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 |
|---|---|---|---|---|
| Interrog dev eval scrms ip CPT 93291 | $104.00 | $130.00 | $16.25 – $42.77 | 11 |
| Interrog device eval heart CPT 93289 | $162.40 | $203.00 | $31.16 – $84.34 | 11 |
| Interrog evl pm/ldls pm ip CPT 93288 | $115.20 | $144.00 | $18.78 – $49.43 | 11 |
| Interrog&prgrmg ipnss CPT 93151 | $200.00 | $250.00 | $36.07 – $118.65 | 9 |
| Interrog&prgrmg ipnss polysm CPT 93152 | $364.00 | $455.00 | $80.28 – $387.67 | 9 |
| Interrog without prgrmg ipnss CPT 93153 | $118.40 | $148.00 | $19.67 – $118.65 | 9 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $10,192.04 – $25,935.86 | 9 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $9,039.91 – $23,003.99 | 9 |
| Interstitial brachy inter CPT 77799 | not published | not published | $104.24 – $141.54 | 9 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,236.57 – $3,289.87 | 9 |
| Intestinal stricturoplasty CPT 44615 | $2,645.60 | $3,307.00 | $941.57 – $2,508.41 | 9 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $5,691.70 – $6,851.51 | 4 |
| Int hrhc lig 1 hroid without img CPT 46945 | $824.80 | $1,031.00 | $308.23 – $2,642.16 | 11 |
| Int hrhc lig 2+hroid without img CPT 46946 | $932.00 | $1,165.00 | $343.88 – $2,642.16 | 11 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $788.32 – $2,006.04 | 9 |
| Intra-atrial pacing CPT 93610 | $5,041.63 | $6,302.03 | $55.84 – $7,310.77 | 13 |
| Intra-atrial recording CPT 93602 | $5,041.63 | $6,302.03 | $45.51 – $7,310.77 | 13 |
| Intracard echo interv w/s&i CPT 93662 | $4,449.09 | $5,561.36 | $64.30 – $1,635.04 | 11 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,289.61 – $3,420.65 | 9 |
| Intracranial angioplasty CPT 61630 | not published | not published | $1,179.13 – $3,146.88 | 9 |
| Intracranial complete study CPT 93886 | $1,177.44 | $1,471.80 | $41.52 – $432.71 | 13 |
| Intracranial limited study CPT 93888 | $1,012.99 | $1,266.23 | $32.77 – $372.27 | 13 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,933.89 – $5,181.52 | 9 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,513.95 – $9,430.85 | 9 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,424.08 – $6,465.97 | 9 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,808.56 – $10,161.72 | 9 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,868.76 – $4,982.21 | 9 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,098.66 – $8,266.86 | 9 |
| Intranasal biopsy 30100 CPT 30100 | $346.40 | $433.00 | $62.16 – $1,427.15 | 11 |
| Intranasal reconstruction CPT 30620 | $1,571.20 | $1,964.00 | $597.66 – $5,699.45 | 11 |
| Intraop colon lavage add-on CPT 44701 | $416.80 | $521.00 | $146.65 – $390.64 | 9 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $4,144.80 | $5,181.00 | $337.23 – $889.54 | 9 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $317.27 – $333.13 | 6 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $392.80 | $491.00 | $97.42 – $490.64 | 11 |
| Intrapul surf admin endo tube CPT 94610 | $233.85 | $292.31 | $50.96 – $195.96 | 13 |
| Intrauterine transfusion ftl CPT 36460 | $872.00 | $1,090.00 | $150.56 – $682.60 | 13 |
| Intraventricular pacing CPT 93612 | $5,041.63 | $6,302.03 | $66.36 – $7,310.77 | 13 |
| Intrinsic factor antibody CPT 86340 | $48.57 | $60.71 | $9.05 – $23.45 | 11 |
| Intrm oph exam est patient CPT 92012 | $183.20 | $229.00 | $45.85 – $124.16 | 11 |
| Intro cath dialysis circuit CPT 36901 | $4,218.54 | $5,273.17 | $147.68 – $1,550.31 | 13 |
| Intro cath dialysis circuit w/pta CPT 36902 | $14,919.24 | $18,649.04 | $210.14 – $5,493.14 | 13 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $23,092.77 | $28,865.96 | $275.23 – $10,926.09 | 13 |
| Intro catheter aorta CPT 36200 | $2,867.20 | $3,584.00 | $119.59 – $700.62 | 11 |
| Intro cath svc/ivc CPT 36010 | $2,568.00 | $3,210.00 | $93.70 – $459.89 | 11 |
| Intro long gi tube CPT 44500 | $1,391.80 | $1,739.75 | $17.34 – $903.29 | 13 |
| Intro long gi tube w/mult fluo CPT 74340 | $671.38 | $839.22 | $23.52 – $246.73 | 11 |
| Intro windpipe wire/tube CPT 31730 | $2,885.60 | $3,607.00 | $130.59 – $1,661.45 | 11 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $5,799.32 | $7,249.15 | $76.83 – $2,131.25 | 11 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $5,425.18 | $6,781.47 | $61.35 – $1,993.75 | 11 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,047.00 | $1,308.75 | $126.43 – $384.77 | 13 |
| Io anal gast n-stim init CPT 95980 | $98.40 | $123.00 | $39.17 – $102.70 | 9 |
| Io anal gast n-stim subsq CPT 95981 | $76.80 | $96.00 | $15.76 – $57.22 | 11 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $1,796.00 | $2,245.00 | $293.79 – $2,170.20 | 6 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $208.58 – $494.36 | 9 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $320.36 – $365.25 | 4 |
| Io ga n-stim subsq w/reprog CPT 95982 | $121.60 | $152.00 | $32.40 – $84.11 | 11 |
| Ionm in operatng room 15 min CPT 95940 | $135.96 | $169.94 | $29.45 – $73.58 | 11 |
| Ionm remote/>1 pt or per hr CPT 95941 | $543.72 | $679.64 | $138.65 – $333.02 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $11.76 | $14.70 | $0.24 – $0.49 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $14.88 | $18.60 | $0.02 – $0.14 | 8 |
| Io radiation tx management CPT 77469 | $593.60 | $742.00 | $296.45 – $618.58 | 9 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $7,277.61 – $9,881.29 | 9 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $7,277.61 – $9,881.29 | 10 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.39 – $0.68 | 2 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $267.52 | $334.40 | $35.51 – $197.22 | 11 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $208.80 | $261.00 | $140.60 – $260.46 | 6 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $303.20 | $379.00 | $194.50 – $378.79 | 6 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $365.60 | $457.00 | $261.30 – $456.02 | 6 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $136.00 | $170.00 | $99.40 – $169.13 | 6 |
| Ipratropium bromide comp HCPCS J7645 | $2.40 | $3.00 | $0.02 – $2.17 | 3 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.20 | $1.50 | $0.04 – $0.38 | 8 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $71.01 | $88.76 | $1.16 – $2.79 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $57.35 – $80.63 | 9 |
| Iron CPT 83540 | $33.57 | $41.96 | $3.88 – $12.34 | 11 |
| Iron binding capacity CPT 83550 | $33.57 | $41.96 | $5.24 – $13.60 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $19.20 | $24.00 | $16.88 – $22.52 | 9 |
| Iron stain peripheral blood CPT 85536 | $17.60 | $22.00 | $4.13 – $10.06 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $1.44 | $1.79 | $0.05 – $0.57 | 8 |
| Irradiation of blood product each unit reference CPT 86945 | $164.99 | $206.23 | $16.50 – $60.63 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $222.14 | $277.67 | $21.23 – $81.63 | 13 |
| Irrigation sphenoid sinus CPT 31002 | $936.00 | $1,170.00 | $168.24 – $1,427.15 | 11 |
| Irrigation syringe HCPCS A4322 | not published | not published | $2.12 – $5.41 | 9 |
| Irrigation tray HCPCS A4320 | not published | not published | $3.31 – $8.42 | 9 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $132.00 | $165.00 | $22.82 – $61.61 | 11 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $69.87 – $99.45 | 9 |
| Island pedicle flap graft CPT 15740 | $2,468.80 | $3,086.00 | $759.29 – $2,021.42 | 11 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $157.11 – $840.83 | 8 |
| Ivc venogram s&i CPT 75825 | $5,982.08 | $7,477.59 | $47.95 – $3,032.46 | 13 |
| IV Fluids (each additional hour) CPT 96361 | $139.99 | $174.98 | $10.74 – $51.44 | 13 |
| IV Fluids (first hour) CPT 96360 | $674.92 | $843.65 | $27.80 – $248.03 | 13 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $101.34 – $149.00 | 3 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $139.99 | $174.98 | $17.16 – $51.44 | 11 |
| IV inj ra drug dx study CPT 78808 | $448.10 | $560.12 | $35.65 – $387.14 | 13 |
| IV Medicine Infusion (additional drug) CPT 96367 | $222.14 | $277.67 | $24.60 – $81.63 | 13 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $139.99 | $174.98 | $18.08 – $51.44 | 13 |
| IV Medicine Infusion (first hour) CPT 96365 | $674.92 | $843.65 | $52.86 – $248.03 | 13 |
| IV njx tst vasc flo flap/grf CPT 15860 | $268.00 | $335.00 | $94.09 – $384.46 | 11 |
| IV Push Injection (each additional drug) CPT 96375 | $139.99 | $174.98 | $13.13 – $51.44 | 13 |
| IV Push Injection (first drug) CPT 96374 | $674.92 | $843.65 | $31.22 – $248.03 | 13 |
| Ivp w/nephrotomography CPT 74415 | $884.04 | $1,105.04 | $21.31 – $324.88 | 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.