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 |
|---|---|---|---|---|
| Disarticulation sho sec clsr CPT 23921 | $2,300.80 | $2,876.00 | $429.57 – $1,762.37 | 11 |
| Disarticulation shoulder CPT 23920 | not published | not published | $1,007.45 – $2,678.41 | 9 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $3,636.00 | $4,545.00 | $1,302.31 – $3,465.03 | 9 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $173.45 – $462.93 | 9 |
| Discography cerv/thor spine CPT 72285 | $3,165.08 | $3,956.35 | $51.70 – $1,881.40 | 13 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $38.84 – $98.84 | 9 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $114.18 – $290.54 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | $288.80 | $361.00 | $87.44 – $1,661.45 | 11 |
| Dissect brain w/scope CPT 62161 | not published | not published | $1,312.06 – $3,501.47 | 9 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $90.59 – $232.96 | 9 |
| Dissolve clot heart vessel CPT 92975 | $2,404.86 | $3,006.07 | $320.93 – $883.78 | 11 |
| Dist revas ligation hemo CPT 36838 | $5,588.80 | $6,986.00 | $971.90 – $5,208.13 | 11 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $991.34 – $2,649.47 | 9 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,943.20 | $2,429.00 | $709.37 – $5,699.45 | 11 |
| Division of fallopian tube 58605 CPT 58605 | $832.00 | $1,040.00 | $302.22 – $813.13 | 9 |
| #d/lmeth-l-methamphetamine CPT 80374 | $72.14 | $90.17 | $13.16 – $44.18 | 8 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $6,547.62 | $8,184.52 | $249.62 – $2,406.25 | 11 |
| Dmd dup/delet analysis CPT 81161 | $267.84 | $334.80 | $87.72 – $390.64 | 11 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $164.90 – $384.78 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | $153.56 | $191.95 | $50.29 – $191.82 | 11 |
| Dna antibody native/double stranded CPT 86225 | $48.57 | $60.71 | $8.24 – $21.37 | 11 |
| Dna gardnerella CPT 87510 | $50.40 | $63.00 | $12.03 – $31.19 | 11 |
| Dna probe chlamydia CPT 87490 | $57.60 | $72.00 | $12.63 – $31.86 | 11 |
| Dna probe gc CPT 87590 | $58.40 | $73.00 | $12.63 – $37.64 | 11 |
| Dna trichomonas CPT 87660 | $50.40 | $63.00 | $12.03 – $31.19 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $67.00 | $83.75 | $7.58 – $12.80 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $4.00 | $5.00 | $0.67 – $4.54 | 6 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $50.06 – $56.49 | 7 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $4.51 – $12.20 | 4 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $59.12 – $132.91 | 6 |
| Domicil/r-home visit est pat CPT 99334 | not published | not published | $98.00 – $98.00 | 2 |
| Domicil/r-home visit est pat CPT 99335 | not published | not published | $155.00 – $155.00 | 2 |
| Domicil/r-home visit est pat CPT 99336 | not published | not published | $219.00 – $219.00 | 2 |
| Domicil/r-home visit est pat CPT 99337 | not published | not published | $313.00 – $313.00 | 2 |
| Domicil/r-home visit new pat CPT 99324 | not published | not published | $88.00 – $88.00 | 2 |
| Domicil/r-home visit new pat CPT 99325 | not published | not published | $128.00 – $128.00 | 2 |
| Domicil/r-home visit new pat CPT 99326 | not published | not published | $222.00 – $222.00 | 2 |
| Domicil/r-home visit new pat CPT 99327 | not published | not published | $299.00 – $299.00 | 2 |
| Domicil/r-home visit new pat CPT 99328 | not published | not published | $352.00 – $352.00 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $37.28 | $46.60 | $0.71 – $2.58 | 8 |
| Doppler echo complete CPT 93320 | $456.28 | $570.35 | $16.28 – $167.68 | 11 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $5,224.13 | $6,530.16 | $62.51 – $1,919.87 | 11 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $1,092.08 | $1,365.10 | $19.13 – $401.34 | 13 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $643.29 | $804.11 | $10.60 – $236.41 | 13 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.81 – $0.92 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | $47.12 | $58.90 | $1.70 – $53.59 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $11,360.81 – $28,910.04 | 9 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $47.18 – $120.08 | 9 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $370.72 | $463.40 | $94.53 – $262.79 | 11 |
| Double transfer toe-hand CPT 26554 | not published | not published | $786.83 – $9,012.73 | 9 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $148.63 | $185.78 | $3.26 – $8.86 | 8 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $505.42 | $631.77 | $10.07 – $164.60 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $1.12 | $1.40 | $0.02 – $0.12 | 7 |
| Dpyd gene common variants CPT 81232 | $350.40 | $438.00 | $54.96 – $244.74 | 11 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $11.97 – $30.46 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $513.60 | $642.00 | $109.34 – $677.87 | 13 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,124.80 | $1,406.00 | $129.67 – $677.87 | 13 |
| Drainage external ear complex 69005 CPT 69005 | $2,366.53 | $2,958.16 | $145.92 – $1,561.02 | 13 |
| Drainage external ear simple 69000 CPT 69000 | $916.80 | $1,146.00 | $113.20 – $677.87 | 13 |
| Drainage lymph node lesion 38300 CPT 38300 | $796.80 | $996.00 | $187.39 – $2,757.44 | 11 |
| Drainage lymph node lesion 38305 CPT 38305 | $1,189.60 | $1,487.00 | $440.11 – $2,757.44 | 11 |
| Drainage mouth roof lesion CPT 42000 | $474.39 | $592.98 | $98.99 – $256.76 | 13 |
| Drainage of abdomen CPT 48000 | $4,616.80 | $5,771.00 | $1,641.97 – $4,379.76 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $1,473.40 | $1,841.75 | $145.91 – $1,561.02 | 13 |
| Drainage of bladder abscess CPT 51080 | $1,028.80 | $1,286.00 | $373.43 – $2,757.44 | 11 |
| Drainage of bone lesion CPT 26992 | not published | not published | $786.83 – $2,415.58 | 9 |
| Drainage of bone lesion CPT 27303 | $3,153.60 | $3,942.00 | $580.26 – $1,542.33 | 9 |
| Drainage of eye CPT 65800 | $5,027.33 | $6,284.16 | $80.65 – $2,197.37 | 13 |
| Drainage of eye CPT 65810 | $2,302.40 | $2,878.00 | $416.84 – $2,197.37 | 11 |
| Drainage of eye CPT 65815 | $3,172.80 | $3,966.00 | $429.02 – $2,197.37 | 11 |
| Drainage of forearm bursa CPT 25031 | $1,726.40 | $2,158.00 | $337.89 – $1,541.92 | 11 |
| Drainage of kidney lesion CPT 50390 | $1,886.26 | $2,357.82 | $84.67 – $693.20 | 13 |
| Drainage of mouth lesion CPT 41005 | $535.20 | $669.00 | $107.20 – $258.56 | 13 |
| Drainage of mouth lesion CPT 41006 | $852.80 | $1,066.00 | $214.36 – $1,427.15 | 11 |
| Drainage of mouth lesion CPT 41007 | $836.80 | $1,046.00 | $205.55 – $1,427.15 | 11 |
| Drainage of mouth lesion CPT 41008 | $6,945.73 | $8,682.16 | $238.62 – $3,124.54 | 13 |
| Drainage of mouth lesion CPT 41009 | $1,022.40 | $1,278.00 | $261.77 – $691.92 | 11 |
| Drainage of mouth lesion CPT 41015 | $1,008.80 | $1,261.00 | $275.95 – $726.39 | 11 |
| Drainage of mouth lesion CPT 41016 | $1,124.80 | $1,406.00 | $313.77 – $5,699.45 | 11 |
| Drainage of mouth lesion CPT 41017 | $3,973.48 | $4,966.84 | $311.55 – $3,124.54 | 13 |
| Drainage of mouth lesion CPT 41018 | $1,265.60 | $1,582.00 | $364.95 – $1,427.15 | 11 |
| Drainage of nose lesion int 30000 CPT 30000 | $693.52 | $866.90 | $110.48 – $293.22 | 13 |
| Drainage of nose lesion sept 30020 CPT 30020 | $742.00 | $927.49 | $110.93 – $490.64 | 13 |
| Drainage of pelvis bursa CPT 26991 | $1,741.60 | $2,177.00 | $472.92 – $1,541.92 | 11 |
| Drainage of pelvis lesion 26990 CPT 26990 | $1,605.60 | $2,007.00 | $609.36 – $3,126.02 | 11 |
| Drainage of prostate abscess CPT 52700 | $1,112.80 | $1,391.00 | $403.09 – $3,322.91 | 11 |
| Drainage of prostate abscess CPT 55720 | $1,140.80 | $1,426.00 | $411.30 – $3,322.91 | 11 |
| Drainage of prostate abscess CPT 55725 | $1,496.80 | $1,871.00 | $542.31 – $3,322.91 | 11 |
| Drainage of rectal abscess CPT 45005 | $712.80 | $891.00 | $149.37 – $1,135.99 | 11 |
| Drainage of rectal abscess 45020 CPT 45020 | $1,409.60 | $1,762.00 | $514.50 – $2,642.16 | 11 |
| Drainage of salivary gland CPT 42305 | $1,061.60 | $1,327.00 | $393.13 – $3,124.54 | 11 |
| Drainage of salivary gland CPT 42320 | $629.60 | $787.00 | $162.54 – $490.64 | 11 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,218.58 – $3,244.77 | 9 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,484.21 – $3,957.75 | 9 |
| Drainage of throat abscess CPT 42725 | $1,998.40 | $2,498.00 | $721.43 – $5,699.45 | 11 |
| Drainage of urethra abscess CPT 53040 | $988.00 | $1,235.00 | $357.77 – $3,322.91 | 11 |
| Drainage of urethra abscess 53060 CPT 53060 | $463.20 | $579.00 | $149.30 – $1,973.64 | 11 |
| Drainage of urinary leakage CPT 53080 | $1,057.60 | $1,322.00 | $383.47 – $1,021.58 | 11 |
| Drainage of urinary leakage CPT 53085 | $1,636.80 | $2,046.00 | $588.76 – $1,973.64 | 11 |
| Drain bladder by trocar/cath CPT 51101 | $804.59 | $1,005.73 | $45.84 – $980.21 | 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.