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 |
|---|---|---|---|---|
| Bundled special stain group 2 CPT 88313 | $243.75 | $375.00 | $33.96 – $311.00 | 109 |
| Bundle his recording CPT 93600 | $2,648.10 | $4,074.00 | $818.87 – $15,142.36 | 108 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $23,998.44 | $741.00 | $0.60 – $7,601.47 | 109 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $2.80 | $2.80 | $0.56 – $9.09 | 32 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.80 | $3.80 | $0.76 – $36.37 | 32 |
| Buprenorphine oral 1mg HCPCS J0571 | $1.70 | $1.70 | $0.34 – $1.70 | 32 |
| Burr hole implant ventricular cath/other device CPT 61210 | $34,460.60 | $1,098.00 | $9.09 – $799.00 | 769 |
| Burr hole skull for biopsy 61140 CPT 61140 | $4,337.00 | $3,838.00 | $404.28 – $3,838.00 | 768 |
| Burr hole skull & remove clot 61154 CPT 61154 | $7,726.00 | $7,726.00 | $37.48 – $459.36 | 768 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,849.42 | $7,460.65 | $45.82 – $227.98 | 28 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $21.85 | $21.85 | $4.39 – $21.85 | 28 |
| Bx bone trocar/ndl deep CPT 20225 | $10,371.70 | $4,429.00 | $183.41 – $4,429.00 | 108 |
| Bx breast 1st lesion mr imag CPT 19085 | $9,308.65 | $14,321.00 | $139.62 – $9,545.00 | 109 |
| Bx breast 1st lesion strtctc CPT 19081 | $6,938.50 | $6,818.00 | $126.99 – $4,545.00 | 109 |
| Bx breast add lesion mr imag CPT 19086 | $1,805.70 | $2,778.00 | $80.73 – $2,778.00 | 27 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $289.00 | $289.00 | $37.92 – $289.00 | 768 |
| Bx/exc idrl imed lesn thrc CPT 63286 | $7,797.00 | $7,797.00 | $795.34 – $7,797.00 | 768 |
| Bx/exc idrl spine lesn crvl CPT 63280 | $6,391.00 | $6,391.00 | $657.64 – $6,391.00 | 768 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $39,470.58 | $1,429.00 | $61.75 – $11,492.83 | 770 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $26,146.00 | $1,724.00 | $48.54 – $7,601.47 | 770 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | $34,180.99 | not published | $31.45 – $2,977.96 | 82 |
| Bx muscle CPT 20200 | $319.00 | $319.00 | $12.18 – $210.00 | 768 |
| Bx pancreas pq ndl CPT 48102 | $1,610.05 | $2,477.00 | $497.88 – $3,206.43 | 108 |
| Bx skin punch ea sep/ addl les CPT 11105 | $195.65 | $301.00 | $13.63 – $301.00 | 779 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $139.00 | $200.00 | $11.29 – $200.00 | 779 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $806.00 | $1,240.00 | $249.24 – $1,374.78 | 108 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $131.00 | $131.00 | $16.51 – $131.00 | 768 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $61.00 | $61.00 | $16.19 – $61.00 | 768 |
| Bypass temp external fem-fem CPT 37799 | $4,934.80 | $7,592.00 | $592.10 – $7,592.00 | 108 |
| C-1 esterase, berinert HCPCS J0597 | $11,394.30 | $11,394.30 | $74.34 – $11,394.30 | 109 |
| C1 esterase inhibitor func - sendout CPT 86161 | $252.20 | $388.00 | $11.63 – $388.00 | 43 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $226.18 – $44,159.55 | 109 |
| Cabg 2 arterial grafts 33534 CPT 33534 | $7,115.00 | $7,115.00 | $37.48 – $921.32 | 768 |
| Cabgsingle artery graft 33533 CPT 33533 | $6,060.00 | $6,060.00 | $37.48 – $969.60 | 768 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | $6,261.00 | $6,261.00 | $578.62 – $4,487.25 | 768 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | $1,690.00 | $1,690.00 | $304.38 – $1,690.00 | 768 |
| Cabg vein five CPT 33514 | $8,441.00 | $8,441.00 | $781.93 – $8,441.00 | 768 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | $6,872.00 | $6,872.00 | $636.02 – $5,664.13 | 768 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $602.00 | $602.00 | $17.38 – $96.32 | 768 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $1,324.00 | $1,324.00 | $38.14 – $211.84 | 768 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $1,750.00 | $1,750.00 | $50.40 – $235.76 | 768 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | $2,099.00 | $2,099.00 | $60.53 – $296.72 | 768 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | $2,357.00 | $2,357.00 | $424.30 – $1,952.22 | 768 |
| Cable cath 22-pin diag HCPCS C1730 | $8,141.09 | $12,524.75 | $10.93 – $54.40 | 28 |
| Cable centrimag pressure HCPCS Q0508 | $123,355.44 | $189,777.60 | $0.43 – $2.13 | 28 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $22.14 – $14,265.95 | 109 |
| Cadd pump refill CPT 96521 | $436.80 | $672.00 | $135.07 – $672.00 | 109 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $46.05 | $46.05 | $9.25 – $46.00 | 28 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $15,547.82 – $77,352.35 | 28 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,679.20 | $3,679.20 | $739.52 – $3,679.20 | 31 |
| Calcium 24 hour urine CPT 82340 | $52.00 | $80.00 | $5.84 – $80.00 | 43 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.00 | $1.00 | $0.20 – $1.00 | 29 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $44.70 | $44.70 | $8.85 – $44.05 | 94 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $52.50 | $52.50 | $8.80 – $43.80 | 28 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $7.89 – $39.25 | 28 |
| Calcium ionized CPT 82330 | $176.15 | $271.00 | $13.26 – $149.00 | 43 |
| Calcium total CPT 82310 | $38,680.91 | $206.00 | $5.00 – $6,176.47 | 109 |
| Calprotectin fecal CPT 83993 | $279.50 | $430.00 | $19.02 – $430.00 | 43 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $78.94 | $121.45 | $17.74 – $108.68 | 36 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $36,313.87 | $55,867.50 | $9.71 – $48.30 | 28 |
| Cap nerve 2x15mm HCPCS C1763 | $24,158.39 | $37,166.76 | $10.87 – $54.10 | 28 |
| Capsaicin 8% patch HCPCS J7336 | $18,623.00 | $18,623.00 | $2.44 – $8,300.00 | 767 |
| Cap trach decann 15mm HCPCS C1750 | $3,283.80 | $5,052.00 | $0.68 – $3.39 | 28 |
| Carbamazepine total therapeutic drug level CPT 80156 | $204.75 | $315.00 | $14.12 – $315.00 | 43 |
| Carbon dioxide CPT 82374 | $53.95 | $83.00 | $4.73 – $83.00 | 43 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $303.90 | $303.90 | $2.31 – $37.95 | 94 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $331.15 | $331.15 | $13.43 – $331.15 | 106 |
| Carboxyhemoglobin quantitative CPT 82375 | $177.45 | $273.00 | $11.93 – $189.00 | 43 |
| Carcinoembryonic ag (cea) CPT 82378 | $289.25 | $445.00 | $18.37 – $445.00 | 43 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,701.05 | $2,617.00 | $526.02 – $2,986.36 | 28 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,193.45 | $4,913.00 | $40.26 – $4,913.00 | 780 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $360.10 | $554.00 | $111.35 – $554.00 | 109 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $4,320.00 | $442.00 | $88.84 – $442.00 | 109 |
| Cardiac Stress Test CPT 93015 | $406.25 | $625.00 | $125.63 – $625.00 | 28 |
| Cardiolipin antibody iga CPT 86147 | $239.85 | $369.00 | $24.66 – $343.00 | 43 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,244.75 | $1,915.00 | $384.92 – $1,915.00 | 27 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $4,473.35 | $3,060.00 | $60.49 – $3,060.00 | 780 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $89.05 | $137.00 | $27.54 – $189.00 | 43 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $51.30 – $1,892.40 | 109 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $693.30 – $3,449.25 | 28 |
| Carotene CPT 82380 | $120.25 | $185.00 | $8.94 – $185.00 | 43 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $2,462.00 | $1,595.00 | $23.86 – $1,595.00 | 780 |
| Car outp meas drg cath chd CPT 93598 | $252.85 | $389.00 | $78.19 – $389.00 | 27 |
| Carpal Tunnel Release Surgery CPT 64721 | $16,541.85 | not published | $9.09 – $3,791.04 | 82 |
| Car seat/bed test 60 minutes CPT 94780 | $55.90 | $86.00 | $17.29 – $189.00 | 109 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $18,014.85 | $457.00 | $0.96 – $1,805.43 | 769 |
| Cassette provox xtraflow hme HCPCS A7507 | $2.67 | $4.11 | $0.83 – $4.11 | 28 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,555.72 | $2,393.42 | $21.68 – $107.84 | 28 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $4,378.40 | $6,736.00 | $276.20 – $1,374.15 | 28 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,894.35 | $2,914.39 | $0.98 – $4.87 | 28 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $4,679.08 | $7,198.59 | $13.38 – $66.56 | 28 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $4,008.97 | $6,167.65 | $1,050.36 – $5,225.66 | 28 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $41,900.62 | $64,462.50 | $0.01 – $0.19 | 28 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,014.47 | $7,714.57 | $354.25 – $1,762.43 | 28 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $13,681.13 | $21,047.90 | $0.01 – $17.35 | 28 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,539.55 | $6,983.93 | $0.01 – $9.51 | 28 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,908.31 | $7,551.25 | $23.59 – $117.34 | 28 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,737.87 | $4,212.11 | $74.57 – $371.00 | 28 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $29,762.85 | $45,789.00 | $98.20 – $45,789.00 | 780 |
| Cath council tip 16fr 5cc HCPCS A4344 | $40.07 | $61.65 | $10.89 – $54.16 | 28 |
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.