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 |
|---|---|---|---|---|
| Rib cartilage graft CPT 21230 | $1,844.00 | $2,305.00 | $671.72 – $5,699.45 | 11 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $48.49 – $123.38 | 9 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1,609.44 – $2,280.00 | 4 |
| Rib X-ray (3 views, both sides) CPT 71110 | $540.20 | $675.25 | $12.78 – $198.52 | 13 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $0.67 | $0.83 | $0.14 – $0.41 | 7 |
| Right ventric recording CPT 93603 | $5,041.63 | $6,302.03 | $69.17 – $1,852.80 | 13 |
| Rilonacept injection HCPCS J2793 | not published | not published | $26.21 – $33.50 | 6 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $3.55 – $9.04 | 9 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $180.86 – $460.23 | 9 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $98.30 – $250.15 | 9 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $350.48 – $891.88 | 9 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $3.55 – $9.04 | 9 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $27.33 | $34.16 | $6.94 – $15.58 | 11 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $34.40 | $43.00 | $8.33 – $38.51 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $21.40 | $26.74 | $4.69 – $11.49 | 11 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $145.61 | $182.01 | $37.13 – $83.64 | 11 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $75.67 | $94.58 | $19.29 – $41.07 | 11 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $134.13 | $167.66 | $17.25 – $36.61 | 11 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $115.76 | $144.69 | $3.73 – $33.09 | 11 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $136.96 | $171.20 | $1.83 – $27.83 | 11 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $0.03 – $3,098.86 | 11 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $0.03 – $3,098.86 | 11 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $2,667.20 | $3,334.00 | $969.81 – $2,586.96 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $890.47 | $1,113.08 | $82.24 – $677.87 | 13 |
| Rmvl esophgl sphnctr dev CPT 43285 | $1,639.20 | $2,049.00 | $591.21 – $1,574.90 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | $1,047.20 | $1,309.00 | $311.96 – $1,541.92 | 11 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,105.95 | $3,882.43 | $365.12 – $2,757.44 | 13 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $848.00 | $1,060.00 | $205.97 – $1,135.99 | 11 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,547.10 | $1,933.87 | $129.87 – $1,561.02 | 13 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $657.37 – $6,170.01 | 11 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | $298.40 | $373.00 | $109.42 – $291.55 | 9 |
| Rmvl icd by tv extr CPT 33244 | $3,314.80 | $4,143.50 | $745.13 – $3,506.29 | 13 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $24,556.57 | $30,695.71 | $335.20 – $21,625.82 | 13 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $30,597.97 | $38,247.46 | $349.10 – $30,889.77 | 13 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $23,384.36 | $29,230.45 | $322.62 – $21,625.82 | 13 |
| Rmvl icd pulse gen only CPT 33241 | $3,314.80 | $4,143.50 | $187.38 – $3,506.29 | 13 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $92.19 – $244.54 | 9 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $419.55 – $1,121.51 | 9 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | $5,736.80 | $7,171.00 | $2,006.19 – $5,364.34 | 9 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $600.40 | $750.50 | $139.73 – $595.67 | 13 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $498.40 | $623.00 | $176.69 – $462.88 | 9 |
| Rmvl perm pm pulse gen CPT 33233 | $6,567.79 | $8,209.73 | $203.32 – $7,973.50 | 13 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $137.95 – $368.88 | 9 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $539.20 | $674.00 | $187.08 – $4,445.27 | 9 |
| Rmvl phrnc nrv stim sys CPT 33278 | $1,430.40 | $1,788.00 | $497.80 – $4,445.27 | 9 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $865.60 | $1,082.00 | $298.93 – $4,445.27 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $17,677.83 | $22,097.28 | $322.86 – $18,374.14 | 13 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $15,966.80 | $19,958.50 | $294.17 – $7,973.50 | 13 |
| Rmvl pq iabp CPT 33968 | $2,502.32 | $3,127.89 | $29.12 – $919.60 | 11 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $6,205.28 | $7,756.59 | $160.77 – $2,280.44 | 11 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | $6,204.80 | $7,756.00 | $1,124.22 – $3,126.02 | 11 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,735.10 – $4,247.08 | 7 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,908.72 – $6,117.74 | 7 |
| Rmvl sq defib electrode CPT 33272 | $8,471.80 | $10,589.74 | $302.33 – $3,506.29 | 13 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,236.90 | $1,546.12 | $73.92 – $677.87 | 13 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $2,353.60 | $2,942.00 | $498.64 – $2,757.44 | 11 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $280.00 | $350.00 | $90.95 – $384.46 | 11 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,772.77 – $4,726.70 | 9 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,940.06 – $5,171.10 | 9 |
| Rmvl transplanted rnl algrft CPT 50370 | $2,960.00 | $3,700.00 | $1,078.12 – $2,866.80 | 9 |
| Rmvl tv pm lead dual CPT 33235 | $3,314.80 | $4,143.50 | $551.21 – $3,506.29 | 13 |
| Rmvl tv pm lead sgl CPT 33234 | $3,314.80 | $4,143.50 | $419.53 – $3,506.29 | 13 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $428.71 – $3,126.02 | 11 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $533.08 – $3,126.02 | 11 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $478.39 – $3,126.02 | 11 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $672.80 | $841.00 | $235.44 – $629.19 | 9 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $1,271.20 | $1,589.00 | $443.32 – $16,119.15 | 9 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $965.60 | $1,207.00 | $337.62 – $39,390.21 | 9 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | $4,355.20 | $5,444.00 | $755.00 – $4,193.99 | 11 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $68.00 – $68.00 | 2 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | $5,928.00 | $7,410.00 | $2,142.44 – $5,702.51 | 9 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | $14,084.80 | $17,606.00 | $2,558.44 – $6,816.89 | 9 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | $4,915.20 | $6,144.00 | $1,803.94 – $4,795.25 | 9 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $593.39 – $11,550.00 | 8 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $971.02 – $10,395.00 | 8 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $58.39 – $148.59 | 9 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.59 – $2.20 | 9 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $29.77 – $41.55 | 9 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17.88 | $22.35 | $2.14 – $11.55 | 11 |
| Romiplostim injection HCPCS J2796 | not published | not published | $89.95 – $124.84 | 3 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $12.00 | $15.00 | $8.84 – $13.95 | 9 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $9.15 | $11.43 | $0.01 – $0.07 | 8 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $318.47 – $810.41 | 9 |
| Rotavirus antibody CPT 86759 | $38.40 | $48.00 | $10.94 – $25.53 | 9 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $49.53 – $126.05 | 9 |
| Routine footcare pt w lops HCPCS G0247 | $196.00 | $245.00 | $20.01 – $52.68 | 9 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $34.70 | $43.37 | $8.85 – $25.00 | 11 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $579.34 – $12,396.56 | 11 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | $8,370.40 | $10,463.00 | $2,912.08 – $7,772.69 | 9 |
| Rplcmt oi implt skl prq esp CPT 69717 | $5,468.80 | $6,836.00 | $504.39 – $6,882.64 | 11 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $617.60 – $12,396.56 | 11 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,204.24 | $2,755.30 | $57.73 – $1,496.66 | 13 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,234.70 | $1,543.37 | $31.14 – $453.75 | 13 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $2,746.19 | $3,432.73 | $62.22 – $1,257.77 | 13 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,115.80 | $3,894.75 | $89.25 – $1,405.28 | 13 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,003.87 | $2,504.83 | $52.85 – $1,496.66 | 13 |
| Rpl tun-cvad w subq port CPT 36582 | $6,993.87 | $8,742.33 | $253.56 – $3,032.46 | 13 |
| Rpl tun-cvad w subq pump CPT 36583 | $3,062.40 | $3,828.00 | $288.12 – $5,208.13 | 11 |
| Rpl tun cvc wo subq port CPT 36581 | $5,667.29 | $7,084.11 | $162.81 – $3,032.46 | 13 |
| Rpm tx mgmt 1st 20 min CPT 99457 | $90.40 | $113.00 | $27.41 – $58.28 | 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.