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 |
|---|---|---|---|---|
| Mthfr gene analy common variants CPT 81291 | $131.20 | $164.00 | $39.20 – $91.47 | 11 |
| M.tuberculo dna dir probe CPT 87555 | $58.40 | $73.00 | $16.13 – $37.64 | 9 |
| M.tuberculo dna quant CPT 87557 | $108.00 | $135.00 | $25.70 – $66.65 | 9 |
| Mucin synovial fluid CPT 83872 | $33.57 | $41.96 | $3.52 – $12.34 | 11 |
| Mucopolysaccharides CPT 83864 | $86.42 | $108.02 | $17.10 – $39.89 | 11 |
| Mucormycosis antibody CPT 86732 | $38.40 | $48.00 | $9.00 – $21.01 | 9 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $9.50 – $29.19 | 8 |
| Multi-axial knee/shin system HCPCS L5840 | not published | not published | $2,464.01 – $6,270.21 | 9 |
| Multi-axial rotation unit HCPCS L5986 | not published | not published | $427.75 – $1,088.52 | 9 |
| Multi den insert custom mold HCPCS A5513 | $108.80 | $136.00 | $26.98 – $68.65 | 9 |
| Multi den insert direct form HCPCS A5512 | not published | not published | $18.08 – $46.01 | 9 |
| Multi-durometer below knee HCPCS L5665 | not published | not published | $404.01 – $1,028.09 | 9 |
| Multi-durometer symes HCPCS L5661 | not published | not published | $408.76 – $1,040.17 | 9 |
| Multi family grp psychotherapy CPT 90849 | $80.80 | $101.00 | $28.41 – $154.80 | 11 |
| Multifocal erg w/i&r CPT 92274 | $181.60 | $227.00 | $30.51 – $150.74 | 11 |
| Multiple sleep latency test CPT 95805 | $3,314.24 | $4,142.79 | $52.40 – $1,217.98 | 13 |
| Multipo locking shoulder jnt HCPCS L6646 | not published | not published | $1,890.19 – $4,810.00 | 9 |
| Mumps antibody igg CPT 86735 | $48.57 | $60.71 | $7.83 – $20.31 | 11 |
| Muscle-skin graft arm CPT 15736 | $3,014.40 | $3,768.00 | $1,085.48 – $2,893.67 | 11 |
| Muscle-skin graft leg CPT 15738 | $3,197.60 | $3,997.00 | $1,125.52 – $3,527.16 | 11 |
| Muscle-skin graft trunk CPT 15734 | $3,704.80 | $4,631.00 | $1,330.56 – $3,542.41 | 11 |
| Muscle test cran nerv unilat CPT 95867 | $233.60 | $292.00 | $37.96 – $300.01 | 11 |
| Muscle test hemidiaphragm CPT 95866 | $295.20 | $369.00 | $57.74 – $150.74 | 11 |
| Muscle test larynx CPT 95865 | $335.20 | $419.00 | $57.44 – $158.18 | 11 |
| Muscle test one fiber CPT 95872 | $442.40 | $553.00 | $33.22 – $150.74 | 11 |
| Muscle transfers CPT 23397 | $2,810.40 | $3,513.00 | $1,018.83 – $6,882.64 | 11 |
| Muscle transfer shoulder/arm CPT 23395 | $3,160.00 | $3,950.00 | $1,152.02 – $6,882.64 | 11 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $2,586.40 | $3,233.00 | $922.75 – $3,527.16 | 11 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | $1,844.80 | $2,306.00 | $677.92 – $6,882.64 | 11 |
| Mycobacteria dna amp probe CPT 87551 | $101.60 | $127.00 | $21.99 – $67.54 | 11 |
| Mycobacteria dna dir probe CPT 87550 | $50.40 | $63.00 | $12.03 – $31.19 | 9 |
| Mycobacteria dna quant CPT 87552 | $108.00 | $135.00 | $25.70 – $66.65 | 9 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $9.00 | $11.25 | $0.05 – $0.16 | 8 |
| Mycophenolic acid HCPCS J7518 | $6.92 | $8.65 | $0.06 – $0.38 | 8 |
| Mycoplasma antibody igm CPT 86738 | $48.57 | $60.71 | $7.94 – $20.60 | 11 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $168.39 | $210.48 | $55.15 – $245.58 | 11 |
| Myelogphy 2/> spine regions CPT 72270 | $1,882.57 | $2,353.21 | $59.86 – $761.18 | 13 |
| Myelography l-s spine CPT 72265 | $1,519.80 | $1,899.75 | $36.89 – $761.18 | 13 |
| Myelography neck spine CPT 72240 | $1,582.36 | $1,977.95 | $39.92 – $761.18 | 13 |
| Myelography thoracic spine CPT 72255 | $1,669.96 | $2,087.44 | $39.77 – $761.18 | 13 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,501.28 | $1,876.60 | $110.57 – $761.18 | 13 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,801.53 | $2,251.91 | $107.60 – $761.18 | 13 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,501.28 | $1,876.60 | $106.01 – $761.18 | 13 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,501.28 | $1,876.60 | $107.60 – $761.18 | 13 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $64.28 | $80.35 | $6.92 – $23.62 | 11 |
| Myocardial resection 33542 CPT 33542 | $6,414.40 | $8,018.00 | $2,257.02 – $6,009.48 | 9 |
| Myocrd img pet 1std rst/strs CPT 78491 | $2,753.60 | $3,442.00 | $66.56 – $1,405.28 | 11 |
| Myocrd img pet 1 std w/ct CPT 78429 | $3,093.78 | $3,867.22 | $73.32 – $1,405.28 | 13 |
| Myocrd img pet 2rtracer CPT 78432 | $3,840.76 | $4,800.94 | $88.96 – $1,411.48 | 11 |
| Myocrd img pet 2rtracer CT CPT 78433 | $4,048.31 | $5,060.38 | $95.11 – $1,487.75 | 11 |
| Myocrd img pet mlt rst&strs CPT 78492 | $2,770.40 | $3,463.00 | $77.27 – $1,405.28 | 11 |
| Myocrd img pet rst&strs CT CPT 78431 | $4,670.96 | $5,838.69 | $81.10 – $1,716.57 | 11 |
| Myocrd img pet rst/strs w/ct CPT 78430 | $3,093.78 | $3,867.22 | $69.38 – $1,405.28 | 13 |
| Myomectomy abdom complex CPT 58146 | $2,896.00 | $3,620.00 | $1,031.27 – $2,770.05 | 9 |
| Myomectomy abdom method CPT 58140 | $2,315.20 | $2,894.00 | $823.69 – $2,213.97 | 9 |
| Myomectomy vag method CPT 58145 | $1,399.20 | $1,749.00 | $503.52 – $3,063.32 | 11 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $434.58 – $1,236.00 | 3 |
| Myringoplasty CPT 69620 | $3,449.60 | $4,312.00 | $447.27 – $3,124.54 | 11 |
| Nabilone oral HCPCS J8650 | not published | not published | $19.25 – $40.38 | 4 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $15.07 | $18.83 | $0.08 – $0.23 | 7 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $75.95 | $94.93 | $0.06 – $3.23 | 8 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $79.60 | $99.50 | $0.01 – $0.02 | 5 |
| Naltrexone, depot form HCPCS J2315 | $7.10 | $8.87 | $1.81 – $4.45 | 11 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $3.75 – $29.71 | 4 |
| Narcosynthesis CPT 90865 | $378.40 | $473.00 | $112.69 – $298.92 | 11 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $471.20 | $589.00 | $57.73 – $187.04 | 13 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $221.08 – $300.17 | 9 |
| Nasal function studies CPT 92512 | $129.60 | $162.00 | $24.88 – $300.01 | 11 |
| Nasal septal prosthesis HCPCS L8047 | not published | not published | $305.55 – $3,887.60 | 9 |
| Nasal/sinus endoscopy surg CPT 31287 | $1,003.20 | $1,254.00 | $180.55 – $6,669.46 | 11 |
| Nasal/sinus endoscopy surg CPT 31290 | $5,662.40 | $7,078.00 | $1,025.51 – $2,740.31 | 9 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,089.48 – $2,912.69 | 9 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $1,243.20 | $1,554.00 | $144.21 – $1,661.45 | 11 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | $1,166.40 | $1,458.00 | $209.71 – $6,669.46 | 11 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | $785.60 | $982.00 | $143.05 – $1,661.45 | 11 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | $2,067.20 | $2,584.00 | $218.01 – $6,669.46 | 11 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | $1,617.60 | $2,022.00 | $289.37 – $6,669.46 | 11 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | $1,888.00 | $2,360.00 | $338.26 – $6,669.46 | 11 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | $1,281.60 | $1,602.00 | $121.61 – $374.12 | 11 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | $1,465.60 | $1,832.00 | $144.32 – $1,661.45 | 11 |
| Nasal sinus therapy CPT 30210 | $364.80 | $456.00 | $93.55 – $1,427.15 | 11 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $454.33 | $567.91 | $34.79 – $187.04 | 13 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $45.77 | $57.21 | $11.67 – $25.33 | 11 |
| Natriuretic peptide CPT 83880 | $96.80 | $121.00 | $23.56 – $54.97 | 11 |
| Natural killer cells total count CPT 86357 | $110.00 | $137.50 | $22.64 – $58.70 | 11 |
| Navigational bronchoscopy 31627 CPT 31627 | $3,104.80 | $3,881.00 | $85.96 – $230.21 | 9 |
| Nav srv peer sup 60 min pr m HCPCS G0140 | $151.20 | $189.00 | $45.34 – $120.51 | 9 |
| N block inj common digit CPT 64632 | $440.00 | $550.00 | $62.23 – $284.41 | 11 |
| N block inj hypogas plxs CPT 64517 | $477.60 | $597.00 | $115.46 – $857.75 | 11 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | $313.60 | $392.00 | $12.85 – $234.32 | 11 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $195.20 | $244.00 | $17.87 – $124.19 | 11 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $28.00 | $35.00 | $9.17 – $31.66 | 11 |
| Ndl insj without njx 3+ musc CPT 20561 | $28.00 | $35.00 | $9.17 – $43.60 | 11 |
| Ndl oculoelectromyography 1+ CPT 92265 | $180.00 | $225.00 | $37.06 – $98.33 | 11 |
| Ndl round specialty proguide HCPCS C1715 | $389.44 | $486.80 | $99.31 – $238.53 | 5 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | $3,521.60 | $4,402.00 | $700.47 – $6,882.64 | 10 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | $426.40 | $533.00 | $147.92 – $394.03 | 9 |
| Nebulizer Breathing Treatment CPT 94640 | $249.36 | $311.69 | $6.94 – $195.96 | 13 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $270.92 | $338.64 | $8.04 – $99.56 | 13 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $2,921.09 | $3,651.36 | $55.26 – $1,073.50 | 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.