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 |
|---|---|---|---|---|
| Prep corneal endo allograft CPT 65757 | not published | not published | $65.15 – $624.98 | 9 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $330.56 – $881.20 | 9 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $235.88 – $629.59 | 9 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $572.45 – $4,189.46 | 9 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $330.11 – $881.60 | 9 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $434.10 – $4,094.72 | 9 |
| Prep donor liver/venous CPT 47146 | not published | not published | $282.70 – $754.40 | 9 |
| Prep donor liver whole CPT 47143 | not published | not published | $445.60 – $4,347.51 | 9 |
| Prep donor pancreas CPT 48551 | not published | not published | $235.29 – $3,419.76 | 9 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $202.90 – $541.93 | 9 |
| Prep donor renal graft CPT 50325 | $415.20 | $519.00 | $135.50 – $466.67 | 9 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $6,902.53 – $9,372.00 | 7 |
| Prepj tum cav iort prtl mast CPT 19294 | $404.00 | $505.00 | $142.53 – $380.38 | 9 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $968.56 – $1,315.08 | 7 |
| Prep renal graft/arterial CPT 50328 | $466.40 | $583.00 | $164.32 – $438.81 | 9 |
| Prep renal graft/ureteral CPT 50329 | $444.80 | $556.00 | $156.19 – $416.21 | 9 |
| Prep renal graft/venous CPT 50327 | $532.00 | $665.00 | $187.14 – $500.43 | 9 |
| Prep skin cell susp, automtd HCPCS C8002 | not published | not published | $6,902.53 – $9,372.00 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $1,073.10 | $1,341.37 | $234.24 – $589.75 | 13 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,503.56 | $4,379.44 | $195.60 – $1,762.37 | 13 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $3,503.56 | $4,379.44 | $39.02 – $1,287.56 | 11 |
| Pressure max expiratory/inspiratory CPT 94799 | $84.20 | $105.24 | $27.57 – $202.24 | 12 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $189.79 – $507.13 | 9 |
| Pressure velocity wire add ves CPT 93572 | $2,797.75 | $3,497.18 | $45.34 – $1,028.17 | 11 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $252.80 – $643.31 | 9 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $164.99 | $206.23 | $19.84 – $167.93 | 13 |
| Pretreat rbc absorption reference CPT 86978 | $312.80 | $391.00 | $19.84 – $76.77 | 13 |
| Pretreat rbc density gradient separation reference CPT 86972 | $164.99 | $206.23 | $21.30 – $167.93 | 13 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $164.99 | $206.23 | $16.50 – $60.63 | 13 |
| Pretreat rbc w enzyme reference CPT 86971 | $164.99 | $206.23 | $13.16 – $171.40 | 13 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $467.84 | $584.79 | $152.96 – $253.21 | 13 |
| Preventive counseling group CPT 99411 | $35.20 | $44.00 | $11.22 – $17.48 | 6 |
| Preventive counseling group CPT 99412 | $44.80 | $56.00 | $19.24 – $29.26 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $69.60 | $87.00 | $35.31 – $55.68 | 6 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $116.00 | $145.00 | $72.65 – $114.20 | 6 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $160.00 | $200.00 | $109.09 – $168.81 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $204.80 | $256.00 | $146.29 – $225.74 | 6 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $304.00 | $380.00 | $119.84 – $315.80 | 9 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $1,289.69 | $1,612.11 | $75.25 – $1,561.02 | 13 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,306.72 | $2,883.39 | $149.18 – $1,561.02 | 13 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,408.65 | $1,760.81 | $93.19 – $517.68 | 13 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $3,336.80 | $4,171.00 | $1,193.51 – $3,180.29 | 9 |
| Prgrmg dev eval impltbl sys CPT 93260 | $162.40 | $203.00 | $30.57 – $81.22 | 11 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $140.80 | $176.00 | $28.70 – $74.78 | 11 |
| Prgrmg dev eval scrms ip CPT 93285 | $124.00 | $155.00 | $23.02 – $60.61 | 11 |
| Prgrmg eval implantable dfb CPT 93282 | $168.80 | $211.00 | $33.52 – $90.56 | 11 |
| Prgrmg eval implantable dfb CPT 93283 | $209.60 | $262.00 | $35.50 – $99.11 | 11 |
| Prgrmg eval implantable dfb CPT 93284 | $226.40 | $283.00 | $35.50 – $106.11 | 11 |
| Prgr stim/pace a/iv drug CPT 93623 | $4,718.96 | $5,898.70 | $47.35 – $1,734.22 | 11 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $362.40 | $453.00 | $158.40 – $336.33 | 9 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $246.40 | $308.00 | $118.66 – $251.94 | 9 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $181.60 | $227.00 | $74.73 – $167.73 | 9 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $217.60 | $272.00 | $108.20 – $229.70 | 9 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $145.60 | $182.00 | $72.25 – $152.65 | 9 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $89.60 | $112.00 | $44.75 – $95.45 | 9 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $9,548.80 | $11,936.00 | $373.95 – $17,300.43 | 13 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $7,833.12 | $9,791.40 | $140.95 – $2,878.67 | 11 |
| Prin care mgmt staff 1st 30 CPT 99426 | not published | not published | $45.34 – $98.04 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $546.04 | $682.54 | $166.67 – $384.93 | 13 |
| Pr incision & drainage abscess simple/single CPT 10060 | $536.22 | $670.27 | $97.20 – $259.17 | 13 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $339.03 | $423.78 | $111.03 – $293.07 | 13 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $659.91 | $824.88 | $95.72 – $384.93 | 13 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $512.80 | $641.00 | $122.69 – $369.85 | 11 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $378.40 | $473.00 | $122.69 – $272.16 | 11 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $444.25 | $555.31 | $10.89 – $163.26 | 11 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $2,921.60 | $3,652.00 | $548.20 – $1,881.40 | 11 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $7,399.38 | $9,249.22 | $645.50 – $1,550.47 | 5 |
| Probe nasolacrimal duct CPT 68810 | $851.20 | $1,064.00 | $115.53 – $362.48 | 11 |
| Probe nasolacrimal duct CPT 68811 | $729.60 | $912.00 | $122.14 – $2,247.69 | 11 |
| Probe nasolacrimal duct CPT 68815 | $1,910.40 | $2,388.00 | $200.00 – $2,247.69 | 11 |
| Probe nl duct w/balloon CPT 68816 | $3,817.60 | $4,772.00 | $141.47 – $2,247.69 | 11 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,001.20 | $1,251.50 | $66.06 – $284.34 | 11 |
| Procalcitonin CPT 84145 | $55.20 | $69.00 | $16.33 – $41.69 | 11 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $74.50 – $148.52 | 6 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $79.68 | $99.60 | $0.09 – $3.64 | 8 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.03 – $0.78 | 6 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | $4,636.80 | $5,796.00 | $1,623.66 – $4,336.99 | 9 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $4,544.80 | $5,681.00 | $1,607.42 – $4,299.36 | 9 |
| Proctosigmoidoscopy ablate CPT 45320 | $488.80 | $611.00 | $92.45 – $2,642.16 | 11 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $496.80 | $621.00 | $99.12 – $1,135.99 | 11 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $2,326.40 | $2,908.00 | $76.30 – $1,135.99 | 11 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $302.40 | $378.00 | $43.45 – $878.39 | 11 |
| Proctosigmoidoscopy removal CPT 45308 | $444.80 | $556.00 | $74.25 – $2,642.16 | 11 |
| Proctosigmoidoscopy removal CPT 45309 | $460.00 | $575.00 | $78.96 – $1,135.99 | 11 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $501.60 | $627.00 | $93.09 – $1,135.99 | 11 |
| Proctosigmoidoscopy volvul CPT 45321 | $252.80 | $316.00 | $91.03 – $2,642.16 | 11 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $396.80 | $496.00 | $65.26 – $1,135.99 | 11 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $4,126.60 | $5,158.24 | $88.38 – $2,642.16 | 13 |
| Proctosigmoidoscopy w/stent CPT 45327 | $286.40 | $358.00 | $102.81 – $5,735.24 | 11 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $108.67 – $136.99 | 5 |
| Progesterone CPT 84144 | $55.00 | $68.75 | $12.52 – $32.46 | 11 |
| Prolactin CPT 84146 | $55.00 | $68.75 | $11.63 – $30.14 | 11 |
| Prolng clin staff svc 1st hr CPT 99415 | $36.80 | $46.00 | $14.88 – $39.22 | 9 |
| Prolng clin staff svc ea add CPT 99416 | $17.60 | $22.00 | $6.49 – $18.32 | 9 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $74.40 | $93.00 | $55.40 – $92.86 | 5 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $61.60 | $77.00 | $28.01 – $73.42 | 5 |
| Prolng svc o/p 1st hour CPT 99354 | not published | not published | $195.00 – $195.00 | 2 |
| Prolng svc o/p ea addl 30 CPT 99355 | not published | not published | $138.00 – $138.00 | 2 |
| Prolonged IV inf, req pump HCPCS C8957 | $1,261.12 | $1,576.40 | $315.77 – $682.58 | 10 |
| Prolong home eval add 15m HCPCS G0318 | $59.20 | $74.00 | $27.41 – $71.76 | 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.