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 |
|---|---|---|---|---|
| Pcv21 vaccine im CPT 90684 | $530.40 | $663.00 | $89.35 – $344.29 | 11 |
| Pdgfra gene CPT 81314 | $659.20 | $824.00 | $103.60 – $461.35 | 11 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $13.69 – $34.84 | 9 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $456.00 | $570.00 | $189.16 – $531.34 | 11 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $2,216.80 | $2,771.00 | $652.83 – $1,775.82 | 11 |
| Ped crit care age 2-5 init CPT 99475 | $1,016.80 | $1,271.00 | $508.18 – $1,114.40 | 9 |
| Ped crit care age 2-5 subsq CPT 99476 | $622.40 | $778.00 | $307.54 – $675.70 | 9 |
| Ped crit care transport CPT 99466 | $434.40 | $543.00 | $210.61 – $459.40 | 9 |
| Ped crit care transport addl CPT 99467 | $217.60 | $272.00 | $105.69 – $230.40 | 9 |
| Ped critical care initial CPT 99471 | $1,446.40 | $1,808.00 | $702.97 – $1,533.50 | 9 |
| Ped critical care subsq CPT 99472 | $724.00 | $905.00 | $360.94 – $796.60 | 9 |
| Ped home apnea mntr att only CPT 94775 | $100.00 | $125.00 | $15.10 – $153.33 | 11 |
| Ped home apnea mntr dl&alys CPT 94776 | $472.00 | $590.00 | $148.95 – $555.75 | 11 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $3,306.68 – $8,414.58 | 9 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $967.84 – $2,462.88 | 9 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,969.60 | $2,462.00 | $589.13 – $1,762.37 | 11 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $793.04 – $2,018.07 | 9 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $936.29 – $2,382.58 | 9 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $741.88 – $1,887.86 | 9 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $402.93 – $1,025.35 | 9 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $195.77 – $461.25 | 4 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $889.25 – $1,149.25 | 3 |
| Pegaspargase injection HCPCS J9266 | $41,039.04 | $51,298.80 | $9,550.32 – $29,845.26 | 11 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $861.57 | $1,076.96 | $19.98 – $316.63 | 11 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $529.17 | $661.46 | $79.60 – $194.47 | 11 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $360.00 | $450.00 | $138.76 – $449.20 | 9 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $233.69 – $427.23 | 9 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $351.20 | $439.00 | $72.46 – $153.81 | 11 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $152.20 – $262.57 | 9 |
| Peginesatide injection HCPCS J0890 | not published | not published | $12.97 – $15.93 | 3 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,113.42 – $1,277.52 | 5 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $1,029.60 – $4,382.40 | 9 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.60 – $241.79 | 7 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $292.75 – $744.95 | 9 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $253.87 – $646.04 | 9 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $188.88 – $480.64 | 9 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $139.18 – $354.16 | 9 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $189.74 – $482.83 | 9 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $260.85 – $663.79 | 9 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $3,110.69 | $3,888.36 | $53.20 – $1,143.18 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $2,587.64 | $3,234.54 | $50.66 – $950.95 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $2,184.32 | $2,730.40 | $47.51 – $802.74 | 13 |
| Pelvic exenteration CPT 45126 | $6,904.00 | $8,630.00 | $2,428.98 – $6,514.36 | 9 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $833.98 – $2,122.25 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,660.22 | $5,825.27 | $96.27 – $1,712.63 | 13 |
| Pelvic MRI (with contrast) CPT 72196 | $3,918.87 | $4,898.58 | $75.45 – $1,440.18 | 13 |
| Pelvic MRI (without contrast) CPT 72195 | $2,849.89 | $3,562.36 | $63.91 – $1,047.33 | 13 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $2,616.80 | $3,271.00 | $953.32 – $6,882.64 | 11 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $900.37 – $2,347.98 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $906.31 | $1,132.88 | $30.15 – $333.07 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $560.05 | $700.06 | $21.78 – $205.82 | 13 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $354.54 | $443.17 | $7.71 – $130.29 | 13 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $434.24 | $542.79 | $11.19 – $159.58 | 13 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $83.25 – $211.85 | 9 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $91.05 | $113.81 | $8.74 – $64.95 | 11 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $80.00 | $100.00 | $1.16 – $4.13 | 11 |
| Pemivibart infusion HCPCS M0224 | $667.10 | $833.87 | $218.47 – $582.32 | 10 |
| Peng benzathine/procaine inj HCPCS J0558 | $16.80 | $21.00 | $7.33 – $22.85 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $66.72 | $83.40 | $1.27 – $30.77 | 11 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $18.35 | $22.93 | $0.08 – $0.93 | 8 |
| Penicillin g procaine inj HCPCS J2510 | $46.40 | $58.00 | $12.29 – $49.55 | 9 |
| Penile injection CPT 54235 | $220.80 | $276.00 | $67.14 – $178.13 | 9 |
| Penile vascular study CPT 93980 | $284.00 | $355.00 | $51.24 – $135.64 | 11 |
| Penile vascular study CPT 93981 | $169.60 | $212.00 | $19.40 – $102.46 | 11 |
| Penile venous occlusion CPT 37790 | $1,226.40 | $1,533.00 | $440.59 – $3,322.91 | 11 |
| Penis plastic surgery CPT 54360 | $1,820.80 | $2,276.00 | $653.95 – $3,322.91 | 11 |
| Penis study CPT 54240 | $256.80 | $321.00 | $39.28 – $300.01 | 11 |
| Pentamidine non-comp unit HCPCS J2545 | $175.60 | $219.50 | $12.99 – $85.81 | 8 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $0.30 – $15.27 | 3 |
| Pentazocine injection HCPCS J3070 | $128.80 | $161.00 | $33.58 – $164.13 | 4 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $8.60 – $55.65 | 6 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,447.89 – $2,955.10 | 9 |
| Perc cryo ablate renal tum CPT 50593 | $21,107.20 | $26,384.00 | $410.84 – $10,030.71 | 13 |
| Perc d-e cor revasc chro add HCPCS C9608 | $19,612.62 | $24,515.77 | $5,001.22 – $12,012.73 | 5 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $17,651.36 | $22,064.20 | $5,780.82 – $23,210.89 | 12 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $19,612.62 | $24,515.77 | $5,001.22 – $12,012.73 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $17,651.36 | $22,064.20 | $5,780.82 – $14,658.84 | 12 |
| Perc d-e cor stent ather br HCPCS C9603 | $19,612.62 | $24,515.77 | $5,001.22 – $12,012.73 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,651.36 | $22,064.20 | $5,780.82 – $23,210.89 | 12 |
| Perc drug-el cor stent bran HCPCS C9601 | $16,704.85 | $20,881.06 | $4,259.74 – $10,231.72 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $18,092.95 | $22,616.18 | $5,925.44 – $14,658.84 | 12 |
| Perc rf ablate renal tumor CPT 50592 | $15,611.20 | $19,514.00 | $307.42 – $5,621.13 | 13 |
| Percut ablate liver rf CPT 47382 | $10,753.60 | $13,442.00 | $660.71 – $5,621.13 | 13 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $279.69 – $728.36 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $281.13 | $351.41 | $31.42 – $72.24 | 8 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,865.92 | $4,832.39 | $186.32 – $1,420.72 | 11 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | $6,040.80 | $7,551.00 | $2,123.49 – $5,673.46 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,521.73 | $4,402.16 | $201.55 – $1,496.66 | 13 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $2,013.60 | $2,517.00 | $717.65 – $1,905.75 | 9 |
| Peri-implt capslc brst compl CPT 19371 | $3,896.00 | $4,870.00 | $640.91 – $3,689.33 | 11 |
| Perineoplasty rpr per nonob CPT 56810 | $667.20 | $834.00 | $243.77 – $3,063.32 | 11 |
| Peripheral vascular rehab CPT 93668 | $175.16 | $218.94 | $12.85 – $64.37 | 11 |
| Peri-proc device eval icd CPT 93287 | $180.44 | $225.55 | $20.02 – $66.31 | 11 |
| Peri-proc device eval pm CPT 93286 | $356.80 | $446.00 | $13.40 – $131.12 | 11 |
| Peritoneal cath sub q resv per CPT 49419 | $7,985.28 | $9,981.59 | $365.18 – $5,208.13 | 13 |
| Peritoneogram rs&i CPT 74190 | $813.60 | $1,017.00 | $20.10 – $528.26 | 13 |
| Perit-vens shunt pat tst CPT 78291 | $636.16 | $795.19 | $38.51 – $387.14 | 13 |
| Permanent tear duct plug HCPCS A4263 | not published | not published | $15.71 – $74.50 | 6 |
| Peroneal straps pair pre ots HCPCS L0980 | not published | not published | $9.82 – $24.97 | 9 |
| Perp bk ptb thermopls direct HCPCS L5520 | not published | not published | $1,051.00 – $2,674.48 | 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.