MercyOne Genesis Davenport Medical Center
1227 East Rusholme Street, Davenport, IA · MercyOne · · NPI 1972542264
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 |
|---|---|---|---|---|
| Lavage cannulation maxillary sinus CPT 31000 | $349.20 | $582.00 | not published | 0 |
| Lavh >250 gms 58553 CPT 58553 | $2,213.40 | $3,689.00 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $1,667.40 | $2,779.00 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,582.80 | $7,638.00 | not published | 0 |
| Lead capillary CPT 83655 | $81.60 | $136.00 | not published | 0 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $3,550.80 | $5,918.00 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,437.80 | $14,063.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $7.20 | $12.00 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $6.60 | $11.00 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $120.60 | $201.00 | not published | 0 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $535.20 | $892.00 | $231.38 – $323.93 | 2 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,693.20 | $2,822.00 | $170.40 – $238.57 | 2 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,674.00 | $2,790.00 | $101.79 – $142.51 | 2 |
| Leg vein fusion 34530 CPT 34530 | $1,495.20 | $2,492.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $619.20 | $1,032.00 | $231.38 – $323.93 | 2 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Lengthening of palate CPT 42227 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $1,785.00 | $2,975.00 | not published | 0 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | $1,484.40 | $2,474.00 | not published | 0 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Lens, intraocular (new tech) HCPCS C1780 | $326.40 | $544.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $537.00 | $895.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,239.20 | $3,732.00 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $191.40 | $319.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $182.27 | $303.78 | not published | 0 |
| Leukacyte transfusion CPT 86950 | not published | not published | $164.03 – $229.64 | 2 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,850.90 | $38,084.83 | $148.77 – $217.59 | 2 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $9,611.85 | $16,019.75 | $1,662.79 – $2,431.94 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $211.30 – $309.04 | 2 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $49.21 – $71.97 | 2 |
| Lev 1 hosp type b ed visit HCPCS G0380 | not published | not published | $80.47 – $112.66 | 2 |
| Lev 2 hosp type b ed visit HCPCS G0381 | not published | not published | $105.93 – $148.30 | 2 |
| Lev 3 hosp type b ed visit HCPCS G0382 | not published | not published | $178.61 – $250.05 | 2 |
| Lev 4 hosp type b ed visit HCPCS G0383 | not published | not published | $273.33 – $382.67 | 2 |
| Lev 5 hosp type b ed visit HCPCS G0384 | not published | not published | $386.61 – $541.26 | 2 |
| Levalbuterol non-comp unit HCPCS J7614 | $18.58 | $30.97 | not published | 0 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $133.26 | $222.10 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $50.40 | $84.00 | not published | 0 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $115.45 | $192.42 | not published | 0 |
| Levonorgestrel implant sys HCPCS J7306 | $1,254.70 | $2,091.16 | not published | 0 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $438.79 | $731.31 | not published | 0 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,078.81 – $4,310.34 | 2 |
| Liberta rc ipg HCPCS C1820 | $37,575.00 | $62,625.00 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $91.20 | $152.00 | not published | 0 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | $1,236.60 | $2,061.00 | not published | 0 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $213.00 | $355.00 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | $955.20 | $1,592.00 | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | $861.60 | $1,436.00 | not published | 0 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $709.80 | $1,183.00 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $599.40 | $999.00 | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $498.60 | $831.00 | not published | 0 |
| Ligation external carotid artery 37600 CPT 37600 | $1,579.80 | $2,633.00 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,735.20 | $2,892.00 | not published | 0 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,418.40 | $2,364.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $754.20 | $1,257.00 | not published | 0 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,938.20 | $4,897.00 | not published | 0 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,174.44 – $7,244.22 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $696.60 | $1,161.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $743.40 | $1,239.00 | not published | 0 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Liletta, 52 mg HCPCS J7297 | $1,660.12 | $2,766.87 | not published | 0 |
| Limb exercise test CPT 95875 | not published | not published | $149.77 – $209.67 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $56.86 – $79.60 | 2 |
| Lincomycin injection HCPCS J2010 | $74.81 | $124.69 | not published | 0 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $158.42 | $264.03 | not published | 0 |
| Lipase CPT 83690 | $152.40 | $254.00 | not published | 0 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $936.60 | $1,561.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $90.60 | $151.00 | not published | 0 |
| Lipoprotein blood quant CPT 83704 | $148.20 | $247.00 | not published | 0 |
| Lipoprotein direct measurement hdl CPT 83718 | $43.20 | $72.00 | not published | 0 |
| Lipoprotein direct measurement ldl CPT 83721 | $65.40 | $109.00 | not published | 0 |
| Lip surgery procedure CPT 40799 | not published | not published | $222.29 – $311.20 | 2 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $518,464.49 – $758,289.92 | 2 |
| Lithium therapeutic drug level CPT 80178 | $57.00 | $95.00 | not published | 0 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $667.80 | $1,113.00 | not published | 0 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,882.80 | $3,138.00 | not published | 0 |
| Liver elastography 91200 CPT 91200 | $47.40 | $79.00 | not published | 0 |
| Liver Function Test CPT 80076 | $77.40 | $129.00 | not published | 0 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $2,715.60 | $4,526.00 | not published | 0 |
| Liver imaging CPT 78201 | not published | not published | $515.24 – $721.34 | 2 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $515.24 – $721.34 | 2 |
| Liver/spleen imag static only CPT 78215 | $589.80 | $983.00 | $384.64 – $538.50 | 2 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $928.20 | $1,547.00 | $384.64 – $538.50 | 2 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,233.16 – $3,126.42 | 2 |
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.