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 |
|---|---|---|---|---|
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $20,630.19 | $235.00 | $0.96 – $1,434.84 | 769 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $1,752.13 | $2,695.58 | $541.81 – $2,695.58 | 28 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $694.85 | $1,069.00 | $214.87 – $1,069.00 | 106 |
| Concentration infection agents any type CPT 87015 | $52.00 | $80.00 | $6.48 – $80.00 | 43 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | $3,352.21 | $5,157.25 | $82.33 – $409.61 | 28 |
| Condylomata destruction 56420 CPT 56420 | $347.75 | $535.00 | $29.94 – $535.00 | 780 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $17,782.28 | not published | $229.62 – $6,284.60 | 82 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $1,780.10 | $1,780.10 | $357.80 – $1,780.10 | 109 |
| Connect omega .5mm HCPCS L8613 | $20,722.49 | $31,880.76 | $13.55 – $67.40 | 28 |
| Connector tis 2x10mm HCPCS C9352 | $6,756.42 | $10,394.49 | $254.16 – $1,264.50 | 28 |
| Consultation pathology during surgery CPT 88329 | $95.55 | $147.00 | $29.55 – $147.00 | 106 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $40,605.52 | $240.00 | $48.24 – $1,564.16 | 109 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $183.30 | $282.00 | $25.08 – $282.00 | 28 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $216.45 | $333.00 | $35.88 – $333.00 | 109 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $253.50 | $390.00 | $49.19 – $390.00 | 109 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $195.00 | $300.00 | $33.96 – $300.00 | 109 |
| Consult comp w/report rfrd material CPT 88325 | $387.00 | $387.00 | $87.48 – $387.00 | 768 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $106.00 | $117.00 | $22.37 – $117.00 | 781 |
| Contour of face bone lesion CPT 21029 | $18,134.10 | $2,156.00 | $31.45 – $6,436.67 | 769 |
| Contrast baths charges CPT 97034 | $85.15 | $131.00 | $12.53 – $189.00 | 43 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,020.25 | $6,185.00 | $41.96 – $6,185.00 | 780 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,002.00 | $3,080.00 | $33.23 – $10,802.96 | 780 |
| Contrast x-ray of knee joint CPT 73580 | $1,122.55 | $1,727.00 | $231.35 – $1,151.00 | 109 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $9,782.99 | $15,050.75 | $2,327.08 – $11,577.50 | 28 |
| Controller infinity pt dbs HCPCS C1787 | $27,497.09 | $42,303.21 | $10.05 – $50.00 | 28 |
| Control nosebleed pack+caut 30905 CPT 30905 | $378.00 | $378.00 | $27.39 – $368.91 | 768 |
| Control of nosebleed ant comp 30903 CPT 30903 | $318.59 | $265.00 | $20.21 – $265.00 | 768 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $16,611.67 | $669.00 | $0.96 – $446.00 | 780 |
| Control throat bleeding CPT 42961 | $1,550.00 | $1,550.00 | $118.86 – $1,550.00 | 768 |
| Control throat bleeding CPT 42962 | $18,299.74 | $1,917.00 | $0.27 – $11,492.83 | 769 |
| Conversion ext bil drg cath CPT 47535 | $5,660.85 | $8,709.00 | $1,750.51 – $8,709.00 | 108 |
| Convert nephrostomy catheter CPT 50434 | $2,817.10 | $4,334.00 | $580.89 – $4,058.30 | 108 |
| Coombs direct CPT 86880 | $85.15 | $131.00 | $5.39 – $125.00 | 109 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $34.45 | $53.00 | $5.72 – $330.76 | 109 |
| Coombs indirect titer reference CPT 86886 | $136.50 | $210.00 | $5.18 – $330.76 | 109 |
| Core ndl bx lng/med perq CPT 32408 | $7,087.13 | $2,888.00 | $41.64 – $3,206.43 | 780 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $31,191.35 | not published | $0.96 – $6,352.30 | 82 |
| Cornea 1/2moon str split thick HCPCS L8609 | $794.53 | $1,222.35 | $245.69 – $1,222.35 | 28 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,705.60 | $8,777.85 | $78.39 – $390.00 | 28 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $55,435.18 | $46,451.00 | $2.28 – $46,451.00 | 780 |
| Coronary angio/lv gram/lt heart CPT 93458 | $37,908.97 | $31,599.00 | $0.96 – $31,599.00 | 780 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $17,048.20 | $26,228.00 | $115.98 – $26,228.00 | 780 |
| Coronary art/grft angio s&i CPT 93455 | $29,093.43 | $17,728.00 | $1.92 – $17,728.00 | 780 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $23,969.55 | $16,118.00 | $9.09 – $16,118.00 | 780 |
| Cortisol total am CPT 82533 | $171.60 | $264.00 | $15.80 – $264.00 | 43 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $101.75 | $101.75 | $7.25 – $101.75 | 253 |
| Counseling smoke cess interm >10mins CPT 99407 | $76.00 | $106.00 | $14.06 – $106.00 | 781 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,235.69 | $14,208.75 | $26.38 – $131.23 | 28 |
| Cover wrist HCPCS L3984 | $0.01 | $0.01 | $0.01 – $0.01 | 12 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $71.50 | $110.00 | $3.96 – $81.00 | 109 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $530.40 | $816.00 | $81.00 – $816.00 | 28 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $443.95 | $683.00 | $81.00 – $683.00 | 28 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $68.25 | $105.00 | $12.63 – $105.00 | 43 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $963.30 | $1,482.00 | $189.00 – $1,482.00 | 109 |
| C-peptide CPT 84681 | $182.65 | $281.00 | $20.17 – $281.00 | 43 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $25,778.73 | $2,324.00 | $2.28 – $2,324.00 | 780 |
| Cr-51 sodium chromate HCPCS A9553 | $7,028.75 | $7,028.75 | $471.37 – $7,028.75 | 28 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | $7,665.50 | $7,201.00 | $732.94 – $7,201.00 | 768 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | $5,704.00 | $5,704.00 | $37.48 – $689.44 | 768 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | $5,982.00 | $5,982.00 | $37.48 – $724.16 | 768 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | $7,223.92 | $6,619.00 | $673.51 – $6,619.00 | 768 |
| C-reactive protein CPT 86140 | $170.95 | $263.00 | $5.02 – $263.00 | 43 |
| C-reactive protein high sensitivity CPT 86141 | $141.05 | $217.00 | $12.55 – $217.00 | 43 |
| C-reactive protein, quantitative CPT 86406 | $131.95 | $203.00 | $10.31 – $203.00 | 43 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $35,140.50 | not published | $9.09 – $10,802.96 | 82 |
| Create eardrum opening CPT 69436 | $20,775.81 | $1,140.00 | $0.36 – $3,012.26 | 769 |
| Creatine kinase CPT 82550 | $139.10 | $214.00 | $6.30 – $214.00 | 43 |
| Creatine kinase isoenzymes CPT 82552 | $86.45 | $133.00 | $12.97 – $133.00 | 43 |
| Creatine kinase mb CPT 82553 | $144.95 | $223.00 | $11.19 – $223.00 | 43 |
| Creatinine CPT 82565 | $19,218.60 | $119.00 | $4.96 – $4,665.00 | 109 |
| Creatinine 24 hour urine CPT 82570 | $5,847.00 | $149.00 | $5.02 – $608.43 | 109 |
| Creatinine clearance urine CPT 82575 | $125.45 | $193.00 | $9.17 – $193.00 | 43 |
| #creutz-prot.,western blot CPT 84182 | $45.50 | $70.00 | $14.07 – $70.00 | 43 |
| Critical care each additional 30 minutes CPT 99292 | $1,091.35 | $1,679.00 | $63.90 – $1,679.00 | 779 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $6,254.30 | $9,622.00 | $126.95 – $5,068.00 | 780 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $7,358.85 | $7,358.85 | $126.70 – $7,358.85 | 109 |
| Crnec exc tum/bone les skull CPT 61500 | $4,191.50 | $3,938.00 | $382.23 – $3,938.00 | 768 |
| Crnop skull defect>5 cm diam CPT 62141 | $3,811.00 | $3,448.00 | $37.48 – $551.68 | 768 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $2,505.00 | $2,505.00 | $37.48 – $2,282.00 | 779 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $48.75 | $75.00 | $13.70 – $75.00 | 43 |
| Cryoprecipitate each unit HCPCS P9012 | $123.50 | $190.00 | $38.19 – $546.00 | 109 |
| Crystal identification light microscopy CPT 89060 | $89.70 | $138.00 | $7.10 – $138.00 | 43 |
| C-Section Delivery (full care) CPT 59510 | $9,377.00 | $23,219.25 | $4,083.15 – $9,517.30 | 6 |
| Csf shunt reprogram 62252 CPT 62252 | $407.20 | $407.20 | $28.63 – $596.28 | 781 |
| CT 3d report other modality w/workstation CPT 76377 | $533.65 | $821.00 | $18.31 – $821.00 | 779 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $4,086.55 | $6,287.00 | $55.38 – $4,192.00 | 780 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,354.70 | $8,238.00 | $64.33 – $8,238.00 | 780 |
| CT Angiogram of the Abdomen CPT 74175 | $3,616.50 | $3,369.00 | $165.56 – $3,369.00 | 109 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $2,700.75 | $4,155.00 | $51.14 – $4,155.00 | 780 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,014.70 | $4,638.00 | $53.25 – $4,638.00 | 780 |
| CT Angiogram of the Head CPT 70496 | $2,465.45 | $3,793.00 | $51.12 – $3,793.00 | 780 |
| CT Angiogram of the Neck CPT 70498 | $2,154.75 | $3,315.00 | $51.12 – $3,315.00 | 780 |
| CT angio hrt w/3d image CPT 75574 | $780.00 | $1,200.00 | $40.54 – $1,200.00 | 780 |
| CT angio pelvis CPT 72191 | $7,797.50 | $4,181.00 | $165.56 – $4,181.00 | 109 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,847.65 | $4,381.00 | $52.61 – $4,381.00 | 780 |
| CT cerebral perf w cont & prcssng CPT 70473 | $349.70 | $538.00 | $108.14 – $538.00 | 106 |
| CT guidance for needle placement CPT 77012 | $1,177.80 | $1,812.00 | $364.21 – $1,812.00 | 27 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,162.85 | $1,789.00 | $323.01 – $1,607.00 | 27 |
| CT guid parench tis ablat CPT 77013 | $2,115.10 | $3,254.00 | $654.05 – $3,254.00 | 27 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $313.00 | $313.00 | $19.90 – $168.95 | 779 |
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.