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 |
|---|---|---|---|---|
| Gastroplasty duodenal switch CPT 43845 | $4,780.80 | $5,976.00 | $1,717.83 – $4,569.79 | 9 |
| Gastrostomy open neonatal CPT 43831 | $1,474.40 | $1,843.00 | $539.71 – $1,439.51 | 11 |
| Gated heart multiple CPT 78473 | $1,903.96 | $2,379.95 | $63.35 – $699.71 | 13 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $1.69 – $4.30 | 9 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $1.81 – $4.60 | 9 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $6.40 | $8.00 | $1.49 – $3.78 | 9 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.67 – $1.69 | 9 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $2.51 – $6.38 | 9 |
| Gba gene CPT 81251 | $127.86 | $159.82 | $28.35 – $66.15 | 11 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $41.95 – $90.88 | 9 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $49.73 – $107.74 | 9 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $58.22 – $126.15 | 8 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $31.12 – $67.42 | 9 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $35.53 – $76.99 | 9 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $40.91 – $88.63 | 9 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $55.51 – $120.26 | 9 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $66.18 – $143.39 | 9 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $78.40 – $169.86 | 9 |
| Gefitinib oral HCPCS J8565 | not published | not published | $65.53 – $162.64 | 6 |
| Gel cap app device for trach HCPCS L8515 | not published | not published | $37.84 – $96.29 | 9 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.29 – $3.28 | 9 |
| Gel-one HCPCS J7326 | $1,056.00 | $1,320.00 | $520.99 – $744.52 | 9 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $1.60 | $2.00 | $0.56 – $0.72 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $63.70 | $79.62 | $3.26 – $22.11 | 8 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $344.29 | $430.36 | $87.79 – $255.11 | 11 |
| General health panel CPT 80050 | $70.40 | $88.00 | $17.48 – $41.99 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $57,754.42 | $72,193.02 | $14,727.38 – $35,374.58 | 5 |
| Generator emblem MRI sicd subq HCPCS C1722 | $50,843.26 | $63,554.07 | $12,413.40 – $29,816.50 | 5 |
| Genetic counseling 30 min CPT 96040 | not published | not published | $81.49 – $118.92 | 5 |
| Genetic tstg severe inh cond CPT 81443 | $4,897.60 | $6,122.00 | $769.83 – $3,428.21 | 11 |
| Genioplasty augmentation CPT 21120 | $1,643.20 | $2,054.00 | $453.22 – $5,699.45 | 11 |
| Geniop sldg augmentation CPT 21123 | $2,196.80 | $2,746.00 | $763.30 – $3,124.54 | 11 |
| Geniop sldg osteot 1 CPT 21121 | $1,696.80 | $2,121.00 | $488.60 – $3,124.54 | 11 |
| Geniop sldg osteot 2/> CPT 21122 | $1,895.20 | $2,369.00 | $667.90 – $5,699.45 | 11 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $3,272.93 | 9 |
| Genome sequence analysis CPT 81425 | $4,829.96 | $6,037.44 | $1,581.81 – $7,044.15 | 11 |
| Genome sequence analysis CPT 81426 | $2,601.56 | $3,251.94 | $852.01 – $3,794.18 | 11 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $76.88 | $96.09 | $0.20 – $2.47 | 8 |
| Gentamicin peak therapeutic drug level CPT 80170 | $66.43 | $83.03 | $9.83 – $25.49 | 11 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.13 – $12.20 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | $1,562.94 | $1,953.67 | $73.43 – $574.38 | 13 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $127.72 – $338.27 | 9 |
| Ghs abscess perianal iandd CPT 46050 | $1,749.28 | $2,186.60 | $91.50 – $878.39 | 13 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,473.34 | $4,341.67 | $159.46 – $2,757.44 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $33.57 | $41.96 | $5.89 – $13.74 | 11 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $64.28 | $80.35 | $10.27 – $25.01 | 11 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $204.80 | $256.00 | $41.87 – $143.18 | 11 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $114.40 | $143.00 | $16.79 – $124.19 | 11 |
| Ghs antibodies (torch) igm CPT 86694 | $48.57 | $60.71 | $8.63 – $22.39 | 11 |
| Ghs aspiration bladder - needle CPT 51100 | $554.37 | $692.96 | $34.98 – $234.32 | 13 |
| Ghs bladder cath - complex-foley CPT 51703 | $344.00 | $430.00 | $68.67 – $178.47 | 13 |
| Ghs bleeding time (ivy) CPT 85002 | $32.85 | $41.06 | $2.89 – $12.07 | 11 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $552.00 | $690.00 | $49.48 – $667.21 | 11 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,499.90 | $3,124.87 | $76.61 – $3,032.46 | 13 |
| Ghs change cysto/gastrost CPT 43762 | $922.04 | $1,152.55 | $32.97 – $338.85 | 13 |
| Ghs chemo >8 hrs CPT 96416 | $1,137.24 | $1,421.55 | $107.06 – $417.94 | 13 |
| Ghs chemo infusion >8 hrs CPT 96425 | $316.80 | $396.00 | $140.76 – $389.51 | 11 |
| Ghs chemo IV push, ea addtl CPT 96411 | $222.14 | $277.67 | $46.49 – $120.23 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $88.80 | $111.00 | $21.05 – $54.59 | 11 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $812.55 | $1,015.68 | $228.37 – $536.50 | 13 |
| Ghs closed reduction ankle dislocation CPT 27840 | $1,849.60 | $2,312.00 | $190.36 – $775.90 | 13 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $2,299.20 | $2,874.00 | $393.74 – $1,541.92 | 13 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $2,036.80 | $2,546.00 | $155.70 – $903.60 | 13 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $2,627.20 | $3,284.00 | $447.80 – $1,541.92 | 13 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,972.00 | $2,465.00 | $715.82 – $1,901.61 | 11 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $1,635.20 | $2,044.00 | $150.02 – $625.10 | 13 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $3,962.72 | $4,953.39 | $402.58 – $1,541.92 | 13 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,683.20 | $3,354.00 | $451.79 – $1,541.92 | 13 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $2,564.80 | $3,206.00 | $199.80 – $939.50 | 13 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $815.20 | $1,019.00 | $228.37 – $636.60 | 13 |
| Ghs community re-entry 15 minutes CPT 97537 | $142.19 | $177.73 | $30.14 – $52.25 | 11 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $1,775.83 | $2,219.78 | $32.87 – $652.62 | 13 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $569.34 | $711.67 | $26.33 – $209.23 | 13 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $553.80 | $692.25 | $36.85 – $384.46 | 13 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $463.34 | $579.17 | $45.48 – $170.28 | 13 |
| Ghs cricothyroidotomy CPT 31605 | $827.20 | $1,034.00 | $221.08 – $608.20 | 13 |
| Ghs cutdown placement age 1 and over CPT 36425 | $294.06 | $367.57 | $34.92 – $384.46 | 13 |
| Ghs cutdown placement under 1 yr CPT 36420 | $118.40 | $148.00 | $41.09 – $124.19 | 11 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $48.57 | $60.71 | $9.13 – $23.67 | 11 |
| Ghs dislocation elbow closed treatment CPT 24600 | $1,817.60 | $2,272.00 | $217.75 – $691.80 | 13 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $815.86 | $1,019.82 | $93.64 – $903.29 | 13 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $211.43 | $264.28 | $29.66 – $255.87 | 13 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,349.48 | $1,686.85 | $93.28 – $667.21 | 13 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $1,092.48 | $1,365.60 | $148.95 – $591.30 | 13 |
| Ghs electrostagmgraphy CPT 92537 | $324.84 | $406.05 | $7.53 – $150.74 | 13 |
| Ghs elect torsion swing CPT 92546 | $242.40 | $303.00 | $13.66 – $150.74 | 11 |
| Ghs elect vertical elct CPT 92547 | $18.40 | $23.00 | $4.65 – $17.60 | 9 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $380.00 | $475.00 | $64.50 – $384.93 | 11 |
| Ghs excision ingrown nail CPT 11765 | $416.00 | $520.00 | $85.24 – $384.93 | 13 |
| Ghs eye exam CPT 92002 | $174.40 | $218.00 | $41.75 – $124.16 | 11 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $1,272.00 | $1,590.00 | $104.15 – $288.00 | 13 |
| Ghs fat & muscle CPT 89160 | $56.44 | $70.54 | $2.91 – $20.74 | 11 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,342.40 | $2,928.00 | $286.93 – $1,561.02 | 13 |
| Ghs fb removal from muscle - complicated CPT 20525 | $1,162.40 | $1,453.00 | $223.64 – $2,757.44 | 11 |
| Ghs fb removal - incisional CPT 10121 | $2,218.03 | $2,772.53 | $165.86 – $1,561.02 | 13 |
| Ghs fb removal - non-incisional CPT 20520 | $1,201.15 | $1,501.43 | $134.26 – $1,561.02 | 13 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $48.57 | $60.71 | $4.19 – $17.85 | 11 |
| Ghs fish cytogen CPT 88271 | $127.86 | $159.82 | $21.42 – $46.99 | 11 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $127.86 | $159.82 | $41.87 – $71.67 | 11 |
| Ghs flow volume loop CPT 94375 | $89.60 | $112.00 | $13.13 – $300.01 | 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.