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 |
|---|---|---|---|---|
| Brush provox 4-10mm HCPCS L8513 | $41.90 | $41.90 | $8.42 – $41.90 | 28 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $60.40 | $60.40 | $1.22 – $12.60 | 94 |
| Bundled special stain group 1 microorganisms CPT 88312 | $364.00 | $364.00 | $49.19 – $364.00 | 110 |
| Bundled special stain group 2 CPT 88313 | $328.00 | $328.00 | $33.96 – $311.00 | 110 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $741.00 | $741.00 | $0.60 – $3.00 | 28 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $1.05 | $1.05 | $0.21 – $9.09 | 32 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $3.80 | $3.80 | $0.76 – $36.37 | 32 |
| Bur rotalink 2.15mm HCPCS C1724 | $7,460.65 | $7,460.65 | $45.82 – $227.98 | 28 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $35.55 | $35.55 | $7.15 – $35.55 | 28 |
| Bx breast add lesion strtctc CPT 19082 | $3,377.00 | $3,377.00 | $73.46 – $3,377.00 | 26 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $4,319.00 | $4,319.00 | $69.34 – $4,319.00 | 26 |
| Bx breast perq without image 19100 CPT 19100 | $355.10 | $221.00 | $17.08 – $221.00 | 768 |
| Bx muscle CPT 20200 | $319.00 | $319.00 | $12.18 – $210.00 | 768 |
| Bx pancreas pq ndl CPT 48102 | $2,477.00 | $2,477.00 | $497.88 – $3,206.43 | 108 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $2,791.00 | $2,791.00 | $374.06 – $3,206.43 | 108 |
| C-1 esterase, berinert HCPCS J0597 | $11,394.30 | $11,394.30 | $74.34 – $11,394.30 | 110 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $44,159.55 | $44,159.55 | $226.18 – $44,159.55 | 110 |
| Cable cath 22-pin diag HCPCS C1730 | $12,524.75 | $12,524.75 | $10.93 – $54.40 | 28 |
| Cable centrimag pressure HCPCS Q0508 | $189,777.60 | $189,777.60 | $0.43 – $2.13 | 28 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $21,398.90 | $21,398.90 | $22.14 – $14,265.95 | 110 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $46.00 | $46.00 | $3.68 – $18.30 | 28 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $77,352.35 | $77,352.35 | $15,547.82 – $77,352.35 | 28 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $3,679.20 | $3,679.20 | $739.52 – $3,679.20 | 31 |
| Calcium 24 hour urine CPT 82340 | $80.00 | $80.00 | $5.84 – $80.00 | 44 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.00 | $1.00 | $0.20 – $1.00 | 29 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $44.70 | $44.70 | $8.85 – $44.05 | 94 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $52.50 | $52.50 | $8.80 – $43.80 | 28 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $83.00 | $83.00 | $7.89 – $39.25 | 28 |
| Calcium ionized CPT 82330 | $271.00 | $271.00 | $13.26 – $118.00 | 44 |
| Calcium total CPT 82310 | $211.00 | $211.00 | $5.00 – $173.00 | 44 |
| Calprotectin fecal CPT 83993 | $430.00 | $430.00 | $19.02 – $430.00 | 44 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | $121.45 | $121.45 | $17.74 – $108.68 | 36 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $55,867.50 | $55,867.50 | $9.71 – $48.30 | 28 |
| Cap nerve 2x15mm HCPCS C1763 | $37,166.76 | $37,166.76 | $10.87 – $54.10 | 28 |
| Cap trach decann 15mm HCPCS C1750 | $5,052.00 | $5,052.00 | $0.68 – $3.39 | 28 |
| Carbamazepine total therapeutic drug level CPT 80156 | $315.00 | $315.00 | $14.12 – $315.00 | 44 |
| Carbon dioxide CPT 82374 | $72.00 | $72.00 | $4.73 – $72.00 | 44 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $459.90 | $459.90 | $2.31 – $37.95 | 94 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $582.80 | $582.80 | $13.43 – $582.80 | 107 |
| Carboxyhemoglobin quantitative CPT 82375 | $158.00 | $158.00 | $11.93 – $158.00 | 44 |
| Carcinoembryonic ag (cea) CPT 82378 | $445.00 | $445.00 | $18.37 – $445.00 | 44 |
| Cardiac Stress Test CPT 93015 | $625.00 | $625.00 | $125.63 – $625.00 | 28 |
| Cardiolipin antibody iga CPT 86147 | $343.00 | $343.00 | $24.66 – $343.00 | 44 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $2,455.00 | $2,455.00 | $60.49 – $2,455.00 | 780 |
| Card MRI veloc flow mapping CPT 75565 | $4,324.00 | $4,324.00 | $869.12 – $4,324.00 | 26 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $11,354.40 | $11,354.40 | $51.30 – $1,892.40 | 110 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $3,449.25 | $3,449.25 | $693.30 – $3,449.25 | 28 |
| Carotene CPT 82380 | $185.00 | $185.00 | $8.94 – $185.00 | 44 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,595.00 | $1,595.00 | $225.21 – $1,595.00 | 110 |
| Carpal Tunnel Release Surgery CPT 64721 | $19,998.17 | not published | $9.09 – $6,632.15 | 83 |
| Car seat/bed test 60 minutes CPT 94780 | $95.00 | $95.00 | $19.10 – $189.00 | 110 |
| Cassette provox xtraflow hme HCPCS A7507 | $4.11 | $4.11 | $0.83 – $4.11 | 28 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $2,393.42 | $2,393.42 | $21.68 – $107.84 | 28 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $6,736.00 | $6,736.00 | $276.20 – $1,374.15 | 28 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $2,914.39 | $2,914.39 | $0.98 – $4.87 | 28 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $7,198.59 | $7,198.59 | $13.38 – $66.56 | 28 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $6,167.65 | $6,167.65 | $1,050.36 – $5,225.66 | 28 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $64,462.50 | $64,462.50 | $0.01 – $0.19 | 28 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,714.57 | $7,714.57 | $354.25 – $1,762.43 | 28 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $21,047.90 | $21,047.90 | $0.01 – $17.35 | 28 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $6,983.93 | $6,983.93 | $0.01 – $9.51 | 28 |
| Cath bi-dir df smarttouch HCPCS C1732 | $7,551.25 | $7,551.25 | $23.59 – $117.34 | 28 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $4,212.11 | $4,212.11 | $74.57 – $371.00 | 28 |
| Cath council tip 16fr 5cc HCPCS A4344 | $61.65 | $61.65 | $10.89 – $54.16 | 28 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $16,657.08 | $16,657.08 | $0.30 – $1.51 | 28 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,711.65 | $2,711.65 | $0.01 – $19.35 | 28 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $68.35 | $68.35 | $13.74 – $68.35 | 28 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $2,402.55 | $2,402.55 | $0.28 – $1.38 | 28 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $125.00 | $125.00 | $8.57 – $125.00 | 41 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $0.91 | $0.91 | $0.15 – $0.75 | 28 |
| Cath follower heyman 20f HCPCS A4352 | $361.20 | $361.20 | $0.49 – $2.42 | 28 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $2,706.03 | $2,706.03 | $11.99 – $59.65 | 28 |
| Cath hawkone s directional HCPCS C1714 | $7,480.96 | $7,480.96 | $280.06 – $1,393.31 | 28 |
| Cath hemodial 55cm 15.5fr dual lumen straight stacked adlt HCPCS C1881 | $1,954.72 | $1,954.72 | $392.90 – $1,954.72 | 28 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,367.75 | $5,367.75 | $249.53 – $1,241.46 | 28 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $2,124.36 | $2,124.36 | $14.29 – $71.10 | 28 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $3,146.98 | $3,146.98 | $632.54 – $3,146.98 | 28 |
| Cath left heart/lv gram CPT 93452 | $29,584.00 | $29,584.00 | $3,060.01 – $29,584.00 | 108 |
| Cath lt/rt pulm art CPT 36014 | $3,474.00 | $3,474.00 | $465.52 – $2,316.00 | 26 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $8,671.11 | $8,671.11 | $0.08 – $0.41 | 28 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $21,302.60 | $21,302.60 | $21.61 – $107.50 | 28 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | $36.80 | $36.80 | $7.40 – $36.80 | 28 |
| Cath ptca pcltxl agent 3x20mm HCPCS C9610 | $11,893.25 | $11,893.25 | $2,366.21 – $11,772.21 | 28 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $508.05 | $508.05 | $24.11 – $119.97 | 28 |
| Cath steerable flex adv 12f HCPCS C1766 | $3,653.00 | $3,653.00 | $22.96 – $114.24 | 28 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $373.73 | $373.73 | $0.12 – $0.62 | 28 |
| Cath symplicity spyral HCPCS C1735 | $27,504.00 | $27,504.00 | $5,528.30 – $27,504.00 | 28 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $11,404.89 | $11,404.89 | $10.55 – $52.50 | 28 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,424.67 | $1,424.67 | $0.01 – $0.09 | 28 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $54.70 | $54.70 | $0.60 – $3.00 | 94 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $101.65 | $101.65 | $2.28 – $11.35 | 94 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $64.00 | $64.00 | $2.54 – $12.65 | 28 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1,224.65 | $1,224.65 | $4.15 – $1,224.65 | 110 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $43.95 | $43.95 | $2.71 – $13.50 | 28 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $26.25 | $26.25 | $0.60 – $3.00 | 94 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $27.00 | $27.00 | $2.29 – $13.45 | 94 |
| Cell count body fluid CPT 89050 | $207.00 | $207.00 | $4.57 – $207.00 | 44 |
| Cell count w differential body fluid CPT 89051 | $256.00 | $256.00 | $5.43 – $254.00 | 44 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $34,004.00 | $34,004.00 | $28.12 – $34,004.00 | 110 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $18,898.20 | $18,898.20 | $3.79 – $17,963.25 | 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.