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 |
|---|---|---|---|---|
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $63.30 – $149.58 | 6 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $230.75 – $260.75 | 3 |
| Meniscal trnspl knee w/scpe CPT 29868 | $8,228.80 | $10,286.00 | $1,489.01 – $6,882.64 | 11 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $82.08 | $102.60 | $0.01 – $10.14 | 8 |
| Meperidine/promethazine inj HCPCS J2180 | $11.20 | $14.00 | $3.79 – $9.43 | 4 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $59.97 | $74.96 | $15.29 – $32.89 | 11 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.85 – $11.77 | 6 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $17.31 | $21.63 | $0.04 – $0.43 | 8 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $0.84 – $0.84 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $637.60 | $797.00 | $223.42 – $598.16 | 9 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $85.36 | $106.70 | $21.77 – $52.28 | 5 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $97.59 | $121.98 | $1.49 – $27.37 | 8 |
| Metabolic Blood Panel (Basic) CPT 80048 | $68.56 | $85.70 | $5.08 – $25.20 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $68.56 | $85.70 | $6.34 – $25.20 | 11 |
| Metabolic panel ionized ca CPT 80047 | $68.56 | $85.70 | $8.24 – $25.20 | 11 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $941.64 – $2,396.21 | 9 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $209.60 – $533.39 | 9 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $9.95 – $37.74 | 2 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $1.60 | $2.00 | $0.72 – $1.63 | 6 |
| Methadone injection HCPCS J1230 | $96.51 | $120.63 | $12.88 – $25.57 | 8 |
| Methadone oral 5mg HCPCS S0109 | $9.16 | $11.45 | $0.02 – $0.31 | 8 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $62.40 | $78.00 | $6.36 – $79.23 | 6 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $3.80 | $4.75 | $0.18 – $0.44 | 8 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $281.96 | $352.45 | $0.18 – $2.83 | 8 |
| Methotrexate therapeutic drug level CPT 80204 | $77.60 | $97.00 | $21.75 – $58.33 | 11 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $94.74 – $116.40 | 3 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $11.88 – $58.98 | 4 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $40.26 | $50.32 | $1.09 – $8.25 | 11 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $119.96 | $149.95 | $0.68 – $21.29 | 8 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $3.24 | $4.04 | $0.45 – $1.42 | 8 |
| Methylphenidate CPT 80360 | $72.14 | $90.17 | $13.16 – $44.18 | 8 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $4.48 | $5.60 | $0.24 – $0.60 | 8 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $2.21 | $2.76 | $0.02 – $0.13 | 11 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $18.87 | $23.58 | $0.01 – $0.27 | 11 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $75.40 | $94.25 | $0.07 – $1.13 | 8 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $16.46 | $20.57 | $3.64 – $8.74 | 5 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $35.07 | $43.83 | $0.01 – $0.03 | 8 |
| Metyrapone panel CPT 80436 | $228.80 | $286.00 | $54.70 – $141.81 | 9 |
| Mgmt promoter methylation analysis CPT 81287 | $127.86 | $159.82 | $41.87 – $174.50 | 11 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $4.40 | $5.49 | $0.26 – $0.86 | 8 |
| Microalbumin urine screen CPT 82044 | $25.72 | $32.14 | $6.23 – $9.45 | 11 |
| Microbe susceptible mlc CPT 87187 | $80.80 | $101.00 | $17.43 – $56.23 | 11 |
| Microdissection laser CPT 88380 | $264.00 | $330.00 | $25.13 – $87.40 | 11 |
| Microdissection manual CPT 88381 | $523.20 | $654.00 | $21.43 – $56.32 | 11 |
| Microfluid analy tears CPT 83861 | $47.20 | $59.00 | $22.48 – $31.47 | 9 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $2,727.67 – $6,941.13 | 9 |
| Microsatellite instability CPT 81301 | $697.60 | $872.00 | $109.59 – $488.01 | 11 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $511.20 | $639.00 | $182.67 – $487.26 | 9 |
| Microvolt t-wave assess CPT 93025 | $319.20 | $399.00 | $34.01 – $150.74 | 11 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,570.50 – $4,847.89 | 7 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $413.62 | $517.02 | $9.30 – $152.00 | 13 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $71.40 | $89.25 | $0.02 – $0.14 | 8 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $1.19 | $1.48 | $0.17 – $0.40 | 8 |
| Middle cerebral artery echo CPT 76821 | $682.71 | $853.38 | $30.91 – $250.89 | 13 |
| Mifepristone 200 mg ta HCPCS S0190 | $104.04 | $130.05 | $26.53 – $63.72 | 8 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $72.91 | $91.13 | $0.24 – $1.57 | 8 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $319.49 – $813.02 | 9 |
| Minocycline hydrochloride HCPCS J2265 | $2.40 | $3.00 | $0.89 – $2.80 | 8 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.46 – $2.41 | 6 |
| Miroderm HCPCS Q4175 | not published | not published | $62.86 – $82.78 | 5 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $66.87 – $85.42 | 9 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $2.80 | $3.50 | $0.28 – $0.97 | 8 |
| Mitochondrial gene CPT 81440 | $6,648.00 | $8,310.00 | $1,045.07 – $4,653.90 | 11 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $649.80 | $812.25 | $25.60 – $136.42 | 11 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $306.66 – $390.97 | 9 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $27.69 – $56.65 | 9 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | $6,837.60 | $8,547.00 | $2,406.88 – $6,427.34 | 9 |
| Mlh1 gene CPT 81288 | $384.80 | $481.00 | $60.46 – $269.27 | 11 |
| Mlh1 gene dup/delete variant CPT 81294 | $404.80 | $506.00 | $63.63 – $283.38 | 11 |
| Mlh1 gene full seq CPT 81292 | $1,351.20 | $1,689.00 | $212.35 – $945.63 | 11 |
| Mlh1 gene known variants CPT 81293 | $662.40 | $828.00 | $198.60 – $463.42 | 9 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $19.96 – $51.77 | 9 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.65 – $14.09 | 9 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $5,200.00 | $6,500.00 | $949.95 – $12,396.56 | 11 |
| Mnl appl strs jt radiography CPT 77071 | $97.60 | $122.00 | $48.41 – $103.85 | 11 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $209.60 | $262.00 | $74.22 – $199.49 | 9 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $361.60 | $452.00 | $132.54 – $352.40 | 9 |
| Mnl prep&insj imed rx dev CPT 20702 | $347.20 | $434.00 | $126.06 – $335.38 | 9 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $961.60 | $1,202.00 | $177.64 – $1,541.92 | 11 |
| Mnpj elbow under anes CPT 24300 | $2,094.40 | $2,618.00 | $406.82 – $1,541.92 | 11 |
| Mnpj of tmj w/anesth CPT 21073 | $1,891.20 | $2,364.00 | $225.30 – $1,427.15 | 11 |
| Mnt subs tx for change dx HCPCS G0270 | $72.00 | $90.00 | $25.34 – $65.91 | 9 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $389.65 – $991.56 | 9 |
| Mobilization of colon 44139 CPT 44139 | $298.40 | $373.00 | $104.63 – $279.07 | 9 |
| Modification of contact lens CPT 92325 | $88.80 | $111.00 | $39.72 – $124.19 | 11 |
| Modified maze/limited 33254 CPT 33254 | $3,297.60 | $4,122.00 | $1,173.24 – $3,138.21 | 9 |
| Modified maze/limited /w other op 33257 CPT 33257 | $1,418.40 | $1,773.00 | $506.15 – $1,348.29 | 9 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $76.00 | $95.00 | $7.23 – $39.62 | 11 |
| Molded inner boot HCPCS L2280 | not published | not published | $254.50 – $647.63 | 9 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,577.14 – $4,013.36 | 9 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $2,454.53 – $6,246.08 | 9 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $844.12 – $2,148.04 | 9 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $2,608.28 – $6,637.33 | 9 |
| Molecular pathology interpr HCPCS G0452 | $100.00 | $125.00 | $0.03 – $7.38 | 9 |
| Mometasone sinus sinuva HCPCS J7402 | $12.80 | $16.00 | $10.08 – $14.75 | 9 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $175.35 – $446.21 | 9 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $210.68 – $536.11 | 9 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $11,236.72 – $28,594.25 | 9 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $17,979.94 | $22,474.92 | $4,584.88 – $11,012.71 | 5 |
| Monovisc inj per dose HCPCS J7327 | $1,300.00 | $1,625.00 | $539.15 – $1,128.77 | 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.