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 |
|---|---|---|---|---|
| Ghs gastric intub aspiration lavage CPT 43753 | $234.68 | $293.35 | $19.13 – $300.01 | 13 |
| Ghs hcv amplificaiton CPT 87521 | $88.80 | $111.00 | $21.05 – $54.59 | 11 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $64.28 | $80.35 | $11.40 – $32.17 | 11 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $48.57 | $60.71 | $9.29 – $24.10 | 11 |
| Ghs hgb stability-thal CPT 83068 | $33.57 | $41.96 | $5.68 – $13.25 | 11 |
| Ghs histoplasma antigen CPT 87385 | $38.58 | $48.22 | $7.95 – $18.65 | 11 |
| Ghs HIV antibody CPT 86703 | $48.57 | $60.71 | $8.23 – $21.32 | 11 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $212.80 | $266.00 | $46.55 – $148.61 | 11 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,824.84 | $4,781.05 | $193.91 – $1,973.64 | 13 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,091.28 | $2,614.10 | $383.84 – $1,135.99 | 13 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,593.93 | $3,242.41 | $152.64 – $953.27 | 13 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $512.80 | $641.00 | $94.69 – $677.87 | 13 |
| Ghs immun0electrophoresis CPT 86320 | $110.00 | $137.50 | $10.94 – $40.43 | 11 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $471.20 | $589.00 | $99.18 – $234.32 | 13 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $520.00 | $650.00 | $120.67 – $322.90 | 11 |
| Ghs inf midline insertion CPT 36140 | $3,356.27 | $4,195.33 | $76.43 – $1,233.43 | 11 |
| Ghs inhibitor screen CPT 85335 | $32.85 | $41.06 | $7.72 – $20.02 | 11 |
| Ghs init tx 1st degree burn CPT 16000 | $450.68 | $563.35 | $40.75 – $191.44 | 13 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $520.80 | $651.00 | $161.85 – $857.75 | 11 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,220.80 | $1,526.00 | $109.38 – $857.75 | 11 |
| Ghs inj tendon origin/insertion CPT 20551 | $278.40 | $348.00 | $34.89 – $284.41 | 11 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $625.60 | $782.00 | $55.95 – $226.96 | 11 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,303.73 | $1,629.66 | $119.11 – $857.75 | 13 |
| Ghs insertion of needle - bone CPT 36680 | $294.06 | $367.57 | $52.85 – $384.46 | 13 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $943.20 | $1,179.00 | $216.14 – $444.46 | 13 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,160.28 | $1,450.34 | $251.43 – $628.00 | 13 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,788.18 | $4,735.22 | $290.81 – $1,762.37 | 13 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $202.64 | $253.29 | $17.43 – $74.47 | 8 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $523.20 | $654.00 | $120.07 – $255.32 | 13 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $139.99 | $174.98 | $16.28 – $51.44 | 13 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV infusion sotrovimab HCPCS M0247 | not published | not published | $450.50 – $1,111.78 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,257.60 | $1,572.00 | $124.39 – $559.20 | 13 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $681.60 | $852.00 | $77.08 – $384.46 | 13 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $745.88 | $932.35 | $137.05 – $384.93 | 13 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $619.20 | $774.00 | $131.87 – $384.93 | 13 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $779.01 | $973.76 | $152.89 – $407.78 | 13 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $779.01 | $973.76 | $180.70 – $421.64 | 13 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $738.40 | $923.00 | $176.99 – $384.93 | 13 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $875.20 | $1,094.00 | $194.83 – $421.64 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $795.20 | $994.00 | $185.41 – $403.71 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $911.20 | $1,139.00 | $193.56 – $589.75 | 13 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,211.80 | $1,514.75 | $198.13 – $527.93 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $995.20 | $1,244.00 | $243.87 – $589.75 | 13 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,211.80 | $1,514.75 | $269.02 – $655.89 | 13 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,188.80 | $1,486.00 | $280.57 – $747.09 | 11 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,397.60 | $1,747.00 | $344.22 – $913.88 | 11 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,304.00 | $1,630.00 | $310.75 – $1,762.37 | 11 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,485.60 | $1,857.00 | $375.57 – $996.82 | 11 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $33.57 | $41.96 | $5.16 – $13.38 | 11 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $14.90 – $20.59 | 2 |
| Ghs mbp CPT 83873 | $64.28 | $80.35 | $10.32 – $26.77 | 11 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $444.25 | $555.31 | $21.93 – $163.26 | 11 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $571.11 | $713.88 | $74.90 – $209.88 | 11 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $461.04 | $576.29 | $67.25 – $178.18 | 11 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $164.14 | $205.17 | $10.34 – $60.32 | 11 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $142.40 | $178.00 | $33.69 – $85.60 | 11 |
| Ghs musc test done w/n test comp CPT 95886 | $338.33 | $422.91 | $41.26 – $124.34 | 11 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $255.24 | $319.04 | $16.78 – $93.80 | 11 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $184.80 | $231.00 | $33.75 – $88.04 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | $825.71 | $1,032.13 | $10.72 – $303.45 | 11 |
| Ghs nailbed repair/nail removal CPT 11760 | $478.40 | $598.00 | $99.39 – $589.75 | 13 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $532.80 | $666.00 | $22.38 – $857.75 | 11 |
| Ghs nerve blk intercostal, single level CPT 64420 | $496.00 | $620.00 | $53.25 – $667.21 | 11 |
| Ghs nerve block axillary nerve CPT 64417 | $676.80 | $846.00 | $58.77 – $857.75 | 11 |
| Ghs nerve block brachial plexus CPT 64415 | $1,730.45 | $2,163.06 | $63.73 – $857.75 | 13 |
| Ghs nerve block celiac plexus CPT 64530 | $1,295.84 | $1,619.80 | $85.96 – $857.75 | 13 |
| Ghs nerve block interscaline CPT 64510 | $1,207.16 | $1,508.94 | $69.29 – $857.75 | 13 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,753.24 | $2,191.54 | $77.19 – $857.75 | 13 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,016.46 | $1,270.57 | $65.34 – $667.21 | 13 |
| Ghs nerve block suprascapular CPT 64418 | $666.99 | $833.73 | $50.20 – $667.21 | 13 |
| Ghs ng placement w fluoro guidance CPT 43752 | $297.92 | $372.40 | $35.95 – $384.46 | 13 |
| Ghs o2 saturation CPT 82810 | $33.57 | $41.96 | $5.86 – $13.69 | 11 |
| Ghs o2 uptake rest & exercise CPT 94680 | $118.40 | $148.00 | $11.36 – $150.74 | 11 |
| Ghs o2 uptake rest & indirect CPT 94690 | $1,012.96 | $1,266.19 | $3.30 – $372.26 | 13 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $28.80 | $36.00 | $30.52 – $46.14 | 10 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,209.95 | $1,512.43 | $30.09 – $595.67 | 13 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,148.64 | $2,685.79 | $160.96 – $1,496.66 | 13 |
| Ghs optokenetic CPT 92544 | $50.40 | $63.00 | $2.80 – $150.74 | 11 |
| Ghs oscillating trac CPT 92545 | $46.40 | $58.00 | $2.83 – $300.01 | 11 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $115.10 | $143.87 | $20.93 – $55.09 | 13 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $100.80 | $126.00 | $24.09 – $83.77 | 11 |
| Ghs ot dds rom CPT 95851 | $48.00 | $60.00 | $7.10 – $18.67 | 9 |
| Ghs ot group caregiver training CPT 97552 | $84.63 | $105.78 | $9.95 – $31.10 | 11 |
| Ghs ot prosthetic training/15 min CPT 97761 | $142.19 | $177.73 | $38.18 – $63.76 | 11 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $113.60 | $142.00 | $31.81 – $91.60 | 11 |
| Ghs ot work hardening-additional hours CPT 97546 | $284.36 | $355.44 | $59.43 – $104.50 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $1,424.61 | $1,780.76 | $0.77 – $630.47 | 13 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $478.40 | $598.00 | $54.36 – $168.60 | 11 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $458.79 | $573.48 | $46.82 – $168.60 | 11 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $55.20 | $69.00 | $22.73 – $49.54 | 9 |
| Ghs peritonsillar abscess i andd CPT 42700 | $894.22 | $1,117.77 | $123.28 – $329.10 | 13 |
| Ghs phenylketonurid CPT 84030 | $33.57 | $41.96 | $3.30 – $12.34 | 11 |
| Ghs picc line insert < 5 CPT 36568 | $2,565.34 | $3,206.67 | $83.17 – $1,496.66 | 13 |
| Ghs plngl fx pm cl CPT 26725 | $832.80 | $1,041.00 | $129.44 – $618.00 | 13 |
| Ghs plt ct-manual CPT 85032 | $33.57 | $41.96 | $2.59 – $12.34 | 11 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $4,278.42 | $5,348.02 | $112.90 – $1,572.32 | 13 |
| Ghs pos nystagmus CPT 92542 | $73.60 | $92.00 | $2.82 – $124.19 | 11 |
| Ghs ppd (tb intradermal) CPT 86580 | $48.57 | $60.71 | $8.34 – $23.60 | 13 |
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.