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 |
|---|---|---|---|---|
| Trichinella antibody CPT 86784 | $48.57 | $60.71 | $7.54 – $19.54 | 11 |
| Trichomonas assay w/optic CPT 87808 | $38.58 | $48.22 | $9.17 – $21.40 | 11 |
| #tricyclicantidprssnt CPT 80337 | $72.14 | $90.17 | $14.16 – $44.18 | 7 |
| Triglycerides CPT 84478 | $33.57 | $41.96 | $3.44 – $12.34 | 11 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.28 – $6.76 | 9 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.84 – $2.09 | 4 |
| Trimethobenzamide hcl inj HCPCS J3250 | $51.20 | $64.00 | $29.00 – $62.19 | 6 |
| Trim nail(s) HCPCS G0127 | $58.40 | $73.00 | $6.83 – $57.22 | 11 |
| Trim nondyst nails CPT 11719 | $98.94 | $123.67 | $6.83 – $57.22 | 13 |
| Triptorelin pamoate HCPCS J3315 | $659.20 | $824.00 | $250.60 – $537.66 | 9 |
| Trluml dil aq o/f can without st CPT 66174 | $4,704.00 | $5,880.00 | $560.12 – $3,875.83 | 11 |
| Trluml dil aq o/f can w/st CPT 66175 | $4,928.00 | $6,160.00 | $650.02 – $4,971.13 | 11 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $1,146.40 | $1,433.00 | $372.90 – $998.36 | 9 |
| Trml dstrj ios bvn ea addl CPT 64629 | $535.20 | $669.00 | $176.15 – $472.12 | 9 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $2,555.20 | $3,194.00 | $228.37 – $952.40 | 13 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $2,503.20 | $3,129.00 | $1,943.14 – $3,128.21 | 6 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $13,654.70 | $17,068.37 | $839.72 – $5,018.10 | 11 |
| Trnscath plc stnt ante carotid art CPT 37218 | $12,247.39 | $15,309.23 | $710.77 – $4,500.91 | 11 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $15,653.44 | $19,566.80 | $180.16 – $5,752.64 | 11 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $15,653.44 | $19,566.80 | $130.04 – $5,752.64 | 11 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $15,653.44 | $19,566.80 | $264.79 – $10,926.09 | 13 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,687.93 | $8,359.91 | $262.28 – $3,032.46 | 13 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $11,224.50 | $14,030.62 | $334.43 – $5,208.13 | 13 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $7,670.08 | $9,587.59 | $200.76 – $3,032.46 | 13 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $7,974.08 | $9,967.59 | $105.95 – $3,032.46 | 13 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $6,687.93 | $8,359.91 | $293.98 – $3,032.46 | 13 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $2,656.80 | $3,321.00 | $780.44 – $3,527.16 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $542.40 | $678.00 | $190.65 – $508.27 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,900.80 | $2,376.00 | $603.65 – $1,762.37 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,460.80 | $3,076.00 | $741.40 – $1,973.03 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,128.80 | $2,661.00 | $641.50 – $1,762.37 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $1,954.40 | $2,443.00 | $585.70 – $1,762.37 | 11 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $1,534.40 | $1,918.00 | $454.58 – $1,762.37 | 11 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $615.11 | $768.88 | $201.45 – $672.77 | 11 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | $6,480.00 | $8,100.00 | $3,240.00 – $7,356.10 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $950.51 – $2,532.39 | 9 |
| Troponin quantitative CPT 84484 | $64.28 | $80.35 | $7.48 – $23.62 | 11 |
| Tr retinal les preterm inf CPT 67229 | $5,792.00 | $7,240.00 | $522.27 – $2,788.17 | 11 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $4,385.60 | $5,482.00 | $347.61 – $3,322.91 | 13 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $103.80 – $108.85 | 3 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $32.00 – $81.45 | 9 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $29.56 – $75.22 | 9 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $101.99 – $259.53 | 9 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $67.35 – $171.38 | 9 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,717.25 | $3,396.56 | $752.14 – $1,470.71 | 12 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,717.25 | $3,396.56 | $752.14 – $1,470.71 | 10 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $752.14 – $1,021.23 | 7 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $752.14 – $1,021.23 | 7 |
| Tubal Ligation (Laparoscopic) CPT 58670 | $920.80 | $1,151.00 | $333.23 – $5,621.13 | 11 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $7.87 – $20.03 | 9 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $32.79 – $83.45 | 9 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $3.88 – $9.89 | 9 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $33.10 – $84.21 | 9 |
| Tubing (oxygen) per foot HCPCS A4616 | $0.40 | $0.50 | $0.04 – $0.11 | 9 |
| Tubular dressing HCPCS A6457 | not published | not published | $0.79 – $2.02 | 9 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $134.28 – $428.44 | 9 |
| Tvh >250 gms 58290 CPT 58290 | $2,885.60 | $3,607.00 | $1,027.97 – $7,124.54 | 11 |
| Tvh w/mmk 58267 CPT 58267 | $2,665.60 | $3,332.00 | $956.00 – $2,568.91 | 9 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $282.07 – $717.77 | 9 |
| Tx atrial fib pulm vein isol CPT 93656 | $36,947.29 | $46,184.11 | $810.28 – $23,635.68 | 13 |
| Tx closed distal humerus fx CPT 24999 | $382.44 | $478.04 | $125.25 – $310.07 | 12 |
| Tx closed hip disl traumatic without anes CPT 27250 | $905.60 | $1,132.00 | $158.13 – $423.02 | 13 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,668.23 | $5,835.28 | $528.64 – $3,126.02 | 13 |
| Tx closed tib shaft fx without manip CPT 27750 | $1,692.80 | $2,116.00 | $162.86 – $653.30 | 13 |
| Tx contour defects >10.0 cc CPT 11954 | $388.80 | $486.00 | $99.72 – $589.75 | 11 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | $262.40 | $328.00 | $64.63 – $589.75 | 11 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | $2,277.60 | $2,847.00 | $820.98 – $2,207.50 | 9 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | $2,159.20 | $2,699.00 | $779.07 – $2,094.27 | 9 |
| Tx l/r atrial fib addl CPT 93657 | $13,501.94 | $16,877.42 | $262.54 – $4,961.96 | 11 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $1,828.80 | $2,286.00 | $674.66 – $3,126.02 | 11 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $6,360.55 | $7,950.68 | $461.41 – $3,126.02 | 13 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $4,805.08 | $6,006.34 | $502.63 – $3,126.02 | 13 |
| Tx open nsl fx uncomp CPT 21325 | $1,072.80 | $1,341.00 | $399.24 – $3,124.54 | 11 |
| Tx open nsl sptl fx CPT 21336 | $1,567.20 | $1,959.00 | $572.21 – $3,126.02 | 11 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $1,463.20 | $1,829.00 | $543.48 – $3,126.02 | 11 |
| Tx septic abortion surgical 59830 CPT 59830 | $1,094.40 | $1,368.00 | $403.53 – $1,087.67 | 9 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $523.20 | $654.00 | $138.13 – $385.00 | 13 |
| Tympanic membrane repair CPT 69610 | $1,856.00 | $2,320.00 | $259.18 – $1,427.15 | 11 |
| Tympanolysis transcanal 69450 CPT 69450 | $2,659.20 | $3,324.00 | $488.10 – $3,124.54 | 11 |
| Tympanometry & reflex thresh CPT 92550 | $121.47 | $151.83 | $20.03 – $150.74 | 13 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $966.40 | $1,208.00 | $120.19 – $490.64 | 11 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | $6,740.80 | $8,426.00 | $1,253.98 – $5,699.45 | 11 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | $6,043.20 | $7,554.00 | $1,138.58 – $5,699.45 | 11 |
| Tyms gene com variants CPT 81346 | $350.40 | $438.00 | $104.89 – $244.74 | 9 |
| Typhoid vaccine oral CPT 90690 | $100.00 | $125.00 | $26.67 – $120.54 | 6 |
| U2af1 gene common variants CPT 81357 | not published | not published | $115.95 – $292.26 | 9 |
| Ua w/micro/comp poc CPT 81000 | $25.72 | $32.14 | $4.02 – $9.45 | 11 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $68.66 – $87.96 | 9 |
| Ue triple control harness HCPCS L6677 | not published | not published | $177.76 – $452.34 | 9 |
| Ugt1a1 gene analy common variants CPT 81350 | $468.00 | $585.00 | $73.57 – $327.62 | 11 |
| Ultrasound bone density measure CPT 76977 | $29.60 | $37.00 | $2.36 – $102.46 | 11 |
| Ultrasound breast complete CPT 76641 | $1,319.16 | $1,648.94 | $32.18 – $242.39 | 13 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,004.68 | $1,255.84 | $29.97 – $184.61 | 13 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $682.45 | $853.06 | $18.16 – $250.80 | 13 |
| Ultrasound dx ophth b-scan CPT 76512 | $241.56 | $301.95 | $15.50 – $102.46 | 13 |
| Ultrasound elastography ea l target les CPT 76983 | $408.76 | $510.95 | $21.40 – $150.22 | 11 |
| Ultrasound elastography parenchyma CPT 76981 | $408.76 | $510.95 | $26.32 – $150.22 | 13 |
| Ultrasound encephalogram CPT 76506 | $503.20 | $628.99 | $27.76 – $184.92 | 13 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $34.00 – $34.00 | 2 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $830.83 | $1,038.53 | $33.15 – $305.33 | 13 |
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.