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 |
|---|---|---|---|---|
| Adrenalin epinephrine inject HCPCS J0171 | $246.00 | $307.50 | $0.01 – $0.81 | 8 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $134.40 | $168.00 | $65.07 – $137.70 | 9 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $11.34 – $38.51 | 8 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $28.36 – $56.10 | 8 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $75.87 – $123.70 | 8 |
| Aep hearing status deter i&r CPT 92651 | $1,366.71 | $1,708.38 | $72.22 – $502.26 | 13 |
| Aep neurodiagnostic i&r CPT 92653 | $570.96 | $713.70 | $73.98 – $300.01 | 13 |
| Aep thrshld est mlt freq i&r CPT 92652 | $570.96 | $713.70 | $99.17 – $300.01 | 13 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,873.33 – $3,402.62 | 8 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $727,000.00 – $809,151.00 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $50.40 | $63.00 | $12.03 – $31.19 | 11 |
| #afb mycobacteria suscep. #1 CPT 87190 | $38.58 | $48.22 | $4.39 – $14.18 | 11 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $289.60 | $362.00 | $43.51 – $179.44 | 11 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $82.20 – $191.82 | 9 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $164.90 – $384.78 | 9 |
| Aflibercept injection HCPCS J0178 | $1,065.60 | $1,332.00 | $795.86 – $1,203.59 | 9 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | $18.40 | $23.00 | $16.53 – $27.20 | 6 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $265.69 – $676.12 | 9 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $520.28 – $1,323.96 | 9 |
| Afo molded to patient plasti HCPCS L1940 | $1,220.80 | $1,526.00 | $304.39 – $774.57 | 9 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $3,504.96 | $4,381.20 | $533.77 – $1,358.29 | 11 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $150.31 – $382.47 | 9 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $228.81 – $582.26 | 9 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $196.49 – $500.01 | 9 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $437.50 – $1,113.31 | 9 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $157.89 – $401.79 | 9 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $336.55 – $856.40 | 9 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $600.52 – $1,528.14 | 9 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $382.15 – $972.45 | 9 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $344.63 – $877.01 | 9 |
| Afo tibial fracture rigid HCPCS L2116 | $1,698.40 | $2,123.00 | $423.56 – $1,077.84 | 9 |
| Afo tibial fracture soft HCPCS L2112 | $1,052.00 | $1,315.00 | $262.22 – $667.29 | 9 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $860.83 – $2,190.57 | 9 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $280.36 – $713.44 | 9 |
| After cataract laser surgery CPT 66821 | $1,640.00 | $2,050.00 | $278.82 – $751.91 | 11 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $345.44 | $431.80 | $22.62 – $241.78 | 11 |
| Ag detect nos ia single CPT 87450 | not published | not published | $10.00 – $10.00 | 2 |
| Air conduction bilat CPT 92552 | $93.60 | $116.99 | $30.65 – $124.19 | 13 |
| Air injection into abdomen 49400 CPT 49400 | $360.80 | $451.00 | $80.04 – $171.30 | 11 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $341.06 | $426.32 | $11.22 – $150.74 | 13 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $1,786.57 – $4,546.31 | 9 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,105.93 – $2,814.29 | 9 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $334.97 – $852.41 | 9 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $719.09 – $1,829.89 | 9 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $263.09 – $669.50 | 9 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $48.07 – $122.32 | 9 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $118.26 – $300.94 | 9 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $69.44 – $176.70 | 9 |
| Ak open end sach HCPCS L5321 | not published | not published | $1,968.04 – $5,008.09 | 9 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $95.42 – $242.81 | 9 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $108.63 – $276.43 | 9 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $97.65 – $248.50 | 9 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $952.20 – $2,423.07 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $33.57 | $41.96 | $4.67 – $12.34 | 11 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $190.67 | $238.33 | $1.98 – $53.08 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $33.84 | 9 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $82.10 | 9 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $32.48 | $40.60 | $3.29 – $10.62 | 8 |
| Albumin ischemia modified CPT 82045 | $85.60 | $107.00 | $20.36 – $52.80 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $25.72 | $32.14 | $3.47 – $9.45 | 11 |
| Albumin serum plasma or whole blood CPT 82040 | $33.57 | $41.96 | $2.97 – $12.34 | 11 |
| Albuterol comp con HCPCS J7610 | $12.80 | $16.00 | $0.17 – $15.79 | 2 |
| Albuterol comp unit HCPCS J7609 | $0.80 | $1.00 | $0.10 – $1.33 | 5 |
| Albuterol ipratrop non-comp HCPCS J7620 | $4.07 | $5.08 | $0.01 – $0.19 | 8 |
| Albuterol non-comp con HCPCS J7611 | $0.80 | $1.00 | $0.16 – $0.19 | 6 |
| Albuterol non-comp unit HCPCS J7613 | $3.20 | $4.00 | $0.01 – $0.08 | 8 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $72.14 | $90.17 | $10.36 – $26.51 | 11 |
| Alcohols biomarkers 3/more CPT 80322 | $72.14 | $90.17 | $15.52 – $44.18 | 7 |
| Alcohol/sub misuse assess HCPCS G2011 | $31.20 | $39.00 | $15.25 – $40.14 | 9 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $64.80 | $81.00 | $28.36 – $75.95 | 11 |
| Alcohol/subs interv >30 min HCPCS G0397 | $120.80 | $151.00 | $57.26 – $154.80 | 11 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $911.28 – $6,439.71 | 9 |
| Aldosterone suppression eval CPT 80408 | $315.20 | $394.00 | $75.30 – $195.23 | 9 |
| Alefacept HCPCS J0215 | not published | not published | $31.95 – $57.91 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $100.28 | $125.35 | $25.53 – $2,562.74 | 11 |
| Alginate dressing <=16 sq in HCPCS A6196 | $39.48 | $49.34 | $5.13 – $14.51 | 11 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $11.46 – $29.17 | 9 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $3.68 – $9.36 | 9 |
| Alglucerase injection HCPCS J0205 | not published | not published | $38.09 – $58.48 | 4 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $230.86 – $287.40 | 3 |
| Alkaline phosphatase CPT 84075 | $33.57 | $41.96 | $3.11 – $12.34 | 11 |
| Allergen alpha lactalbumin ige CPT 86008 | $48.57 | $60.71 | $10.76 – $27.90 | 11 |
| Allergen egg white ige CPT 86003 | $48.57 | $60.71 | $3.13 – $17.85 | 11 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $48.57 | $60.71 | $4.78 – $17.85 | 11 |
| Allergy injections; 2 or more 95117 CPT 95117 | $31.20 | $39.00 | $10.78 – $44.45 | 11 |
| Allergy injection; single 95115 CPT 95115 | $27.20 | $34.00 | $9.30 – $44.45 | 11 |
| Allergy Skin Testing CPT 95004 | $12.80 | $16.00 | $3.13 – $980.21 | 11 |
| Allg patch or app # of tests 95044 CPT 95044 | $16.00 | $20.00 | $4.28 – $980.21 | 11 |
| Allgrft implnt knee w/scope CPT 29867 | $6,286.40 | $7,858.00 | $1,146.58 – $12,396.56 | 11 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $13.99 – $20.59 | 3 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $77.27 – $405.42 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $83.54 – $405.42 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $9,900.02 | $12,375.02 | $2,524.50 – $6,063.76 | 5 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $50.30 – $50.30 | 1 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $24.47 – $66.57 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $1,363.04 | $1,703.80 | $154.67 – $834.86 | 8 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $91.01 – $169.44 | 6 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | not published | not published | $847.90 – $1,136.48 | 4 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $49.54 – $129.93 | 4 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $231.20 | $289.00 | $219.02 – $319.50 | 5 |
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.