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 |
|---|---|---|---|---|
| Ed svc ckd grp per session HCPCS G0421 | $58.40 | $73.00 | $24.00 – $65.49 | 9 |
| Ed svc ckd ind per session HCPCS G0420 | $249.60 | $312.00 | $99.73 – $262.50 | 9 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $57.60 | $72.00 | $41.90 – $70.75 | 6 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $1,191.68 | $1,489.59 | $51.47 – $437.94 | 13 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,360.44 | $1,700.55 | $35.01 – $511.21 | 13 |
| Eeg during surgery CPT 95955 | $2,703.14 | $3,378.92 | $48.32 – $993.40 | 11 |
| Eeg monitoring/function test CPT 95958 | $1,373.60 | $1,717.00 | $203.60 – $980.21 | 11 |
| Eeg monitoring/giving drugs CPT 95954 | $844.80 | $1,056.00 | $101.99 – $511.21 | 11 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,122.68 | $1,403.34 | $51.47 – $412.58 | 13 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,741.57 | $2,176.96 | $77.83 – $640.03 | 13 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $1,456.00 | $1,820.00 | $186.14 – $490.70 | 9 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $1,456.00 | $1,820.00 | $226.16 – $594.85 | 9 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $2,048.00 | $2,560.00 | $228.37 – $596.39 | 9 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $2,048.00 | $2,560.00 | $287.11 – $750.62 | 9 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $2,072.80 | $2,591.00 | $261.50 – $687.10 | 9 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $2,072.80 | $2,591.00 | $364.80 – $960.15 | 9 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $592.80 | $741.00 | $186.58 – $491.09 | 9 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $296.80 | $371.00 | $96.59 – $251.89 | 9 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $303.20 | $379.00 | $121.18 – $318.94 | 9 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $592.80 | $741.00 | $145.18 – $381.34 | 9 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $837.60 | $1,047.00 | $51.47 – $300.01 | 11 |
| Eeg recording awake and asleep CPT 95819 | $1,068.92 | $1,336.15 | $51.47 – $392.83 | 13 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $1,092.48 | $1,365.60 | $296.45 – $591.30 | 13 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $1,092.48 | $1,365.60 | $103.65 – $401.49 | 13 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $2,096.88 | $2,621.09 | $505.13 – $1,134.93 | 13 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $2,096.88 | $2,621.09 | $505.13 – $1,134.93 | 13 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,092.48 | $1,365.60 | $296.45 – $591.30 | 13 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $2,096.88 | $2,621.09 | $160.94 – $770.60 | 13 |
| E equine encephalitis igg CPT 86652 | $48.57 | $60.71 | $7.91 – $20.52 | 11 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.12 – $41.70 | 9 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $574.40 | $718.00 | $202.54 – $1,827.66 | 11 |
| Egd control bleeding any CPT 43255 | $2,446.23 | $3,057.78 | $178.95 – $1,827.66 | 13 |
| Egd dilate stricture CPT 43245 | $1,440.00 | $1,800.00 | $156.48 – $1,827.66 | 11 |
| Egd endo mucosal resection CPT 43254 | $684.00 | $855.00 | $240.82 – $1,827.66 | 11 |
| Egd endoscopic stent place CPT 43266 | $548.80 | $686.00 | $193.55 – $5,735.24 | 11 |
| Egd esophagogastrc fndoplsty CPT 43210 | $1,077.60 | $1,347.00 | $380.35 – $10,030.71 | 11 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $157.90 – $422.38 | 9 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $143.59 – $382.02 | 9 |
| Egd guide wire insertion CPT 43248 | $955.20 | $1,194.00 | $148.18 – $903.29 | 11 |
| Egd injection varices CPT 43243 | $600.00 | $750.00 | $211.22 – $1,827.66 | 11 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $358.40 | $448.00 | $127.06 – $1,827.66 | 11 |
| Egd lesion ablation CPT 43270 | $1,750.40 | $2,188.00 | $200.30 – $1,827.66 | 11 |
| Egd optical endomicroscopy CPT 43252 | $797.60 | $997.00 | $150.09 – $1,827.66 | 11 |
| Egd remove foreign body CPT 43247 | $1,339.19 | $1,673.98 | $157.31 – $903.29 | 13 |
| Egd remove lesion snare CPT 43251 | $1,170.40 | $1,463.00 | $174.71 – $1,827.66 | 11 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $1,059.20 | $1,324.00 | $151.30 – $1,827.66 | 11 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $572.80 | $716.00 | $201.86 – $1,827.66 | 11 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $588.00 | $735.00 | $207.51 – $1,827.66 | 11 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $665.60 | $832.00 | $234.07 – $1,827.66 | 11 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $666.40 | $833.00 | $234.22 – $1,827.66 | 11 |
| Egd varices ligation CPT 43244 | $620.80 | $776.00 | $218.38 – $1,827.66 | 11 |
| Egd w/thrml txmnt gerd CPT 43257 | $587.20 | $734.00 | $207.19 – $3,665.48 | 11 |
| Egd w/transmural drain cyst CPT 43240 | $993.60 | $1,242.00 | $348.68 – $5,735.24 | 11 |
| Egfr gene com variants CPT 81235 | $351.41 | $439.26 | $115.09 – $454.45 | 11 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $70.40 | $88.00 | $21.05 – $36.84 | 11 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | $48.57 | $60.71 | $11.74 – $26.29 | 11 |
| EKG (Electrocardiogram) CPT 93000 | $37.60 | $47.00 | $12.88 – $33.90 | 9 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $37.60 | $47.00 | $12.88 – $33.90 | 9 |
| EKG interpret & report preve g0405 HCPCS G0405 | $19.20 | $24.00 | $7.42 – $19.53 | 9 |
| EKG tracing for initial prev HCPCS G0404 | $18.40 | $23.00 | $5.46 – $15.17 | 9 |
| EKG (Tracing Only) CPT 93005 | $204.09 | $255.11 | $5.46 – $75.00 | 13 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $2,085.30 – $5,306.48 | 9 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $1,410.09 – $3,588.29 | 9 |
| Elbow arthroscopy CPT 29830 | $2,241.60 | $2,802.00 | $416.29 – $3,126.02 | 11 |
| Elbow arthroscopy/surgery CPT 29834 | $2,420.80 | $3,026.00 | $449.70 – $3,126.02 | 11 |
| Elbow arthroscopy/surgery CPT 29835 | $2,499.20 | $3,124.00 | $462.97 – $3,126.02 | 11 |
| Elbow arthroscopy/surgery CPT 29836 | $2,873.60 | $3,592.00 | $531.92 – $6,882.64 | 11 |
| Elbow arthroscopy/surgery CPT 29837 | $2,595.20 | $3,244.00 | $472.78 – $3,126.02 | 11 |
| Elbow arthroscopy/surgery CPT 29838 | $2,916.80 | $3,646.00 | $539.46 – $3,126.02 | 11 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $1,894.65 – $4,821.35 | 9 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $1,699.00 – $4,323.48 | 9 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $1,955.86 – $4,977.12 | 9 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $1,526.84 – $3,885.38 | 9 |
| Elbow socket ins use without lck HCPCS L6695 | not published | not published | $373.79 – $951.21 | 9 |
| Elbow socket ins use w/lock HCPCS L6694 | not published | not published | $448.55 – $1,141.44 | 9 |
| Elbow stump activated lock h HCPCS L6130 | not published | not published | $1,775.90 – $4,519.16 | 9 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $339.53 | $424.41 | $7.39 – $124.78 | 13 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $404.93 | $506.16 | $7.71 – $148.81 | 13 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $416.13 | $520.16 | $30.98 – $288.95 | 13 |
| Elec hand ind art digits HCPCS L6880 | not published | not published | $14,318.95 – $36,437.66 | 9 |
| Elec knee-shin swing/stance HCPCS L5856 | not published | not published | $14,383.57 – $36,602.11 | 9 |
| Elec stim unattend for press HCPCS G0281 | $30.40 | $38.00 | $10.70 – $28.16 | 9 |
| Elect analysis of infusion pump 62367 CPT 62367 | $80.00 | $100.00 | $22.17 – $288.95 | 11 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $235.20 | $294.00 | $31.27 – $288.95 | 11 |
| Electrd sq emblem s-icd HCPCS C1896 | $15,584.00 | $19,480.00 | $3,973.92 – $9,545.20 | 5 |
| Electrical bone stim 20974 CPT 20974 | $192.00 | $240.00 | $45.75 – $120.36 | 9 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $156.34 | $195.42 | $13.55 – $57.45 | 11 |
| Electrical stimulation/unattended 97014 CPT 97014 | $30.40 | $38.00 | $13.85 – $23.47 | 6 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $166.40 | $208.00 | $17.73 – $46.67 | 9 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $98.40 | $123.00 | $17.40 – $113.17 | 6 |
| Electrocochleography CPT 92584 | $196.00 | $245.00 | $97.91 – $263.90 | 11 |
| Electroconvulsive therapy 90870 CPT 90870 | $1,337.56 | $1,671.94 | $97.70 – $511.21 | 13 |
| Electrocorticography durng sx CPT 95829 | $4,179.20 | $5,224.00 | $297.72 – $783.59 | 9 |
| Electrodes, pair HCPCS A4556 | not published | not published | $7.19 – $18.30 | 9 |
| Electrode stimulation brain CPT 95961 | $672.80 | $841.00 | $144.06 – $980.21 | 11 |
| Electroejaculation CPT 55870 | $438.40 | $548.00 | $127.76 – $341.13 | 9 |
| Electrogastrography CPT 91132 | $768.00 | $960.00 | $23.91 – $300.01 | 11 |
| Electrogastrography w/test CPT 91133 | $811.20 | $1,014.00 | $30.50 – $124.19 | 11 |
| Electrolyte panel CPT 80051 | $68.56 | $85.70 | $4.21 – $25.20 | 11 |
| Electromagntic tx for ulcers HCPCS G0329 | $19.20 | $24.00 | $9.47 – $24.93 | 9 |
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.