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 |
|---|---|---|---|---|
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $3,630.40 | $4,538.00 | $656.26 – $2,757.44 | 11 |
| Excimer lsr psriasis 250-500 CPT 96921 | $388.00 | $485.00 | $53.03 – $191.44 | 11 |
| Excimer lsr psriasis<250sqcm CPT 96920 | $353.60 | $442.00 | $46.63 – $191.44 | 11 |
| Excimer lsr psriasis>500sqcm CPT 96922 | $530.40 | $663.00 | $84.75 – $384.93 | 11 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,622.40 | $2,028.00 | $593.22 – $2,757.44 | 11 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $2,444.80 | $3,056.00 | $322.04 – $2,757.44 | 11 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $3,411.20 | $4,264.00 | $623.62 – $2,757.44 | 11 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $5,114.40 | $6,393.00 | $1,795.68 – $4,794.49 | 9 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $4,017.60 | $5,022.00 | $1,427.18 – $3,821.01 | 11 |
| Exc ischial pr ulc prim sutr CPT 15940 | $1,720.80 | $2,151.00 | $633.41 – $2,757.44 | 11 |
| Exc isch pr ulc prm sut ostc CPT 15941 | $2,252.80 | $2,816.00 | $850.79 – $2,757.44 | 11 |
| Exc isch pr ulc skn flp clsr CPT 15944 | $2,241.60 | $2,802.00 | $839.21 – $3,527.16 | 11 |
| Exc isch pr ulc skn flp ostc CPT 15945 | $2,508.80 | $3,136.00 | $915.85 – $2,435.46 | 11 |
| Excise anal ext tag/papilla CPT 46220 | $559.20 | $699.00 | $109.52 – $1,135.99 | 11 |
| Excise epiphyseal bar CPT 20150 | $4,947.20 | $6,184.00 | $899.03 – $3,126.02 | 11 |
| Excise foot tendon sheath CPT 28086 | $2,667.20 | $3,334.00 | $318.19 – $3,126.02 | 11 |
| Excise foot tendon sheath CPT 28088 | $2,161.60 | $2,702.00 | $270.50 – $3,126.02 | 11 |
| Excise ileoanal reservior CPT 45136 | $4,510.40 | $5,638.00 | $1,594.87 – $4,267.27 | 9 |
| Excise inferior turbinate CPT 30130 | $1,942.40 | $2,428.00 | $372.14 – $3,124.54 | 11 |
| Excise intestine lesion(s) 44110 CPT 44110 | $2,086.40 | $2,608.00 | $751.14 – $2,007.88 | 9 |
| Excise intraspinl lesion crv CPT 63265 | $3,952.00 | $4,940.00 | $1,439.25 – $6,882.64 | 11 |
| Excise intrspinl lesion crvl CPT 63270 | $4,875.20 | $6,094.00 | $1,780.40 – $4,748.35 | 9 |
| Excise intrspinl lesion lmbr CPT 63267 | $3,273.60 | $4,092.00 | $1,195.83 – $6,882.64 | 11 |
| Excise intrspinl lesion lmbr CPT 63272 | $4,479.20 | $5,599.00 | $1,631.40 – $4,326.44 | 9 |
| Excise intrspinl lesion scrl CPT 63268 | $3,365.60 | $4,207.00 | $1,263.02 – $6,882.64 | 11 |
| Excise intrspinl lesion scrl CPT 63273 | $4,381.60 | $5,477.00 | $1,604.44 – $4,278.72 | 9 |
| Excise intrspinl lesion thrc CPT 63271 | $4,874.40 | $6,093.00 | $1,781.18 – $4,742.49 | 9 |
| Excise lesion testis CPT 54512 | $2,715.20 | $3,394.00 | $489.78 – $3,322.91 | 11 |
| Excise lip or cheek fold CPT 40819 | $699.20 | $874.00 | $184.70 – $1,427.15 | 11 |
| Excise lwr jaw cyst w/repair CPT 21047 | $3,208.00 | $4,010.00 | $1,104.62 – $5,699.45 | 11 |
| Excise mandible lesion CPT 21040 | $1,231.20 | $1,539.00 | $333.07 – $3,124.54 | 11 |
| Excise max/zygoma b9 tumor CPT 21030 | $2,443.20 | $3,054.00 | $331.89 – $5,699.45 | 11 |
| Excise max/zygoma mal tumor CPT 21034 | $3,219.20 | $4,024.00 | $1,014.51 – $5,699.45 | 11 |
| Excise oral mucosa for graft 40818 CPT 40818 | $904.80 | $1,131.00 | $239.21 – $640.51 | 11 |
| Excise parotid gland/lesion CPT 42410 | $3,091.20 | $3,864.00 | $568.43 – $5,699.45 | 11 |
| Excise parotid gland/lesion CPT 42415 | $5,240.00 | $6,550.00 | $955.71 – $5,699.45 | 11 |
| Excise parotid gland/lesion CPT 42420 | $5,888.00 | $7,360.00 | $1,069.89 – $5,699.45 | 11 |
| Excise parotid gland/lesion CPT 42425 | $4,150.40 | $5,188.00 | $758.98 – $5,699.45 | 11 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,213.82 – $3,245.85 | 9 |
| Excise pharynx lesion CPT 42808 | $563.20 | $704.00 | $151.18 – $3,124.54 | 11 |
| Excise/repair mouth lesion CPT 40812 | $707.20 | $884.00 | $165.71 – $1,427.15 | 11 |
| Excise sacral spine tumor CPT 49215 | $5,464.80 | $6,831.00 | $1,950.09 – $5,220.21 | 9 |
| Excise sublingual gland CPT 42450 | $1,137.60 | $1,422.00 | $330.97 – $5,699.45 | 11 |
| Excise submaxillary gland CPT 42440 | $2,043.20 | $2,554.00 | $377.29 – $5,699.45 | 11 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $3,140.96 | $3,926.20 | $299.66 – $1,561.02 | 13 |
| Excise tendon forearm/wrist CPT 25109 | $2,648.00 | $3,310.00 | $490.89 – $3,126.02 | 11 |
| Excise wrist tendon sheath CPT 25118 | $1,876.80 | $2,346.00 | $352.77 – $1,541.92 | 11 |
| Excision addl breast lesion 19126 CPT 19126 | $394.40 | $493.00 | $138.79 – $370.74 | 9 |
| Excision aural polyp CPT 69540 | $1,000.00 | $1,250.00 | $116.33 – $1,427.15 | 11 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $420.80 | $526.00 | $120.96 – $677.87 | 11 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $1,795.63 | $2,244.53 | $124.19 – $1,561.02 | 13 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $790.56 | $988.19 | $105.08 – $677.87 | 13 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,310.48 | $4,138.10 | $223.44 – $1,561.02 | 13 |
| Excision breast lesion CPT 19125 | $2,707.20 | $3,384.00 | $410.60 – $3,689.33 | 11 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,155.54 – $3,083.59 | 9 |
| Excision floor mouth lesion 41116 CPT 41116 | $818.40 | $1,023.00 | $196.40 – $3,124.54 | 11 |
| Excision graft abdomen CPT 35907 | $4,638.40 | $5,798.00 | $1,624.62 – $4,340.75 | 9 |
| Excision graft extremity CPT 35903 | $1,379.20 | $1,724.00 | $482.69 – $3,032.46 | 11 |
| Excision graft neck CPT 35901 | $1,148.00 | $1,435.00 | $410.34 – $1,095.62 | 9 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,428.29 – $3,819.63 | 9 |
| Excision gum each quadrant CPT 41820 | not published | not published | $349.10 – $3,178.23 | 11 |
| Excision hand/finger tendon CPT 26415 | $2,024.80 | $2,531.00 | $757.86 – $3,126.02 | 11 |
| Excision lesion mouth roof CPT 42106 | $658.40 | $823.00 | $146.92 – $3,124.54 | 11 |
| Excision lesion mouth roof CPT 42107 | $1,147.20 | $1,434.00 | $297.38 – $5,699.45 | 11 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $1,171.20 | $1,464.00 | $120.79 – $1,427.15 | 11 |
| Excision of anal lesion(s) CPT 46922 | $716.80 | $896.00 | $124.10 – $2,642.16 | 11 |
| Excision of bile duct cyst CPT 47715 | $3,263.20 | $4,079.00 | $1,165.24 – $3,108.82 | 9 |
| Excision of bile duct tumor CPT 47711 | $3,825.60 | $4,782.00 | $1,360.30 – $3,642.80 | 9 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,739.69 – $4,642.69 | 9 |
| Excision of bowel lesion(s) CPT 44111 | $2,420.80 | $3,026.00 | $866.36 – $2,304.28 | 9 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,719.78 – $7,254.83 | 9 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $576.07 – $1,541.77 | 9 |
| Excision of esophagus lesion CPT 43101 | $2,453.60 | $3,067.00 | $873.68 – $2,333.03 | 9 |
| Excision of gum flap CPT 41821 | not published | not published | $89.20 – $1,451.66 | 11 |
| Excision of gum lesion CPT 41822 | $844.00 | $1,055.00 | $182.65 – $1,427.15 | 11 |
| Excision of gum lesion CPT 41823 | $1,244.00 | $1,555.00 | $332.67 – $5,699.45 | 11 |
| Excision of gum lesion CPT 41826 | $773.60 | $967.00 | $178.52 – $3,124.54 | 11 |
| Excision of gum lesion CPT 41827 | $1,103.20 | $1,379.00 | $265.80 – $5,699.45 | 11 |
| Excision of gum lesion CPT 41828 | $851.20 | $1,064.00 | $200.22 – $1,427.15 | 11 |
| Excision of gum lesion 41825 CPT 41825 | $5,655.14 | $7,068.92 | $110.88 – $3,124.54 | 13 |
| Excision of lesion of mesentery 44820 CPT 44820 | $2,053.60 | $2,567.00 | $748.80 – $1,994.87 | 9 |
| Excision of lingual tonsil CPT 42870 | $1,444.00 | $1,805.00 | $526.46 – $5,699.45 | 11 |
| Excision of meckels diverticulum 44800 CPT 44800 | $1,888.80 | $2,361.00 | $685.15 – $1,831.63 | 9 |
| Excision of mouth lesion complex 40816 CPT 40816 | $989.60 | $1,237.00 | $275.97 – $3,124.54 | 11 |
| Excision of neck cyst CPT 42815 | $2,697.60 | $3,372.00 | $485.13 – $5,699.45 | 11 |
| Excision of neck cyst confined 42810 CPT 42810 | $1,892.80 | $2,366.00 | $257.00 – $3,124.54 | 11 |
| Excision of penis lesion(s) 54060 CPT 54060 | $464.80 | $581.00 | $120.46 – $1,762.37 | 11 |
| Excision of rectal lesion CPT 45160 | $2,506.40 | $3,133.00 | $903.05 – $2,642.16 | 11 |
| Excision of rectal prolapse CPT 45135 | $3,254.40 | $4,068.00 | $1,165.12 – $3,110.89 | 9 |
| Excision of rectal stricture CPT 45150 | $1,022.40 | $1,278.00 | $376.49 – $1,135.99 | 11 |
| Excision of salivary cyst CPT 42408 | $1,302.40 | $1,628.00 | $319.52 – $3,124.54 | 11 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,617.37 – $4,313.01 | 9 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,057.80 – $5,486.16 | 9 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,698.15 – $4,530.10 | 9 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,058.94 – $5,490.40 | 9 |
| Excision of stomach lesion CPT 43610 | $2,407.20 | $3,009.00 | $857.15 – $2,290.66 | 9 |
| Excision of stomach lesion CPT 43611 | $3,000.80 | $3,751.00 | $1,078.66 – $2,876.97 | 9 |
| Excision of tongue lesion CPT 41112 | $826.40 | $1,033.00 | $220.75 – $3,124.54 | 11 |
| Excision of tongue lesion CPT 41114 | $1,539.20 | $1,924.00 | $559.67 – $3,124.54 | 11 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $899.20 | $1,124.00 | $240.06 – $3,124.54 | 11 |
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.