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 |
|---|---|---|---|---|
| Mayo insft insulin free CPT 83527 | $146.00 | $146.00 | $12.55 – $146.00 | 44 |
| Mayo insulin antibodies CPT 86337 | $186.00 | $186.00 | $20.75 – $186.00 | 44 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $289.00 | $289.00 | $26.27 – $289.00 | 44 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $319.00 | $319.00 | $26.27 – $319.00 | 44 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $174.00 | $174.00 | $12.84 – $174.00 | 44 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $226.00 | $226.00 | $12.39 – $226.00 | 44 |
| Mayo legionella antibody CPT 86713 | $235.00 | $235.00 | $14.83 – $235.00 | 44 |
| Mayo leptospira antibody igm CPT 86720 | $127.00 | $127.00 | $15.70 – $127.00 | 44 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $155.00 | $155.00 | $15.01 – $155.00 | 44 |
| Mayo manganese CPT 83785 | $174.00 | $174.00 | $25.83 – $174.00 | 44 |
| Mayo metanephrines plasma CPT 83835 | $309.00 | $309.00 | $16.41 – $305.00 | 44 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $76.00 | $76.00 | $15.28 – $116.72 | 36 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $300.00 | $300.00 | $17.83 – $300.00 | 44 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $181.00 | $181.00 | $14.10 – $181.00 | 44 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $456.00 | $456.00 | $18.06 – $456.00 | 44 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $805.00 | $805.00 | $161.81 – $805.00 | 41 |
| Mayo muramidase CPT 85549 | $56.00 | $56.00 | $11.26 – $56.00 | 44 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $300.00 | $300.00 | $17.83 – $300.00 | 44 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $201.00 | $201.00 | $17.49 – $201.00 | 44 |
| Mayo myoglobin CPT 83874 | $200.00 | $200.00 | $12.52 – $200.00 | 44 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $110.00 | $110.00 | $22.11 – $116.72 | 36 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | $60.00 | $60.00 | $12.06 – $116.72 | 39 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $327.00 | $327.00 | $65.73 – $327.00 | 36 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $190.00 | $190.00 | $20.55 – $190.00 | 44 |
| Mayo oxalate 24 hour urine CPT 83945 | $184.00 | $184.00 | $14.00 – $184.00 | 44 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $138.00 | $138.00 | $14.57 – $138.00 | 44 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $187.00 | $187.00 | $11.68 – $171.00 | 44 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $481.00 | $481.00 | $34.01 – $481.00 | 44 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $146.00 | $146.00 | $16.08 – $146.00 | 44 |
| Mayo proinsulin CPT 84206 | $175.00 | $175.00 | $25.87 – $175.00 | 44 |
| Mayo psaft prostate specific antigen free CPT 84154 | $322.00 | $322.00 | $17.82 – $162.00 | 44 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $43.00 | $43.00 | $8.64 – $43.00 | 44 |
| Mayo receptor assay transferrin soluble CPT 84238 | $297.00 | $297.00 | $35.43 – $297.00 | 44 |
| Mayo renin CPT 84244 | $327.00 | $327.00 | $21.31 – $327.00 | 44 |
| Mayo repu protein electrophoresis urine CPT 84166 | $465.00 | $465.00 | $17.28 – $465.00 | 44 |
| Mayo selenium CPT 84255 | $175.00 | $175.00 | $24.74 – $175.00 | 44 |
| Mayo serotonin CPT 84260 | $229.00 | $229.00 | $30.02 – $229.00 | 44 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $128.00 | $128.00 | $18.75 – $128.00 | 44 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $264.00 | $264.00 | $13.30 – $264.00 | 44 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $140.00 | $140.00 | $28.14 – $184.98 | 41 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $78.00 | $78.00 | $4.14 – $76.00 | 44 |
| Mayo tau phosphorylated 217 each CPT 84393 | $315.00 | $315.00 | $63.32 – $315.00 | 41 |
| Mayo tgrp testosterone free CPT 84402 | $213.00 | $213.00 | $24.68 – $213.00 | 44 |
| Mayo tgrp testosterone total CPT 84403 | $205.00 | $205.00 | $25.01 – $205.00 | 44 |
| Mayo thyroglobulin CPT 84432 | $147.00 | $147.00 | $15.57 – $147.00 | 44 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $174.00 | $174.00 | $6.23 – $31.00 | 44 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $299.00 | $299.00 | $12.01 – $240.00 | 44 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $215.00 | $215.00 | $43.22 – $215.00 | 41 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $138.00 | $138.00 | $13.72 – $138.00 | 44 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $102.00 | $102.00 | $13.12 – $102.00 | 44 |
| Mayo vasoactive intestinal peptide CPT 84586 | $440.00 | $440.00 | $34.23 – $440.00 | 44 |
| Mayo vitamin k CPT 84597 | $233.00 | $233.00 | $13.29 – $233.00 | 44 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $200.00 | $200.00 | $12.84 – $200.00 | 44 |
| Measurement post void urine by ultrasound CPT 51798 | $237.00 | $237.00 | $47.64 – $237.00 | 110 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $250.00 | $250.00 | $50.25 – $250.00 | 28 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $556.97 | $556.97 | $90.90 – $556.97 | 36 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $538.68 | $538.68 | $55.64 – $340.94 | 36 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $4,420.50 | $4,420.50 | $75.66 – $376.43 | 28 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | $934.33 | $934.33 | $49.32 – $245.37 | 28 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | $100,420.54 | $100,420.54 | $16,388.63 – $100,420.54 | 36 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | $950.06 | $950.06 | $59.05 – $361.84 | 36 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $409.78 | $409.78 | $66.88 – $409.78 | 36 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $100.30 | $100.30 | $2.24 – $15.69 | 94 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $19,954.90 | $19,954.90 | $31.25 – $18,374.40 | 110 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $248.90 | $248.90 | $2.20 – $19.00 | 94 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | $1.38 | $1.38 | $0.28 – $1.38 | 28 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $10,042.74 | $10,042.74 | $2,018.59 – $10,042.74 | 28 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $115.00 | $115.00 | $7.30 – $115.00 | 94 |
| Metabolic Blood Panel (Basic) CPT 80048 | $39,658.00 | $421.00 | $8.20 – $13,116.76 | 110 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $3,206.00 | $469.00 | $9.09 – $469.00 | 110 |
| Metabolic panel ionized ca CPT 80047 | $356.00 | $356.00 | $13.30 – $356.00 | 44 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $1,450.00 | $1,450.00 | $14.37 – $71.50 | 94 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $1.00 | $1.00 | $0.20 – $1.00 | 94 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $292.50 | $292.50 | $3.11 – $15.45 | 28 |
| Methotrexate therapeutic drug level CPT 80204 | $352.00 | $352.00 | $37.37 – $352.00 | 44 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $234.55 | $234.55 | $18.19 – $234.55 | 31 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $75.65 | $75.65 | $15.21 – $75.65 | 94 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $572.60 | $572.60 | $106.08 – $572.60 | 102 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $1.00 | $1.00 | $0.20 – $1.00 | 28 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $93.70 | $93.70 | $4.16 – $20.70 | 28 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $217.95 | $217.95 | $1.88 – $9.35 | 94 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.60 | $4.60 | $0.60 – $3.00 | 94 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $4.60 | $4.60 | $0.65 – $4.60 | 94 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $14.50 | $14.50 | $2.91 – $14.50 | 28 |
| Mgmt promoter methylation analysis CPT 81287 | $372.00 | $372.00 | $74.77 – $372.00 | 44 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $90.10 | $90.10 | $18.11 – $90.10 | 28 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $35.45 | $35.45 | $0.06 – $0.32 | 94 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $38.00 | $38.00 | $7.64 – $38.00 | 28 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $70.00 | $70.00 | $14.07 – $70.00 | 28 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $20,601.45 | $20,601.45 | $64.26 – $20,601.45 | 110 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $6,967.60 | $6,967.60 | $25.58 – $621.75 | 110 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $3,514.20 | $3,514.20 | $30.26 – $1,048.45 | 110 |
| Mlh1 gene CPT 81288 | $576.00 | $576.00 | $115.78 – $576.00 | 44 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $5,757.45 | not published | $1.92 – $3,121.78 | 83 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,574.95 | $9,574.95 | $19.14 – $95.24 | 28 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $39,217.79 | $83.10 | $0.60 – $20,636.89 | 110 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $10.55 | $10.55 | $5.89 – $8.13 | 68 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $95.25 | $95.25 | $0.60 – $10.79 | 94 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $733.00 | $733.00 | $147.33 – $733.00 | 110 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $248.00 | $248.00 | $49.85 – $330.76 | 110 |
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.