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 |
|---|---|---|---|---|
| Bone marrow interpretation CPT 85097 | $200.20 | $308.00 | $61.91 – $1,564.16 | 109 |
| Bone survey-lead poisoning CPT 77074 | $356.85 | $549.00 | $98.68 – $549.00 | 109 |
| Bone tendon board add on HCPCS C9356 | $4,850.45 | $7,462.23 | $104.77 – $521.26 | 28 |
| Bone void filler nanoss 10cc HCPCS C9362 | $3,242.75 | $4,988.85 | $38.95 – $193.78 | 28 |
| Boot cast sandal rocker med HCPCS L3265 | $2.19 | $3.37 | $0.68 – $3.37 | 28 |
| Boot heel care softcare one sz HCPCS E0191 | $132.09 | $203.21 | $0.63 – $54.31 | 36 |
| Boot j walker l HCPCS L4386 | $347.24 | $534.21 | $10.15 – $62.18 | 36 |
| Boot mlti podous univ xlg HCPCS L4396 | $165.01 | $253.86 | $10.99 – $67.37 | 36 |
| Boot softgait shrt m HCPCS L4387 | $41.49 | $63.83 | $4.18 – $25.60 | 36 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $81.97 | $126.11 | $10.42 – $63.83 | 36 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $81.03 | $124.66 | $20.34 – $124.66 | 36 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $194.00 | $194.00 | $16.50 – $180.00 | 43 |
| Borrelia miyamotoi amp prb CPT 87478 | $82.55 | $127.00 | $25.53 – $127.00 | 43 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $420.00 | $420.00 | $42.53 – $211.60 | 94 |
| Bowel imaging CPT 78290 | $1,383.20 | $2,128.00 | $377.34 – $2,128.00 | 109 |
| Brace adj motion lerman type HCPCS L2186 | $316.44 | $486.83 | $97.85 – $486.83 | 28 |
| Brace afo dbl upright cust HCPCS L1990 | $748.46 | $1,151.48 | $231.45 – $1,151.48 | 28 |
| Brace afo lg left 6607 HCPCS L1930 | $129.79 | $199.67 | $16.34 – $100.12 | 36 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,145.78 | $1,762.74 | $354.31 – $1,762.74 | 28 |
| Brace afo spiral prefab HCPCS L1951 | $1,746.13 | $2,686.36 | $539.96 – $2,686.36 | 28 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $55.82 | $85.87 | $7.83 – $38.95 | 28 |
| Brace ank air stirrup univ HCPCS L4350 | $47.97 | $73.80 | $6.52 – $39.95 | 36 |
| Brace ankle joint dflxn assist HCPCS L2210 | $163.94 | $252.21 | $50.69 – $252.21 | 28 |
| Brace ankle stablizing lg HCPCS L1902 | $33.47 | $51.50 | $10.35 – $51.50 | 28 |
| Brace back epic lo 627 HCPCS L0642 | $140.30 | $215.85 | $35.23 – $215.85 | 36 |
| Brace back epic lso 637 HCPCS L0650 | $186.50 | $286.92 | $46.83 – $286.92 | 36 |
| Brace back epic tslo 456 HCPCS L0457 | $390.58 | $600.89 | $82.17 – $408.80 | 28 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $869.63 | $1,337.90 | $53.68 – $802.74 | 36 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $405.76 | $624.24 | $125.47 – $624.24 | 28 |
| Brace back t-lso custom HCPCS L0486 | $2,913.85 | $4,482.85 | $901.05 – $4,482.85 | 28 |
| Brace back vista 464 tlso HCPCS L0648 | $475.16 | $731.02 | $82.42 – $505.04 | 36 |
| Brace cust back lso HCPCS L0631 | $1,821.40 | $2,802.16 | $0.20 – $1.00 | 28 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $103.61 | $159.40 | $32.04 – $159.40 | 28 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $693.03 | $1,066.20 | $13.96 – $69.45 | 28 |
| Brace halo bremer l2830 HCPCS L2830 | $195.59 | $300.91 | $60.48 – $300.91 | 28 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,418.37 | $3,720.57 | $747.83 – $3,720.57 | 28 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $272.60 | $419.39 | $68.44 – $419.39 | 36 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,503.03 | $2,312.35 | $17.86 – $109.46 | 36 |
| Brace knee hing pat open med HCPCS L1820 | $47.55 | $73.15 | $14.70 – $73.15 | 28 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $901.84 | $1,387.44 | $29.82 – $182.69 | 36 |
| Brace knee postop tscope xl HCPCS L1845 | $288.59 | $443.98 | $89.24 – $443.98 | 28 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $176.49 | $271.52 | $12.03 – $59.85 | 28 |
| Brace m arm board HCPCS L3809 | $45.37 | $69.80 | $5.99 – $36.70 | 36 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $2,326.00 | $169.00 | $27.35 – $189.00 | 43 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $243.55 | $374.69 | $59.75 – $366.09 | 36 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $476.06 | $732.40 | $120.78 – $600.89 | 28 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $432.84 | $665.91 | $0.52 – $3.21 | 36 |
| Brace tlso flex cust HCPCS L0450 | $1,982.56 | $3,050.10 | $613.07 – $3,050.10 | 28 |
| Brace wrist classic lft sm HCPCS L3908 | $78.86 | $121.32 | $0.53 – $3.22 | 36 |
| Brachioplasty 15836 CPT 15836 | $49,671.22 | not published | $371.96 – $5,639.25 | 82 |
| Brach/thor cath 1st CPT 36215 | $1,478.75 | $2,275.00 | $457.28 – $2,275.00 | 27 |
| Brach/thor cath 2nd CPT 36216 | $2,079.35 | $3,199.00 | $643.00 – $3,199.00 | 27 |
| Brach/thor cath 3rd CPT 36217 | $2,102.75 | $3,235.00 | $29.03 – $3,235.00 | 779 |
| Brach/thor cath addl CPT 36218 | $1,660.10 | $2,554.00 | $513.35 – $2,554.00 | 27 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $36.58 – $182.00 | 28 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $8.04 – $73.65 | 106 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $15.08 – $75.00 | 28 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $23.03 – $129.60 | 40 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $10.05 – $35,719.73 | 106 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $780.00 | $1,200.00 | $241.20 – $1,200.00 | 106 |
| Brachytx isodose plan simple CPT 77316 | $772.00 | $772.00 | $46.86 – $726.92 | 780 |
| Braf gene CPT 81210 | $711.75 | $1,095.00 | $169.96 – $1,095.00 | 43 |
| Brain biopsy w/ct/mr guide CPT 61751 | $4,196.00 | $4,196.00 | $37.48 – $509.44 | 768 |
| Brain image w/flow 4 + views CPT 78606 | $1,163.50 | $1,790.00 | $359.79 – $1,790.00 | 28 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,171.55 | $4,064.00 | $232.34 – $4,064.00 | 109 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $11,106.55 | $4,421.00 | $32.55 – $4,421.00 | 780 |
| Brain MRI (with and without contrast) CPT 70553 | $4,882.15 | $7,511.00 | $67.10 – $7,511.00 | 780 |
| Brain MRI (with contrast) CPT 70552 | $2,692.30 | $4,142.00 | $329.29 – $4,142.00 | 109 |
| Brain MRI (without contrast) CPT 70551 | $5,621.00 | $3,780.00 | $114.07 – $3,780.00 | 109 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $161.28 | $248.13 | $15.40 – $94.36 | 36 |
| Breast augmentation 19325 CPT 19325 | $48,443.75 | $2,746.00 | $2.28 – $14,087.30 | 769 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $8,434.93 | $8,098.00 | $41.64 – $5,398.00 | 780 |
| Breastbone (Sternum) X-ray CPT 71120 | $395.20 | $608.00 | $5.96 – $608.00 | 780 |
| Breast punct aspir cyst, bil CPT 19000 | $516.75 | $795.00 | $11.05 – $795.00 | 780 |
| Breast reconstruction 19357 CPT 19357 | $130,054.32 | $7,748.00 | $1.92 – $26,754.51 | 769 |
| Breast reconstr w/lat flap 19361 CPT 19361 | $5,094.00 | $5,094.00 | $37.48 – $559.36 | 768 |
| Breast reduction CPT 19318 | $66,881.88 | $7,156.00 | $37.48 – $12,891.30 | 769 |
| Breath hydrogen test 91065 CPT 91065 | $427.00 | $427.00 | $4.24 – $31.00 | 768 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $224.75 – $39,510.50 | 109 |
| Brief comunicaj tech-bsd svc CPT 98016 | $42.00 | $42.00 | $8.31 – $36.76 | 768 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $2,467.40 | $3,796.00 | $41.11 – $3,796.00 | 779 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $25,393.04 | $214.00 | $38.13 – $13,701.44 | 769 |
| Bronch ebus samplng 1/2 node CPT 31652 | $24,842.09 | $1,346.00 | $63.16 – $13,701.44 | 769 |
| Bronch ebus samplng 3/> node CPT 31653 | $26,349.34 | $1,400.00 | $69.87 – $13,701.44 | 769 |
| Bronchial allergy tests CPT 95070 | $195.00 | $195.00 | $26.52 – $724.45 | 779 |
| Bronchial challenge CPT 94070 | $929.50 | $1,430.00 | $15.25 – $1,430.00 | 781 |
| Bronchoscopy clear airways 31645 CPT 31645 | $23,898.44 | $469.00 | $42.50 – $13,701.44 | 769 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $28,662.84 | $158.00 | $21.79 – $13,701.44 | 769 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $25,416.96 | $5,461.00 | $50.59 – $7,238.26 | 780 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $28,662.84 | $201.00 | $32.15 – $13,701.44 | 769 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $25,416.96 | $595.00 | $44.05 – $13,701.44 | 769 |
| Bronchoscopy treat blockage CPT 31641 | $29,852.45 | not published | $31.45 – $7,238.26 | 82 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $23,865.89 | $497.00 | $44.84 – $13,701.44 | 769 |
| Bronchoscopy w/markers CPT 31626 | $23,091.61 | $844.00 | $1.55 – $13,701.44 | 769 |
| Bronch w/balloon occlusion CPT 31634 | $602.00 | $602.00 | $54.32 – $515.17 | 768 |
| Br punct aspir ea add, l CPT 19001 | $501.15 | $771.00 | $18.61 – $771.00 | 27 |
| Brst rcnstj free flap CPT 19364 | $12,154.00 | $12,154.00 | $37.48 – $972.32 | 768 |
| Brush provox 4-10mm HCPCS L8513 | $27.23 | $41.90 | $8.42 – $41.90 | 28 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $15.15 | $15.15 | $1.22 – $14.20 | 94 |
| Bundled special stain group 1 microorganisms CPT 88312 | $236.60 | $364.00 | $49.19 – $364.00 | 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.