 43 |
| Blood gases ph venous CPT 82800 | $49.40 | $76.00 | $10.66 – $76.00 | 43 |
| Blood, l/r, irradiated HCPCS P9056 | $646.75 | $995.00 | $200.00 – $995.00 | 28 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $84.50 | $130.00 | $15.42 – $130.00 | 43 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $110.50 | $170.00 | $4.10 – $170.00 | 43 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $53.95 | $83.00 | $4.24 – $83.00 | 43 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $98.15 | $151.00 | $5.15 – $151.00 | 109 |
| Blood smear interpretation CPT 85060 | $70.00 | $70.00 | $12.14 – $68.28 | 768 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $63.05 | $97.00 | $3.68 – $97.00 | 43 |
| Blood split unit HCPCS P9011 | $512.20 | $788.00 | $143.97 – $788.00 | 109 |
| Blood Transfusion CPT 36430 | $4,036.00 | $956.00 | $192.16 – $956.00 | 109 |
| Blood typing abo CPT 86900 | $104.65 | $161.00 | $2.99 – $258.30 | 109 |
| Blood typing ag donor ea ag CPT 86902 | $12,438.45 | $240.00 | $2.96 – $366.21 | 109 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $29,422.97 | $93.00 | $3.83 – $695.89 | 109 |
| Blood typing rh (d) CPT 86901 | $71.50 | $110.00 | $2.99 – $110.00 | 109 |
| Blood typing rh phenotype complete reference CPT 86906 | $81.90 | $126.00 | $7.75 – $126.00 | 109 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,983.96 | $3,052.25 | $13.11 – $80.31 | 36 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $260.00 | $400.00 | $80.40 – $400.00 | 109 |
| Bone biopsy open superficial CPT 20240 | $845.00 | $845.00 | $40.37 – $431.30 | 768 |
| Bone Density Scan (DEXA) CPT 77080 | $244.40 | $376.00 | $3.58 – $376.00 | 781 |
| Bone filler cerament 10cc HCPCS C1602 | $10,175.74 | $15,654.99 | $114.38 – $569.03 | 28 |
| Bone/joint imaging ltd area CPT 78300 | $1,460.55 | $2,247.00 | $377.34 – $2,247.00 | 43 |
| Bone marrow aspir bone grfg CPT 20939 | $79,362.10 | not published | $9.09 – $34,040.37 | 82 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,676.35 | $2,579.00 | $345.52 – $3,206.43 | 108 |
| Bone marrow imaging ltd CPT 78102 | $981.50 | $1,510.00 | $303.51 – $1,510.00 | 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.