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 |
|---|---|---|---|---|
| Esophagosc dilate balloon 30 CPT 43214 | $485.60 | $607.00 | $173.48 – $1,827.66 | 11 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $87.96 – $903.29 | 11 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $209.40 – $1,827.66 | 11 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $167.28 – $5,735.24 | 11 |
| Esophagoscop ultrasound exam CPT 43231 | $723.20 | $904.00 | $139.75 – $1,827.66 | 11 |
| Esophagoscopy balloon <30mm CPT 43220 | $2,460.00 | $3,075.00 | $105.75 – $1,827.66 | 11 |
| Esophagoscopy control bleed CPT 43227 | $1,519.20 | $1,899.00 | $147.24 – $1,827.66 | 11 |
| Esophagoscopy flex biopsy CPT 43202 | $826.40 | $1,033.00 | $91.96 – $1,827.66 | 11 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $590.40 | $738.00 | $78.27 – $903.29 | 11 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $73.24 – $903.29 | 11 |
| Esophagoscopy flex remove fb CPT 43215 | $939.20 | $1,174.00 | $125.74 – $1,827.66 | 11 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $175.21 – $3,665.48 | 11 |
| Esophagoscopy lesion removal CPT 43216 | $962.40 | $1,203.00 | $119.88 – $1,827.66 | 11 |
| Esophagoscopy retro balloon CPT 43213 | $2,994.40 | $3,743.00 | $229.96 – $1,827.66 | 11 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $166.79 – $3,665.48 | 11 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $384.00 | $480.00 | $140.06 – $1,827.66 | 11 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $1,358.40 | $1,698.00 | $494.41 – $5,699.45 | 11 |
| Esophagoscopy snare les remv CPT 43217 | $985.60 | $1,232.00 | $143.14 – $1,827.66 | 11 |
| Esophagoscopy w/us needle bx CPT 43232 | $859.20 | $1,074.00 | $177.41 – $1,827.66 | 11 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | $489.60 | $612.00 | $176.92 – $1,827.66 | 11 |
| Esophagoscp rig trnso biopsy CPT 43193 | $420.80 | $526.00 | $152.86 – $1,827.66 | 11 |
| Esophagoscp rig trnso inject CPT 43192 | $421.60 | $527.00 | $152.86 – $1,827.66 | 11 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $173.05 – $1,827.66 | 11 |
| Esophagotomy thrc rmvl fb CPT 43045 | $3,173.60 | $3,967.00 | $1,133.09 – $3,024.98 | 9 |
| Esophagus endoscopy/ligation CPT 43205 | $356.80 | $446.00 | $125.89 – $1,827.66 | 11 |
| Esophagus motility study CPT 91010 | $1,875.15 | $2,343.93 | $58.68 – $689.12 | 13 |
| Esoph balloon distension tst CPT 91040 | $1,164.80 | $1,456.00 | $44.37 – $511.21 | 11 |
| Esoph egd dilation <30 mm CPT 43249 | $2,656.80 | $3,321.00 | $136.87 – $1,827.66 | 13 |
| Esoph endoscopy dilation CPT 43226 | $874.40 | $1,093.00 | $116.17 – $1,827.66 | 11 |
| Esoph fundoplasty lap 43327 CPT 43327 | $2,010.40 | $2,513.00 | $732.08 – $1,910.39 | 9 |
| Esoph fundoplasty thor 43328 CPT 43328 | $2,748.00 | $3,435.00 | $968.51 – $2,588.60 | 9 |
| Esophgl motil w/stim/perfus CPT 91013 | $56.80 | $71.00 | $8.33 – $21.94 | 9 |
| Esoph imped function test CPT 91037 | $369.60 | $462.00 | $44.67 – $300.01 | 11 |
| Esoph imped funct test > 1hr CPT 91038 | $944.00 | $1,180.00 | $50.64 – $511.21 | 11 |
| Esoph optical endomicroscopy CPT 43206 | $703.20 | $879.00 | $119.41 – $1,827.66 | 11 |
| Esoph scope w/sclerosis inj CPT 43204 | $341.60 | $427.00 | $121.15 – $1,827.66 | 11 |
| Esoph scope w/submucous inj CPT 43201 | $592.00 | $740.00 | $92.70 – $1,827.66 | 11 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | $8,776.00 | $10,970.00 | $3,058.72 – $8,182.30 | 9 |
| Esphg thrsc moblj CPT 43288 | $9,261.60 | $11,577.00 | $3,230.93 – $8,633.97 | 9 |
| Esphg tot w/laps moblj CPT 43286 | $7,796.00 | $9,745.00 | $2,751.48 – $7,321.66 | 9 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $2,938.21 – $7,969.13 | 9 |
| Esrd home pt serv p mo 12-19 CPT 90965 | $1,016.00 | $1,270.00 | $457.43 – $1,199.67 | 9 |
| Esrd home pt serv p mo 20+ CPT 90966 | $540.80 | $676.00 | $270.40 – $705.48 | 9 |
| Esrd home pt serv p mo 2-11 CPT 90964 | $1,064.00 | $1,330.00 | $475.24 – $1,249.64 | 9 |
| Esrd home pt serv p mo <2yrs CPT 90963 | $1,216.80 | $1,521.00 | $554.54 – $1,458.76 | 9 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | $409.60 | $512.00 | $186.51 – $485.84 | 9 |
| Esrd serv 1 visit p mo <2yrs CPT 90953 | $928.80 | $1,161.00 | $503.77 – $1,314.07 | 9 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | $660.80 | $826.00 | $299.02 – $782.73 | 9 |
| Esrd serv 2-3 vsts p mo <2yr CPT 90952 | $1,284.00 | $1,605.00 | $616.03 – $1,972.72 | 9 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | $2,130.40 | $2,663.00 | $1,064.94 – $2,813.77 | 9 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | $1,838.40 | $2,298.00 | $919.15 – $2,416.83 | 9 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | $711.20 | $889.00 | $320.66 – $836.58 | 9 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | $977.60 | $1,222.00 | $458.52 – $1,202.53 | 9 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | $540.80 | $676.00 | $270.40 – $705.48 | 9 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | $1,023.20 | $1,279.00 | $479.86 – $1,254.06 | 9 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | $652.00 | $815.00 | $325.90 – $850.38 | 9 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | $1,440.00 | $1,800.00 | $704.46 – $1,848.29 | 9 |
| Esrd svc pr day pt 12-19 CPT 90969 | $34.40 | $43.00 | $15.40 – $40.53 | 9 |
| Esrd svc pr day pt <2 CPT 90967 | $40.80 | $51.00 | $16.05 – $42.22 | 9 |
| Esrd svc pr day pt 20+ CPT 90970 | $18.40 | $23.00 | $8.92 – $22.70 | 9 |
| Esrd svc pr day pt 2-11 CPT 90968 | $36.00 | $45.00 | $15.72 – $41.39 | 9 |
| Essure 58565 CPT 58565 | $1,116.80 | $1,396.00 | $409.29 – $4,756.03 | 11 |
| Establish access to aorta CPT 36160 | $1,738.00 | $2,172.49 | $108.54 – $638.71 | 11 |
| Establish access to artery CPT 36100 | $2,526.40 | $3,158.00 | $130.63 – $540.76 | 11 |
| Establish brain cavity shunt CPT 62223 | $2,464.00 | $3,080.00 | $897.09 – $2,399.79 | 9 |
| Establish brain cavity shunt CPT 62180 | $3,754.40 | $4,693.00 | $1,375.37 – $3,666.59 | 9 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $808.52 – $2,152.67 | 9 |
| Establish brain cavity shunt CPT 62192 | $2,316.00 | $2,895.00 | $860.72 – $2,298.27 | 9 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,185.35 – $3,159.62 | 9 |
| Establish brain cavity shunt CPT 62220 | $2,338.40 | $2,923.00 | $843.19 – $2,253.22 | 9 |
| Established Patient Office Visit (level 1) CPT 99211 | $40.80 | $51.00 | $8.04 – $16.69 | 9 |
| Established Patient Office Visit (level 2) CPT 99212 | $83.20 | $104.00 | $32.24 – $66.60 | 9 |
| Established Patient Office Visit (level 3) CPT 99213 | $160.80 | $201.00 | $60.36 – $124.66 | 9 |
| Established Patient Office Visit (level 4) CPT 99214 | $192.00 | $240.00 | $88.83 – $184.05 | 9 |
| Established Patient Office Visit (level 5) CPT 99215 | $265.60 | $332.00 | $131.48 – $272.53 | 9 |
| Estim aid bone healg invasiv CPT 20975 | $430.40 | $538.00 | $156.32 – $411.81 | 9 |
| Estradiol total CPT 82670 | $70.40 | $88.00 | $16.76 – $43.47 | 11 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $24.00 | $30.00 | $7.30 – $15.29 | 6 |
| Estrogens total-sendout CPT 82672 | $55.20 | $69.00 | $13.02 – $33.76 | 11 |
| Etanercept injection HCPCS J1438 | $740.80 | $926.00 | $178.17 – $1,134.93 | 9 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $432.72 – $616.11 | 9 |
| Eth estr and eton monthly HCPCS J7295 | $132.00 | $165.00 | $126.40 – $138.24 | 4 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | $4,593.60 | $5,742.00 | $846.21 – $3,124.54 | 11 |
| Ethylene glycol -sendout CPT 82693 | $37.60 | $47.00 | $8.94 – $23.19 | 11 |
| Etonogestrel implant system HCPCS J7307 | $1,345.60 | $1,682.00 | $1,007.40 – $1,214.63 | 5 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $29.44 | $36.79 | $0.08 – $1.17 | 8 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $75.76 – $99.59 | 6 |
| Euflexxa inj per dose HCPCS J7323 | $260.00 | $325.00 | $116.77 – $182.12 | 9 |
| Euglobulin lysis CPT 85360 | $33.57 | $41.96 | $5.05 – $13.08 | 11 |
| Evacuate mole of uterus CPT 59870 | $1,229.60 | $1,537.00 | $467.27 – $3,063.32 | 11 |
| Eval aud funcj ea addl 15 CPT 92627 | $48.00 | $60.00 | $16.14 – $42.48 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $201.60 | $252.00 | $68.91 – $179.82 | 11 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $434.44 | $543.05 | $115.07 – $235.14 | 11 |
| Evaluation cervical mucus CPT 89330 | $26.40 | $33.00 | $6.23 – $15.39 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $291.41 | $364.26 | $58.87 – $137.36 | 11 |
| Evaluation heart device CPT 93640 | $4,560.49 | $5,700.61 | $78.01 – $1,675.98 | 11 |
| Evaluation of speech fluency 92521 CPT 92521 | $252.00 | $315.00 | $77.44 – $229.20 | 11 |
| Evaluation psychiatric diagnostic CPT 90791 | $467.84 | $584.79 | $139.86 – $253.21 | 13 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $500.27 – $1,329.35 | 9 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $213.54 – $566.89 | 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.