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 |
|---|---|---|---|---|
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $357.48 | $446.84 | $117.07 – $195.90 | 13 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $270.40 | $338.00 | $102.15 – $300.01 | 11 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $207.20 | $259.00 | $71.08 – $187.46 | 9 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $342.32 | $427.90 | $87.29 – $428.00 | 5 |
| Psycl/nrpsyc tech 1st CPT 96138 | $80.00 | $100.00 | $30.57 – $384.46 | 11 |
| Psy evaluation of records CPT 90885 | $112.00 | $140.00 | $65.90 – $128.36 | 6 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $103.20 | $129.00 | $10.02 – $124.19 | 13 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $94.40 | $118.00 | $7.80 – $28.80 | 11 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $80.00 | $100.00 | $30.57 – $82.00 | 9 |
| Psytx complex interactive CPT 90785 | $35.20 | $44.00 | $4.26 – $17.90 | 11 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $238.51 | $298.13 | $60.82 – $129.09 | 11 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $313.88 | $392.35 | $79.39 – $169.89 | 11 |
| Psytx pt w/e&m 53+ min CPT 90838 | $357.48 | $446.84 | $91.16 – $193.48 | 11 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $12.00 | $15.00 | $5.92 – $9.80 | 9 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $180.04 | $225.04 | $17.71 – $66.16 | 11 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $126.27 | $157.83 | $13.14 – $46.40 | 11 |
| Pt application of modality traction mechanical CPT 97012 | $115.38 | $144.22 | $13.55 – $42.40 | 11 |
| Pt/caregiver traing home inr CPT 93792 | $137.60 | $172.00 | $60.39 – $162.84 | 9 |
| Pten gene dup/delet variant CPT 81323 | $288.00 | $360.00 | $94.32 – $420.04 | 11 |
| Pten gene full sequence CPT 81321 | $576.00 | $720.00 | $188.64 – $840.06 | 11 |
| Pten gene known fam variant CPT 81322 | $127.86 | $159.82 | $27.96 – $66.60 | 11 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | $3,875.20 | $4,844.00 | $718.87 – $5,699.45 | 11 |
| Pt-focused hlth risk assmt CPT 96160 | $120.00 | $150.00 | $2.66 – $6.99 | 9 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | $57.60 | $72.00 | $22.43 – $59.05 | 9 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $861.29 – $2,191.75 | 9 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $140.32 | $175.39 | $32.97 – $75.94 | 11 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $125.09 | $156.36 | $11.58 – $45.97 | 11 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $141.88 | $177.34 | $28.01 – $52.14 | 11 |
| Pt wheelchair management each 15 minutes CPT 97542 | $116.92 | $146.15 | $29.26 – $48.87 | 11 |
| Pul art balloon repr percut CPT 92997 | $1,392.80 | $1,741.00 | $547.91 – $10,926.09 | 11 |
| Pul art balloon repr percut CPT 92998 | $696.80 | $871.00 | $273.37 – $716.77 | 9 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $7,150.00 | 9 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $3,571.28 – $9,535.10 | 9 |
| Pulmonary decortication partial 32225 CPT 32225 | $4,844.80 | $6,056.00 | $864.51 – $2,305.26 | 9 |
| Pulmonary vent imaging CPT 78579 | $1,303.10 | $1,628.87 | $20.87 – $478.89 | 13 |
| Pulse ox continuous overnight monitoring CPT 94762 | $601.12 | $751.39 | $21.71 – $220.91 | 13 |
| Pulse ox multiple CPT 94761 | $218.13 | $272.66 | $3.40 – $80.16 | 11 |
| Pulse ox single CPT 94760 | $57.30 | $71.62 | $3.10 – $21.06 | 11 |
| Punc of shunt for asp or inj CPT 61070 | $743.75 | $929.68 | $50.05 – $667.21 | 13 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $116.16 | $145.20 | $13.60 – $124.19 | 13 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $320.80 | $401.00 | $87.69 – $384.93 | 13 |
| Puncture/clear windpipe 31612 CPT 31612 | $212.80 | $266.00 | $43.17 – $3,124.54 | 11 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,206.24 | $1,507.80 | $56.30 – $667.21 | 13 |
| Puraply 1 sq cm HCPCS Q4195 | $140.80 | $176.00 | $66.62 – $169.95 | 4 |
| Puraply xt 1 sq cm HCPCS Q4197 | $172.80 | $216.00 | $73.54 – $165.77 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $1,171.34 | $1,464.17 | $44.15 – $430.47 | 11 |
| Pvb thoracic cont infusion CPT 64463 | $1,171.34 | $1,464.17 | $74.46 – $667.21 | 13 |
| Pvb thoracic single inj site CPT 64461 | $1,171.34 | $1,464.17 | $70.78 – $667.21 | 13 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $411.23 – $1,046.46 | 9 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $9,741.62 – $24,789.65 | 9 |
| Pyelotomy complicated CPT 50135 | not published | not published | $2,088.00 – $3,542.97 | 5 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $888.31 – $2,367.51 | 9 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $858.69 – $2,288.04 | 9 |
| Pyelotomy w/removal calculus CPT 50130 | $5,219.20 | $6,524.00 | $933.21 – $2,485.99 | 9 |
| Pyloroplasty 43800 CPT 43800 | $2,285.60 | $2,857.00 | $816.49 – $2,176.84 | 9 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $91.27 | $114.08 | $0.37 – $12.57 | 8 |
| Pyruvate CPT 84210 | $64.28 | $80.35 | $8.69 – $23.62 | 11 |
| Pyruvate kinase CPT 84220 | $33.57 | $41.96 | $5.66 – $14.70 | 11 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $168.32 – $428.34 | 9 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $5.46 – $28.36 | 9 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,919.83 | $2,399.78 | $35.62 – $705.54 | 13 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,497.40 | $1,871.75 | $31.20 – $550.29 | 13 |
| Quest t3 uptake CPT 84479 | $55.00 | $68.75 | $3.88 – $20.21 | 11 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $352.21 – $896.27 | 9 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $4.26 – $522.69 | 9 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $422.40 | $528.00 | $313.09 – $623.63 | 9 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $378.79 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $551.40 | $689.25 | $39.08 – $289.91 | 11 |
| Rabies vaccine id CPT 90676 | $340.80 | $426.00 | $221.41 – $351.64 | 8 |
| Radial keratotomy CPT 65771 | not published | not published | $1,208.60 – $1,945.24 | 6 |
| Radiation handling CPT 77790 | $443.36 | $554.19 | $13.50 – $162.93 | 11 |
| Radiation physics consult CPT 77336 | $637.18 | $796.47 | $79.89 – $234.16 | 13 |
| Radiation therapy dose plan CPT 77300 | $501.04 | $626.29 | $30.27 – $184.13 | 13 |
| Radiation therapy management CPT 77431 | $199.20 | $249.00 | $99.60 – $208.28 | 9 |
| Radiation treatment aid(s) CPT 77332 | $515.09 | $643.86 | $14.91 – $189.29 | 13 |
| Radiation treatment aid(s) CPT 77333 | $708.04 | $885.04 | $16.92 – $260.20 | 13 |
| Radiation treatment aid(s) CPT 77334 | $1,157.72 | $1,447.15 | $56.40 – $425.46 | 13 |
| Radiation treatment delivery CPT 77401 | $370.73 | $463.41 | $29.18 – $136.24 | 13 |
| Radiation treatment delivery CPT 77402 | $481.16 | $601.44 | $104.24 – $241.00 | 13 |
| Radiation treatment delivery CPT 77412 | $873.04 | $1,091.29 | $250.36 – $431.93 | 13 |
| Radiation tx management x5 CPT 77427 | $354.40 | $443.00 | $177.08 – $369.85 | 9 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $4,511.20 | $5,639.00 | $1,631.46 – $4,369.40 | 9 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,343.18 – $3,571.48 | 9 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,722.39 – $4,582.04 | 9 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,573.07 – $4,184.24 | 9 |
| Radical resection of elbow CPT 24149 | $5,788.80 | $7,236.00 | $1,064.56 – $6,882.64 | 11 |
| Radical resection sternum 21630 CPT 21630 | $2,982.40 | $3,728.00 | $1,177.15 – $3,128.09 | 9 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $2,582.40 | $3,228.00 | $925.47 – $2,757.44 | 11 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $7,052.80 | $8,816.00 | $1,277.47 – $3,391.66 | 11 |
| Radiesse injection HCPCS Q2026 | $239.20 | $299.00 | $333.42 – $350.09 | 7 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $3,175.69 – $8,081.24 | 9 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $509.09 – $1,295.49 | 9 |
| Radiology port images(s) CPT 77417 | $245.46 | $306.82 | $13.41 – $90.21 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | $6,449.40 | $8,061.75 | $392.83 – $2,370.15 | 13 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $182.12 | $227.64 | $46.44 – $180.37 | 11 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,898.74 | $2,373.42 | $34.15 – $1,257.77 | 13 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,372.50 | $2,965.62 | $43.01 – $1,257.77 | 13 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,746.19 | $3,432.73 | $77.62 – $1,257.77 | 13 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,840.02 | $2,300.02 | $46.19 – $1,257.77 | 13 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,293.52 | $1,616.90 | $27.94 – $475.37 | 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.