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 |
|---|---|---|---|---|
| Chemotx admn pertl cav impl CPT 96446 | $1,137.24 | $1,421.55 | $17.29 – $417.94 | 13 |
| Chest 2 vws w oblique CPT 71048 | $364.80 | $455.99 | $13.72 – $134.06 | 13 |
| Chest apical lordotic proj CPT 71047 | $350.30 | $437.87 | $12.13 – $128.73 | 13 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,158.05 | $3,947.56 | $54.61 – $1,160.58 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $2,759.81 | $3,449.76 | $50.96 – $1,014.23 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $2,078.63 | $2,598.28 | $47.19 – $763.89 | 13 |
| Chest Physiotherapy (first session) CPT 94667 | $162.87 | $203.58 | $22.15 – $124.19 | 13 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $160.44 | $200.54 | $33.96 – $124.19 | 13 |
| Chest Ultrasound CPT 76604 | $665.80 | $832.24 | $25.14 – $244.68 | 13 |
| Chest X-ray CPT 71046 | $338.61 | $423.26 | $9.63 – $124.44 | 13 |
| Chest X-ray (single view) CPT 71045 | $293.39 | $366.73 | $8.04 – $107.82 | 13 |
| Chg pr pul rehab for copd patients CPT 94626 | $405.35 | $506.68 | $23.73 – $148.96 | 13 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $373.24 | $466.55 | $30.62 – $171.51 | 13 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $137.50 – $320.07 | 3 |
| Chimerism anal no cell selec CPT 81267 | $465.60 | $582.00 | $65.22 – $322.73 | 11 |
| Chimerism anal w/cell select CPT 81268 | $585.60 | $732.00 | $156.47 – $405.69 | 9 |
| Chiropractic manj 5 regions CPT 98942 | $96.80 | $121.00 | $24.09 – $110.89 | 9 |
| Chiropract manj 1-2 regions CPT 98940 | $51.20 | $64.00 | $20.64 – $53.53 | 9 |
| Chiropract manj 3-4 regions CPT 98941 | $74.40 | $93.00 | $24.09 – $82.60 | 9 |
| Chiropract manj xtrspinl 1/> CPT 98943 | $46.40 | $58.00 | $7.00 – $54.31 | 6 |
| Chlamydia culture CPT 87110 | $49.60 | $62.00 | $11.76 – $30.47 | 11 |
| Chlamydia trachomatis ag if CPT 87270 | $30.40 | $38.00 | $7.19 – $18.65 | 9 |
| Chlamydia type CPT 87140 | $38.58 | $48.22 | $3.34 – $14.18 | 11 |
| Chlmyd pneum dna dir probe CPT 87485 | $50.40 | $63.00 | $12.03 – $31.19 | 9 |
| Chlmyd pneum dna quant CPT 87487 | $108.00 | $135.00 | $25.70 – $66.65 | 9 |
| Chlnggrphy intraop addl s&i CPT 74301 | $378.30 | $472.87 | $9.30 – $139.02 | 11 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $28.67 – $49.56 | 6 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $21.05 – $31.69 | 4 |
| Chloride CPT 82435 | $33.57 | $41.96 | $2.76 – $12.34 | 11 |
| Chloride 24 hour urine CPT 82436 | $33.57 | $41.96 | $3.45 – $12.34 | 11 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.31 – $0.32 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.28 | $0.34 | $0.01 – $0.04 | 8 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $0.63 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $321.88 | $402.35 | $27.44 – $65.92 | 8 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $139.36 | $174.20 | $4.65 – $30.09 | 8 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.35 – $1.95 | 4 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $1,546.40 | $1,933.00 | $123.36 – $321.96 | 11 |
| Cholangiogram percutaneous compl CPT 47532 | $3,567.16 | $4,458.95 | $188.13 – $3,400.08 | 13 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $739.65 | $924.56 | $11.98 – $271.82 | 11 |
| Cholecystectomy expl duct 47612 CPT 47612 | $3,126.40 | $3,908.00 | $1,113.19 – $2,970.39 | 9 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $2,758.40 | $3,448.00 | $990.32 – $2,639.19 | 9 |
| Cholecystoenterostomy direct 47720 CPT 47720 | $2,832.00 | $3,540.00 | $1,013.56 – $2,703.90 | 9 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $6,956.00 | $8,694.99 | $297.65 – $3,400.08 | 13 |
| Cholera vaccine live oral CPT 90625 | $264.80 | $331.00 | $265.52 – $320.07 | 4 |
| Cholesterol CPT 82465 | $33.57 | $41.96 | $2.61 – $12.34 | 11 |
| Cholesterol body fluid CPT 84999 | $64.28 | $80.35 | $16.39 – $39.37 | 5 |
| Cholesterol (Lipid) Test CPT 80061 | $68.56 | $85.70 | $8.03 – $25.20 | 11 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $5,880.08 | 8 |
| Cholinesterase CPT 82480 | $33.57 | $41.96 | $4.72 – $12.34 | 11 |
| Cholinesterase challenge CPT 95857 | $120.00 | $150.00 | $25.71 – $300.01 | 11 |
| Chorion biopsy CPT 59015 | $753.46 | $941.82 | $112.81 – $838.92 | 13 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $25.60 | $32.00 | $18.25 – $30.13 | 6 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $156.00 | $195.00 | $68.90 – $146.48 | 9 |
| Chrom analysis CPT 88273 | $127.86 | $159.82 | $34.81 – $49.98 | 11 |
| Chromatogram assay sugars CPT 84375 | $86.42 | $108.02 | $23.40 – $54.60 | 11 |
| Chromatography CPT 83021 | $45.60 | $57.00 | $10.84 – $28.09 | 11 |
| Chromogenic substrate assay CPT 85130 | $33.57 | $41.96 | $7.13 – $18.50 | 11 |
| Chromo high res and frag x - sendout CPT 81243 | $127.86 | $159.82 | $34.22 – $79.87 | 11 |
| Chromosome analys amniotic CPT 88269 | $436.00 | $545.00 | $54.60 – $258.75 | 11 |
| Chromosome analysis 100 CPT 88249 | $434.40 | $543.00 | $54.44 – $269.41 | 11 |
| Chromosome analysis 15-20 cell count CPT 88262 | $315.20 | $394.00 | $41.87 – $193.90 | 11 |
| Chromosome analysis 20-25 CPT 88245 | $434.40 | $543.00 | $173.17 – $269.41 | 9 |
| Chromosome analysis 45 CPT 88263 | $377.60 | $472.00 | $50.29 – $233.80 | 11 |
| Chromosome analysis 5 CPT 88261 | $528.80 | $661.00 | $83.11 – $370.10 | 11 |
| Chromosome analysis 50-100 CPT 88248 | $434.40 | $543.00 | $173.17 – $269.41 | 9 |
| Chromosome analys placenta CPT 88267 | $473.60 | $592.00 | $59.29 – $279.67 | 11 |
| Chromosome banding study CPT 88283 | $172.80 | $216.00 | $41.87 – $106.71 | 11 |
| Chromosome count additional CPT 88285 | $127.86 | $159.82 | $26.91 – $46.99 | 11 |
| Chromosome karyotype study CPT 88280 | $127.86 | $159.82 | $33.47 – $46.99 | 11 |
| Chromosome study additional CPT 88289 | $127.86 | $159.82 | $34.43 – $53.57 | 11 |
| Chronic urticaria - sendout CPT 86343 | $48.57 | $60.71 | $7.48 – $19.39 | 11 |
| Chylomicron screen, bf - sendout CPT 82664 | $123.20 | $154.00 | $28.30 – $86.10 | 11 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $748.64 – $1,905.09 | 9 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $4,128.46 – $10,505.77 | 9 |
| Cidofovir injection HCPCS J0740 | not published | not published | $521.83 – $726.90 | 9 |
| Cid transmit coil and cable HCPCS L8629 | not published | not published | $107.33 – $273.12 | 9 |
| Cilastatin sodium injection HCPCS J0743 | $59.00 | $73.75 | $6.10 – $21.68 | 8 |
| Ciliary transsleral therapy CPT 66710 | $2,196.80 | $2,746.00 | $352.32 – $2,247.69 | 11 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $507,687.00 – $659,354.70 | 8 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.19 | 4 |
| Cine/video x-rays CPT 76120 | $206.40 | $258.00 | $17.31 – $102.46 | 11 |
| Cine/video x-rays add-on CPT 76125 | $91.20 | $114.00 | $12.28 – $28.07 | 9 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $38.56 | $48.20 | $0.24 – $2.10 | 8 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $28.32 – $29.47 | 4 |
| Circum 28 days or older CPT 54161 | $496.00 | $620.00 | $179.75 – $1,973.64 | 11 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $2,431.50 | $3,039.37 | $131.90 – $893.57 | 13 |
| Circumcision (newborn) CPT 54150 | $3,787.61 | $4,734.51 | $86.56 – $1,973.64 | 13 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $62.13 | $77.66 | $2.45 – $12.16 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $659.20 | $824.00 | $103.60 – $461.35 | 11 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $94.12 | $117.65 | $9.92 – $30.23 | 11 |
| C-laminoplasty w/graft/plate CPT 63051 | $4,108.00 | $5,135.00 | $1,480.31 – $3,944.53 | 9 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $17,015.47 | $21,269.33 | $4,338.94 – $10,421.97 | 5 |
| Clamp neck artery CPT 61703 | not published | not published | $1,173.19 – $3,125.81 | 9 |
| Claviculectomy partial CPT 23120 | $2,875.20 | $3,594.00 | $534.24 – $3,126.02 | 11 |
| Claviculectomy total CPT 23125 | $3,488.00 | $4,360.00 | $642.17 – $3,126.02 | 11 |
| Clean out mastoid cavity CPT 69222 | $1,033.60 | $1,292.00 | $122.95 – $490.64 | 11 |
| Clearance of airways CPT 31720 | $166.08 | $207.59 | $48.17 – $195.96 | 13 |
| Clearance of airways CPT 31725 | $201.60 | $252.00 | $71.41 – $191.17 | 9 |
| Clearance of tear duct CPT 68530 | $2,134.40 | $2,668.00 | $229.10 – $612.60 | 11 |
| C-lens fitg corneosclrl lens CPT 92313 | $203.20 | $254.00 | $39.95 – $124.19 | 11 |
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.