Supplies, drugs & other prices at MercyOne Des Moines Medical Center
Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.
83 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,416.35 | $2,179 | 1.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $2,015 | $3,100 | 2.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $990.60 | $1,524 | 2.9× |
| Adm tocilizu covid-19 1st (M0249) | $530.40 | $816 | 1.2× |
| Adm tocilizu covid-19 2nd (M0250) | $443.95 | $683 | 1.0× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$12.79–$125.45 | $19.68–$193 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$12.79–$115.05 | $19.68–$177 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$12.79–$115.05 | $19.68–$177 | varies |
| Asstv alg ECG rsk asmt cncrt (0764T) | $178.75 | $275 | 1.4× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$9,450.35–$18,014.85 | — | varies |
| Catheterize for urine spec (P9612) | $17.55 | $27 | 1.9× |
| Chemo extend iv infus w/pump (G0498) | $711.10 | $1,094 | 2.2× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$10,720.65–$25,763.87 | — | varies |
| Colorectal scrn; hi risk ind (G0105) | $10,212.65 | — | 11.4× |
| Crtj Subq Insj Impltbl Glucose Sensor Sys Train (0446T) | $6,338.80 | $9,752 | 1.6× |
| Demonstrate use home inr mon (G0248) | $180.05 | $277 | 1.4× |
| Diab manage trn per indiv (G0108) | $198 | — | 3.5× |
| Direct refer hospital observ (G0379) | $134.55 | $207 | 0.2× |
| Elec stim other than wound (G0283) | $87.10 | $134 | 6.9× |
| Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) | $33,059.75 | — | 5.6× |
| Fecal blood scrn immunoassay (G0328) | $48.75 | $75 | 2.7× |
| Fern test (Q0114) | $204.75 | $315 | 21.0× |
| Hbot, full body chamber, 30m (G0277) | $475.80 | $732 | 3.6× |
| Hep c screen high risk/other (G0472) | $45.50 | $70 | 1.0× |
| Hepb screen high risk indiv (G0499) | $89.70 | $138 | 3.2× |
| Hiv combination assay (G0475) | $58.50 | $90 | 2.4× |
| Home sleep test/type 3 porta (G0399) | $479.05 | $737 | 2.3× |
| Home sleep test/type 4 porta (G0400) | $650 | $1,000 | 3.1× |
| Hospital outpt clinic visit (G0463) range across 4 matching MRF lines |
$187–$1,769 | — | varies |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $213.20 | $328 | 4.9× |
| Inj for sacroiliac jt anesth (G0260) range across 2 matching MRF lines |
$2,016–$2,968.75 | — | varies |
| Insj perm ccm-d sys pg&dual transvns eltrds/lds (0915T) | $16,880.50 | $25,970 | 0.6× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $118,323.26 | — | 3.9× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $5,264.35 | $8,099 | 0.7× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $16,503.50 | $25,390 | 0.5× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $67.60 | $104 | 1.9× |
| Interrogation Dev Eval Icds W/Ss Eltrd In Person (0576T) | $70.20 | $108 | 1.9× |
| Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) | $254.80 | $392 | 2.1× |
| Liver Dis 10 Assays Serum Algorithm W/Nash (0003M) | $392.60 | $604 | 0.8× |
| Mra w/cont, abd (C8900) | $2,247.05 | $3,457 | 6.7× |
| Mra w/o fol w/cont, abd (C8902) | $3,305.90 | $5,086 | 9.8× |
| Mra w/o fol w/cont, chest (C8911) | $2,689.05 | $4,137 | 8.0× |
| Mra w/o fol w/cont, lwr ext (C8914) range across 6 matching MRF lines |
$2,347.80–$3,521.70 | $3,612–$5,418 | varies |
| Mra w/o fol w/cont, pelvis (C8920) | $2,347.80 | $3,612 | 7.0× |
| Mri w/o fol w/cont, breast, (C8908) | $651.30 | $1,002 | 1.9× |
| Oth resp proc, group (G0239) | $253.50 | $390 | 7.0× |
| Oth resp proc, indiv (G0238) | $128.70 | $198 | 4.6× |
| Pathogen test for platelets (P9100) | $104 | $160 | 1.8× |
| Perc d-e cor revasc chro sin (C9607) | $22,922.90 | $35,266 | 1.3× |
| Perc d-e cor revasc t cabg s (C9604) | $15,358.85 | $23,629 | 1.4× |
| Perc d-e cor stent ather s (C9602) | $60,802.63 | — | 3.4× |
| Perc drug-el cor stent sing (C9600) | $77,377.81 | — | 6.9× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $7,782.45 | $11,973 | 0.7× |
| Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) | $73.45 | $113 | 2.0× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $71.50 | $110 | 2.0× |
| Programming dev eval icds w/ss eltrd in person (0575T) | $72.80 | $112 | 2.0× |
| Prolonged iv inf, req pump (C8957) | $524.55 | $807 | 2.6× |
| Provide inr test mater/equip (G0249) | $305 | — | 2.4× |
| Psa screening (G0103) | $137.15 | $211 | 7.1× |
| Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) | $387.40 | $596 | 2.0× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $6,735.30 | $10,362 | 11.1× |
| Revasc intra lithotrip-ather (C9766) | $73,325.20 | — | 4.1× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$44,663.09–$57,890.60 | — | varies |
| Revasc intravasc lithotripsy (C9764) | $60,643.17 | — | 5.4× |
| Revasc lithotrip tibi/perone (C9772) | $55,611.42 | — | 5.0× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $6,780.80 | $10,432 | 1.9× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $6,596.85 | $10,149 | 1.8× |
| Rmvl insj impltbl gluc sensor dif anatomic site (0448T) | $6,338.80 | $9,752 | 1.6× |
| Rx Metab Advrs Trgt Seq Alys (0029U) | $780 | $1,200 | 1.1× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $25,342.20 | $38,988 | 1.4× |
| Tee w or w/o fol w/cont, mon (C8927) | $1,431.95 | $2,203 | 1.9× |
| Tee w or w/o fol w/cont,cong (C8926) | $2,333.50 | $3,590 | 3.1× |
| Therapeutic procd strg endur (G0237) | $44.85 | $69 | 1.6× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$1,418–$8,276.33 | — | varies |
| Tpmt and Nudt15 Genotype (0034U) | $903.50 | $1,390 | 1.9× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $10,396.10 | $15,994 | 1.9× |
| Trauma respons w/hosp criti (G0390) range across 5 matching MRF lines |
$2,238.60–$2,928.90 | $3,444–$4,506 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $1,432.60 | $2,204 | 1.9× |
| Tte w or w/o fol w/con,stres (C8928) | $2,176.20 | $3,348 | 2.9× |
| Tte w or w/o fol w/cont, com (C8921) | $2,056.60 | $3,164 | 2.7× |
| Tte w or w/o fol w/cont, f/u (C8922) | $2,298.40 | $3,536 | 3.0× |
| Tte w or wo fol wcon,doppler (C8929) | $2,124.85 | $3,269 | 2.8× |
| Unsched dialysis esrd pt hos (G0257) | $1,737.45 | $2,673 | 2.6× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.