UnityPoint Health - Iowa Lutheran Hospital
1200 Pleasant St, Des Moines, IA · UnityPoint Health · · NPI 1356433049
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $68.80 | $86.00 | $17.57 – $45.55 | 11 |
| 17-hydroxypregnenolone CPT 84143 | $55.00 | $68.75 | $13.69 – $35.47 | 11 |
| 17-ketosteroids CPT 83586 | $55.00 | $68.75 | $7.68 – $20.21 | 11 |
| 1pc ost pch drain hgh output HCPCS A4435 | not published | not published | $4.02 – $10.22 | 9 |
| 1 pc ost pouch w filter HCPCS A5056 | not published | not published | $3.26 – $8.29 | 9 |
| 1 pc ost pou w built-in conv HCPCS A5057 | not published | not published | $6.70 – $17.03 | 9 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $172.80 | $216.00 | $84.40 – $180.05 | 11 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $1,656.80 | $2,071.00 | $812.13 – $1,771.30 | 9 |
| 1st psyc collab care mgmt CPT 99492 | $272.00 | $340.00 | $86.36 – $182.64 | 11 |
| 1st/sbsq psyc collab care CPT 99494 | $111.20 | $139.00 | $37.16 – $79.93 | 9 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $21.55 – $93.39 | 9 |
| 24 hr ambulatory b/p monitor CPT 93786 | $433.39 | $541.73 | $19.93 – $159.27 | 13 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,410.56 | $3,013.19 | $752.14 – $1,304.71 | 10 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $752.14 – $1,021.23 | 7 |
| 2nd order venous cath CPT 36012 | $4,286.40 | $5,358.00 | $152.82 – $499.73 | 11 |
| 2vhpv vaccine 3 dose im CPT 90650 | $148.80 | $186.00 | $157.11 – $188.71 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $113.81 – $153.33 | 7 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $148.95 – $153.33 | 6 |
| 3d ech img cgen car anomal CPT 93319 | not published | not published | $21.19 – $55.77 | 9 |
| 3-d radiotherapy plan CPT 77295 | $7,805.70 | $9,757.12 | $210.68 – $2,868.59 | 13 |
| 3d recon without postprocess indpndt CPT 76376 | $690.08 | $862.60 | $8.68 – $253.60 | 11 |
| 4-bar link above knee w/swng HCPCS L5614 | not published | not published | $1,011.31 – $2,573.51 | 9 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $48.00 | $60.00 | $2.19 – $25.98 | 7 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $2.88 – $4.62 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $64.28 | $80.35 | $6.69 – $23.62 | 11 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $119.20 | $149.00 | $16.37 – $35.70 | 11 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $196.80 | $246.00 | $106.60 – $173.69 | 6 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $205.60 | $257.00 | $115.14 – $185.46 | 6 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $214.40 | $268.00 | $120.40 – $196.49 | 6 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $177.60 | $222.00 | $95.49 – $158.99 | 6 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $189.60 | $237.00 | $106.60 – $173.69 | 6 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $188.80 | $236.00 | $106.60 – $173.69 | 6 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $207.20 | $259.00 | $120.40 – $196.49 | 6 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $243.20 | $304.00 | $144.60 – $231.81 | 6 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $7,697.60 | $9,622.00 | $2,691.13 – $7,189.87 | 9 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $95.47 | $119.33 | $3.56 – $46.72 | 11 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $48.57 | $60.71 | $7.21 – $18.68 | 11 |
| Abciximab injection HCPCS J0130 | not published | not published | $707.32 – $1,791.32 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $4,450.50 | $5,563.12 | $56.11 – $3,032.46 | 13 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,938.40 | $3,673.00 | $1,062.43 – $2,825.09 | 9 |
| Abd/low ext cath 1st CPT 36245 | $6,521.60 | $8,152.00 | $205.50 – $886.80 | 11 |
| Abd/low ext cath 2nd CPT 36246 | $4,187.20 | $5,234.00 | $217.03 – $754.68 | 11 |
| Abd/low ext cath 3rd CPT 36247 | $7,384.00 | $9,230.00 | $259.62 – $843.48 | 11 |
| Abd/low ext cath addl CPT 36248 | $449.80 | $562.24 | $42.86 – $165.30 | 11 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $1,097.64 | $1,372.04 | $49.93 – $403.38 | 13 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $942.40 | $1,177.99 | $34.74 – $346.33 | 13 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,268.72 | $4,085.90 | $60.94 – $1,201.25 | 13 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,583.24 | $3,229.05 | $55.55 – $949.34 | 13 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,224.56 | $2,780.69 | $51.93 – $817.52 | 13 |
| Abdominal MRI (with and without contrast) CPT 74183 | $5,169.83 | $6,462.28 | $96.27 – $1,899.91 | 13 |
| Abdominal MRI (with contrast) CPT 74182 | $3,728.94 | $4,661.17 | $75.45 – $1,370.38 | 13 |
| Abdominal MRI (without contrast) CPT 74181 | $3,553.49 | $4,441.86 | $63.62 – $1,175.32 | 13 |
| Abdominal pad HCPCS L1270 | not published | not published | $43.55 – $110.81 | 9 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,822.64 | $2,278.30 | $95.71 – $903.29 | 13 |
| Abdominal Ultrasound (complete) CPT 76700 | $1,189.38 | $1,486.72 | $35.36 – $437.10 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $888.34 | $1,110.42 | $25.73 – $326.46 | 13 |
| Abdominal X-ray (2 views) CPT 74019 | $338.61 | $423.26 | $10.25 – $124.44 | 13 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $457.33 | $571.66 | $14.19 – $168.07 | 13 |
| Abdominal X-ray (single view) CPT 74018 | $279.42 | $349.27 | $8.04 – $102.69 | 13 |
| Abdominoplasty 15830 CPT 15830 | $2,899.20 | $3,624.00 | $1,049.79 – $6,283.11 | 11 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,170.28 | $1,462.85 | $65.22 – $903.29 | 13 |
| Abduct control hip semi-flex HCPCS L1630 | not published | not published | $104.27 – $265.33 | 9 |
| Abduction bar jointed adjust HCPCS L2300 | not published | not published | $157.14 – $399.85 | 9 |
| Abduction bar-straight HCPCS L2310 | not published | not published | $69.14 – $175.96 | 9 |
| Abduction rotation bar shoe HCPCS L3140 | not published | not published | $53.26 – $135.53 | 9 |
| Abduct rotation bar without shoe HCPCS L3150 | not published | not published | $48.70 – $123.93 | 9 |
| Abl1 gene CPT 81170 | $600.00 | $750.00 | $94.32 – $420.04 | 11 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $711.20 | $889.00 | $195.22 – $414.20 | 7 |
| Ablate arrhythmia add on CPT 93655 | $15,002.15 | $18,752.68 | $262.24 – $5,513.29 | 11 |
| Ablate atria lmtd endo 33265 CPT 33265 | $3,312.80 | $4,141.00 | $1,175.75 – $3,136.62 | 9 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $4,732.00 | $5,915.00 | $1,657.65 – $4,421.05 | 9 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,401.04 – $3,735.04 | 9 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $1,585.60 | $1,982.00 | $563.17 – $1,500.46 | 9 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,584.79 – $4,228.34 | 9 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $27,785.60 | $34,732.00 | $308.50 – $6,882.64 | 13 |
| Ablate bone tumor(s) perq CPT 20982 | $18,652.80 | $23,316.00 | $326.32 – $12,396.56 | 13 |
| Ablate heart dysrhythm focus CPT 93650 | $8,533.10 | $10,666.37 | $498.27 – $7,310.77 | 13 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,255.61 – $3,347.27 | 9 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,400.56 – $3,743.26 | 9 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,388.15 – $3,700.46 | 9 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $676.00 | $845.00 | $179.95 – $1,427.15 | 11 |
| Ablate inf turbinate superf 30801 CPT 30801 | $530.40 | $663.00 | $134.04 – $1,427.15 | 11 |
| Ablate pulm tumor perq crybl CPT 32994 | $26,644.80 | $33,306.00 | $392.22 – $10,030.71 | 13 |
| Ablate pulm tumor perq rf CPT 32998 | $17,062.40 | $21,328.00 | $391.92 – $5,621.13 | 13 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $342.40 | $428.00 | $148.95 – $202.24 | 9 |
| Ablation cryo abd perit om CPT 49999 | $4,434.34 | $5,542.92 | $892.56 – $2,400.08 | 12 |
| Ablation cryo adrenal tumor CPT 60699 | $10,348.33 | $12,935.41 | $3,389.08 – $7,541.51 | 12 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $228.37 – $310.07 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $16,670.40 | $20,838.00 | $405.83 – $10,030.71 | 13 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $416.20 – $565.10 | 9 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $228.37 – $310.07 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $631.39 | $789.23 | $206.78 – $381.57 | 12 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $4,368.80 | $5,461.00 | $281.40 – $2,094.32 | 8 |
| Abltj mal prst8 tiss hifu CPT 55880 | $2,536.00 | $3,170.00 | $886.88 – $2,362.48 | 9 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | $15,558.40 | $19,448.00 | $440.31 – $917.90 | 7 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | $16,097.60 | $20,122.00 | $538.72 – $16,794.03 | 8 |
| Abobotulinumtoxina HCPCS J0586 | $9.60 | $12.00 | $1.21 – $9.63 | 11 |
| Abortion CPT 59850 | $935.20 | $1,169.00 | $341.49 – $916.08 | 9 |
| Abortion (mpr) CPT 59866 | $576.80 | $721.00 | $204.83 – $548.68 | 9 |
| Above elbow prosth tiss shap HCPCS L6500 | not published | not published | $2,251.37 – $5,729.09 | 9 |
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.