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 |
|---|---|---|---|---|
| Dx aly aud oi snd prcsr 1st CPT 92622 | $186.40 | $233.00 | $61.55 – $202.24 | 11 |
| Dx aly aud oi snd prcsr each CPT 92623 | $48.00 | $60.00 | $16.14 – $42.48 | 8 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,225.84 | $2,782.30 | $118.59 – $1,661.45 | 13 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,225.84 | $2,782.30 | $120.22 – $1,661.45 | 13 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,225.84 | $2,782.30 | $118.02 – $1,661.45 | 13 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $22.00 – $384.46 | 11 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $608.80 | $761.00 | $45.58 – $903.29 | 11 |
| Dx duod intub w/asp specs CPT 43757 | $837.60 | $1,047.00 | $69.11 – $903.29 | 11 |
| Dx gastr intub w/asp spec CPT 43754 | $441.60 | $552.00 | $34.05 – $300.01 | 11 |
| Dx gastr intub w/asp specs CPT 43755 | $421.60 | $527.00 | $54.03 – $150.74 | 11 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | $64.00 | $80.00 | $0.01 – $66.65 | 8 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | $171.20 | $214.00 | $0.01 – $179.63 | 8 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | $55.20 | $69.00 | $0.01 – $57.90 | 8 |
| Dx laryngoscopy newborn CPT 31520 | $385.60 | $482.00 | $140.55 – $375.05 | 11 |
| Dx laryngoscopy w/oper scope CPT 31526 | $387.20 | $484.00 | $141.17 – $1,661.45 | 11 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | $108.80 | $136.00 | $0.01 – $113.90 | 8 |
| Dynamic cavernosometry CPT 54231 | $354.40 | $443.00 | $104.97 – $279.23 | 11 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $29.80 – $45.28 | 5 |
| Dynamic surface emg CPT 96002 | $49.60 | $62.00 | $19.61 – $300.01 | 11 |
| Ear and throat examination CPT 92502 | $210.40 | $263.00 | $87.24 – $490.64 | 11 |
| Ear canal biopsy 69105 CPT 69105 | $688.00 | $860.00 | $58.36 – $1,427.15 | 11 |
| Ear cartilage graft CPT 21235 | $1,787.20 | $2,234.00 | $517.41 – $5,699.45 | 11 |
| Ear irrigation 69209 CPT 69209 | $373.26 | $466.57 | $13.73 – $137.17 | 13 |
| Ear protector evaluation CPT 92596 | $141.60 | $177.00 | $37.37 – $179.17 | 11 |
| Ecallantide injection HCPCS J1290 | not published | not published | $522.66 – $701.13 | 9 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $16.00 | $20.00 | $6.18 – $16.28 | 9 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $183.08 | $228.84 | $5.76 – $67.28 | 13 |
| Ecg < 30 days transmission & analysis CPT 93271 | $377.60 | $472.00 | $87.38 – $333.06 | 11 |
| Ecg external < 48 hours recording CPT 93225 | $454.50 | $568.12 | $15.80 – $159.76 | 13 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $663.91 | $829.88 | $30.27 – $211.24 | 13 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $73.06 | $91.32 | $10.19 – $37.82 | 13 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $120.16 | $150.20 | $10.19 – $44.16 | 13 |
| Ecg record/review CPT 93268 | $469.60 | $587.00 | $150.01 – $417.70 | 9 |
| Ecg/review interpret only CPT 93272 | $57.60 | $72.00 | $22.14 – $58.27 | 9 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,021.12 | $2,526.39 | $63.17 – $742.76 | 13 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $930.11 | $1,162.63 | $22.76 – $341.81 | 13 |
| Echocardiography doppler color flow mapping CPT 93325 | $356.47 | $445.58 | $2.85 – $131.00 | 11 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,717.25 | $3,396.56 | $752.14 – $1,470.71 | 12 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,276.80 | $1,596.00 | $339.99 – $691.07 | 10 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $282.38 | $352.97 | $6.48 – $103.77 | 11 |
| Echo exam of eye CPT 76516 | $140.80 | $176.00 | $20.76 – $102.46 | 11 |
| Echo exam of eye CPT 76519 | $172.00 | $215.00 | $27.95 – $102.46 | 11 |
| Echo exam of eye CPT 76529 | $196.43 | $245.53 | $28.77 – $84.83 | 13 |
| Echo exam of eye thickness CPT 76514 | $29.60 | $37.00 | $3.10 – $23.60 | 11 |
| Echo exam of fetal heart CPT 76825 | $1,214.33 | $1,517.91 | $72.92 – $528.26 | 13 |
| Echo exam of fetal heart CPT 76826 | $715.88 | $894.84 | $36.30 – $263.08 | 13 |
| Echo exam of fetal heart CPT 76827 | $662.62 | $828.27 | $25.55 – $243.51 | 13 |
| Echo exam of fetal heart CPT 76828 | $455.44 | $569.29 | $19.34 – $167.37 | 13 |
| Echo exam uterus 76831- CPT 76831 | $835.54 | $1,044.42 | $31.85 – $307.06 | 13 |
| Echograp trans r pros study CPT 76873 | $908.44 | $1,135.54 | $70.66 – $333.85 | 13 |
| Echo guidance radiotherapy CPT 76965 | $1,178.47 | $1,473.08 | $24.66 – $433.09 | 11 |
| Echo guidance radiotherapy HCPCS G6001 | $322.40 | $403.00 | $29.39 – $76.60 | 9 |
| Echo guide cardiocentesis CPT 76930 | not published | not published | $56.00 – $56.00 | 2 |
| Echo guide for amniocentesis CPT 76946 | $656.04 | $820.04 | $13.44 – $241.09 | 11 |
| Echo guide for artery repair CPT 76936 | $1,101.84 | $1,377.30 | $84.60 – $404.93 | 13 |
| Echo guide for heart biopsy CPT 76932 | $192.80 | $241.00 | $31.71 – $67.73 | 9 |
| Echo guide for transfusion CPT 76941 | $273.60 | $342.00 | $58.62 – $124.42 | 11 |
| Echo guide ova aspiration CPT 76948 | $144.80 | $181.00 | $24.75 – $62.71 | 9 |
| Echo guide villus sampling CPT 76945 | $191.20 | $239.00 | $29.50 – $63.90 | 9 |
| Echo stress CPT 93350 | $1,055.71 | $1,319.63 | $63.17 – $528.26 | 13 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $65.60 | $82.00 | $23.25 – $528.26 | 11 |
| Echo tee guidance CPT 93355 | $2,203.11 | $2,753.88 | $203.16 – $809.64 | 11 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,755.79 | $2,194.73 | $97.58 – $645.25 | 13 |
| Echo transesophageal CPT 93313 | $99.20 | $124.00 | $10.18 – $528.26 | 11 |
| Echo transesophageal CPT 93314 | $564.80 | $706.00 | $80.22 – $209.59 | 9 |
| Echo transesophageal CPT 93315 | $1,312.80 | $1,641.00 | $115.07 – $528.26 | 11 |
| Echo transesophageal CPT 93317 | $603.20 | $754.00 | $79.90 – $208.73 | 9 |
| Echo transesophageal intraop CPT 93318 | $2,260.59 | $2,825.73 | $92.43 – $830.76 | 13 |
| Echo transthoracic CPT 93303 | $501.60 | $627.00 | $56.23 – $528.26 | 11 |
| Echo transthoracic CPT 93304 | $344.00 | $430.00 | $32.53 – $528.26 | 11 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $930.11 | $1,162.63 | $39.95 – $341.81 | 13 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $6,117.58 | $7,646.97 | $203.88 – $2,248.21 | 11 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $6,117.58 | $7,646.97 | $208.98 – $2,248.21 | 11 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $6,117.58 | $7,646.97 | $295.25 – $2,248.21 | 11 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $6,117.58 | $7,646.97 | $266.90 – $2,248.21 | 11 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $704.40 – $1,882.08 | 9 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $2,040.80 | $2,551.00 | $711.93 – $1,905.46 | 9 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $402.80 – $1,075.00 | 9 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $360.96 – $962.77 | 9 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $6,117.58 | $7,646.97 | $407.08 – $2,248.21 | 11 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $6,117.58 | $7,646.97 | $365.84 – $2,248.21 | 11 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $436.74 – $1,166.45 | 9 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $6,117.58 | $7,646.97 | $448.43 – $2,248.21 | 11 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $667.20 | $834.00 | $231.77 – $619.76 | 9 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $157.40 – $419.47 | 9 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $6,117.58 | $7,646.97 | $242.19 – $2,248.21 | 11 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $6,117.58 | $7,646.97 | $203.02 – $2,248.21 | 11 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $6,117.58 | $7,646.97 | $419.55 – $2,248.21 | 11 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $397.76 – $1,062.28 | 9 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $199.68 – $533.29 | 9 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $157.40 – $419.47 | 9 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $572.80 | $716.00 | $199.68 – $533.29 | 9 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $452.00 | $565.00 | $157.40 – $419.47 | 9 |
| Ecog impltd brn npgt <30 d CPT 95836 | $240.80 | $301.00 | $35.50 – $251.73 | 11 |
| E coli 0157 ag ia CPT 87335 | $32.00 | $40.00 | $7.60 – $18.65 | 9 |
| Ecp ciliary body destruction CPT 66711 | $2,486.40 | $3,108.00 | $454.38 – $2,197.37 | 11 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $69.70 | $87.12 | $17.77 – $47.01 | 11 |
| Eculizumab injection HCPCS J1300 | $348.48 | $435.60 | $88.86 – $225.47 | 6 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $58.16 – $7,012.54 | 9 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.41 – $1.49 | 4 |
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.