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 |
|---|---|---|---|---|
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $723.42 | $904.27 | $33.77 – $265.86 | 13 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $756.76 | $945.95 | $25.55 – $278.11 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $722.54 | $903.17 | $12.36 – $265.53 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $964.13 | $1,205.16 | $41.25 – $354.32 | 11 |
| Ultrasound guide tissue ablation CPT 76940 | $654.76 | $818.45 | $67.63 – $240.62 | 11 |
| Ultrasound hips infant dynamic CPT 76885 | $1,052.04 | $1,315.05 | $32.50 – $386.62 | 13 |
| Ultrasound infant hips ltd without stress CPT 76886 | $506.15 | $632.68 | $27.29 – $186.01 | 13 |
| Ultrasound joint complete left CPT 76881 | $783.97 | $979.96 | $9.30 – $288.11 | 13 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $191.20 | $239.00 | $13.14 – $104.81 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $639.76 | $799.69 | $35.59 – $235.11 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $529.76 | $662.19 | $18.31 – $194.68 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,048.25 | $1,310.31 | $77.82 – $385.23 | 13 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $578.36 | $722.94 | $37.54 – $212.54 | 13 |
| Ultrasound prostate/transrectal CPT 76872 | $779.15 | $973.93 | $30.00 – $286.34 | 13 |
| Ultrasound spinal canal and contents CPT 76800 | $640.80 | $800.99 | $55.60 – $235.49 | 13 |
| Ultrasound transabd ea addl gest CPT 76812 | $618.32 | $772.90 | $78.55 – $227.23 | 11 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $516.00 | $645.00 | $70.86 – $163.79 | 9 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $348.00 | $435.00 | $37.24 – $86.25 | 9 |
| Ultraviolet therapy CPT 97028 | $119.59 | $149.48 | $7.46 – $43.95 | 11 |
| Umbilical artery cath newborn 36660 CPT 36660 | $220.68 | $275.84 | $56.27 – $134.10 | 11 |
| Umbilical cord occlud w/us CPT 59072 | $1,262.40 | $1,578.00 | $114.53 – $984.80 | 13 |
| Umbilicoplasty 15847 CPT 15847 | $834.40 | $1,043.00 | $331.88 – $1,161.63 | 9 |
| Unit mobile power mpu HCPCS Q0479 | not published | not published | $7,188.17 – $18,291.86 | 9 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $23.31 – $31.66 | 9 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $23.31 – $31.66 | 9 |
| Unlisted chemotherapy px CPT 96549 | not published | not published | $0.78 – $59.64 | 10 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted CT procedure CPT 76497 | not published | not published | $41.90 – $113.81 | 10 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $382.54 – $519.41 | 9 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $50.87 – $69.06 | 9 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $50.87 – $69.06 | 9 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $148.95 – $202.24 | 9 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $382.54 – $519.41 | 9 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $191.52 – $260.04 | 9 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $45.11 – $113.81 | 10 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $382.54 – $519.41 | 9 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $382.54 – $519.41 | 9 |
| Unlisted hematology&coagj px CPT 85999 | $33.57 | $41.96 | $8.56 – $20.56 | 5 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $191.52 – $260.04 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $1,218.40 | $1,523.00 | $5,554.35 – $7,541.51 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $1,977.60 | $2,472.00 | $5,554.35 – $7,541.51 | 9 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $1,755.20 | $2,194.00 | $5,554.35 – $7,541.51 | 9 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px bladder CPT 51999 | $1,531.20 | $1,914.00 | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px ovidct ovry CPT 58679 | $1,158.40 | $1,448.00 | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px renal CPT 50549 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px testis CPT 54699 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $5,554.35 – $7,541.51 | 9 |
| Unlisted laps px uterus CPT 58578 | $768.00 | $960.00 | $5,554.35 – $7,541.51 | 9 |
| Unlisted maaa CPT 81599 | $127.86 | $159.82 | $32.60 – $78.31 | 5 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted misc path test CPT 89240 | not published | not published | $50.87 – $69.06 | 9 |
| Unlisted mr procedure CPT 76498 | $3,906.78 | $4,883.47 | $36.81 – $1,435.74 | 12 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $382.54 – $519.41 | 9 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $148.95 – $202.24 | 9 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $382.54 – $519.41 | 9 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $23.31 – $31.66 | 9 |
| Unlisted orl service/px CPT 92700 | not published | not published | $23.31 – $31.66 | 9 |
| Unlisted procedure colon CPT 45399 | $1,580.44 | $1,975.55 | $517.59 – $1,178.48 | 12 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $892.56 – $1,211.89 | 9 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $284.58 – $386.40 | 9 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted procedure liver CPT 47399 | not published | not published | $669.82 – $909.46 | 9 |
| Unlisted procedure microbiology CPT 87999 | $38.58 | $48.22 | $9.84 – $23.63 | 5 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $284.58 – $386.40 | 9 |
| Unlisted procedure pancreas CPT 48999 | $1,849.60 | $2,312.00 | $669.82 – $909.46 | 9 |
| Unlisted procedure rectum CPT 45999 | $892.17 | $1,115.21 | $292.19 – $1,178.48 | 12 |
| Unlisted procedure spine CPT 22899 | not published | not published | $228.37 – $310.07 | 9 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $813.52 – $2,185.51 | 9 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $1,866.34 | $2,332.92 | $28.36 – $85.33 | 12 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $228.37 – $310.07 | 9 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,171.27 – $2,948.07 | 9 |
| Unlisted px arthroscopy CPT 29999 | $2,765.60 | $3,457.00 | $228.37 – $310.07 | 9 |
| Unlisted px biliary tract CPT 47999 | $3,598.64 | $4,498.29 | $892.56 – $1,947.76 | 12 |
| Unlisted px casting/strpg CPT 29799 | $78.40 | $98.00 | $150.22 – $203.96 | 9 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $284.58 – $386.40 | 9 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $669.82 – $909.46 | 9 |
| Unlisted px external ear CPT 69399 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $284.58 – $386.40 | 9 |
| Unlisted px foot/toes CPT 28899 | $1,740.80 | $2,176.00 | $228.37 – $310.07 | 9 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $228.37 – $310.07 | 9 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $228.37 – $310.07 | 9 |
| Unlisted px inner ear CPT 69949 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $284.58 – $386.40 | 9 |
| Unlisted px leg/ankle CPT 27899 | $324.76 | $405.95 | $106.36 – $310.07 | 12 |
| Unlisted px male genital sys CPT 55899 | $791.72 | $989.65 | $231.54 – $428.52 | 12 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $126.40 – $171.62 | 9 |
| Unlisted px middle ear CPT 69799 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $221.08 – $300.17 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | $1,415.20 | $1,769.00 | $228.37 – $310.07 | 9 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,171.27 – $2,948.07 | 9 |
| Unlisted px salivry glnd/dux CPT 42699 | $318.96 | $398.70 | $104.46 – $300.17 | 12 |
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.