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 |
|---|---|---|---|---|
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $22.16 – $48.01 | 9 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $1,671.81 – $4,470.92 | 9 |
| Concentration infection agents any type CPT 87015 | $38.58 | $48.22 | $4.01 – $14.18 | 11 |
| Conditioning play audiometry 92582 CPT 92582 | $158.40 | $198.00 | $79.00 – $201.71 | 11 |
| Condylomata destruction 56420 CPT 56420 | $382.40 | $478.00 | $85.66 – $209.30 | 13 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $0.80 | $1.00 | $0.19 – $0.49 | 9 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.28 – $0.69 | 9 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.48 – $1.21 | 9 |
| Congo red blood test HCPCS P2029 | $10.40 | $13.00 | $2.97 – $12.87 | 9 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $44.57 – $44.57 | 2 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $709.60 | $887.00 | $229.62 – $3,063.32 | 11 |
| Conization of cervix CPT 57520 | $825.60 | $1,032.00 | $266.88 – $3,063.32 | 11 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $658.88 | $823.60 | $168.01 – $410.28 | 11 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $162.57 – $413.69 | 9 |
| Constj trachesophgl fstl CPT 31611 | $1,304.00 | $1,630.00 | $481.30 – $3,124.54 | 11 |
| Construct bladder opening CPT 51980 | not published | not published | $647.31 – $1,724.96 | 9 |
| Construct bowel bladder CPT 50820 | $6,627.20 | $8,284.00 | $1,182.49 – $3,151.51 | 9 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,483.43 – $3,953.67 | 9 |
| Construction of absent anus CPT 46730 | $4,828.80 | $6,036.00 | $1,749.64 – $4,655.15 | 9 |
| Construction of absent anus CPT 46735 | not published | not published | $2,009.35 – $5,347.86 | 9 |
| Construction of absent anus CPT 46740 | $5,272.80 | $6,591.00 | $1,906.76 – $5,074.64 | 9 |
| Construction of vagina CPT 57291 | $1,352.00 | $1,690.00 | $492.72 – $4,756.03 | 11 |
| Construct thumb replacement CPT 26550 | $8,076.80 | $10,096.00 | $1,466.67 – $3,932.89 | 11 |
| Construct vagina with graft CPT 57292 | $2,063.20 | $2,579.00 | $740.56 – $4,756.03 | 11 |
| Consultation pathology during surgery CPT 88329 | $100.00 | $125.00 | $31.71 – $65.62 | 11 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $193.60 | $242.00 | $24.04 – $787.05 | 13 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $101.60 | $127.00 | $20.77 – $42.60 | 11 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $198.40 | $248.00 | $31.58 – $165.10 | 13 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $280.00 | $350.00 | $24.05 – $69.06 | 13 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $178.40 | $223.00 | $31.81 – $145.30 | 13 |
| Consultation with family CPT 90887 | $195.20 | $244.00 | $100.80 – $195.19 | 6 |
| Consult comp w/report rfrd material CPT 88325 | $365.60 | $457.00 | $51.17 – $236.00 | 13 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $5.12 – $13.03 | 9 |
| Contact lens fitg aphakia 1 CPT 92311 | $216.80 | $271.00 | $47.19 – $384.46 | 11 |
| Contact lens fitg aphakia ou CPT 92312 | $252.00 | $315.00 | $56.56 – $148.46 | 11 |
| Contact lens fitting for tx CPT 92071 | $158.40 | $198.00 | $29.48 – $77.58 | 9 |
| Contact lens fitting ou CPT 92310 | not published | not published | $104.10 – $158.24 | 6 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $324.18 – $1,237.41 | 9 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $80.00 | $100.00 | $31.80 – $83.69 | 9 |
| Cont intraop neuro monitor HCPCS G0453 | $73.60 | $92.00 | $28.86 – $76.34 | 9 |
| Contour cranial bone lesion CPT 21181 | $1,836.80 | $2,296.00 | $666.42 – $5,699.45 | 11 |
| Contour of face bone lesion CPT 21029 | $1,888.80 | $2,361.00 | $567.18 – $3,124.54 | 11 |
| Contrast baths charges CPT 97034 | $94.75 | $118.43 | $12.85 – $34.82 | 11 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $4,688.16 | $5,860.19 | $51.83 – $3,032.46 | 13 |
| Contrast exam thoracic aorta CPT 75600 | $3,771.61 | $4,714.51 | $20.87 – $3,032.46 | 13 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $4,250.72 | $5,313.39 | $48.10 – $5,208.13 | 13 |
| Contrast x-ray gallbladder CPT 74290 | $340.43 | $425.53 | $14.19 – $171.51 | 13 |
| Contrast x-ray of ankle CPT 73615 | $240.80 | $301.00 | $25.00 – $344.08 | 11 |
| Contrast x-ray of brain CPT 70010 | $163.20 | $204.00 | $29.17 – $344.08 | 11 |
| Contrast x-ray of brain CPT 70015 | $614.78 | $768.47 | $52.23 – $761.18 | 13 |
| Contrast x-ray of elbow CPT 73085 | $854.13 | $1,067.66 | $23.82 – $344.08 | 13 |
| Contrast x-ray of hip CPT 73525 | $983.28 | $1,229.09 | $25.44 – $361.35 | 13 |
| Contrast x-ray of knee joint CPT 73580 | $914.80 | $1,143.49 | $27.65 – $344.08 | 13 |
| Contrast x-ray of wrist CPT 73115 | $830.24 | $1,037.80 | $24.85 – $344.08 | 13 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $8,708.46 – $22,160.57 | 9 |
| Controller infinity pt dbs HCPCS C1787 | $4,425.86 | $5,532.32 | $1,128.59 – $2,710.84 | 5 |
| Control nosebleed pack+caut 30905 CPT 30905 | $824.00 | $1,030.00 | $94.44 – $251.38 | 13 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $1,120.80 | $1,401.00 | $410.34 – $1,099.17 | 9 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $1,256.80 | $1,571.00 | $458.60 – $3,124.54 | 11 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $1,015.20 | $1,269.00 | $221.08 – $998.20 | 11 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,110.40 | $1,388.00 | $68.87 – $183.54 | 13 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $700.80 | $876.00 | $50.35 – $169.75 | 13 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $409.76 | $512.19 | $134.19 – $490.64 | 13 |
| Control throat bleeding CPT 42961 | $1,031.20 | $1,289.00 | $379.94 – $1,017.65 | 9 |
| Control throat bleeding CPT 42962 | $1,273.60 | $1,592.00 | $468.85 – $3,124.54 | 11 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $83.00 – $83.00 | 2 |
| Conversion ext bil drg cath CPT 47535 | $7,015.31 | $8,769.13 | $174.44 – $3,400.08 | 13 |
| Convert nephrostomy catheter CPT 50434 | $4,489.80 | $5,612.24 | $170.48 – $1,973.64 | 13 |
| Conv gtube to jtube CPT 44373 | $484.00 | $605.00 | $170.94 – $1,827.66 | 11 |
| Coombs direct CPT 86880 | $57.14 | $71.42 | $3.23 – $58.21 | 13 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $57.14 | $71.42 | $3.43 – $167.93 | 13 |
| Coombs indirect titer reference CPT 86886 | $57.14 | $71.42 | $3.11 – $167.93 | 13 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $595.10 – $962.50 | 8 |
| Copper intrauterine device HCPCS J7300 | $1,318.40 | $1,648.00 | $336.19 – $1,139.00 | 8 |
| Cor artery disease mrna CPT 81493 | $2,100.00 | $2,625.00 | $630.00 – $1,470.10 | 9 |
| Core ndl bx lng/med perq CPT 32408 | $3,037.76 | $3,797.20 | $136.53 – $1,561.02 | 13 |
| Corf related serv 15 mins ea HCPCS G0409 | $42.40 | $53.00 | $17.82 – $54.81 | 9 |
| Corf skilled nursing service HCPCS G0128 | $17.60 | $22.00 | $8.42 – $22.15 | 9 |
| Cor hlx vlgs double osteot CPT 28299 | $5,036.80 | $6,296.00 | $547.26 – $6,882.64 | 11 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $4,539.20 | $5,674.00 | $475.52 – $3,126.02 | 11 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $4,203.20 | $5,254.00 | $464.81 – $6,882.64 | 11 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $3,904.76 – $9,936.52 | 9 |
| Corneal hysteresis deter CPT 92145 | $30.40 | $38.00 | $4.86 – $57.22 | 11 |
| Corneal smear CPT 65430 | $576.00 | $720.00 | $91.55 – $384.46 | 11 |
| Corneal transplant CPT 65710 | $5,588.80 | $6,986.00 | $1,022.04 – $4,971.13 | 11 |
| Corneal transplant CPT 65730 | $6,182.40 | $7,728.00 | $1,121.45 – $3,875.83 | 11 |
| Corneal transplant CPT 65750 | $6,220.80 | $7,776.00 | $1,128.46 – $4,971.13 | 11 |
| Corneal transplant CPT 65755 | $6,192.00 | $7,740.00 | $1,124.61 – $3,875.83 | 11 |
| Corneal trnspl endothelial CPT 65756 | $5,883.20 | $7,354.00 | $1,063.32 – $3,875.83 | 11 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | not published | not published | $3,125.00 – $4,188.36 | 4 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $14,672.29 | $18,340.36 | $287.81 – $5,392.07 | 13 |
| Coronary angio/lv gram/lt heart CPT 93458 | $14,262.43 | $17,828.03 | $253.81 – $5,241.44 | 13 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $13,583.27 | $16,979.08 | $322.41 – $4,991.85 | 13 |
| Coronary artery correction CPT 33502 | not published | not published | $1,106.87 – $2,953.82 | 9 |
| Coronary artery graft CPT 33503 | not published | not published | $1,151.41 – $3,071.32 | 9 |
| Coronary artery graft CPT 33504 | $3,572.80 | $4,466.00 | $1,267.51 – $3,383.18 | 9 |
| Coronary art/grft angio s&i CPT 93455 | $11,422.80 | $14,278.50 | $240.23 – $4,197.88 | 13 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $9,339.09 | $11,673.86 | $205.93 – $3,432.11 | 13 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $219.20 | $274.00 | $47.40 – $319.57 | 11 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $52.37 – $103.19 | 6 |
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.