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 |
|---|---|---|---|---|
| C-lens fitg tech aphakia 1 CPT 92315 | $160.80 | $201.00 | $19.43 – $124.19 | 11 |
| C-lens fitg tech aphakia ou CPT 92316 | $200.80 | $251.00 | $29.23 – $124.19 | 11 |
| C-lens fitg tech corneosclrl CPT 92317 | $168.00 | $210.00 | $19.43 – $50.36 | 11 |
| C-lens fitg tech ou CPT 92314 | not published | not published | $61.60 – $94.03 | 6 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $44.48 | $55.60 | $0.43 – $2.39 | 8 |
| Clip ligating vesolock lg HCPCS C1760 | $1,046.27 | $1,307.83 | $99.31 – $238.53 | 5 |
| Clitoroplasty intersex state CPT 56805 | $2,900.00 | $3,625.00 | $1,040.61 – $3,063.32 | 11 |
| Cllr miami j sm HCPCS L0174 | not published | not published | $163.42 – $415.86 | 9 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,799.53 – $4,810.76 | 9 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $9.19 – $82.97 | 9 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $120.16 | $150.20 | $16.20 – $28.15 | 8 |
| Close bladder-uterus fistula CPT 51920 | $1,926.40 | $2,408.00 | $692.64 – $1,844.61 | 9 |
| Close bronchial fistula 32815 CPT 32815 | $6,816.80 | $8,521.00 | $2,407.45 – $6,437.99 | 9 |
| Close chest after drainage CPT 32810 | $2,191.20 | $2,739.00 | $782.95 – $2,089.63 | 9 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,876.80 | $2,346.00 | $168.31 – $773.30 | 13 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,110.40 | $2,638.00 | $365.82 – $1,541.92 | 13 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $3,680.00 | $4,600.00 | $653.94 – $1,733.66 | 9 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $2,113.60 | $2,642.00 | $212.97 – $816.90 | 13 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $2,291.20 | $2,864.00 | $393.30 – $1,541.92 | 13 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $1,612.80 | $2,016.00 | $181.25 – $644.30 | 13 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,444.80 | $3,056.00 | $393.93 – $1,541.92 | 13 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $386.40 | $483.00 | $81.88 – $231.12 | 13 |
| Closed tx nose/jaw fx CPT 21345 | $1,929.60 | $2,412.00 | $581.02 – $1,553.09 | 11 |
| Closed tx orbit without manipulj CPT 21400 | $985.60 | $1,232.00 | $155.43 – $490.64 | 13 |
| Closed tx orbit w/manipulj CPT 21401 | $2,528.00 | $3,160.00 | $299.93 – $1,427.15 | 11 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,864.00 | $3,580.00 | $526.48 – $1,541.92 | 13 |
| Closed tx septal&nose fx CPT 21337 | $4,159.78 | $5,199.72 | $274.45 – $3,124.54 | 13 |
| Closed tx sesamoid fx 28530 CPT 28530 | $572.80 | $716.00 | $97.19 – $253.98 | 11 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $1,176.00 | $1,470.00 | $146.48 – $424.80 | 13 |
| Closed tx vert fx w/manj CPT 22315 | $2,140.80 | $2,676.00 | $701.09 – $3,126.02 | 11 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $357.64 – $2,713.12 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $682.40 | $853.00 | $133.44 – $300.17 | 13 |
| Close mastoid fistula CPT 69700 | $3,299.20 | $4,124.00 | $596.06 – $1,608.47 | 11 |
| Close median sternotomy separation 21750 CPT 21750 | $1,660.00 | $2,075.00 | $592.06 – $1,578.34 | 9 |
| Close mult vsd CPT 33675 | not published | not published | $1,688.38 – $4,514.17 | 9 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,732.84 – $4,633.45 | 9 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,288.57 – $3,434.14 | 9 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,379.33 – $3,675.60 | 9 |
| Close tear duct opening CPT 68760 | $1,054.40 | $1,318.00 | $131.85 – $352.53 | 11 |
| Close tear duct opening CPT 68761 | $732.80 | $916.00 | $106.00 – $288.00 | 11 |
| Close tear system fistula CPT 68770 | $3,116.80 | $3,896.00 | $564.37 – $2,247.69 | 11 |
| Clostridium toxin a w/optic CPT 87803 | $35.20 | $44.00 | $9.60 – $22.40 | 9 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,489.43 | $1,861.78 | $53.80 – $1,427.15 | 13 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $2,134.40 | $2,668.00 | $763.31 – $2,036.15 | 9 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $3,936.80 | $4,921.00 | $1,393.54 – $3,720.07 | 9 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $2,504.80 | $3,131.00 | $892.87 – $2,383.70 | 9 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $3,443.20 | $4,304.00 | $1,224.38 – $3,267.87 | 9 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,088.04 | $1,360.05 | $184.58 – $490.64 | 13 |
| Closure of eyelid by suture CPT 67875 | $868.80 | $1,086.00 | $86.34 – $933.14 | 11 |
| Closure of salivary fistula CPT 42600 | $1,256.00 | $1,570.00 | $323.86 – $3,124.54 | 11 |
| Closure of valve CPT 33600 | not published | not published | $1,481.26 – $3,957.78 | 9 |
| Closure of valve CPT 33602 | not published | not published | $1,438.66 – $3,842.69 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | $1,069.60 | $1,337.00 | $299.38 – $3,124.54 | 11 |
| Closure paravalvlr leak pq CPT 33999 | $2,884.00 | $3,605.00 | $454.37 – $799.17 | 12 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $994.07 – $2,649.23 | 9 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $798.34 – $2,126.94 | 9 |
| Clot factor fletcher fact CPT 85292 | $39.20 | $49.00 | $11.36 – $29.46 | 9 |
| Clot factor viii reltd antgn CPT 85244 | $95.72 | $119.64 | $12.25 – $35.17 | 11 |
| Clot factor wght kininogen CPT 85293 | $38.40 | $48.00 | $11.36 – $29.46 | 9 |
| Clot factor xii hageman CPT 85280 | $95.72 | $119.64 | $11.61 – $35.17 | 11 |
| Clot factor xiii fibrin scrn CPT 85291 | $32.85 | $41.06 | $5.47 – $13.83 | 11 |
| Clot factor xiii fibrin stab CPT 85290 | $39.20 | $49.00 | $9.80 – $25.42 | 11 |
| Clotting assay whole blood CPT 85396 | $95.72 | $119.64 | $11.93 – $35.17 | 11 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.65 – $7.11 | 6 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $1.25 – $3.19 | 9 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $1.04 – $2.64 | 9 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,566.40 | $1,958.00 | $228.37 – $610.30 | 13 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $1,635.20 | $2,044.00 | $207.33 – $620.60 | 13 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $842.40 | $1,053.00 | $93.26 – $640.50 | 13 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,158.40 | $1,448.00 | $224.25 – $1,541.92 | 11 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $1,137.60 | $1,422.00 | $112.42 – $480.70 | 13 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,572.28 | $3,215.35 | $310.99 – $1,541.92 | 13 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,078.40 | $1,348.00 | $99.88 – $468.50 | 13 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $453.60 | $567.00 | $81.90 – $389.50 | 13 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $454.40 | $568.00 | $88.00 – $391.50 | 13 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $2,084.80 | $2,606.00 | $219.71 – $772.70 | 13 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $1,556.80 | $1,946.00 | $180.87 – $618.60 | 13 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $507.20 | $634.00 | $72.92 – $231.12 | 13 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,737.60 | $4,672.00 | $588.92 – $1,541.92 | 13 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,256.00 | $1,570.00 | $487.78 – $1,541.92 | 11 |
| Clsd tx fracture of radius 25500 CPT 25500 | $1,363.20 | $1,704.00 | $121.09 – $527.50 | 13 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $700.80 | $876.00 | $66.81 – $252.20 | 13 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $1,064.23 | $1,330.28 | $134.34 – $391.10 | 13 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $1,624.00 | $2,030.00 | $165.00 – $662.90 | 13 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,654.40 | $3,318.00 | $469.31 – $1,541.92 | 13 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $1,392.00 | $1,740.00 | $120.76 – $530.10 | 13 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,532.80 | $3,166.00 | $393.93 – $1,541.92 | 13 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $1,315.20 | $1,644.00 | $125.25 – $529.40 | 13 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,985.60 | $2,482.00 | $228.37 – $834.90 | 13 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $1,860.80 | $2,326.00 | $168.96 – $711.10 | 13 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $1,755.20 | $2,194.00 | $163.89 – $678.30 | 13 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $944.80 | $1,181.00 | $252.83 – $878.74 | 11 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,420.00 | $1,775.00 | $431.87 – $1,156.17 | 11 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $564.00 | $705.00 | $131.72 – $452.40 | 13 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $725.60 | $907.00 | $110.82 – $587.20 | 13 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $796.80 | $996.00 | $228.37 – $603.90 | 13 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $1,190.40 | $1,488.00 | $459.16 – $3,126.02 | 11 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $638.40 | $798.00 | $175.00 – $458.20 | 13 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $538.40 | $673.00 | $191.48 – $509.30 | 11 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $620.80 | $776.00 | $85.54 – $3,124.54 | 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.