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 |
|---|---|---|---|---|
| Cholesterol CPT 82465 | $101.40 | $156.00 | $4.21 – $156.00 | 43 |
| Cholesterol body fluid CPT 84999 | $13.65 | $21.00 | $4.20 – $21.00 | 36 |
| Cholesterol (Lipid) Test CPT 80061 | $284.05 | $437.00 | $9.37 – $286.00 | 780 |
| Cholinesterase CPT 82480 | $104.00 | $160.00 | $7.63 – $160.00 | 43 |
| Chromatography CPT 83021 | $80.60 | $124.00 | $17.50 – $124.00 | 43 |
| Chromogenic substrate assay CPT 85130 | $185.25 | $285.00 | $11.89 – $285.00 | 28 |
| Chromo high res and frag x - sendout CPT 81243 | $399.75 | $615.00 | $55.27 – $615.00 | 43 |
| Chromosome analysis 15-20 cell count CPT 88262 | $774.15 | $1,191.00 | $121.60 – $1,191.00 | 43 |
| Chromosome count additional CPT 88285 | $52.65 | $81.00 | $16.28 – $81.00 | 43 |
| Chromosome karyotype study CPT 88280 | $139.75 | $215.00 | $32.44 – $215.00 | 43 |
| Chronic urticaria - sendout CPT 86343 | $89.70 | $138.00 | $12.08 – $138.00 | 43 |
| Chylomicron screen, bf - sendout CPT 82664 | $84.50 | $130.00 | $26.13 – $130.00 | 43 |
| Cidofovir injection HCPCS J0740 | $3,403.30 | $3,403.30 | $436.60 – $3,403.30 | 109 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $1.00 | $1.00 | $0.20 – $43.07 | 99 |
| Cine/video x-rays CPT 76120 | $285.35 | $439.00 | $88.24 – $439.00 | 28 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $37.00 | $37.00 | $1.20 – $17.00 | 94 |
| Circum 28 days or older CPT 54161 | $18,513.85 | $712.00 | $9.09 – $4,058.30 | 769 |
| Circumcision (newborn) CPT 54150 | $2,895.75 | $4,455.00 | $26.84 – $4,284.00 | 780 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $379.00 | $379.00 | $10.65 – $94.75 | 94 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,411.15 | $2,171.00 | $319.29 – $2,171.00 | 43 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,149.75 | $1,149.75 | $7.27 – $1,149.75 | 109 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $15,050.75 | $23,155.00 | $6.96 – $34.65 | 28 |
| Clean out mastoid cavity CPT 69222 | $487.00 | $487.00 | $29.34 – $212.50 | 768 |
| Clearance of airways CPT 31720 | $240.50 | $370.00 | $74.37 – $425.12 | 108 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $30.00 | $30.00 | $1.18 – $5.85 | 94 |
| Clip ligating vesolock lg HCPCS C1760 | $88,212.69 | $12,630.00 | $0.68 – $50,744.36 | 109 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $538.82 | $828.95 | $166.62 – $828.95 | 28 |
| Cllr miami j sm HCPCS L0174 | $607.31 | $934.33 | $9.14 – $55.98 | 36 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $17,608.50 | $17,608.50 | $14.08 – $17,608.50 | 109 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $144.15 | $144.15 | $17.67 – $144.15 | 94 |
| Close median sternotomy separation 21750 CPT 21750 | $2,274.00 | $2,274.00 | $210.66 – $1,562.60 | 768 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $3,108.00 | $3,108.00 | $31.08 – $299.68 | 768 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $5,689.00 | $5,689.00 | $37.48 – $546.56 | 768 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $3,637.00 | $3,637.00 | $37.48 – $348.80 | 768 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $4,987.00 | $4,987.00 | $37.48 – $448.96 | 768 |
| Closure paravalvlr leak pq CPT 33999 | $6,110.00 | $9,400.00 | $898.07 – $4,468.00 | 27 |
| Clot factor xii hageman CPT 85280 | $94.90 | $146.00 | $18.75 – $146.00 | 43 |
| Clot factor xiii fibrin scrn CPT 85291 | $81.25 | $125.00 | $8.82 – $125.00 | 43 |
| Clot factor xiii fibrin stab CPT 85290 | $195.00 | $300.00 | $15.83 – $300.00 | 43 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,078.00 | $1,078.00 | $83.46 – $1,033.40 | 768 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $11,397.61 | $452.00 | $1.92 – $6,436.67 | 769 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $25,481.47 | not published | $1.92 – $14,087.30 | 82 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $3,235.00 | $3,235.00 | $181.58 – $2,067.00 | 768 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $1,923.00 | $1,923.00 | $93.59 – $1,923.00 | 768 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,043.25 | $1,605.00 | $190.00 – $1,667.17 | 109 |
| #cms hgb-sulfhemoglobin CPT 83060 | $194.35 | $299.00 | $8.53 – $299.00 | 43 |
| Cmv pcr-sendout CPT 87496 | $316.55 | $487.00 | $34.01 – $487.00 | 43 |
| Co2 monitor per day CPT 94681 | $568.10 | $874.00 | $6.18 – $874.00 | 780 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $43,143.75 | $43,143.75 | $2.57 – $8,628.75 | 109 |
| Coagulation time activated teg CPT 85347 | $85.15 | $131.00 | $4.15 – $131.00 | 43 |
| Coagulation time otr method CPT 85348 | $57.20 | $88.00 | $4.36 – $88.00 | 43 |
| Cocaine 4 % nasal solution HCPCS C9046 | $3,354.90 | $3,354.90 | $294.40 – $3,354.90 | 93 |
| Coil axium 3d 14mmx40cm qc HCPCS C1770 | $2,948.58 | $4,536.28 | $394.80 – $1,964.19 | 28 |
| Cold agglutinin screen (arc) CPT 86156 | $97.50 | $150.00 | $7.82 – $150.00 | 43 |
| Cold agglutinin titer CPT 86157 | $42.25 | $65.00 | $7.81 – $65.00 | 43 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $5,902.00 | $5,902.00 | $37.48 – $570.24 | 768 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $6,635.00 | $6,635.00 | $37.48 – $641.28 | 768 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $4,792.00 | $4,792.00 | $37.48 – $465.28 | 768 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $5,911.00 | $5,911.00 | $37.48 – $568.16 | 768 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $7,513.00 | $7,513.00 | $37.48 – $723.52 | 768 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $4,440.00 | $4,440.00 | $37.48 – $430.72 | 768 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $6,472.00 | $6,472.00 | $37.48 – $626.08 | 768 |
| Colistimethate sodium inj HCPCS J0770 | $46.70 | $46.70 | $9.39 – $46.70 | 28 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $37,977.00 | $825.00 | $2.88 – $550.00 | 780 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $44.47 | $68.41 | $0.39 – $2.36 | 36 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $50.43 | $77.58 | $0.91 – $4.51 | 28 |
| Collar cerv ascend 172 reg HCPCS L0172 | $1,198.73 | $1,844.20 | $0.43 – $2.62 | 36 |
| Collar cerv patriot adlt HCPCS L0150 | $3.18 | $4.89 | $0.98 – $4.89 | 28 |
| Collar extrication adult univ HCPCS L0200 | $41.92 | $64.50 | $12.96 – $64.50 | 28 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $117.00 | $180.00 | $36.18 – $258.30 | 109 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $486.20 | $748.00 | $125.59 – $748.00 | 108 |
| Colonoscopy (diagnostic) CPT 45378 | $10,327.55 | $671.00 | $0.96 – $1,805.43 | 769 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $20,618.05 | $824.00 | $6.84 – $2,323.17 | 769 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $13,215.35 | $818.00 | $63.69 – $2,323.17 | 769 |
| Colonoscopy submucous njx CPT 45381 | $29,877.65 | $729.00 | $4.64 – $2,323.17 | 769 |
| Colonoscopy thru stoma spx CPT 44388 | $12,965.70 | $565.00 | $1.44 – $1,805.43 | 769 |
| Colonoscopy w/ablation CPT 45388 | $15,710.00 | $983.00 | $18.00 – $2,323.17 | 769 |
| Colonoscopy w/balloon dilat CPT 45386 | $19,108.76 | $770.00 | $59.75 – $2,323.17 | 769 |
| Colonoscopy w/band ligation CPT 45398 | $14,109.35 | not published | $1.92 – $2,323.17 | 82 |
| Colonoscopy w/control bleed CPT 45382 | $26,869.35 | $943.00 | $72.32 – $2,323.17 | 769 |
| Colonoscopy w/dilation CPT 44405 | $667.00 | $667.00 | $38.80 – $667.00 | 768 |
| Colonoscopy w/injection CPT 44404 | $625.00 | $625.00 | $48.78 – $625.00 | 768 |
| Colonoscopy (with biopsy) CPT 45380 | $16,521.95 | $730.00 | $2.47 – $2,323.17 | 769 |
| Colonoscopy with biopsy CPT 44389 | $18,079.14 | $624.00 | $48.99 – $2,323.17 | 769 |
| Colonoscopy (with polyp removal) CPT 45385 | $15,935.60 | $924.00 | $31.45 – $2,323.17 | 769 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $4,298.00 | $4,298.00 | $37.48 – $416.80 | 768 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $46,007.54 | not published | $0.96 – $9,711.82 | 83 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $1,464.45 | $2,253.00 | $97.16 – $2,253.00 | 108 |
| Colpotomy w/exploration 57000 CPT 57000 | $36,582.95 | not published | $183.41 – $20,636.89 | 82 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $12,438.45 | $202.00 | $2.96 – $202.00 | 109 |
| Compatibility test each unit electronic CPT 86923 | $3,941.00 | $273.00 | $9.09 – $330.76 | 109 |
| Compatibility test each unit immediate spin technique CPT 86920 | $6,084.35 | $261.00 | $9.09 – $330.76 | 109 |
| Compatibility test incubate CPT 86921 | $12,438.45 | $51.00 | $2.96 – $174.06 | 109 |
| Complement antigen each component c3 CPT 86160 | $205.40 | $316.00 | $11.63 – $316.00 | 43 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $20,630.19 | $816.00 | $0.96 – $1,434.84 | 769 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,107.00 | $1,107.00 | $88.82 – $688.67 | 768 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $3,191.50 | $4,910.00 | $65.07 – $4,910.00 | 780 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $15,419.35 | $1,000.00 | $1.92 – $6,436.67 | 769 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $412.00 | $412.00 | $65.18 – $274.00 | 768 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $271.00 | $271.00 | $43.24 – $176.00 | 768 |
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.