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 |
|---|---|---|---|---|
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $561.40 | $561.40 | $15.60 – $561.40 | 94 |
| Vulvectomy simple partial CPT 56620 | $14,528.60 | not published | $31.45 – $6,284.60 | 83 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | $272,036.50 | $272,036.50 | $4,909.37 – $272,036.50 | 110 |
| Walking (Gait) Training (each 15 minutes) CPT 97116 | $42,169.20 | $151.00 | $9.09 – $13,116.76 | 110 |
| Warde 1003990 aldosterone CPT 82088 | $435.00 | $435.00 | $39.48 – $328.00 | 44 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $291.00 | $291.00 | $26.94 – $291.00 | 44 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $208.00 | $208.00 | $12.51 – $208.00 | 44 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $287.00 | $287.00 | $24.47 – $287.00 | 44 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $229.00 | $229.00 | $15.02 – $229.00 | 44 |
| Warde 1015200 kappa light chain free CPT 83521 | $171.00 | $171.00 | $16.92 – $171.00 | 41 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $168.00 | $168.00 | $7.77 – $168.00 | 44 |
| Warde 3008005 oligoclonal bands CPT 83916 | $197.00 | $197.00 | $26.54 – $197.00 | 44 |
| Warde 3016000 west nile virus antibody CPT 86788 | $142.00 | $142.00 | $16.33 – $142.00 | 44 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $221.00 | $221.00 | $13.94 – $221.00 | 44 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $139.00 | $139.00 | $11.87 – $139.00 | 44 |
| Warde 3400852 arsenic CPT 82175 | $360.00 | $360.00 | $18.38 – $360.00 | 44 |
| Warde 3708165 mercury urine CPT 83825 | $121.00 | $121.00 | $15.76 – $121.00 | 44 |
| Warde actin (smooth muscle) antibody each CPT 86015 | $201.00 | $201.00 | $11.68 – $201.00 | 44 |
| Warde adenosine deaminase pleural fluid CPT 84311 | $204.00 | $204.00 | $7.85 – $204.00 | 44 |
| Warde adrenocorticotropic hormone (acth) CPT 82024 | $341.00 | $341.00 | $37.42 – $341.00 | 44 |
| Warde aldolase CPT 82085 | $127.00 | $127.00 | $9.40 – $127.00 | 44 |
| Warde amino acids 6 or more quantitative each specimen CPT 82139 | $512.00 | $512.00 | $16.35 – $512.00 | 44 |
| Warde amiodarone therapeutic drug level CPT 80151 | $352.00 | $352.00 | $18.06 – $352.00 | 44 |
| Warde analysis gene hfe common variants CPT 81256 | $610.00 | $610.00 | $63.33 – $610.00 | 44 |
| Warde analysis translocation bcr/abl1 major breakpoint qualitative/quantitative CPT 81206 | $828.00 | $828.00 | $98.89 – $492.00 | 44 |
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | $93.00 | $93.00 | $18.69 – $116.72 | 39 |
| Warde anti-mullerian hormone CPT 82166 | $300.00 | $300.00 | $37.42 – $300.00 | 44 |
| Warde apolipoprotein b CPT 82172 | $129.00 | $129.00 | $20.44 – $129.00 | 44 |
| Warde bile acids CPT 82239 | $167.00 | $167.00 | $16.59 – $167.00 | 44 |
| Warde calcitonin CPT 82308 | $208.00 | $208.00 | $25.96 – $208.00 | 44 |
| Warde calculus (stone) infrared CPT 82365 | $268.00 | $268.00 | $12.51 – $268.00 | 44 |
| Warde clozapine therapeutic drug level CPT 80159 | $168.00 | $168.00 | $19.52 – $168.00 | 44 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $126.00 | $126.00 | $21.28 – $126.00 | 44 |
| Warde collagen cross links c-telopeptide CPT 82523 | $245.00 | $245.00 | $18.11 – $245.00 | 44 |
| Warde complement total hemolytic CPT 86162 | $158.00 | $158.00 | $19.69 – $158.00 | 44 |
| Warde copper CPT 82525 | $162.00 | $162.00 | $12.03 – $162.00 | 44 |
| Warde cryoglobulin CPT 82595 | $196.00 | $196.00 | $6.27 – $196.00 | 44 |
| Warde erythropoietin CPT 82668 | $236.00 | $236.00 | $18.21 – $236.00 | 44 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $210.00 | $210.00 | $11.72 – $210.00 | 44 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $151.00 | $151.00 | $9.40 – $151.00 | 44 |
| Warde gastrin CPT 82941 | $160.00 | $160.00 | $17.09 – $160.00 | 44 |
| Warde growth hormone (hgh) CPT 83003 | $176.00 | $176.00 | $16.16 – $176.00 | 44 |
| Warde helminth antibody strongyloides igg CPT 86682 | $127.00 | $127.00 | $12.61 – $127.00 | 44 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $54.00 | $54.00 | $10.85 – $54.00 | 44 |
| Warde hepatitis a antibody CPT 86708 | $116.00 | $116.00 | $12.01 – $116.00 | 44 |
| Warde hepatitis be antibody CPT 86707 | $116.00 | $116.00 | $11.21 – $116.00 | 44 |
| Warde hepatitis delta agent antibody CPT 86692 | $176.00 | $176.00 | $16.63 – $176.00 | 44 |
| Warde immunofixation electrophoresis urine CPT 86335 | $294.00 | $294.00 | $28.76 – $294.00 | 44 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $101.00 | $101.00 | $11.17 – $101.00 | 44 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,033.00 | $1,033.00 | $207.63 – $1,033.00 | 44 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $255.00 | $255.00 | $22.84 – $137.00 | 44 |
| Warde lipoprotein (a) CPT 83695 | $166.00 | $166.00 | $13.87 – $166.00 | 44 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $102.00 | $102.00 | $20.50 – $102.00 | 44 |
| Warde mitochondrial antibody each CPT 86381 | $208.00 | $208.00 | $24.66 – $208.00 | 44 |
| Warde neutralization rabies CPT 86382 | $137.00 | $137.00 | $16.38 – $137.00 | 44 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $182.00 | $182.00 | $12.84 – $182.00 | 44 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $287.00 | $287.00 | $22.26 – $287.00 | 44 |
| Warde protein c antigen CPT 85302 | $245.00 | $245.00 | $11.64 – $245.00 | 44 |
| Warde sex hormone binding globulin CPT 84270 | $250.00 | $250.00 | $21.05 – $250.00 | 44 |
| Warde somatomedin CPT 84305 | $202.00 | $202.00 | $20.60 – $202.00 | 44 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $186.00 | $186.00 | $5.33 – $186.00 | 44 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $142.00 | $142.00 | $15.27 – $142.00 | 44 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $441.00 | $441.00 | $49.29 – $441.00 | 44 |
| Warde topiramate therapeutic drug level CPT 80201 | $227.00 | $227.00 | $11.55 – $227.00 | 44 |
| Warde viscosity CPT 85810 | $139.00 | $139.00 | $11.31 – $139.00 | 44 |
| Warde vitamin a CPT 84590 | $169.00 | $169.00 | $11.25 – $169.00 | 44 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $282.00 | $282.00 | $20.57 – $282.00 | 44 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $289.00 | $289.00 | $27.23 – $289.00 | 44 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $128.00 | $128.00 | $9.59 – $128.00 | 44 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $311.00 | $311.00 | $37.31 – $311.00 | 44 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $50.00 | $50.00 | $10.05 – $50.00 | 44 |
| Warde zinc CPT 84630 | $117.00 | $117.00 | $11.04 – $117.00 | 44 |
| Wbc automated CPT 85048 | $144.00 | $144.00 | $2.46 – $144.00 | 44 |
| Whole blood for transfusion HCPCS P9010 | $1,100.00 | $1,100.00 | $221.10 – $1,100.00 | 28 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,504.00 | $1,504.00 | $302.30 – $1,504.00 | 28 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $887.00 | $887.00 | $140.04 – $887.00 | 110 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $188.00 | $188.00 | $37.79 – $874.53 | 110 |
| Whole Skeleton X-ray Survey CPT 77075 | $1,406.00 | $1,406.00 | $98.68 – $1,406.00 | 110 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | $0.02 | $0.02 | $0.01 – $0.02 | 26 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $584.00 | $584.00 | $117.38 – $584.00 | 110 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $672.00 | $672.00 | $135.07 – $789.21 | 110 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $706.00 | $706.00 | $141.91 – $789.21 | 110 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $424.00 | $424.00 | $2.09 – $424.00 | 780 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $767.00 | $767.00 | $2.04 – $789.21 | 780 |
| Wrist X-ray CPT 73110 | $897.00 | $897.00 | $82.14 – $597.00 | 110 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $743.00 | $743.00 | $82.14 – $496.00 | 110 |
| X-ray abdomen >=3 views CPT 74021 | $644.00 | $644.00 | $98.68 – $644.00 | 110 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $3,421.00 | $3,421.00 | $329.29 – $2,281.00 | 110 |
| X-ray bone survey infant CPT 77076 | $464.00 | $464.00 | $93.26 – $464.00 | 110 |
| X-ray exam of femur 1 CPT 73551 | $402.00 | $402.00 | $53.87 – $268.00 | 110 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $679.00 | $679.00 | $82.14 – $453.00 | 110 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $378.00 | $378.00 | $50.65 – $252.00 | 110 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $929.00 | $929.00 | $98.68 – $929.00 | 110 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,150.00 | $1,150.00 | $231.15 – $1,150.00 | 110 |
| X-ray ribs 2 views left CPT 71100 | $636.00 | $636.00 | $82.14 – $636.00 | 110 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $973.00 | $973.00 | $195.57 – $1,132.04 | 110 |
| X-ray small intestine follow-through study CPT 74248 | $578.00 | $578.00 | $116.18 – $578.00 | 26 |
| X-ray surgical specimen CPT 76098 | $872.00 | $872.00 | $8.09 – $1,060.82 | 780 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $55,035.00 | $55,035.00 | $11,062.04 – $114,217.34 | 107 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $83.25 | $83.25 | $16.73 – $83.25 | 94 |
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.