Catholic Health Initiatives-Iowa Corp
Catholic Health Initiatives-Iowa Corp in West Des Moines, IA publishes cash prices for 39 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Click a procedure to compare it with other hospitals nearby.
1755 59th Place, West Des Moines, IA 50266 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $5,902.00 | $5,902.00 | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $5,902.00 | $5,902.00 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $3,530.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $3,530.00 | $3,530.00 | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Contrast | $3,530.00 | $3,530.00 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $3,436.00 | $3,436.00 | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast | $3,436.00 | $3,436.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $7,689.00 | $7,689.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $5,126.00 | $5,126.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $5,126.00 | $5,126.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $7,689.00 | $7,689.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $5,126.00 | $5,126.00 | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $5,126.00 | $5,126.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $6,996.00 | $6,996.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $4,664.00 | $4,664.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $4,664.00 | $4,664.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $4,744.80 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $6,996.00 | $6,996.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $4,664.00 | $4,664.00 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $4,664.00 | $4,664.00 | — |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $5,621.00 | $5,621.00 | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $5,621.00 | $5,621.00 | — |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O & W/Contrast | $14,790.00 | $14,790.00 | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O & W/Contrast | $14,790.00 | $14,790.00 | — |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $5,237.00 | $5,237.00 | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast | $5,237.00 | $5,237.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $328.31 | — | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $981.00 | $981.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 PR US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $385.00 | $385.00 | — |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US Pregnant Uterus >= 14 Weeks Single/1st Gestation | $981.00 | $981.00 | — |
| Transvaginal pelvic ultrasound CPT 76830 PR US Transvaginal Non Obstetric | $275.17 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non Obstetric | $1,190.00 | $1,190.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 PR US Transvaginal Non Obstetric | $341.00 | $341.00 | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non Obstetric | $1,190.00 | $1,190.00 | — |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $1,826.00 | $1,826.00 | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $1,826.00 | $1,826.00 | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $1,033.00 | $1,033.00 | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $1,033.00 | $1,033.00 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $421.00 | $421.00 | — |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $39,658.00 | — | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $421.00 | $421.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Mayo Lmpp Lipid Panel | $286.00 | $286.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $286.00 | $286.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Mayo Lmpp Lipid Panel | $286.00 | $286.00 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $286.00 | $286.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated | $313.00 | $313.00 | — |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated | $25,465.36 | — | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automated/Differential Wbc Automated | $313.00 | $313.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $230.00 | $230.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $37,446.24 | — | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated | $230.00 | $230.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $469.00 | $469.00 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $3,206.00 | — | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $469.00 | $469.00 | — |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $424.00 | $424.00 | — |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $424.00 | $424.00 | — |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $464.00 | $464.00 | — |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $464.00 | $464.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Mayo Psaft Prostate Specific Antigen Free | $162.00 | $162.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Warde 1012090 Prostate Specific Antigen Free | $322.00 | $322.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Mayo Psaft Prostate Specific Antigen Free | $162.00 | $162.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Warde 1012090 Prostate Specific Antigen Free | $322.00 | $322.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total | $230.00 | $230.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Mayo Psaft Prostate Specific Antigen Total | $244.00 | $244.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total | $230.00 | $230.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Mayo Psaft Prostate Specific Antigen Total | $244.00 | $244.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt) | $195.00 | $195.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt) | $40,307.08 | — | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial (Ptt) | $195.00 | $195.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $139.00 | $139.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $28,382.35 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $139.00 | $139.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $323.00 | $323.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $28,727.38 | — | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $323.00 | $323.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $184.00 | $184.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $2,364.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy Automated | $184.00 | $184.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $120.00 | $120.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $2,139.00 | — | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Without Microscopy Automated | $120.00 | $120.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Gallbladder removal, laparoscopic CPT 47562 PR Laparoscopy Surgical Cholecystectomy | $1,451.00 | $1,451.00 | — |
| Gallbladder removal, laparoscopic CPT 47562 HC Cholecystectomy W/Laparoscopy (Restricted Method II CAH) | $28,549.52 | — | — |
| Gallbladder removal, laparoscopic inpatient CPT 47562 PR Laparoscopy Surgical Cholecystectomy | $2,363.00 | $2,363.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 PR Repr Init Ing Hernia 5y or Older Reducible | $1,157.00 | $1,157.00 | — |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC Repr Hernia Ing Init >=5yr Bl (Restricted Method II CAH) | $19,277.92 | — | — |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 PR Repr Init Ing Hernia 5y or Older Reducible | $1,878.00 | $1,878.00 | — |
| Knee arthroscopy with meniscus trim one side CPT 29881 HC Arthro Knee W/Mnsc Med or Lat Incl/Chndrplsty Same/Sep Compart Lt (Rest Method II CAH) | $18,070.14 | — | — |
| Left heart catheterization, diagnostic one side CPT 93452 HC Cath Lt Heart/Lv Gram | $29,584.00 | $29,584.00 | — |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC Cath Lt Heart/Lv Gram | $29,584.00 | $29,584.00 | — |
| Prostate removal (prostatectomy), laparoscopic CPT 55866 PR Lap Surg Prostatectomy Retropubic Radical Incl Nrv Sparing/Robotic Asst | $45,439.49 | — | — |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) one side CPT 29826 HC Arth Shld Srg Decompr Subacrml Sp W/Prt Acrmplsty W/Crccrml Sep Proc Lt(Rest Method II CAH) | $26,195.43 | — | — |
| Total hip replacement one side CPT 27130 HC Arthoplasty Acetabular & Proximal Femoral Prosthetic Repl Rt (Restricted Method II CAH) | $43,323.04 | — | — |
| Total knee replacement one side CPT 27447 HC Arthro Knee/Condyle/Plateau Med/Lat W/or W/O Patella Resurf (Tka) Lt(Rest Method II CAH) | $40,880.10 | — | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 PR Egd Flexible Transoral W/ Biopsy Single/Multiple | $301.00 | $301.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC Egd Flexible Transoral W/Bx Single/Mult (Restricted Method II CAH) | $10,537.60 | — | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 PR Egd Flexible Transoral W/ Biopsy Single/Multiple | $503.00 | $503.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing | $267.00 | $267.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 PR Egd Flexible Transoral Dx Incl Coll Spec by Brushing/Washing | $446.00 | $446.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 45 minutes CPT 99204 PR Visit Office Outpatient New Moderate Level | $285.00 | $285.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 PR Visit Office Outpatient New Moderate Level | $307.00 | $307.00 | — |
| New patient office visit, about 60 minutes CPT 99205 PR Visit Office Outpatient New High Level | $388.00 | $388.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 PR Visit Office Outpatient New High Level | $402.00 | $402.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $151.00 | $151.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $151.00 | $151.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $151.00 | $151.00 | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $151.00 | $151.00 | — |
Source file: https://hpt.trinity-health.org/420680448-1538395975_catholic-health-initiatives-west-iowa-corp_standardcharges.zip