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 |
|---|---|---|---|---|
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $1,817.00 | $1,817.00 | $203.81 – $1,817.00 | 110 |
| Eeg recording awake and asleep CPT 95819 | $1,729.00 | $1,729.00 | $203.81 – $1,729.00 | 110 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | $18,942.60 | $18,942.60 | $31.34 – $18,942.60 | 110 |
| Egd dilate stricture CPT 43245 | $13,567.31 | $636.00 | $0.36 – $3,725.39 | 769 |
| Egd remove foreign body CPT 43247 | $642.00 | $642.00 | $50.16 – $642.00 | 768 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $822.00 | $822.00 | $63.37 – $745.67 | 768 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $127.00 | $127.00 | $25.53 – $127.00 | 44 |
| EKG (Tracing Only) CPT 93005 | $23,711.58 | $314.00 | $3.36 – $314.00 | 110 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $793.00 | $793.00 | $82.14 – $528.00 | 110 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $923.00 | $923.00 | $82.14 – $615.00 | 110 |
| Electrd sq emblem s-icd HCPCS C1896 | $11,345.95 | $11,345.95 | $601.73 – $2,993.66 | 28 |
| Electrolyte panel CPT 80051 | $282.00 | $282.00 | $6.79 – $282.00 | 44 |
| Electron microscopy diagnostic CPT 88348 | $666.00 | $666.00 | $133.87 – $1,564.16 | 110 |
| Electrophysiology evaluation CPT 93620 | $21,149.00 | $21,149.00 | $4,250.95 – $21,149.00 | 108 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | $9,470.30 | $9,470.30 | $7.38 – $7,102.80 | 110 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | $42,858.30 | $42,858.30 | $184.75 – $42,858.30 | 107 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $46,472.00 | $46,472.00 | $9,340.87 – $46,472.00 | 108 |
| Endo cath bile duct s&i CPT 74328 | $1,571.00 | $1,571.00 | $315.77 – $1,571.00 | 26 |
| Endoluminal bx biliary tree CPT 47543 | $1,380.00 | $1,380.00 | $277.38 – $1,380.00 | 26 |
| Endoluminl ivus oct c 1st CPT 92978 | $4,983.00 | $4,983.00 | $1,001.58 – $4,983.00 | 26 |
| Endoscopic injection/implant CPT 51715 | $19,932.55 | not published | $0.96 – $6,843.44 | 83 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $12,640.50 | $12,640.50 | $35.57 – $8,427.00 | 110 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $73.35 | $73.35 | $1.61 – $8.00 | 28 |
| Enterectomy small intestine single 44120 CPT 44120 | $4,357.00 | $4,357.00 | $37.48 – $423.68 | 768 |
| Enzyme histochemistry CPT 88319 | $1,004.00 | $1,004.00 | $201.80 – $1,564.16 | 110 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $50,429.90 | $50,429.90 | $52.43 – $4,202.50 | 110 |
| Ep induct arrhy by elect pacing CPT 93618 | $3,723.00 | $3,723.00 | $748.32 – $3,723.00 | 108 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $58.00 | $58.00 | $11.66 – $58.00 | 28 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $50.40 | $50.40 | $7.40 – $36.80 | 94 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $390.90 | $390.90 | $5.80 – $50.40 | 94 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $487.50 | $487.50 | $7.08 – $35.20 | 94 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $1,405.00 | $1,405.00 | $43.50 – $221.25 | 94 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $15,453.00 | $15,453.00 | $3,055.47 – $15,453.00 | 108 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,079.00 | $2,079.00 | $7.42 – $104.00 | 110 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $4,916.35 | $4,916.35 | $7.59 – $152.50 | 110 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $156.15 | $156.15 | $31.39 – $156.15 | 28 |
| Epstein barr early antigen antibody CPT 86663 | $75.00 | $75.00 | $12.71 – $75.00 | 44 |
| Epstein barr nuclear antigen antibody CPT 86664 | $190.00 | $190.00 | $14.82 – $190.00 | 44 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $284.00 | $284.00 | $17.57 – $284.00 | 44 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $209.50 | $209.50 | $3.45 – $551.15 | 110 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $10,020.45 | $10,020.45 | $17.65 – $10,020.45 | 110 |
| Ercp biliary & pancreas CPT 74330 | $1,504.00 | $1,504.00 | $302.30 – $1,504.00 | 26 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $7,050.00 | $7,050.00 | $71.16 – $7,050.00 | 110 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $92.00 | $92.00 | $0.60 – $18.04 | 94 |
| ER Visit (level 1, minor) CPT 99281 | $624.00 | $624.00 | $5.86 – $624.00 | 110 |
| ER Visit (level 2) CPT 99282 | $1,384.00 | $1,070.00 | $5.46 – $1,070.00 | 780 |
| ER Visit (level 3) CPT 99283 | $2,613.00 | $1,782.00 | $9.09 – $1,782.00 | 780 |
| ER Visit (level 4) CPT 99284 | $6,038.00 | $5,328.00 | $9.09 – $2,853.00 | 780 |
| ER Visit (level 5, high severity) CPT 99285 | $10,139.20 | $5,117.00 | $9.09 – $4,456.00 | 780 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $125.40 | $125.40 | $25.21 – $125.40 | 94 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $271.25 | $271.25 | $54.52 – $271.25 | 28 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $427.50 | $427.50 | $1.85 – $9.20 | 94 |
| Esoph egd dilation <30 mm CPT 43249 | $558.00 | $558.00 | $43.45 – $422.57 | 768 |
| Established Patient Office Visit (level 2) CPT 99212 | $76.00 | $76.00 | $1.91 – $12.00 | 768 |
| Established Patient Office Visit (level 3) CPT 99213 | $141.00 | $141.00 | $3.18 – $22.40 | 768 |
| Established Patient Office Visit (level 4) CPT 99214 | $209.00 | $209.00 | $5.10 – $33.12 | 768 |
| Established Patient Office Visit (level 5) CPT 99215 | $2,950.00 | $307.00 | $76.90 – $306.00 | 769 |
| Estradiol total CPT 82670 | $294.00 | $294.00 | $27.07 – $294.00 | 44 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $174.75 | $174.75 | $35.12 – $174.75 | 94 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $351.00 | $351.00 | $70.55 – $351.00 | 41 |
| Event monitor CPT 93270 | $110.00 | $110.00 | $5.07 – $30.90 | 767 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $1,080.00 | $1,080.00 | $176.26 – $1,080.00 | 36 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $7,727.20 | not published | $70.20 – $6,284.60 | 83 |
| Exc abd les sc 3 cm/> CPT 22903 | $16,810.60 | $1,499.00 | $19.03 – $5,639.25 | 769 |
| Exc abdl tum deep < 5 cm CPT 22900 | $12,819.40 | $1,928.00 | $0.96 – $5,639.25 | 769 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $2,263.00 | $2,263.00 | $28.69 – $235.84 | 768 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $13,115.95 | $1,814.00 | $17.49 – $5,639.25 | 769 |
| Exc back tum deep 5 cm/> CPT 21933 | $12,216.00 | $2,513.00 | $0.96 – $5,639.25 | 769 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $588.00 | $588.00 | $52.61 – $434.18 | 768 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $277.00 | $277.00 | $22.55 – $190.00 | 768 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $15,530.00 | $590.00 | $31.45 – $3,206.43 | 769 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $491.00 | $491.00 | $38.53 – $331.94 | 768 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $12,946.70 | not published | $31.45 – $5,639.25 | 83 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,139.00 | $1,139.00 | $13.63 – $121.60 | 768 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $18,309.80 | $448.00 | $39.62 – $5,639.25 | 769 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $17,939.45 | $382.00 | $0.96 – $1,374.78 | 769 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $809.00 | $809.00 | $59.65 – $558.00 | 768 |
| Excision of umbilicus 49250 CPT 49250 | $16,052.60 | $2,139.00 | $31.45 – $6,951.03 | 769 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $14,693.40 | $1,600.00 | $20.29 – $3,206.43 | 769 |
| Exc neck tum deep < 5 cm CPT 21556 | $17,331.90 | not published | $0.96 – $5,639.25 | 83 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,526.00 | $1,526.00 | $19.41 – $159.04 | 768 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $1,147.80 | $1,057.00 | $92.24 – $847.25 | 768 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $13,190.20 | not published | $0.96 – $5,639.25 | 83 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $16,843.30 | $1,436.00 | $0.96 – $3,206.43 | 769 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $1,600.00 | $1,600.00 | $144.74 – $1,193.64 | 768 |
| Exc thigh/knee tum deep <5cm CPT 27328 | $17,754.90 | not published | $0.96 – $5,639.25 | 83 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,786.00 | $1,786.00 | $358.99 – $2,323.17 | 108 |
| Exc vagina lesion 57135 CPT 57135 | $33,095.52 | not published | $117.24 – $6,284.60 | 83 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $62,802.07 | $3,723.25 | $0.02 – $22,361.98 | 110 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $4,542.19 | $4,542.19 | $5.03 – $25.00 | 28 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | $2,755.00 | $2,755.00 | $34.00 – $268.80 | 768 |
| Explore wound neck 20100 CPT 20100 | $15,530.00 | not published | $31.45 – $3,206.43 | 83 |
| External chromosome analysis 20-25 cells CPT 88264 | $612.00 | $612.00 | $123.01 – $612.00 | 44 |
| External newborn metabolic screening panel HCPCS S3620 | $190.00 | $190.00 | $31.01 – $190.00 | 34 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $78.00 | $78.00 | $15.68 – $78.00 | 110 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $4,620.00 | $4,620.00 | $928.62 – $7,784.73 | 44 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $435.00 | $435.00 | $87.44 – $435.00 | 44 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $314.00 | $314.00 | $17.37 – $314.00 | 44 |
| Eye implant band 40 HCPCS C1784 | $1,756.25 | $1,756.25 | $10.70 – $53.25 | 28 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $4,469.00 | $4,469.00 | $165.56 – $4,469.00 | 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.