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 |
|---|---|---|---|---|
| Cath cv dl inj 7fx16cm HCPCS C1751 | $10,922.74 | $16,804.22 | $0.30 – $1.51 | 28 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $1,762.57 | $2,711.65 | $0.01 – $19.35 | 28 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $44.43 | $68.35 | $13.74 – $68.35 | 28 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,561.66 | $2,402.55 | $0.28 – $1.38 | 28 |
| Catheter declot mechanical CPT 36596 | $2,232.75 | $3,435.00 | $690.44 – $3,435.00 | 108 |
| Catheter insert artery CPT 36625 | $352.00 | $352.00 | $60.92 – $352.00 | 768 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $17.55 | $27.00 | $5.43 – $27.00 | 40 |
| Catheter stripping venous CPT 36595 | $16,585.87 | $8,026.00 | $0.96 – $8,026.00 | 108 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $0.59 | $0.91 | $0.15 – $0.75 | 28 |
| Cath follower heyman 20f HCPCS A4352 | $234.78 | $361.20 | $0.49 – $2.42 | 28 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,758.92 | $2,706.03 | $11.99 – $59.65 | 28 |
| Cath hawkone s directional HCPCS C1714 | $4,862.62 | $7,480.96 | $280.06 – $1,393.31 | 28 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,270.57 | $1,954.72 | $392.90 – $1,954.72 | 28 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $3,489.04 | $5,367.75 | $249.53 – $1,241.46 | 28 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $1,380.83 | $2,124.36 | $14.29 – $71.10 | 28 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $2,045.54 | $3,146.98 | $632.54 – $3,146.98 | 28 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $177.45 | $273.00 | $54.87 – $273.00 | 27 |
| Cath left heart/lv gram CPT 93452 | $19,229.60 | $29,584.00 | $3,060.01 – $29,584.00 | 108 |
| Cath left heart transseptal punc CPT 93462 | $9,717.50 | $14,950.00 | $107.10 – $14,950.00 | 779 |
| Cath lt/rt pulm art CPT 36014 | $2,258.10 | $3,474.00 | $465.52 – $2,316.00 | 27 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $5,636.22 | $8,671.11 | $0.08 – $0.41 | 28 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $13,846.69 | $21,302.60 | $21.61 – $107.50 | 28 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $23.92 | $36.80 | $7.40 – $36.80 | 28 |
| Cath place 1st order venous 36011 CPT 36011 | $2,947.75 | $4,535.00 | $15.78 – $3,023.00 | 779 |
| Cath place cardio brachytx CPT 92974 | $47,041.77 | $3,417.00 | $2.28 – $11,049.67 | 780 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $18,279.30 | $28,122.00 | $128.12 – $28,122.00 | 780 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $25,468.36 | $18,643.00 | $2.28 – $18,643.00 | 780 |
| Cath plc art/grft/angio right hrt CPT 93457 | $20,539.35 | $31,599.00 | $108.74 – $31,599.00 | 780 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $7,730.61 | $11,893.25 | $2,366.21 – $11,772.21 | 28 |
| Cath right heart w/o2 sat & card CPT 93451 | $5,882.50 | $9,050.00 | $40.79 – $9,050.00 | 780 |
| Cath segmntl pulm art CPT 36015 | $2,626.00 | $4,040.00 | $541.29 – $2,693.00 | 27 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $330.23 | $508.05 | $24.11 – $119.97 | 28 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,374.45 | $3,653.00 | $24.79 – $123.34 | 28 |
| Cath stripping venous s&i CPT 75901 | $458.25 | $705.00 | $141.71 – $705.00 | 27 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $242.92 | $373.73 | $0.12 – $0.62 | 28 |
| Cath symplicity spyral HCPCS C1735 | $17,877.60 | $27,504.00 | $5,528.30 – $27,504.00 | 28 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $7,413.18 | $11,404.89 | $10.55 – $52.50 | 28 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $926.04 | $1,424.67 | $0.01 – $0.09 | 28 |
| Cauterization chemical granulation tissue CPT 17250 | $1,747.35 | $468.00 | $6.91 – $468.00 | 780 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $33,930.28 | $32.00 | $0.60 – $11,492.83 | 109 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $12,657.75 | $101.65 | $2.29 – $412.94 | 109 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $45.80 | $45.80 | $7.40 – $36.80 | 28 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,224.65 | $1,224.65 | $4.15 – $864.65 | 109 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $43.95 | $43.95 | $2.82 – $14.05 | 28 |
| Ceftazidime and avibactam HCPCS J0714 | $1,968.05 | $1,968.05 | $102.61 – $1,968.05 | 106 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $92.00 | $92.00 | $0.26 – $12.45 | 778 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $27.00 | $27.00 | $2.04 – $10.15 | 94 |
| Cell count body fluid CPT 89050 | $134.55 | $207.00 | $4.57 – $207.00 | 43 |
| Cell count w differential body fluid CPT 89051 | $165.10 | $254.00 | $5.43 – $166.00 | 43 |
| Cell cryopreserve/storage CPT 88240 | $89.70 | $138.00 | $12.67 – $138.00 | 109 |
| Cell marker study CPT 88182 | $383.50 | $590.00 | $49.19 – $590.00 | 109 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $28.12 – $34,004.00 | 109 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $3.79 – $17,963.25 | 109 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $58.00 | $58.00 | $15.76 – $58.00 | 768 |
| Cesarean section delivery only 59514 CPT 59514 | $2,909.00 | $2,909.00 | $37.48 – $312.00 | 768 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $4,685.70 | $4,685.70 | $78.74 – $2,342.85 | 109 |
| #cf-97variants CPT 81220 | $1,446.90 | $2,226.00 | $447.43 – $2,226.00 | 43 |
| Cftr gene dup/delet variants CPT 81222 | $1,669.20 | $2,568.00 | $421.59 – $2,568.00 | 43 |
| Change cystostomy tube simple CPT 51705 | $22,377.55 | $1,111.00 | $0.96 – $1,111.00 | 108 |
| Change g-tube to g-j perc CPT 49446 | $3,443.05 | $5,297.00 | $1,064.70 – $5,297.00 | 108 |
| Change of ureter tube/stent CPT 50688 | $6,028.75 | $9,275.00 | $1,864.28 – $9,275.00 | 108 |
| Change of windpipe airway 31502 CPT 31502 | $2,028.65 | $3,121.00 | $9.69 – $3,121.00 | 780 |
| Change ureter stent percut CPT 50382 | $13,144.30 | $20,222.00 | $1,973.09 – $13,481.00 | 108 |
| Chemo adm cns w/lmbr punct CPT 96450 | $1,583.40 | $2,436.00 | $311.77 – $2,436.00 | 109 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $215.00 | $215.00 | $18.49 – $215.00 | 780 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $731.25 | $1,125.00 | $44.94 – $1,125.00 | 780 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $5,908.00 | $353.00 | $33.02 – $1,370.41 | 781 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $323.00 | $323.00 | $30.67 – $1,370.41 | 781 |
| Chemodenervation anal musc CPT 46505 | $1,836.00 | $1,836.00 | $44.41 – $712.09 | 768 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $728.00 | $1,030.00 | $34.51 – $687.00 | 781 |
| Chemodenerv eccrine glands CPT 64653 | $229.45 | $353.00 | $70.95 – $595.92 | 108 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $229.45 | $353.00 | $70.95 – $595.92 | 108 |
| Chemodenerv musc migraine 64615 CPT 64615 | $6,898.00 | $542.00 | $34.83 – $595.92 | 781 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $5,885.00 | $1,722.00 | $31.74 – $1,148.00 | 781 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $3,818.00 | $1,755.00 | $34.51 – $1,755.00 | 780 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $348.00 | $348.00 | $20.30 – $1,370.41 | 780 |
| Chemo extend IV infus w/pump HCPCS G0498 | $711.10 | $1,094.00 | $219.89 – $1,094.00 | 106 |
| Chemo ia push tecnique CPT 96420 | $376.35 | $579.00 | $116.38 – $641.26 | 109 |
| Chest apical lordotic proj CPT 71047 | $228.15 | $351.00 | $70.55 – $351.00 | 109 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,259.40 | $3,476.00 | $165.56 – $3,476.00 | 109 |
| Chest CT scan (with contrast) CPT 71260 | $9,415.50 | $3,305.00 | $165.56 – $3,305.00 | 109 |
| Chest CT scan (without contrast) CPT 71250 | $1,707.55 | $2,627.00 | $31.52 – $2,627.00 | 780 |
| Chest Physiotherapy (first session) CPT 94667 | $159.25 | $245.00 | $49.25 – $258.30 | 109 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $139.75 | $215.00 | $43.22 – $258.30 | 109 |
| Chest Ultrasound CPT 76604 | $700.70 | $1,078.00 | $17.68 – $1,078.00 | 780 |
| Chest X-ray CPT 71046 | $1,635.00 | $545.00 | $6.39 – $545.00 | 781 |
| Chest X-ray (single view) CPT 71045 | $39,671.22 | $5,634.00 | $5.33 – $462.00 | 781 |
| Chg pr pul rehab for copd patients CPT 94626 | $371.80 | $572.00 | $55.68 – $572.00 | 43 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $395.85 | $609.00 | $122.41 – $609.00 | 109 |
| Chlnggrphy intraop addl s&i CPT 74301 | $306.80 | $472.00 | $94.87 – $472.00 | 27 |
| Chloride CPT 82435 | $93.60 | $144.00 | $4.46 – $144.00 | 43 |
| Chloride 24 hour urine CPT 82436 | $81.90 | $126.00 | $5.57 – $126.00 | 43 |
| Chloroprocaine hcl injection HCPCS J2401 | $102.90 | $102.90 | $20.68 – $102.90 | 28 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $122.35 | $122.35 | $24.59 – $122.35 | 94 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $116.50 | $116.50 | $20.43 – $101.65 | 94 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | $2.10 | $2.10 | $0.20 – $1.00 | 93 |
| Cholangiogram percutaneous compl CPT 47532 | $4,192.50 | $6,450.00 | $1,296.45 – $6,951.03 | 108 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $778.05 | $1,197.00 | $240.60 – $1,197.00 | 27 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $4,029.00 | $4,029.00 | $338.46 – $3,224.60 | 768 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $6,945.25 | $10,685.00 | $2,147.69 – $10,685.00 | 108 |
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.