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 |
|---|---|---|---|---|
| Fuse bile ducts and bowel 47785 CPT 47785 | $7,967.20 | $9,959.00 | $2,814.05 – $7,525.55 | 9 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,207.99 – $3,220.33 | 9 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,212.81 – $3,239.60 | 9 |
| Fuse esophagus & stomach CPT 43320 | $3,421.60 | $4,277.00 | $1,223.07 – $3,259.98 | 9 |
| Fuse gallbladder & bowel CPT 47740 | $3,220.80 | $4,026.00 | $1,149.87 – $3,068.38 | 9 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,290.72 – $3,444.26 | 9 |
| Fuse/graft added joint CPT 26863 | $563.20 | $704.00 | $200.85 – $535.64 | 9 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $2,833.60 – $4,678.32 | 5 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,634.74 – $7,033.87 | 9 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,459.65 – $3,894.25 | 9 |
| Fuse pancreas cyst and bowel CPT 48540 | $3,209.60 | $4,012.00 | $1,142.86 – $3,047.61 | 9 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $2,683.20 | $3,354.00 | $963.26 – $2,569.36 | 9 |
| Fuse upper gi structures CPT 47721 | $3,321.60 | $4,152.00 | $1,185.98 – $3,164.44 | 9 |
| Fusion/graft of finger joint CPT 26862 | $1,812.80 | $2,266.00 | $687.40 – $3,126.02 | 11 |
| Fusion/graft of hand joint CPT 26844 | $2,040.80 | $2,551.00 | $768.93 – $6,882.64 | 11 |
| Fusion of ankle joint open CPT 27870 | $5,059.20 | $6,324.00 | $908.56 – $12,396.56 | 11 |
| Fusion of big toe joint CPT 28750 | $3,966.40 | $4,958.00 | $524.27 – $6,882.64 | 11 |
| Fusion of big toe joint CPT 28755 | $2,544.00 | $3,180.00 | $309.07 – $6,882.64 | 11 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,107.33 – $2,956.23 | 9 |
| Fusion of finger jnt add-on CPT 26861 | $255.20 | $319.00 | $90.10 – $240.12 | 9 |
| Fusion of finger joint CPT 26860 | $1,422.40 | $1,778.00 | $548.58 – $3,126.02 | 11 |
| Fusion of finger tendons CPT 26471 | $1,547.20 | $1,934.00 | $592.35 – $3,126.02 | 11 |
| Fusion of finger tendons CPT 26474 | $1,514.40 | $1,893.00 | $581.75 – $1,570.10 | 11 |
| Fusion of foot bones CPT 28730 | $3,656.00 | $4,570.00 | $658.88 – $12,396.56 | 11 |
| Fusion of foot bones CPT 28735 | $3,878.40 | $4,848.00 | $708.82 – $12,396.56 | 11 |
| Fusion of foot bones CPT 28740 | $4,176.00 | $5,220.00 | $560.99 – $6,882.64 | 11 |
| Fusion of hand joint CPT 26843 | $1,844.80 | $2,306.00 | $698.36 – $6,882.64 | 11 |
| Fusion of knee CPT 27580 | not published | not published | $1,315.02 – $3,512.20 | 9 |
| Fusion of knuckle CPT 26850 | $1,733.60 | $2,167.00 | $658.46 – $6,882.64 | 11 |
| Fusion of knuckle joint CPT 26516 | $3,521.60 | $4,402.00 | $667.09 – $3,126.02 | 11 |
| Fusion of knuckle joints CPT 26517 | $4,110.40 | $5,138.00 | $774.23 – $3,126.02 | 11 |
| Fusion of knuckle joints CPT 26518 | $4,164.80 | $5,206.00 | $783.62 – $6,882.64 | 11 |
| Fusion of knuckle with graft CPT 26852 | $1,984.80 | $2,481.00 | $748.82 – $6,882.64 | 11 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,225.60 – $5,935.52 | 9 |
| Fusion of spermatic ducts CPT 54900 | $2,022.40 | $2,528.00 | $726.03 – $1,933.36 | 9 |
| Fusion of spermatic ducts CPT 54901 | $2,672.00 | $3,340.00 | $957.03 – $2,550.28 | 9 |
| Fusion of tendons at wrist CPT 25300 | $3,372.80 | $4,216.00 | $626.54 – $3,126.02 | 11 |
| Fusion of tendons at wrist CPT 25301 | $3,169.60 | $3,962.00 | $585.76 – $3,126.02 | 11 |
| Fusion of thumb CPT 26841 | $3,633.60 | $4,542.00 | $691.83 – $6,882.64 | 11 |
| Fusion of tibiofibular joint CPT 27871 | $3,396.80 | $4,246.00 | $622.25 – $12,396.56 | 11 |
| Fusion of toes CPT 28280 | $2,571.20 | $3,214.00 | $314.17 – $3,126.02 | 11 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,234.53 – $3,289.95 | 9 |
| Fusion of ureter & kidney CPT 50740 | $5,988.80 | $7,486.00 | $1,074.69 – $2,864.33 | 9 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,040.53 – $2,773.46 | 9 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $164.90 – $384.78 | 9 |
| Fxn gene detc abnor alleles CPT 81284 | $153.56 | $191.95 | $50.29 – $191.82 | 11 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $164.90 – $384.78 | 9 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $111.12 – $259.30 | 9 |
| G0180 home health certification HCPCS G0180 | $116.00 | $145.00 | $48.84 – $128.15 | 9 |
| G6pc gene CPT 81250 | $117.60 | $147.00 | $35.09 – $81.88 | 9 |
| G6pd full gene sequence CPT 81249 | $1,200.00 | $1,500.00 | $188.64 – $840.06 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $350.40 | $438.00 | $54.96 – $244.74 | 11 |
| G6pd known familial variant CPT 81248 | $751.20 | $939.00 | $225.15 – $525.38 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $186.08 | $232.60 | $47.45 – $153.92 | 8 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $151.43 | $189.28 | $38.61 – $81.96 | 11 |
| Gabapentin non-blood CPT 80355 | $72.14 | $90.17 | $13.16 – $44.18 | 8 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $2.13 | $2.66 | $0.26 – $0.78 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $23.49 | $29.36 | $1.49 – $4.53 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $2.65 | $3.31 | $0.02 – $0.12 | 8 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $29.72 | $37.15 | $7.58 – $18.20 | 8 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $64.28 | $80.35 | $12.64 – $32.77 | 11 |
| Galactokinase - sendout CPT 82759 | $64.28 | $80.35 | $12.89 – $33.43 | 11 |
| Galactose transferase test CPT 82776 | $64.28 | $80.35 | $7.04 – $23.62 | 11 |
| Galectin-3 CPT 82777 | $88.80 | $111.00 | $26.55 – $61.95 | 11 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,499.60 | $1,874.49 | $31.91 – $551.10 | 13 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,922.64 | $2,403.29 | $38.86 – $706.57 | 13 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,614.40 | $2,018.00 | $583.24 – $5,621.13 | 11 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $4.05 – $4.25 | 6 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $372.17 – $868.23 | 7 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $534.91 – $886.76 | 7 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,280.81 | $1,601.01 | $326.61 – $1,033.20 | 11 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $824.00 – $917.11 | 7 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.64 – $2.95 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $475.67 – $601.89 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $556.00 | $695.00 | $170.40 – $659.44 | 9 |
| Gamma globulin 1 cc inj HCPCS J1460 | $83.96 | $104.95 | $21.41 – $50.84 | 11 |
| Gammaglobulin iga CPT 82784 | $33.57 | $41.96 | $5.58 – $14.48 | 11 |
| Gammaglobulin ige CPT 82785 | $64.28 | $80.35 | $9.88 – $25.60 | 11 |
| Gamma glutamyltransferase CPT 82977 | $33.57 | $41.96 | $4.32 – $12.34 | 11 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.14 – $9.98 | 4 |
| Gammaplex injection HCPCS J1557 | not published | not published | $50.61 – $71.70 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | $128.47 | $160.58 | $5.81 – $50.43 | 11 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $116.68 | $145.85 | $28.72 – $68.99 | 8 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $5,197.41 – $23,588.95 | 4 |
| Gardner vag dna amp probe CPT 87511 | $88.80 | $111.00 | $21.05 – $54.59 | 9 |
| Gardner vag dna quant CPT 87512 | $104.80 | $131.00 | $25.06 – $64.96 | 9 |
| Gastric analy w/ph ea spec CPT 82930 | $33.57 | $41.96 | $4.03 – $12.34 | 11 |
| Gastric emptying imag study CPT 78265 | $1,804.31 | $2,255.38 | $42.04 – $663.08 | 13 |
| Gastric emptying imag study CPT 78266 | $2,309.73 | $2,887.16 | $44.98 – $848.83 | 13 |
| Gastric motility studies CPT 91020 | $576.00 | $720.00 | $66.07 – $511.21 | 11 |
| Gastric mucosa imaging CPT 78261 | $555.20 | $694.00 | $25.72 – $387.14 | 11 |
| Gastrin test CPT 82938 | $44.80 | $56.00 | $10.61 – $27.53 | 9 |
| Gastroduodenostomy CPT 43810 | $2,492.80 | $3,116.00 | $892.05 – $2,376.76 | 9 |
| Gastroesophageal reflux study CPT 78262 | $1,377.85 | $1,722.31 | $29.82 – $506.36 | 13 |
| Gastroesophageal reflux test CPT 91034 | $1,483.52 | $1,854.40 | $44.81 – $545.19 | 13 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,939.17 – $5,182.98 | 9 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,354.89 – $6,275.60 | 9 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $3,295.20 | $4,119.00 | $1,180.85 – $3,147.91 | 9 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $3,209.60 | $4,012.00 | $1,149.30 – $3,062.90 | 9 |
| Gastro/jejuno tube, std HCPCS B4087 | $42.40 | $53.00 | $17.70 – $55.17 | 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.