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 |
|---|---|---|---|---|
| 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 | $125.24 | $208.73 | not published | 0 |
| Levetiracetam therapeutic drug level CPT 80177 | $45.00 | $75.00 | $13.25 – $13.25 | 1 |
| 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 |
| 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 injection HCPCS J2001 | $27.55 | $45.92 | not published | 0 |
| Lidocaine therapeutic drug level CPT 80176 | $81.60 | $136.00 | $14.69 – $14.69 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,012.85 – $4,217.99 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | $1,177.80 | $1,963.00 | not published | 0 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $202.80 | $338.00 | not published | 0 |
| Ligate/strip long leg vein CPT 37722 | $909.60 | $1,516.00 | not published | 0 |
| Ligate/strip short leg vein CPT 37718 | $820.80 | $1,368.00 | not published | 0 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $676.20 | $1,127.00 | not published | 0 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $570.60 | $951.00 | not published | 0 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $474.60 | $791.00 | not published | 0 |
| Ligation external carotid artery 37600 CPT 37600 | $1,504.80 | $2,508.00 | not published | 0 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,652.40 | $2,754.00 | not published | 0 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,350.60 | $2,251.00 | not published | 0 |
| Ligation/major artery/extremity 37618 CPT 37618 | $718.20 | $1,197.00 | 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 | $2,798.40 | $4,664.00 | 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 | $663.60 | $1,106.00 | not published | 0 |
| Lig/band angioaccess av fistula CPT 37607 | $708.00 | $1,180.00 | 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 | $1,403.54 | $2,339.24 | 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 | $144.60 | $241.00 | $6.89 – $6.89 | 1 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $892.20 | $1,487.00 | not published | 0 |
| Lipoprotein blood high res frac & quant CPT 83701 | $81.00 | $135.00 | $33.86 – $33.86 | 1 |
| Lipoprotein blood quant CPT 83704 | $141.00 | $235.00 | $34.19 – $34.19 | 1 |
| Lipoprotein direct measurement hdl CPT 83718 | $40.80 | $68.00 | $8.19 – $8.19 | 1 |
| Lipoprotein direct measurement ldl CPT 83721 | $58.20 | $97.00 | $10.50 – $10.50 | 1 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $34.19 | 1 |
| 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 | $541,635.66 – $758,289.92 | 2 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $13.19 | 1 |
| Lithium therapeutic drug level CPT 80178 | $51.00 | $85.00 | $6.61 – $6.61 | 1 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $600.00 | $1,000.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $176.19 | 1 |
| Liver elastography 91200 CPT 91200 | $45.00 | $75.00 | not published | 0 |
| Liver Function Test CPT 80076 | $69.00 | $115.00 | $8.17 – $8.17 | 1 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $2,586.00 | $4,310.00 | 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 | $540.00 | $900.00 | $384.64 – $538.50 | 2 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $849.60 | $1,416.00 | $384.64 – $538.50 | 2 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $1,188.60 | $1,981.00 | not published | 0 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $121.97 | $203.29 | not published | 0 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $45,267.20 | $75,445.34 | $216.74 – $303.44 | 2 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $38.06 | $63.44 | not published | 0 |
| Loudness balance test CPT 92562 | $23.40 | $39.00 | $25.35 – $298.08 | 2 |
| Low back disk surgery CPT 63030 | $2,007.60 | $3,346.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $585.94 – $820.32 | 2 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $585.94 – $820.32 | 2 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $585.94 – $820.32 | 2 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $400.20 | $667.00 | $101.79 – $142.51 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,818.60 | $3,031.00 | $170.40 – $238.57 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,323.00 | $2,205.00 | $341.85 – $478.59 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,258.80 | $2,098.00 | $101.79 – $142.51 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,162.40 | $3,604.00 | $341.85 – $478.59 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,167.60 | $1,946.00 | $341.85 – $478.59 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,603.20 | $2,672.00 | $231.38 – $323.93 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $235.20 | $392.00 | $101.79 – $142.51 | 2 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $324.60 | $541.00 | $101.79 – $142.51 | 2 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $401.40 | $669.00 | $101.79 – $142.51 | 2 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $228.00 | $380.00 | $84.28 – $118.00 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | $230.40 | $384.00 | $190.20 – $249.60 | 2 |
| Lsh uterus 250 g or less CPT 58541 | $1,599.60 | $2,666.00 | not published | 0 |
| Lsh uterus above 250 g CPT 58543 | $1,816.80 | $3,028.00 | not published | 0 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $1,786.20 | $2,977.00 | not published | 0 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $1,966.20 | $3,277.00 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | $87.00 | $145.00 | $21.99 – $21.99 | 1 |
| Lumbar diskogram s&i CPT 72295 | $1,986.60 | $3,311.00 | $1,749.80 – $1,869.23 | 2 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $2,852.40 | $4,754.00 | not published | 0 |
| Lumizyme injection HCPCS J0221 | $1,688.06 | $2,813.43 | $206.62 – $289.27 | 2 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $398.40 | $664.00 | $147.55 – $298.08 | 2 |
| Lung function test (mbc/mvv) CPT 94200 | $96.00 | $160.00 | $56.86 – $79.60 | 2 |
| Lung Function Test (Spirometry) CPT 94010 | $126.00 | $210.00 | $90.35 – $149.77 | 2 |
| Lung perfusion imaging CPT 78580 | not published | not published | $384.64 – $538.50 | 2 |
| Lung volume reduction 32491 CPT 32491 | $2,141.40 | $3,569.00 | not published | 0 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $13,573.37 | $22,622.28 | $206.13 – $288.58 | 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.