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 |
|---|---|---|---|---|
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $1,350.00 | $1,350.00 | $230.41 – $1,350.00 | 110 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $706.00 | $706.00 | $141.91 – $706.00 | 110 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $699.00 | $699.00 | $140.50 – $699.00 | 110 |
| Red blood cells washed each unit HCPCS P9022 | $930.00 | $930.00 | $186.93 – $930.00 | 110 |
| Redo endovas vena cava filtr CPT 37192 | $18,365.00 | $18,365.00 | $3,691.37 – $18,365.00 | 26 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $36.80 | $36.80 | $7.40 – $36.80 | 94 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $3,543.15 | $3,543.15 | $5.91 – $3,543.15 | 110 |
| Rem endovas vena cava filter CPT 37193 | $20,812.00 | $20,812.00 | $2,980.30 – $20,812.00 | 108 |
| Rem interrog dev eval scrms CPT 93298 | $104.00 | $104.00 | $20.90 – $104.00 | 108 |
| Rem interrog evl pm/ids CPT 93296 | $147.00 | $147.00 | $29.55 – $147.00 | 108 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $96.00 | $96.00 | $19.30 – $96.00 | 107 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $2,469.00 | $2,469.00 | $496.27 – $2,469.00 | 108 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $632.00 | $632.00 | $7.49 – $65.28 | 768 |
| Removal of bone for graft CPT 20902 | $104,104.65 | not published | $0.96 – $14,087.30 | 83 |
| Removal of fallopian tube 58700 CPT 58700 | $36,739.54 | not published | $183.41 – $20,636.89 | 83 |
| Removal of foot lesion CPT 28080 | $22,546.29 | not published | $9.09 – $6,352.30 | 83 |
| Removal of gallbladder 47600 CPT 47600 | $3,825.00 | $3,825.00 | $34.18 – $374.24 | 768 |
| Removal of hydrocele CPT 55040 | $19,411.00 | not published | $9.09 – $6,951.03 | 83 |
| Removal of implant deep CPT 20680 | $18,141.50 | not published | $0.96 – $6,352.30 | 83 |
| Removal of testis CPT 54530 | $18,650.25 | not published | $0.96 – $6,951.03 | 83 |
| Removal sutr or stapl no anes CPT 15853 | $279.00 | $279.00 | $56.08 – $279.00 | 26 |
| Removal tunnled intprtnl cath CPT 49422 | $11,937.00 | $11,937.00 | $2,399.34 – $11,937.00 | 108 |
| Remove/graft foot lesion CPT 28102 | $46,450.48 | not published | $0.96 – $14,087.30 | 83 |
| Remove intact mammary implant CPT 19328 | $25,040.03 | not published | $9.09 – $7,601.47 | 83 |
| Remove lower leg bone lesion CPT 27635 | $36,328.59 | not published | $0.96 – $14,087.30 | 83 |
| Renal function panel CPT 80069 | $424.00 | $424.00 | $8.42 – $424.00 | 44 |
| Repair achilles tendon CPT 27650 | $27,420.84 | not published | $0.96 – $14,087.30 | 83 |
| Repair bladder defect CPT 57288 | $33,826.40 | $2,223.00 | $9.09 – $9,711.82 | 769 |
| Repair bowel fistula 44650 CPT 44650 | $5,152.00 | $5,152.00 | $408.46 – $3,292.00 | 768 |
| Repair of ankle ligament CPT 27695 | $21,693.34 | not published | $0.96 – $14,087.30 | 83 |
| Repair of metatarsals CPT 28322 | $35,705.67 | not published | $0.36 – $14,087.30 | 83 |
| Repair pm/icd lead sgl CPT 33218 | $5,153.00 | $5,153.00 | $1,035.75 – $7,254.98 | 108 |
| Repair rectum & vagina CPT 57250 | $23,872.95 | not published | $9.09 – $14,396.42 | 83 |
| Replace aortic valve open femoral 33362 CPT 33362 | $11,468.00 | $11,468.00 | $2,305.07 – $11,468.00 | 26 |
| Replace aortic valve w/byp cntrl aprch 33369 CPT 33369 | $22,399.00 | $22,399.00 | $4,502.20 – $22,399.00 | 26 |
| Replace aortic valve w/byp open aprch 33368 CPT 33368 | $22,399.00 | $22,399.00 | $4,502.20 – $22,399.00 | 26 |
| Replace g-j tube perc CPT 49452 | $2,102.00 | $2,102.00 | $422.50 – $2,102.00 | 108 |
| Replace tissue expander w/perm prost 11970 CPT 11970 | $97,242.03 | not published | $2.28 – $14,087.30 | 83 |
| Reposition pm/icd lead CPT 33215 | $7,049.00 | $7,049.00 | $1,416.85 – $7,049.00 | 108 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $26,487.00 | $26,487.00 | $5,323.89 – $26,487.00 | 26 |
| Repos lv lead pm/icd CPT 33226 | $12,107.00 | $12,107.00 | $2,433.51 – $12,107.00 | 108 |
| Repos sq defib eltrd CPT 33273 | $6,742.00 | $6,742.00 | $1,355.14 – $6,742.00 | 26 |
| Rerepair ing hernia reduce CPT 49520 | $25,652.74 | $2,786.00 | $0.96 – $6,951.03 | 769 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | $5,680.00 | $5,680.00 | $10.84 – $5,680.00 | 31 |
| Resuscitation delivery/birthing room CPT 99465 | $1,825.00 | $1,825.00 | $366.83 – $1,825.00 | 28 |
| Reticulated platelet assay CPT 85055 | $260.00 | $260.00 | $34.63 – $260.00 | 44 |
| Reticulocyte direct measurement automated CPT 85046 | $247.00 | $247.00 | $5.40 – $247.00 | 44 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | $45,114.00 | $45,114.00 | $29.43 – $45,114.00 | 110 |
| Revise breast reconst 19380 CPT 19380 | $73,098.62 | not published | $62.90 – $15,867.92 | 83 |
| Revise gastric port open 43886 CPT 43886 | $1,768.00 | $1,768.00 | $118.86 – $1,327.00 | 768 |
| Revise lower leg tendon CPT 27691 | $59,707.78 | not published | $9.09 – $34,040.37 | 83 |
| Revise middle ear & mastoid CPT 69644 | $32,745.88 | not published | $0.36 – $11,492.83 | 83 |
| Revise/remove sling repair CPT 57287 | $25,734.44 | not published | $9.09 – $1,353.74 | 83 |
| Revision of foot and ankle CPT 28262 | $104,104.65 | not published | $0.96 – $14,087.30 | 83 |
| Revision of foot tendon CPT 28261 | $133,125.34 | not published | $9.09 – $24,925.18 | 83 |
| Revision of knee joint CPT 27446 | $42,394.40 | not published | $9.09 – $24,925.18 | 83 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $20,559.85 | not published | $0.96 – $6,787.38 | 83 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $20,559.85 | not published | $0.96 – $6,787.38 | 83 |
| Revsc opn/prq tib/pero stent CPT 37234 | $25,202.00 | $25,202.00 | $3,377.00 – $16,801.00 | 26 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | $10,657.15 | $10,657.15 | $10.60 – $10,657.15 | 107 |
| Rheumatoid factor qualitative CPT 86430 | $40.00 | $40.00 | $6.14 – $40.00 | 28 |
| Rheumatoid factor quantitative CPT 86431 | $176.00 | $176.00 | $5.50 – $176.00 | 44 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $294.95 | $294.95 | $59.28 – $294.95 | 94 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | $245.00 | $245.00 | $49.25 – $245.00 | 94 |
| Rib X-ray (3 views, both sides) CPT 71110 | $777.00 | $777.00 | $98.68 – $777.00 | 110 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $82.10 | $82.10 | $9.60 – $82.10 | 94 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | $1.01 | $1.01 | $0.20 – $1.01 | 28 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $1,618.64 | $1,618.64 | $22.91 – $114.00 | 28 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | $0.51 | $0.51 | $0.10 – $0.51 | 28 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $30,071.50 | $30,071.50 | $14.63 – $30,071.50 | 110 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $14,092.80 | $14,092.80 | $73.27 – $14,092.80 | 110 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $22,548.30 | $22,548.30 | $36.14 – $19,729.75 | 110 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $12,035.25 | $12,035.25 | $29.54 – $2,407.05 | 110 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,300.55 | $8,300.55 | $74.05 – $1,660.15 | 31 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $9,889.65 | $9,889.65 | $13.00 – $1,978.00 | 110 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $835.00 | $835.00 | $54.86 – $518.00 | 768 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $30,610.00 | $30,610.00 | $6,152.61 – $43,183.96 | 108 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $35,827.20 | $709.00 | $0.96 – $12,568.36 | 769 |
| Rmvl perm pm pulse gen CPT 33233 | $6,048.00 | $6,048.00 | $1,215.65 – $16,065.94 | 108 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $18,126.00 | $18,126.00 | $3,643.33 – $18,126.00 | 108 |
| Rmvl sq defib electrode CPT 33272 | $6,742.00 | $6,742.00 | $1,355.14 – $7,254.98 | 108 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,931.00 | $1,931.00 | $388.13 – $1,931.00 | 108 |
| Rmvl tv pm lead dual CPT 33235 | $15,462.00 | $15,462.00 | $3,107.86 – $15,462.00 | 108 |
| Rmvl tv pm lead sgl CPT 33234 | $6,872.00 | $6,872.00 | $1,381.27 – $7,254.98 | 108 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $869.00 | $869.00 | $24.95 – $95.68 | 768 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $8,826.40 | $8,826.40 | $30.29 – $8,826.40 | 110 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $17,344.00 | $17,344.00 | $10.83 – $4,336.10 | 107 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $13,801.85 | $13,801.85 | $11.40 – $13,801.85 | 110 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.50 | $188.50 | $0.60 – $3.25 | 94 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | $56,796.70 | $56,796.70 | $22.32 – $56,796.70 | 110 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $3,648.00 | $3,648.00 | $21.23 – $353.76 | 768 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $41,917.21 | $2,745.00 | $2.88 – $12,568.36 | 769 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $32,354.75 | $2,655.00 | $0.96 – $11,736.86 | 769 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $32,037.74 | $2,041.00 | $9.09 – $12,568.36 | 769 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $28,434.55 | $1,218.00 | $0.36 – $6,951.03 | 769 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $33,676.70 | $1,693.00 | $9.09 – $11,736.86 | 769 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $4,418.00 | $4,418.00 | $26.27 – $437.76 | 768 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $3,156.00 | $3,156.00 | $18.37 – $306.24 | 768 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $18,823.42 | $3,057.00 | $3.36 – $1,389.65 | 769 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $33,457.50 | $2,278.00 | $2.88 – $12,568.36 | 769 |
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.