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 |
|---|---|---|---|---|
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $2,896.28 | $3,620.34 | $53.20 – $1,064.38 | 13 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,794.80 | $3,493.50 | $43.57 – $1,027.09 | 13 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $5,066.23 | $6,332.78 | $100.51 – $1,861.84 | 13 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $3,824.04 | $4,780.05 | $78.55 – $1,405.33 | 13 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $3,575.08 | $4,468.84 | $64.86 – $1,313.84 | 13 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $433.68 | $542.09 | $9.92 – $159.37 | 13 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $613.91 | $767.38 | $12.13 – $225.61 | 13 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $680.10 | $850.12 | $13.25 – $249.94 | 13 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,792.99 | $4,741.23 | $78.60 – $1,393.92 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,510.04 | $4,387.55 | $65.50 – $1,289.94 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,648.96 | $3,311.20 | $52.55 – $973.49 | 13 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $2,791.55 | $3,489.43 | $70.56 – $1,025.89 | 13 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $2,339.30 | $2,924.12 | $60.29 – $859.69 | 13 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $2,116.50 | $2,645.62 | $56.17 – $777.81 | 13 |
| Neck spine disk surgery CPT 63020 | $5,550.40 | $6,938.00 | $965.96 – $6,882.64 | 11 |
| Neck spine disk surgery 63075 CPT 63075 | $3,244.80 | $4,056.00 | $1,180.15 – $6,882.64 | 11 |
| Neck spine disk surgery 63076 CPT 63076 | $591.20 | $739.00 | $209.26 – $555.81 | 9 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $170.40 | $213.00 | $17.73 – $46.67 | 9 |
| Neg press ventilation cnp CPT 94662 | $80.80 | $101.00 | $31.52 – $636.94 | 11 |
| Neg pres wound ther drsg set HCPCS A6550 | not published | not published | $15.47 – $41.95 | 9 |
| Neisseria meningitidis CPT 86741 | $48.57 | $60.71 | $7.91 – $20.52 | 11 |
| Nelarabine injection HCPCS J9261 | $215.85 | $269.81 | $36.41 – $77.28 | 11 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $134.80 – $172.54 | 4 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $18.23 | $22.78 | $0.20 – $0.80 | 8 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $64.75 – $245.11 | 4 |
| Nephrectomy open 50220 CPT 50220 | $5,256.00 | $6,570.00 | $946.41 – $2,514.66 | 9 |
| Nephrectomy partial CPT 50240 | $6,691.20 | $8,364.00 | $1,197.35 – $3,191.79 | 9 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $843.85 – $2,247.47 | 9 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $218.40 | $273.00 | $73.90 – $300.01 | 11 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $189.60 | $237.00 | $62.40 – $164.24 | 9 |
| Nerve conduction 7-8 studies CPT 95910 | $419.20 | $524.00 | $61.87 – $300.01 | 13 |
| Nerve conduction studies 11-12 CPT 95912 | $576.80 | $721.00 | $77.67 – $511.21 | 13 |
| Nerve conduction studies 1-2 CPT 95907 | $209.60 | $262.00 | $32.34 – $150.74 | 11 |
| Nerve conduction studies 13+ CPT 95913 | $668.00 | $835.00 | $88.89 – $511.21 | 13 |
| Nerve conduction studies 3-4 CPT 95908 | $267.11 | $333.88 | $40.31 – $300.01 | 13 |
| Nerve conduction studies 5-6 CPT 95909 | $319.20 | $399.00 | $48.58 – $300.01 | 13 |
| Nerve conduction studies 9-10 CPT 95911 | $504.00 | $630.00 | $69.84 – $511.21 | 13 |
| Nerve graft add-on CPT 64901 | $1,475.20 | $1,844.00 | $520.45 – $1,386.24 | 9 |
| Nerve graft add-on CPT 64902 | $1,708.80 | $2,136.00 | $602.51 – $1,604.39 | 9 |
| Nerve graft head/neck <4 cm CPT 64885 | $2,752.00 | $3,440.00 | $966.99 – $6,170.01 | 11 |
| Nerve graft head/neck >4 cm CPT 64886 | $3,179.20 | $3,974.00 | $1,156.65 – $6,170.01 | 11 |
| Nerve palsy fascial graft CPT 15840 | $2,499.20 | $3,124.00 | $906.19 – $3,527.16 | 11 |
| Nerve palsy microsurg graft CPT 15842 | $6,726.40 | $8,408.00 | $1,741.44 – $6,394.64 | 11 |
| Nerve palsy muscle graft CPT 15841 | $4,416.80 | $5,521.00 | $1,590.74 – $4,228.08 | 11 |
| Nerve pedicle transfer CPT 64905 | $2,517.60 | $3,147.00 | $887.20 – $6,170.01 | 11 |
| Nerve pedicle transfer CPT 64907 | $3,207.20 | $4,009.00 | $1,156.37 – $6,170.01 | 11 |
| Nerve repair w/allograft CPT 64910 | $1,948.80 | $2,436.00 | $686.43 – $6,170.01 | 11 |
| Nerve surgery CPT 64859 | $615.20 | $769.00 | $216.63 – $577.17 | 9 |
| Nerve teasing preparations CPT 88362 | $786.52 | $983.15 | $100.46 – $787.05 | 13 |
| Nesiritide injection HCPCS J2325 | not published | not published | $36.87 – $104.03 | 4 |
| Neurectomy foot CPT 28055 | $1,955.20 | $2,444.00 | $358.81 – $1,881.40 | 11 |
| Neurectomy hamstring CPT 27325 | $2,756.80 | $3,446.00 | $512.74 – $1,881.40 | 11 |
| Neurectomy popliteal CPT 27326 | $2,544.00 | $3,180.00 | $475.69 – $1,881.40 | 11 |
| Neuroeltrd stim post tibial CPT 64566 | $307.20 | $384.00 | $26.94 – $284.41 | 11 |
| Neuroendoscopy add-on CPT 62160 | $443.20 | $554.00 | $158.04 – $421.59 | 9 |
| Neurolysis celiac plexus CPT 64680 | $826.40 | $1,033.00 | $146.76 – $857.75 | 11 |
| Neurolysis trigeminal nerve CPT 64600 | $1,086.40 | $1,358.00 | $212.72 – $857.75 | 11 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $204.00 | $255.00 | $31.21 – $150.74 | 11 |
| Neuroplasty digital 1/both same digit CPT 64702 | $1,242.40 | $1,553.00 | $468.15 – $1,881.40 | 11 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | $806.40 | $1,008.00 | $298.49 – $1,881.40 | 11 |
| Neurorraphy w/vein autograft CPT 64911 | $2,518.40 | $3,148.00 | $914.49 – $6,170.01 | 11 |
| Neurovascular pedicle flap CPT 15750 | $2,264.00 | $2,830.00 | $833.44 – $3,527.16 | 11 |
| Neutrlzg antb sarscov2 scr CPT 86408 | $84.80 | $106.00 | $22.98 – $54.77 | 9 |
| Neutrlzg antb sarscov2 titer CPT 86409 | $160.00 | $200.00 | $57.35 – $125.14 | 9 |
| Neutron beam tx complex CPT 77423 | $148.80 | $186.00 | $74.93 – $557.33 | 11 |
| New Patient Office Visit (level 2) CPT 99202 | $133.60 | $167.00 | $42.93 – $89.40 | 9 |
| New Patient Office Visit (level 3) CPT 99203 | $189.60 | $237.00 | $74.50 – $153.98 | 9 |
| New Patient Office Visit (level 4) CPT 99204 | $289.60 | $362.00 | $121.61 – $251.15 | 9 |
| New Patient Office Visit (level 5) CPT 99205 | $367.20 | $459.00 | $165.20 – $341.28 | 9 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $154.47 – $575.23 | 9 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $157.79 – $341.89 | 9 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $837.55 – $2,231.35 | 9 |
| N. gonorrhoeae assay w/optic CPT 87850 | $49.60 | $62.00 | $14.74 – $34.38 | 9 |
| N.gonorrhoeae dna quant CPT 87592 | $108.00 | $135.00 | $25.70 – $66.65 | 9 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $0.76 | $0.94 | $0.05 – $0.12 | 8 |
| Nikaidoh proc CPT 33782 | not published | not published | $2,755.61 – $7,369.17 | 9 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $2,976.87 – $7,961.93 | 9 |
| N-invas est c ffr sw aly cta CPT 75580 | $1,534.40 | $1,918.00 | $32.38 – $1,315.08 | 11 |
| Nipple/areola reconst 19350 CPT 19350 | $4,075.20 | $5,094.00 | $605.98 – $3,689.33 | 11 |
| Nipple exploration CPT 19110 | $2,371.20 | $2,964.00 | $314.63 – $3,689.33 | 11 |
| Nitroblue tetrazolium dye CPT 86384 | $33.60 | $42.00 | $8.17 – $19.06 | 9 |
| Nitrogen n-13 ammonia HCPCS A9526 | not published | not published | $85.80 – $1,602.74 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $37.12 | $46.40 | $1.34 – $4.71 | 8 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $50.62 | $63.27 | $6.49 – $35.40 | 11 |
| Nivolumab 240 mg-relatlimab-rmbw 80 mg/20 ml intravenous solution HCPCS J9298 | not published | not published | $190.50 – $243.30 | 9 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $316.80 | $396.00 | $58.80 – $857.75 | 11 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $2,698.96 | $3,373.70 | $74.71 – $667.21 | 13 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $305.60 | $382.00 | $69.01 – $857.75 | 11 |
| Njx aa&/strd vagus nrv CPT 64408 | $416.00 | $520.00 | $40.50 – $284.41 | 11 |
| Njx cath slct p angrph mapca CPT 93575 | $1,454.20 | $1,817.74 | $83.52 – $534.42 | 11 |
| Njx cath slct p-art angrp bi CPT 93573 | $984.18 | $1,230.22 | $56.52 – $361.68 | 11 |
| Njx cath slct pulm vn angrph CPT 93574 | $1,088.24 | $1,360.29 | $62.82 – $399.93 | 11 |
| Njx chemonucleolysis lmbr CPT 62292 | $1,460.00 | $1,825.00 | $529.40 – $1,881.40 | 11 |
| Njx cth slct p-art angrp uni CPT 93569 | $590.54 | $738.17 | $33.94 – $217.02 | 11 |
| Njx interlaminar crv/thrc CPT 62324 | $356.00 | $445.00 | $81.81 – $857.75 | 11 |
| Njx interlaminar crv/thrc CPT 62325 | $2,430.98 | $3,038.72 | $99.52 – $893.38 | 13 |
| Njx interlaminar lmbr/sac CPT 62326 | $365.60 | $457.00 | $77.96 – $857.75 | 11 |
| Njx interlaminar lmbr/sac CPT 62327 | $2,705.64 | $3,382.05 | $96.61 – $994.32 | 13 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $2,784.00 | $3,480.00 | $137.81 – $971.10 | 13 |
| Njx px peyronie ds exps plaq CPT 54205 | $1,341.60 | $1,677.00 | $484.19 – $4,897.82 | 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.