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 |
|---|---|---|---|---|
| Antibody elution rbc reference CPT 86860 | $393.00 | $393.00 | $78.60 – $393.00 | 110 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $632.00 | $632.00 | $17.80 – $632.00 | 44 |
| Antibody id rbc panel CPT 86870 | $52,462.38 | $338.00 | $67.94 – $695.89 | 110 |
| Antibody screen rbc CPT 86850 | $197.00 | $197.00 | $9.77 – $197.00 | 110 |
| Antidepressant not specified CPT 80338 | $75.00 | $75.00 | $15.08 – $116.72 | 39 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | $5,144.60 | $5,144.60 | $1.46 – $2,670.45 | 110 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $72.00 | $72.00 | $11.68 – $72.00 | 44 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $130.00 | $130.00 | $11.68 – $130.00 | 44 |
| Antinuclear antibodies CPT 86038 | $280.00 | $280.00 | $11.72 – $280.00 | 44 |
| Antinuclear antibodies titer CPT 86039 | $338.00 | $338.00 | $10.81 – $338.00 | 44 |
| Antistreptolysin o screen CPT 86063 | $75.00 | $75.00 | $5.59 – $75.00 | 44 |
| Antistreptolysin o titer CPT 86060 | $60.00 | $60.00 | $7.08 – $60.00 | 44 |
| Antithrombin iii activity CPT 85300 | $255.00 | $255.00 | $11.49 – $255.00 | 44 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | $14,664.50 | $14,664.50 | $2,947.56 – $14,664.50 | 94 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $32,651.55 | not published | $9.09 – $14,396.42 | 83 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $503.00 | $503.00 | $98.68 – $503.00 | 110 |
| Appendectomy CPT 44950 | $2,298.00 | $2,298.00 | $25.36 – $224.16 | 768 |
| Appendix Removal (Laparoscopic) CPT 44970 | $21,990.65 | $2,161.00 | $9.09 – $11,736.86 | 769 |
| Application multi layer compression below knee (both sides) CPT 29581 | $843.00 | $843.00 | $112.96 – $562.00 | 110 |
| Application of paste boot 29580 CPT 29580 | $721.00 | $721.00 | $96.68 – $481.00 | 110 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $23,202.15 | not published | $9.09 – $5,639.25 | 83 |
| Applicator tag rfid localizer 12gx7cm HCPCS C1819 | $4,281.57 | $4,281.57 | $0.53 – $2.64 | 28 |
| Appl mltpln uni ext fixj sys CPT 20692 | $112,432.88 | not published | $12,118.25 – $24,925.18 | 82 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $1,185.25 | $1,185.25 | $1.68 – $1,185.25 | 110 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | $509.00 | $509.00 | $36.56 – $509.00 | 44 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $5,094.00 | $5,094.00 | $329.29 – $3,396.00 | 110 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $4,853.00 | $4,853.00 | $98.68 – $3,235.00 | 110 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $956.00 | $956.00 | $58.20 – $956.00 | 110 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $2,478.30 | $2,478.30 | $76.92 – $2,478.30 | 94 |
| Arterial blood draw/perc 36620 CPT 36620 | $152.00 | $152.00 | $13.00 – $91.00 | 768 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $7,493.00 | $7,493.00 | $1,506.09 – $7,493.00 | 110 |
| Artery x-rays lungs CPT 75743 | $7,332.00 | $7,332.00 | $1,473.73 – $7,332.00 | 110 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $1,150.00 | $1,150.00 | $154.17 – $767.00 | 108 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $4,715.00 | $4,715.00 | $289.73 – $3,143.00 | 108 |
| Arthrodesis subtalar CPT 28725 | $59,707.78 | not published | $9.09 – $34,040.37 | 83 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | $27,599.65 | not published | $9.09 – $14,087.30 | 83 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | $26,195.43 | not published | $1.92 – $14,087.30 | 83 |
| Ascenda two piece catheter HCPCS C1772 | $23,576.00 | $23,576.00 | $17.37 – $86.44 | 28 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $2,785.00 | $2,785.00 | $65.83 – $2,785.00 | 108 |
| Assay of breath ethanol CPT 82075 | $52.00 | $52.00 | $10.45 – $52.00 | 28 |
| Assess cyst contrast inject CPT 49424 | $1,945.00 | $1,945.00 | $390.95 – $1,945.00 | 26 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $97.00 | $97.00 | $4.14 – $97.00 | 44 |
| Ast/sgot CPT 84450 | $196.00 | $196.00 | $5.02 – $196.00 | 44 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $35,811.20 | $35,811.20 | $89.08 – $35,811.20 | 110 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $33,115.00 | $33,115.00 | $3,602.80 – $22,076.00 | 34 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $53.40 | $53.40 | $9.25 – $46.00 | 28 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,157.00 | $7,157.00 | $84.02 – $417.99 | 28 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | $6,470.55 | $6,470.55 | $94.26 – $6,470.55 | 110 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $9,829.15 | not published | $189.38 – $389.51 | 82 |
| Azathioprine 50 mg tablet HCPCS J7500 | $66.00 | $66.00 | $0.20 – $2.14 | 94 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $9.20 | $9.20 | $1.76 – $8.75 | 94 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $225.40 | $225.40 | $26.70 – $156.35 | 94 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $3,156.90 | $3,156.90 | $160.92 – $3,156.90 | 31 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $164.85 | $164.85 | $33.13 – $164.85 | 28 |
| Bacterial vaginosis pcr CPT 87801 | $521.00 | $521.00 | $68.02 – $521.00 | 44 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $97.63 | $97.63 | $14.10 – $70.16 | 28 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $160.00 | $160.00 | $26.48 – $189.00 | 44 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $1,146.00 | $1,146.00 | $165.56 – $1,146.00 | 110 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $549.00 | $549.00 | $110.35 – $549.00 | 110 |
| Barrier film 1.0ml wipe HCPCS A5120 | $0.35 | $0.35 | $0.07 – $0.35 | 28 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | $29.40 | $29.40 | $5.91 – $29.40 | 28 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | $0.67 | $0.67 | $0.13 – $0.67 | 28 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | $0.40 | $0.40 | $0.08 – $0.40 | 28 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | $1.72 | $1.72 | $0.35 – $1.72 | 28 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | $73.30 | $73.30 | $0.13 – $0.67 | 28 |
| Bausch health Ultrasound surg HCPCS V2788 | $1,145.00 | $1,145.00 | $10.05 – $50.00 | 28 |
| B cells total count CPT 86355 | $263.00 | $263.00 | $36.56 – $263.00 | 44 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $864.15 | $864.15 | $3.21 – $864.15 | 110 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $4,849.40 | $4,849.40 | $3.81 – $4,849.40 | 110 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $11,005.85 | $11,005.85 | $52.79 – $3,302.00 | 110 |
| Belt ostomy lg 34-65in HCPCS A4367 | $0.75 | $0.75 | $0.15 – $0.74 | 28 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $14,338.95 | $14,338.95 | $2.01 – $14,338.95 | 110 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | $11,945.90 | $11,945.90 | $13.38 – $11,945.90 | 110 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $8,355.30 | $8,355.30 | $12.58 – $8,355.30 | 110 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | $19,642.40 | $19,642.40 | $3,070.00 – $19,642.40 | 94 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $89.95 | $89.95 | $18.08 – $89.95 | 28 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $267.00 | $267.00 | $24.66 – $267.00 | 44 |
| Beta-2 microglobulin CPT 82232 | $95.00 | $95.00 | $15.68 – $95.00 | 44 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $175.75 | $175.75 | $34.45 – $175.75 | 94 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $2,390.85 | $2,390.85 | $72.16 – $2,390.85 | 110 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $1,925.35 | $1,925.35 | $23.36 – $1,925.35 | 110 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $6,770.50 | $6,770.50 | $25.28 – $6,770.50 | 110 |
| Bilirubin direct CPT 82248 | $96.00 | $96.00 | $4.87 – $96.00 | 44 |
| Bilirubin total CPT 82247 | $150.00 | $150.00 | $4.87 – $100.00 | 44 |
| Biopsy abdominal mass CPT 49180 | $3,659.00 | $3,659.00 | $735.46 – $3,659.00 | 108 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $9,918.00 | $9,918.00 | $1,329.01 – $6,612.00 | 108 |
| Biopsy muscle percutaneous needle CPT 20206 | $2,813.00 | $2,813.00 | $565.41 – $3,206.43 | 108 |
| Biopsy needle liver percutaneous CPT 47000 | $2,078.00 | $2,078.00 | $417.68 – $3,206.43 | 108 |
| Biopsy/removal lymph nodes CPT 38525 | $160,000.41 | $1,954.00 | $137.28 – $26,754.51 | 769 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $5,257.00 | $5,257.00 | $704.51 – $3,505.00 | 108 |
| Biopsy thigh soft tissues CPT 27324 | $1,412.00 | $1,412.00 | $128.34 – $931.00 | 768 |
| Bivalirudin HCPCS J0583 | $413.95 | $413.95 | $83.20 – $413.95 | 28 |
| Bladder Catheter Insertion (simple) CPT 51702 | $333.00 | $333.00 | $66.93 – $333.00 | 108 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $974.00 | $974.00 | $195.77 – $974.00 | 108 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $488.00 | $488.00 | $22.87 – $263.10 | 94 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | $17,670.55 | $17,670.55 | $144.64 – $17,670.55 | 110 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $15,124.43 | $15,124.43 | $0.01 – $14.40 | 28 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $7,446.33 | $7,446.33 | $8.03 – $39.95 | 28 |
| Bln dil 900ml preperitnl HCPCS C1727 | $3,133.15 | $3,133.15 | $134.77 – $670.49 | 28 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $5,567.73 | $5,567.73 | $10.75 – $53.50 | 28 |
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.