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 |
|---|---|---|---|---|
| Crnec treph exc cyst sttl CPT 61516 | $4,395.20 | $5,494.00 | $1,605.78 – $4,290.62 | 9 |
| Crnop skull defect>5 cm diam CPT 62141 | $2,706.40 | $3,383.00 | $993.31 – $2,644.83 | 9 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,078.83 – $2,875.44 | 9 |
| Crnop w/autograft>5 cm diam CPT 62147 | $3,375.20 | $4,219.00 | $1,232.95 – $3,269.84 | 9 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.29 – $7.21 | 6 |
| Cross-over vein graft CPT 34520 | $4,812.80 | $6,016.00 | $844.93 – $5,208.13 | 11 |
| Crotalidae poly immune fab HCPCS J0840 | $3,016.00 | $3,770.00 | $1,755.81 – $4,164.18 | 9 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $1,876.80 | $2,346.00 | $668.01 – $1,781.30 | 9 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $124.80 | $156.00 | $5.08 – $25.84 | 6 |
| Cryoablate prostate CPT 55873 | $15,011.20 | $18,764.00 | $693.62 – $8,909.18 | 11 |
| Cryocautery of cervix 57511 CPT 57511 | $429.60 | $537.00 | $132.04 – $355.79 | 11 |
| Cryo fib comp path redu each HCPCS P9026 | not published | not published | $302.30 – $405.58 | 9 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $64.28 | $80.35 | $8.48 – $23.62 | 11 |
| Cryoprecipitate each unit HCPCS P9012 | $682.10 | $852.62 | $61.25 – $369.18 | 13 |
| Cryopreservation embryo(s) CPT 89258 | $262.40 | $328.00 | $250.00 – $800.57 | 8 |
| Cryopreservation oocyte(s) CPT 89337 | $200.00 | $250.00 | $163.14 – $250.00 | 8 |
| Cryopreservation sperm CPT 89259 | $90.40 | $113.00 | $86.00 – $221.51 | 10 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $83.20 – $428.44 | 9 |
| Cryopreserve testicular tiss CPT 89335 | $304.80 | $381.00 | $50.87 – $69.06 | 8 |
| Cryosurg ablate fa each CPT 19105 | $13,220.80 | $16,526.00 | $182.87 – $3,689.33 | 11 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $346.40 | $433.00 | $103.01 – $271.97 | 11 |
| Cryotherapy of acne 17340 CPT 17340 | $131.20 | $164.00 | $44.69 – $118.72 | 11 |
| Cryptococcus abs qn - sendout CPT 86641 | $48.57 | $60.71 | $8.65 – $22.41 | 11 |
| Cryptosporidium antigen CPT 87272 | $38.58 | $48.22 | $7.19 – $18.65 | 11 |
| Crystal identification light microscopy CPT 89060 | $56.44 | $70.54 | $4.40 – $21.39 | 11 |
| C-Section Delivery (full care) CPT 59510 | $4,739.20 | $5,924.00 | $2,322.97 – $5,892.65 | 9 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,556.80 | $3,196.00 | $1,153.40 – $2,922.33 | 9 |
| Csf leakage imaging CPT 78650 | $730.40 | $913.00 | $22.83 – $1,257.77 | 11 |
| Csf shunt reprogram 62252 CPT 62252 | $694.09 | $867.61 | $37.06 – $288.95 | 13 |
| Csf ventriculography CPT 78635 | $756.00 | $945.00 | $26.67 – $518.60 | 11 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $82.20 – $191.82 | 9 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $164.90 – $384.78 | 9 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $111.12 – $259.30 | 9 |
| CT 3d report other modality w/workstation CPT 76377 | $828.76 | $1,035.95 | $34.71 – $304.57 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $3,330.28 | $4,162.85 | $82.43 – $1,223.88 | 13 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $5,705.78 | $7,132.22 | $95.82 – $2,096.87 | 13 |
| CT Angiogram of the Abdomen CPT 74175 | $3,344.24 | $4,180.29 | $79.25 – $1,229.01 | 13 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $3,199.80 | $3,999.74 | $103.47 – $1,175.92 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,497.03 | $4,371.28 | $79.54 – $1,285.16 | 13 |
| CT Angiogram of the Head CPT 70496 | $3,234.49 | $4,043.11 | $76.39 – $1,188.67 | 13 |
| CT Angiogram of the Neck CPT 70498 | $2,850.89 | $3,563.61 | $76.39 – $1,047.70 | 13 |
| CT angio hrt w/3d image CPT 75574 | $2,474.58 | $3,093.22 | $104.51 – $909.41 | 13 |
| CT angio pelvis CPT 72191 | $2,798.50 | $3,498.12 | $78.34 – $1,028.45 | 13 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,513.08 | $3,141.34 | $78.34 – $923.55 | 13 |
| CT bone density axial CPT 77078 | $524.12 | $655.15 | $10.89 – $192.61 | 13 |
| CT colonography dx CPT 74261 | $1,592.33 | $1,990.41 | $97.01 – $585.18 | 13 |
| CT colonography dx w/dye CPT 74262 | $1,882.80 | $2,353.50 | $109.66 – $691.93 | 13 |
| CT colonography screening CPT 74263 | $1,569.56 | $1,961.94 | $104.76 – $576.81 | 13 |
| CT guidance for needle placement CPT 77012 | $1,961.51 | $2,451.88 | $50.65 – $720.85 | 11 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,383.60 | $1,729.50 | $49.47 – $508.47 | 11 |
| CT guid cryo ablat intramuscular CPT 20999 | $3,547.32 | $4,434.14 | $228.37 – $1,919.98 | 12 |
| CT guid parench tis ablat CPT 77013 | $2,040.73 | $2,550.91 | $110.25 – $749.97 | 11 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $192.00 | $240.00 | $25.41 – $56.37 | 11 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $2,474.58 | $3,093.22 | $111.28 – $909.41 | 13 |
| CT hrt w/3d image CPT 75572 | $2,474.58 | $3,093.22 | $75.95 – $909.41 | 13 |
| CT limited or localized follow-up study CPT 76380 | $343.20 | $429.00 | $41.59 – $112.13 | 13 |
| Ctlso a-p-l control molded HCPCS L0700 | $12,656.80 | $15,821.00 | $1,515.05 – $4,651.37 | 11 |
| Ctlso a-p-l control with inter HCPCS L0710 | $8,762.40 | $10,953.00 | $1,257.03 – $3,220.18 | 11 |
| Ctlso axilla sling HCPCS L1010 | not published | not published | $42.10 – $107.13 | 9 |
| Ctlso milwauke initial model HCPCS L1000 | not published | not published | $1,193.45 – $3,037.01 | 9 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,852.22 | $3,565.27 | $52.90 – $1,048.19 | 13 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $860.80 | $1,076.00 | $55.43 – $249.19 | 13 |
| CT scan for localization CPT 77011 | $2,227.89 | $2,784.86 | $56.42 – $818.75 | 11 |
| CT scan for therapy guide CPT 77014 | $1,273.17 | $1,591.46 | $41.97 – $467.89 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $6,054.30 | $7,567.87 | $87.76 – $2,224.95 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,232.57 | $6,540.71 | $79.84 – $1,922.97 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $4,743.40 | $5,929.24 | $76.07 – $1,743.20 | 13 |
| CT t-spine w /wo contrast CPT 72130 | $3,123.93 | $3,904.91 | $55.55 – $1,148.04 | 13 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,592.57 | $3,240.71 | $52.90 – $952.77 | 13 |
| Cuffs adj lock with active con HCPCS L3740 | not published | not published | $624.46 – $1,589.09 | 9 |
| Cultr oocyte/embryo <4 days CPT 89250 | $2,114.40 | $2,643.00 | $163.14 – $1,284.08 | 11 |
| Cultr oocyte/embryo <4 days CPT 89251 | $2,200.00 | $2,750.00 | $163.14 – $1,335.76 | 9 |
| Cult skin graft fnhfg 15155 CPT 15155 | $1,972.80 | $2,466.00 | $653.47 – $3,527.16 | 11 |
| Cult skin grft t/arm/leg CPT 15150 | $1,709.60 | $2,137.00 | $563.21 – $1,762.37 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $38.58 | $48.22 | $4.85 – $14.18 | 11 |
| Culture afb any source CPT 87116 | $38.58 | $48.22 | $6.48 – $16.81 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $38.58 | $48.22 | $4.85 – $14.18 | 11 |
| Culture anaerobic except blood CPT 87075 | $38.58 | $48.22 | $5.68 – $14.74 | 11 |
| Culture bacteria anaerobic CPT 87073 | $38.58 | $48.22 | $5.80 – $14.70 | 11 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $10.61 – $41.96 | 6 |
| Culture bact stool aero addl path ea CPT 87046 | $38.58 | $48.22 | $5.66 – $14.70 | 11 |
| Culture body fluid CPT 87070 | $38.58 | $48.22 | $5.17 – $14.18 | 11 |
| Culture fungi definitive id mold CPT 87107 | $38.58 | $48.22 | $6.19 – $16.06 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $38.58 | $48.22 | $6.19 – $16.06 | 11 |
| Culture fungi other (except blood) CPT 87102 | $38.58 | $48.22 | $5.05 – $14.18 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $38.58 | $48.22 | $4.63 – $14.18 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $38.58 | $48.22 | $8.77 – $20.47 | 11 |
| Culture mycoplasma any source CPT 87109 | $38.58 | $48.22 | $5.36 – $23.94 | 11 |
| Culture of specimen by kit CPT 87084 | $54.40 | $68.00 | $14.75 – $37.90 | 9 |
| Culture quantitative aerobic other source CPT 87071 | $38.58 | $48.22 | $5.93 – $14.70 | 11 |
| Culture screening strep group a CPT 87081 | $38.58 | $48.22 | $3.98 – $14.18 | 11 |
| Culture type pulse field gel CPT 87152 | $38.58 | $48.22 | $4.64 – $14.18 | 11 |
| Culture typing added method CPT 87158 | $38.58 | $48.22 | $4.64 – $14.18 | 11 |
| Culture typing glc/hplc CPT 87143 | $38.58 | $48.22 | $7.51 – $19.49 | 11 |
| Culture typing immunologic CPT 87147 | $38.58 | $48.22 | $3.11 – $14.18 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $209.34 | $261.67 | $68.56 – $228.96 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $88.80 | $111.00 | $21.05 – $54.59 | 11 |
| Culture urine each isolate CPT 87088 | $38.58 | $48.22 | $4.85 – $14.18 | 11 |
| Culture virus isolation CPT 87250 | $39.20 | $49.00 | $11.74 – $30.42 | 9 |
| Curette/treat cornea CPT 65435 | $720.28 | $900.35 | $62.84 – $933.14 | 13 |
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.