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 |
|---|---|---|---|---|
| Collagen imp urinary 2.5 ml HCPCS L8603 | not published | not published | $262.21 – $667.24 | 9 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $348.10 | $435.12 | $7.39 – $127.93 | 13 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $80.00 | $100.00 | $3.48 – $41.86 | 11 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $192.80 | $241.00 | $47.98 – $122.08 | 9 |
| Collar cerv ascend 172 reg HCPCS L0172 | $428.39 | $535.48 | $46.15 – $151.87 | 11 |
| Collar cerv patriot adlt HCPCS L0150 | $323.20 | $404.00 | $80.56 – $205.00 | 9 |
| Collar extrication adult univ HCPCS L0200 | $2,726.08 | $3,407.60 | $354.09 – $1,001.83 | 11 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $134.48 | $168.10 | $24.36 – $124.19 | 13 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $134.48 | $168.10 | $26.14 – $124.19 | 13 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,950.00 – $2,008.50 | 3 |
| Collj & interpj data ea 30 d CPT 99091 | $128.80 | $161.00 | $49.31 – $130.18 | 9 |
| Colon motility 6 hr study CPT 91117 | $308.00 | $385.00 | $123.55 – $324.01 | 11 |
| Colonoscopy (diagnostic) CPT 45378 | $813.60 | $1,017.00 | $82.56 – $878.39 | 11 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $1,679.48 | $2,099.34 | $223.45 – $1,135.99 | 13 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $1,164.00 | $1,455.00 | $202.10 – $1,135.99 | 11 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,658.40 | $2,073.00 | $204.89 – $1,135.99 | 11 |
| Colonoscopy for foreign body CPT 44390 | $971.20 | $1,214.00 | $187.87 – $878.39 | 11 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $908.80 | $1,136.00 | $176.51 – $1,135.99 | 11 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $769.60 | $962.00 | $270.65 – $1,135.99 | 11 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $1,044.80 | $1,306.00 | $200.36 – $1,135.99 | 11 |
| Colonoscopy submucous njx CPT 45381 | $1,039.20 | $1,299.00 | $179.10 – $1,135.99 | 11 |
| Colonoscopy thru stoma spx CPT 44388 | $746.40 | $933.00 | $69.54 – $878.39 | 11 |
| Colonoscopy w/ablation CPT 45388 | $7,082.40 | $8,853.00 | $240.40 – $1,135.99 | 11 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,497.60 | $1,872.00 | $188.99 – $1,135.99 | 11 |
| Colonoscopy w/band ligation CPT 45398 | $1,916.00 | $2,395.00 | $208.37 – $1,135.99 | 11 |
| Colonoscopy w/control bleed CPT 45382 | $1,724.80 | $2,156.00 | $230.78 – $1,135.99 | 11 |
| Colonoscopy w/decompression CPT 44408 | $628.80 | $786.00 | $206.57 – $878.39 | 11 |
| Colonoscopy w/dilation CPT 44405 | $1,368.80 | $1,711.00 | $163.70 – $1,135.99 | 11 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $652.00 | $815.00 | $229.83 – $1,135.99 | 11 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $769.60 | $962.00 | $270.94 – $1,135.99 | 11 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $732.80 | $916.00 | $257.66 – $5,735.24 | 11 |
| Colonoscopy w/fb removal CPT 45379 | $1,050.40 | $1,313.00 | $212.58 – $1,135.99 | 11 |
| Colonoscopy w/injection CPT 44404 | $980.00 | $1,225.00 | $152.92 – $1,135.99 | 11 |
| Colonoscopy with ablation CPT 44401 | $6,856.00 | $8,570.00 | $215.85 – $1,135.99 | 11 |
| Colonoscopy (with biopsy) CPT 45380 | $1,047.20 | $1,309.00 | $179.10 – $1,135.99 | 11 |
| Colonoscopy with biopsy CPT 44389 | $984.00 | $1,230.00 | $152.92 – $1,135.99 | 11 |
| Colonoscopy (with polyp removal) CPT 45385 | $1,096.80 | $1,371.00 | $226.39 – $1,135.99 | 11 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $697.60 | $872.00 | $245.35 – $1,135.99 | 11 |
| Colonoscopy w/resection CPT 45390 | $842.40 | $1,053.00 | $295.94 – $2,642.16 | 11 |
| Colonoscopy w/stent plcmt CPT 44402 | $662.40 | $828.00 | $232.81 – $5,735.24 | 11 |
| Colonoscopy w/ultrasound CPT 44406 | $628.80 | $786.00 | $204.69 – $1,135.99 | 11 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $2,953.60 | $3,692.00 | $1,058.13 – $2,821.11 | 9 |
| Colostomy with biopsies CPT 44322 | $2,461.60 | $3,077.00 | $881.43 – $2,358.95 | 9 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $2,417.60 | $3,022.00 | $865.16 – $2,301.45 | 9 |
| Colpocentesis 57020 CPT 57020 | $272.00 | $340.00 | $70.53 – $4,756.03 | 11 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $1,304.00 | $1,630.00 | $476.79 – $4,756.03 | 11 |
| Colpopexy abdominal approach 57280 CPT 57280 | $2,411.20 | $3,014.00 | $866.47 – $2,322.80 | 9 |
| Colpopexy extraperitoneal CPT 57282 | $1,310.40 | $1,638.00 | $623.11 – $7,124.54 | 11 |
| Colpopexy intraperitoneal CPT 57283 | $1,748.00 | $2,185.00 | $626.74 – $7,124.54 | 11 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,699.53 – $6,380.86 | 9 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $3,603.07 | $4,503.83 | $298.18 – $3,063.32 | 13 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $418.40 | $523.00 | $108.82 – $838.92 | 11 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $845.60 | $1,057.00 | $163.53 – $3,063.32 | 11 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $296.80 | $371.00 | $53.69 – $193.82 | 13 |
| Colposcopy vulva 56820 CPT 56820 | $295.20 | $369.00 | $75.40 – $201.48 | 11 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $393.60 | $492.00 | $101.31 – $293.07 | 11 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $382.40 | $478.00 | $97.16 – $293.07 | 11 |
| Colpotomy drng of abscess 57010 CPT 57010 | $1,115.20 | $1,394.00 | $410.13 – $3,063.32 | 11 |
| Colpotomy w/exploration 57000 CPT 57000 | $490.40 | $613.00 | $180.98 – $3,063.32 | 11 |
| Combination bilateral ho HCPCS L1690 | not published | not published | $1,156.63 – $2,943.30 | 9 |
| Combo ankle/foot prosthesis HCPCS L5975 | not published | not published | $277.82 – $706.98 | 9 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | $151.20 | $189.00 | $45.34 – $120.51 | 9 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $156.24 | $195.29 | $21.21 – $171.40 | 13 |
| Compatibility test each unit electronic CPT 86923 | $156.24 | $195.29 | $15.91 – $167.93 | 13 |
| Compatibility test each unit immediate spin technique CPT 86920 | $156.24 | $195.29 | $19.84 – $171.40 | 13 |
| Compatibility test incubate CPT 86921 | $156.24 | $195.29 | $17.87 – $171.40 | 13 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $862.40 | $1,078.00 | $93.65 – $643.07 | 11 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $920.00 | $1,150.00 | $113.09 – $643.07 | 11 |
| Complement antigen each component c3 CPT 86160 | $48.57 | $60.71 | $7.20 – $18.67 | 11 |
| Complement fixation each CPT 86171 | $20.80 | $26.00 | $6.01 – $15.57 | 9 |
| Complete removal of vulva CPT 56625 | $1,602.40 | $2,003.00 | $599.60 – $3,063.32 | 11 |
| Completion pneumonectomy 32488 CPT 32488 | $5,828.00 | $7,285.00 | $2,054.04 – $5,489.95 | 9 |
| Complex body section x-ray CPT 76101 | not published | not published | $52.00 – $52.00 | 2 |
| Complex body section x-rays CPT 76102 | not published | not published | $57.00 – $57.00 | 2 |
| Complex cystometrogram 51726 CPT 51726 | $1,783.53 | $2,229.41 | $76.28 – $655.45 | 13 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $876.00 | $1,095.00 | $207.85 – $589.75 | 13 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $985.60 | $1,232.00 | $185.65 – $589.75 | 13 |
| Complex simulation w/pet-ct HCPCS G0562 | not published | not published | $1,856.89 – $2,521.21 | 7 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $891.77 | $1,114.71 | $5.17 – $327.72 | 13 |
| Compl oph exam general anes CPT 92018 | $303.20 | $379.00 | $128.71 – $2,247.69 | 11 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $1,759.98 – $4,705.08 | 9 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $1,049.60 | $1,312.00 | $250.70 – $589.75 | 13 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,330.61 | $1,663.26 | $301.80 – $720.19 | 13 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $470.40 | $588.00 | $87.43 – $243.10 | 11 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $960.80 | $1,201.00 | $218.41 – $473.11 | 13 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,177.60 | $1,472.00 | $272.90 – $640.36 | 13 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $831.44 | $1,039.29 | $112.19 – $305.55 | 11 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $353.56 | $441.94 | $73.31 – $191.36 | 11 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $839.20 | $1,049.00 | $181.07 – $589.75 | 11 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $398.78 | $498.47 | $63.74 – $170.18 | 11 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $478.03 – $1,216.44 | 9 |
| Composite byp grft 2 veins CPT 35682 | $863.20 | $1,079.00 | $297.13 – $799.05 | 9 |
| Composite byp grft 3/> segmt CPT 35683 | $996.80 | $1,246.00 | $346.27 – $924.93 | 9 |
| Composite byp grft pros&vein CPT 35681 | $205.60 | $257.00 | $67.27 – $180.84 | 9 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $4.34 – $11.04 | 9 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $2.35 – $5.98 | 9 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,085.60 | $2,607.00 | $631.26 – $1,762.37 | 11 |
| Comprehensive hearing test CPT 92557 | $160.26 | $200.32 | $29.45 – $150.74 | 13 |
| Compre oph exam est pt 1/> CPT 92014 | $260.80 | $326.00 | $69.26 – $182.29 | 11 |
| Compre oph exam new pt 1/> CPT 92004 | $312.00 | $390.00 | $86.04 – $226.85 | 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.