MercyOne West Des Moines Medical Center
1755 59th Place, West Des Moines, IA · MercyOne · · NPI 1538395975
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 |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $5,237.00 | $5,237.00 | $225.21 – $5,237.00 | 110 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $737.00 | $737.00 | $98.68 – $737.00 | 110 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $1,033.00 | $1,033.00 | $98.68 – $1,033.00 | 110 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $6,145.00 | $869.00 | $82.14 – $580.00 | 110 |
| Lsh uterus 250 g or less CPT 58541 | $68,531.84 | not published | $183.41 – $20,636.89 | 83 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $62,828.90 | not published | $183.41 – $20,636.89 | 83 |
| Lung Function Test (Spirometry) CPT 94010 | $402.00 | $402.00 | $80.80 – $419.20 | 110 |
| Lung perfusion imaging CPT 78580 | $1,924.00 | $1,924.00 | $377.34 – $1,924.00 | 110 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $25,230.00 | $25,230.00 | $202.23 – $25,230.00 | 110 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $37,758.50 | $37,758.50 | $39.26 – $12,586.20 | 110 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,365.66 | $1,365.66 | $274.50 – $1,365.66 | 28 |
| Magnesium CPT 83735 | $35,147.81 | $123.00 | $6.50 – $6,614.04 | 110 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $522.50 | $522.50 | $0.50 – $11.90 | 94 |
| Mammosite ced HCPCS C1728 | $2,211.47 | $2,211.47 | $444.51 – $2,211.47 | 28 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | $8,622.65 | $8,622.65 | $46.45 – $8,622.65 | 110 |
| Marker biop eviva buckle ss HCPCS A4648 | $5,096.73 | $5,096.73 | $0.01 – $0.17 | 28 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $1,974.59 | $1,974.59 | $322.25 – $1,974.59 | 36 |
| Mask full face lg af531 HCPCS A7030 | $72.83 | $72.83 | $14.28 – $71.04 | 28 |
| Mastopexy CPT 19316 | $97,242.03 | not published | $2.28 – $14,087.30 | 83 |
| Mast simple complete CPT 19303 | $6,174.00 | $6,174.00 | $37.37 – $336.80 | 768 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | $10,028.22 | $10,028.22 | $2,015.67 – $10,028.22 | 28 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $112.19 | $112.19 | $0.59 – $3.61 | 36 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $161.00 | $161.00 | $14.01 – $161.00 | 44 |
| Mayo aathr protein s free CPT 85306 | $195.00 | $195.00 | $14.84 – $195.00 | 44 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $217.00 | $217.00 | $37.37 – $217.00 | 44 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $132.00 | $132.00 | $26.53 – $132.00 | 36 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $224.00 | $224.00 | $45.02 – $224.00 | 39 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $396.00 | $396.00 | $14.32 – $396.00 | 44 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $278.00 | $278.00 | $55.88 – $278.00 | 39 |
| Mayo alpha 1 antitrypsin CPT 82103 | $186.00 | $186.00 | $13.03 – $186.00 | 44 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $63.00 | $63.00 | $12.66 – $63.00 | 44 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $117.00 | $117.00 | $23.52 – $117.00 | 39 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $261.00 | $261.00 | $52.46 – $261.00 | 36 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $980.00 | $980.00 | $117.86 – $980.00 | 44 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $952.00 | $952.00 | $88.82 – $952.00 | 44 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $3,480.00 | $3,480.00 | $502.50 – $2,500.00 | 44 |
| Mayo androstenedione CPT 82157 | $212.00 | $212.00 | $28.38 – $212.00 | 44 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $176.00 | $176.00 | $14.15 – $176.00 | 44 |
| Mayo antithrombin iii antigen CPT 85301 | $244.00 | $244.00 | $10.48 – $244.00 | 44 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $52.00 | $52.00 | $8.84 – $44.00 | 44 |
| Mayo avwpr vw factor activity CPT 85397 | $1,200.00 | $1,200.00 | $29.91 – $265.00 | 44 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $108.00 | $108.00 | $21.71 – $108.00 | 44 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $209.00 | $209.00 | $42.01 – $209.00 | 36 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $144.00 | $144.00 | $9.86 – $144.00 | 44 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $475.00 | $475.00 | $87.44 – $435.00 | 44 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $644.00 | $644.00 | $71.96 – $431.39 | 44 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $147.00 | $147.00 | $12.51 – $147.00 | 44 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $78.00 | $78.00 | $15.68 – $116.72 | 39 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $156.00 | $156.00 | $12.78 – $156.00 | 44 |
| Mayo brcmg brucella antibody igm CPT 86622 | $174.00 | $174.00 | $8.65 – $174.00 | 44 |
| Mayo c1 esterase inhibitor CPT 83883 | $120.00 | $120.00 | $13.18 – $120.00 | 44 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $217.00 | $217.00 | $43.62 – $217.00 | 39 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $187.00 | $187.00 | $16.35 – $87.00 | 44 |
| Mayo ceruloplasmin CPT 82390 | $196.00 | $196.00 | $10.40 – $196.00 | 44 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $180.00 | $180.00 | $13.68 – $180.00 | 44 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $164.00 | $164.00 | $7.84 – $39.00 | 44 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $125.00 | $125.00 | $11.45 – $125.00 | 44 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $103.00 | $103.00 | $12.29 – $103.00 | 44 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $907.00 | $907.00 | $112.88 – $907.00 | 44 |
| Mayo chromium CPT 82495 | $167.00 | $167.00 | $19.66 – $167.00 | 44 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $152.00 | $152.00 | $30.55 – $152.00 | 36 |
| Mayo coccidioides antibody CPT 86635 | $124.00 | $124.00 | $11.12 – $124.00 | 44 |
| Mayo cocou cortisone urine CPT 82542 | $622.00 | $622.00 | $23.35 – $622.00 | 44 |
| Mayo cortisol free CPT 82530 | $183.00 | $183.00 | $16.19 – $183.00 | 44 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $150.00 | $150.00 | $11.74 – $150.00 | 44 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $67.00 | $67.00 | $13.47 – $116.72 | 39 |
| Mayo cyanide CPT 82600 | $236.00 | $236.00 | $18.80 – $236.00 | 44 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $184.00 | $184.00 | $12.84 – $184.00 | 44 |
| Mayo efpo chloride stool CPT 82438 | $142.00 | $142.00 | $4.85 – $142.00 | 44 |
| Mayo estrone CPT 82679 | $164.00 | $164.00 | $24.17 – $164.00 | 44 |
| Mayo everolimus therapeutic drug level CPT 80169 | $305.00 | $305.00 | $13.30 – $305.00 | 44 |
| Mayo factor ii CPT 85210 | $323.00 | $323.00 | $12.58 – $323.00 | 44 |
| Mayo factor vii CPT 85230 | $274.00 | $274.00 | $17.35 – $274.00 | 44 |
| Mayo factor viii vw factor antigen CPT 85246 | $366.00 | $366.00 | $22.23 – $315.00 | 44 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $101.00 | $101.00 | $20.30 – $101.00 | 44 |
| Mayo factor x CPT 85260 | $149.00 | $149.00 | $17.35 – $149.00 | 44 |
| Mayo factor xi CPT 85270 | $155.00 | $155.00 | $17.35 – $155.00 | 44 |
| Mayo fat/lipids feces quantitative CPT 82710 | $120.00 | $120.00 | $16.28 – $120.00 | 44 |
| Mayo fbl culture fungi blood CPT 87103 | $289.00 | $289.00 | $19.83 – $289.00 | 44 |
| Mayo ffspg allergen clam igg CPT 86001 | $23.00 | $23.00 | $4.62 – $23.00 | 44 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $121.00 | $121.00 | $21.00 – $121.00 | 44 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,382.00 | $1,382.00 | $225.54 – $1,382.00 | 36 |
| Mayo hemosiderin qualitative urine CPT 83070 | $80.00 | $80.00 | $4.60 – $80.00 | 44 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $20.00 | $20.00 | $4.02 – $27.72 | 44 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $54.00 | $54.00 | $8.62 – $54.00 | 44 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $78.00 | $78.00 | $13.10 – $78.00 | 44 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $272.00 | $272.00 | $26.33 – $272.00 | 44 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $339.00 | $339.00 | $16.74 – $339.00 | 44 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $60.00 | $60.00 | $12.06 – $60.00 | 44 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $236.00 | $236.00 | $20.17 – $236.00 | 44 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $279.00 | $279.00 | $20.17 – $279.00 | 44 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $167.00 | $167.00 | $15.58 – $130.00 | 44 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $259.00 | $259.00 | $11.61 – $259.00 | 44 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $327.00 | $327.00 | $34.01 – $327.00 | 44 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $236.00 | $236.00 | $34.01 – $236.00 | 44 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $283.00 | $283.00 | $34.01 – $283.00 | 44 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $320.00 | $320.00 | $34.39 – $320.00 | 41 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $431.00 | $431.00 | $41.51 – $431.00 | 44 |
| Mayo infliximab therapeutic drug level CPT 80230 | $147.00 | $147.00 | $29.55 – $147.00 | 44 |
| Mayo inhab inhibin a CPT 86336 | $124.00 | $124.00 | $15.11 – $124.00 | 44 |
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.