MercyOne Genesis Davenport West Medical Center
1404 West Central Park Avenue, Davenport, IA · MercyOne · · NPI 1427097716
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 |
|---|---|---|---|---|
| Lap revision perm ip cath CPT 49325 | $755.40 | $1,259.00 | not published | 0 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,728.00 | $2,880.00 | not published | 0 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | $922.80 | $1,538.00 | not published | 0 |
| Lap sleeve gastrectomy CPT 43775 | $1,973.40 | $3,289.00 | not published | 0 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Lap tot proctocolectomy 44210 CPT 44210 | $3,617.40 | $6,029.00 | not published | 0 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | $1,717.20 | $2,862.00 | not published | 0 |
| Lap vent/abd hernia repair 49652 CPT 49652 | $1,284.60 | $2,141.00 | not published | 0 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | $1,603.20 | $2,672.00 | not published | 0 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $388.80 | $648.00 | not published | 0 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $459.00 | $765.00 | $282.56 – $331.50 | 2 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $371.70 – $520.38 | 2 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.88 – $55.83 | 2 |
| Laryngeal function studies CPT 92520 | not published | not published | $123.39 – $172.74 | 2 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Laryngoscope w/vc inj CPT 31570 | $635.40 | $1,059.00 | not published | 0 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $84.45 – $84.45 | 1 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Laryngoscop w/vc inj + scope CPT 31571 | $490.20 | $817.00 | not published | 0 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $469.20 | $782.00 | not published | 0 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $3,529.22 – $4,940.91 | 2 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $371.70 – $520.38 | 2 |
| Laryngoscopy w/biopsy CPT 31535 | $502.80 | $838.00 | not published | 0 |
| Laryngoscopy w/bx & op scope CPT 31536 | $516.00 | $860.00 | not published | 0 |
| Laryngoscopy w/exc of tumor CPT 31540 | $661.80 | $1,103.00 | not published | 0 |
| Laryngoscopy w/fb & op scope CPT 31531 | $601.80 | $1,003.00 | not published | 0 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $393.60 | $656.00 | not published | 0 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $387.00 | $645.00 | $358.15 – $371.70 | 2 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $6,626.33 – $9,276.86 | 2 |
| Larynscop w/tumr exc + scope CPT 31541 | $585.60 | $976.00 | not published | 0 |
| Laser surgery eye strands CPT 67031 | not published | not published | $525.13 – $735.18 | 2 |
| Laser surgery of cervix 57513 CPT 57513 | $322.20 | $537.00 | not published | 0 |
| Laser surgery of prostate CPT 52647 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Laser surgery of prostate CPT 52648 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Laser treatment of retina CPT 67039 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Laser treatment of retina CPT 67040 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Lateral canthopexy CPT 21282 | $688.80 | $1,148.00 | not published | 0 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Lavage cannulation maxillary sinus CPT 31000 | $332.40 | $554.00 | not published | 0 |
| Lavh >250 gms 58553 CPT 58553 | $2,107.80 | $3,513.00 | not published | 0 |
| Lb with mastopexy 15839 CPT 15839 | $1,588.20 | $2,647.00 | not published | 0 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,582.80 | $7,638.00 | not published | 0 |
| Lead capillary CPT 83655 | $77.40 | $129.00 | $12.11 – $12.11 | 1 |
| 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 | $6.60 | $11.00 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $6.00 | $10.00 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $114.60 | $191.00 | not published | 0 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $480.60 | $801.00 | $231.38 – $323.93 | 2 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,108.80 | $1,848.00 | $170.40 – $238.57 | 2 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,489.80 | $2,483.00 | $101.79 – $142.51 | 2 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $20.05 | 1 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $41.76 | 1 |
| Leg vein fusion 34530 CPT 34530 | $1,423.80 | $2,373.00 | not published | 0 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $555.60 | $926.00 | $231.38 – $323.93 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $12.25 – $12.25 | 1 |
| 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 | $1,699.80 | $2,833.00 | 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 |
| 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 | $303.79 | not published | 0 |
| Leukacyte transfusion CPT 86950 | not published | not published | $164.03 – $229.64 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $10.39 | 1 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $20,730.28 | $34,550.46 | $155.42 – $217.59 | 2 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $8,722.09 | $14,536.81 | $1,737.10 – $2,431.94 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $220.74 – $309.04 | 2 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $51.41 – $71.97 | 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.