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 |
|---|---|---|---|---|
| Bln press regulation 71-80cm HCPCS C1815 | $15,455.65 | $15,455.65 | $911.79 – $4,536.28 | 28 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $2,793.14 | $2,793.14 | $353.01 – $1,756.25 | 28 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $2.80 | $2.80 | $0.56 – $2.80 | 28 |
| Block tap inj(s) w/wo img bi CPT 64488 | $726.00 | $726.00 | $145.93 – $726.00 | 26 |
| Blood Clotting (PT/INR) Test CPT 85610 | $28,382.35 | $139.00 | $4.16 – $2,428.98 | 110 |
| Blood Clotting (PTT) Test CPT 85730 | $40,307.08 | $195.00 | $5.82 – $13,116.76 | 110 |
| Blood Count (CBC) Test CPT 85025 | $25,465.36 | $313.00 | $7.53 – $6,176.47 | 110 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $37,446.24 | $230.00 | $6.27 – $10,860.07 | 110 |
| Blood Culture Test CPT 87040 | $31,924.76 | $335.00 | $10.00 – $5,477.93 | 110 |
| Blood Draw (Venipuncture) CPT 36415 | $47.00 | $47.00 | $8.57 – $47.00 | 44 |
| Blood gases o2 saturation direct measurement CPT 82805 | $277.00 | $277.00 | $55.68 – $277.00 | 44 |
| Blood gases ph venous CPT 82800 | $76.00 | $76.00 | $10.66 – $76.00 | 44 |
| Blood, l/r, irradiated HCPCS P9056 | $995.00 | $995.00 | $200.00 – $995.00 | 28 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $130.00 | $130.00 | $15.42 – $130.00 | 44 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $50.00 | $50.00 | $4.10 – $50.00 | 44 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $421.00 | $421.00 | $4.24 – $421.00 | 44 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $90.00 | $90.00 | $5.15 – $90.00 | 44 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $107.00 | $107.00 | $3.68 – $107.00 | 44 |
| Blood split unit HCPCS P9011 | $788.00 | $788.00 | $143.97 – $788.00 | 110 |
| Blood Transfusion CPT 36430 | $958.00 | $958.00 | $192.56 – $958.00 | 110 |
| Blood typing abo CPT 86900 | $161.00 | $161.00 | $2.99 – $258.30 | 110 |
| Blood typing ag donor ea ag CPT 86902 | $240.00 | $240.00 | $6.35 – $695.89 | 110 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $93.00 | $93.00 | $3.83 – $695.89 | 110 |
| Blood typing rh (d) CPT 86901 | $110.00 | $110.00 | $2.99 – $110.00 | 110 |
| Blood typing rh phenotype complete reference CPT 86906 | $211.00 | $211.00 | $7.75 – $211.00 | 110 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $3,052.25 | $3,052.25 | $13.11 – $80.31 | 36 |
| Bone biopsy open superficial CPT 20240 | $23,202.15 | not published | $9.09 – $5,639.25 | 83 |
| Bone filler cerament 10cc HCPCS C1602 | $15,654.99 | $15,654.99 | $114.38 – $569.03 | 28 |
| Bone marrow interpretation CPT 85097 | $308.00 | $308.00 | $61.91 – $1,564.16 | 110 |
| Bone tendon board add on HCPCS C9356 | $7,462.23 | $7,462.23 | $104.77 – $521.26 | 28 |
| Bone void filler nanoss 10cc HCPCS C9362 | $4,988.85 | $4,988.85 | $38.95 – $193.78 | 28 |
| Boot cast sandal rocker med HCPCS L3265 | $3.37 | $3.37 | $0.68 – $3.37 | 28 |
| Boot heel care softcare one sz HCPCS E0191 | $203.21 | $203.21 | $0.63 – $54.31 | 36 |
| Boot j walker l HCPCS L4386 | $534.21 | $534.21 | $10.15 – $62.18 | 36 |
| Boot mlti podous univ xlg HCPCS L4396 | $253.86 | $253.86 | $10.99 – $67.37 | 36 |
| Boot softgait shrt m HCPCS L4387 | $63.83 | $63.83 | $4.18 – $25.60 | 36 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $126.11 | $126.11 | $10.42 – $63.83 | 36 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $124.66 | $124.66 | $20.34 – $124.66 | 36 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $194.00 | $194.00 | $16.50 – $194.00 | 44 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $1,800.00 | $1,800.00 | $42.53 – $211.60 | 94 |
| Brace adj motion lerman type HCPCS L2186 | $486.83 | $486.83 | $97.85 – $486.83 | 28 |
| Brace afo dbl upright cust HCPCS L1990 | $1,151.48 | $1,151.48 | $231.45 – $1,151.48 | 28 |
| Brace afo lg left 6607 HCPCS L1930 | $199.67 | $199.67 | $16.34 – $100.12 | 36 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,762.74 | $1,762.74 | $354.31 – $1,762.74 | 28 |
| Brace afo spiral prefab HCPCS L1951 | $2,686.36 | $2,686.36 | $539.96 – $2,686.36 | 28 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $85.87 | $85.87 | $7.83 – $38.95 | 28 |
| Brace ank air stirrup univ HCPCS L4350 | $73.80 | $73.80 | $6.52 – $39.95 | 36 |
| Brace ankle joint dflxn assist HCPCS L2210 | $252.21 | $252.21 | $50.69 – $252.21 | 28 |
| Brace ankle stablizing lg HCPCS L1902 | $51.50 | $51.50 | $10.35 – $51.50 | 28 |
| Brace back epic lo 627 HCPCS L0642 | $215.85 | $215.85 | $35.23 – $215.85 | 36 |
| Brace back epic lso 637 HCPCS L0650 | $286.92 | $286.92 | $46.83 – $286.92 | 36 |
| Brace back epic tslo 456 HCPCS L0457 | $600.89 | $600.89 | $82.17 – $408.80 | 28 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,337.90 | $1,337.90 | $53.68 – $802.74 | 36 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $624.24 | $624.24 | $125.47 – $624.24 | 28 |
| Brace back t-lso custom HCPCS L0486 | $4,482.85 | $4,482.85 | $901.05 – $4,482.85 | 28 |
| Brace back vista 464 tlso HCPCS L0648 | $731.02 | $731.02 | $82.42 – $505.04 | 36 |
| Brace cust back lso HCPCS L0631 | $2,802.16 | $2,802.16 | $0.20 – $1.00 | 28 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $159.40 | $159.40 | $32.04 – $159.40 | 28 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,066.20 | $1,066.20 | $13.96 – $69.45 | 28 |
| Brace halo bremer l2830 HCPCS L2830 | $300.91 | $300.91 | $60.48 – $300.91 | 28 |
| Brace kafo dbl upright cust HCPCS L2036 | $3,720.57 | $3,720.57 | $747.83 – $3,720.57 | 28 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $419.39 | $419.39 | $68.44 – $419.39 | 36 |
| Brace knee extender plus 22-30in HCPCS L1832 | $2,312.35 | $2,312.35 | $17.86 – $109.46 | 36 |
| Brace knee hing pat open med HCPCS L1820 | $73.15 | $73.15 | $14.70 – $73.15 | 28 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $1,387.44 | $1,387.44 | $29.82 – $182.69 | 36 |
| Brace knee postop tscope xl HCPCS L1845 | $443.98 | $443.98 | $89.24 – $443.98 | 28 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $271.52 | $271.52 | $12.03 – $59.85 | 28 |
| Brace m arm board HCPCS L3809 | $69.80 | $69.80 | $5.99 – $36.70 | 36 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $169.00 | $169.00 | $27.35 – $189.00 | 44 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $374.69 | $374.69 | $59.75 – $366.09 | 36 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $732.40 | $732.40 | $120.78 – $600.89 | 28 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $665.91 | $665.91 | $0.52 – $3.21 | 36 |
| Brace tlso flex cust HCPCS L0450 | $3,050.10 | $3,050.10 | $613.07 – $3,050.10 | 28 |
| Brace wrist classic lft sm HCPCS L3908 | $121.32 | $121.32 | $0.53 – $3.22 | 36 |
| Brachioplasty 15836 CPT 15836 | $37,242.00 | not published | $2,741.72 – $5,639.25 | 82 |
| Brach/thor cath 2nd CPT 36216 | $3,199.00 | $3,199.00 | $643.00 – $3,199.00 | 26 |
| Brach/thor cath 3rd CPT 36217 | $3,235.00 | $3,235.00 | $650.24 – $3,235.00 | 26 |
| Brachy source i-125 injection HCPCS C2638 | $182.00 | $182.00 | $36.58 – $182.00 | 28 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $115.00 | $115.00 | $8.04 – $73.65 | 107 |
| Brachy source palladium HCPCS C2640 | $288.70 | $288.70 | $15.08 – $75.00 | 28 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $275.00 | $275.00 | $23.03 – $129.60 | 41 |
| Brachy source yttrium-90 HCPCS C2616 | $60,990.00 | $60,990.00 | $10.05 – $35,719.73 | 107 |
| Braf gene CPT 81210 | $1,095.00 | $1,095.00 | $169.96 – $1,095.00 | 44 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $4,225.55 | $4,064.00 | $329.29 – $4,064.00 | 110 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $14,897.55 | $4,896.00 | $225.21 – $4,896.00 | 110 |
| Brain MRI (with and without contrast) CPT 70553 | $14,790.00 | $14,790.00 | $329.29 – $14,790.00 | 110 |
| Brain MRI (with contrast) CPT 70552 | $4,142.00 | $4,142.00 | $329.29 – $4,142.00 | 110 |
| Brain MRI (without contrast) CPT 70551 | $5,621.00 | $5,621.00 | $225.21 – $5,621.00 | 110 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $248.13 | $248.13 | $15.40 – $94.36 | 36 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $8,098.00 | $8,098.00 | $138.08 – $5,398.00 | 108 |
| Breastbone (Sternum) X-ray CPT 71120 | $608.00 | $608.00 | $82.14 – $608.00 | 110 |
| Breast punct aspir cyst, bil CPT 19000 | $795.00 | $795.00 | $38.10 – $1,374.78 | 108 |
| Breast reconstruction 19357 CPT 19357 | $7,748.00 | $7,748.00 | $37.48 – $413.60 | 768 |
| Breast reduction CPT 19318 | $41,850.50 | not published | $62.90 – $12,891.30 | 83 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $39,510.50 | $39,510.50 | $224.75 – $39,510.50 | 110 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $452.00 | $452.00 | $41.11 – $343.14 | 768 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $1,586.00 | $1,586.00 | $318.79 – $1,586.00 | 26 |
| Bronch ebus samplng 1/2 node CPT 31652 | $1,346.00 | $1,346.00 | $63.16 – $460.00 | 768 |
| Bronchoscopy clear airways 31645 CPT 31645 | $469.00 | $469.00 | $42.50 – $469.00 | 768 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $497.00 | $497.00 | $44.84 – $326.00 | 768 |
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.