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 |
|---|---|---|---|---|
| Larynscop w/tumr exc + scope CPT 31541 | $652.80 | $816.00 | $235.26 – $3,552.20 | 11 |
| Laser surgery eye strands CPT 67031 | $1,936.00 | $2,420.00 | $317.51 – $852.93 | 11 |
| Laser surgery of cervix 57513 CPT 57513 | $436.80 | $546.00 | $131.45 – $3,063.32 | 11 |
| Laser surgery of prostate CPT 52647 | $3,992.00 | $4,990.00 | $591.02 – $4,897.82 | 11 |
| Laser surgery of prostate CPT 52648 | $4,120.00 | $5,150.00 | $628.55 – $4,897.82 | 11 |
| Laser surg penis lesion(s) CPT 54057 | $341.60 | $427.00 | $87.80 – $1,762.37 | 11 |
| Laser treatment of retina CPT 67039 | $4,787.20 | $5,984.00 | $860.38 – $3,875.83 | 11 |
| Laser treatment of retina CPT 67040 | $5,176.00 | $6,470.00 | $929.01 – $3,875.83 | 11 |
| Lateral canthopexy CPT 21282 | $1,920.00 | $2,400.00 | $361.84 – $3,124.54 | 11 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $147.07 – $374.23 | 9 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $44.18 – $112.41 | 9 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $42.92 – $109.21 | 9 |
| Lat retinacular release open CPT 27425 | $2,209.60 | $2,762.00 | $415.05 – $3,126.02 | 11 |
| Lavage cannulation maxillary sinus CPT 31000 | $888.00 | $1,110.00 | $100.25 – $267.73 | 11 |
| Lavh >250 gms 58553 CPT 58553 | $2,820.80 | $3,526.00 | $1,000.66 – $10,030.71 | 11 |
| Lb with mastopexy 15839 CPT 15839 | $2,174.40 | $2,718.00 | $664.08 – $2,757.44 | 11 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $2,949.84 | $3,687.29 | $752.21 – $1,806.77 | 5 |
| Lead capillary CPT 83655 | $32.15 | $40.18 | $7.27 – $18.83 | 11 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $12,656.82 | $15,821.02 | $256.50 – $616.11 | 5 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $204.57 – $520.57 | 9 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $11,025.92 | $13,782.40 | $2,811.61 – $6,753.38 | 5 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,208.79 – $5,699.45 | 11 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,240.61 – $5,699.45 | 11 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,544.36 – $4,110.39 | 9 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,278.96 – $5,699.45 | 11 |
| Lefort ii anterior intrusion CPT 21150 | $4,098.40 | $5,123.00 | $1,472.06 – $5,699.45 | 11 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $5.60 | $7.00 | $1.22 – $3.11 | 9 |
| Left compres band <3"/yd HCPCS A6448 | $4.00 | $5.00 | $0.80 – $2.04 | 9 |
| Left compres band >=5"/yd HCPCS A6450 | $10.40 | $13.00 | $1.22 – $3.11 | 9 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $1,222.33 | $1,527.91 | $33.85 – $449.21 | 13 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,999.08 | $2,498.85 | $50.66 – $734.66 | 13 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,991.73 | $2,489.66 | $43.57 – $731.96 | 13 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,004.74 – $2,556.76 | 9 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $869.92 – $2,213.69 | 9 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $699.16 – $1,779.15 | 9 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $910.54 – $2,317.07 | 9 |
| Legion pneumo dna dir prob CPT 87540 | $50.40 | $63.00 | $12.03 – $31.19 | 9 |
| Legion pneumo dna quant CPT 87542 | $104.80 | $131.00 | $25.06 – $64.96 | 9 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $939.37 – $2,390.43 | 9 |
| Leg vein fusion 34530 CPT 34530 | $4,569.60 | $5,712.00 | $804.79 – $3,032.46 | 11 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,481.60 | $1,851.99 | $29.58 – $544.49 | 13 |
| Leishmania antibody CPT 86717 | $48.57 | $60.71 | $7.35 – $19.06 | 11 |
| Lengthening of hand tendon CPT 26478 | $1,560.80 | $1,951.00 | $590.93 – $3,126.02 | 11 |
| Lengthening of palate CPT 42227 | $2,042.40 | $2,553.00 | $759.84 – $5,699.45 | 11 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $2,182.40 | $2,728.00 | $815.60 – $5,699.45 | 11 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,060.76 – $2,822.20 | 9 |
| Lengthening of thigh tendon CPT 27393 | $2,502.40 | $3,128.00 | $457.42 – $6,882.64 | 11 |
| Lengthening of thigh tendons CPT 27394 | $1,608.00 | $2,010.00 | $593.85 – $6,882.64 | 11 |
| Lengthening of thigh tendons CPT 27395 | $2,164.00 | $2,705.00 | $794.50 – $3,126.02 | 11 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $960.80 – $2,556.83 | 9 |
| Lengthen metacarpal/finger CPT 26568 | $2,229.60 | $2,787.00 | $827.63 – $6,882.64 | 11 |
| Lengthen radius or ulna CPT 25391 | $4,900.80 | $6,126.00 | $894.90 – $12,396.56 | 11 |
| Lengthen radius & ulna CPT 25393 | $5,558.40 | $6,948.00 | $1,011.33 – $6,882.64 | 11 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | not published | not published | $415.70 – $557.13 | 4 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $588.26 | $735.32 | $71.27 – $272.06 | 11 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $71.27 – $272.06 | 9 |
| Lepirudin HCPCS J1945 | not published | not published | $183.90 – $793.54 | 4 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $292.16 | $365.20 | $0.37 – $4.43 | 8 |
| Leukacyte transfusion CPT 86950 | $89.60 | $112.00 | $43.01 – $167.93 | 11 |
| Leukocyte phagocytosis CPT 86344 | $23.20 | $29.00 | $6.23 – $14.54 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $3,387.04 | $4,233.80 | $11.22 – $188.54 | 11 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $2,887.32 | $3,609.15 | $705.82 – $1,823.95 | 11 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $5,684.00 – $7,361.90 | 3 |
| Leuprolide acetate injeciton HCPCS J9218 | $388.36 | $485.45 | $4.65 – $58.82 | 8 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $461.86 | 9 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $52.38 – $81.93 | 9 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $80.04 – $108.67 | 9 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $105.35 – $143.04 | 9 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $177.63 – $241.18 | 9 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $271.85 – $369.10 | 9 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $384.51 – $522.07 | 9 |
| Levalbuterol comp unit HCPCS J7615 | $2.40 | $3.00 | $0.05 – $2.45 | 4 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.22 – $0.40 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | $1.96 | $2.45 | $0.03 – $0.09 | 8 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $7.59 | $9.48 | $0.01 – $0.06 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $66.43 | $83.03 | $7.95 – $24.41 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $81.52 | $101.90 | $0.11 – $1.03 | 8 |
| Levonorgestrel implant sys HCPCS J7306 | $933.60 | $1,167.00 | $475.92 – $1,194.94 | 4 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $25.37 | $31.71 | $4.74 – $11.39 | 8 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $0.03 – $3,098.86 | 11 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.04 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $7.09 | $8.86 | $0.01 – $0.01 | 7 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $0.04 | $0.05 | $0.01 – $0.02 | 10 |
| Lidocaine therapeutic drug level CPT 80176 | $66.43 | $83.03 | $8.81 – $24.41 | 11 |
| Lift assist for elbow HCPCS L6635 | not published | not published | $118.47 – $301.47 | 9 |
| Lift heel adj small gl60404sm HCPCS L3332 | $177.60 | $222.00 | $44.11 – $112.26 | 9 |
| Lift heel adjustable med HCPCS L3334 | not published | not published | $22.81 – $58.05 | 9 |
| Lifts elevation metal extens HCPCS L3330 | not published | not published | $338.51 – $861.41 | 9 |
| Ligate esophagus veins CPT 43400 | $3,728.00 | $4,660.00 | $1,331.11 – $3,549.44 | 9 |
| Ligate leg veins open CPT 37761 | $2,646.40 | $3,308.00 | $458.97 – $3,032.46 | 11 |
| Ligate leg veins radical 37760 CPT 37760 | $3,043.20 | $3,804.00 | $494.78 – $3,032.46 | 11 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $192.80 | $241.00 | $66.99 – $179.70 | 9 |
| Ligate/staple esophagus CPT 43405 | $3,550.40 | $4,438.00 | $1,265.60 – $3,378.06 | 9 |
| Ligate/strip long leg vein CPT 37722 | $2,300.80 | $2,876.00 | $394.51 – $3,032.46 | 11 |
| Ligate/strip short leg vein CPT 37718 | $2,052.80 | $2,566.00 | $338.90 – $3,032.46 | 11 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $919.20 | $1,149.00 | $332.64 – $3,063.32 | 11 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,212.87 | $4,016.08 | $179.29 – $1,561.02 | 13 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,146.33 – $3,056.51 | 9 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $1,193.60 | $1,492.00 | $212.47 – $3,032.46 | 11 |
| Ligation external carotid artery 37600 CPT 37600 | $1,824.00 | $2,280.00 | $669.78 – $3,032.46 | 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.