MercyOne Genesis DeWitt Medical Center
1118 11th Street, DeWitt, IA · MercyOne · · NPI 1407938269
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 myotomy heller CPT 43279 | $2,444.40 | $4,074.00 | $928.00 – $2,974.02 | 3 |
| Lap paraesophag hern repair CPT 43281 | $2,922.00 | $4,870.00 | $928.00 – $3,555.10 | 3 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $4,945.80 | $8,243.00 | $928.00 – $6,017.39 | 3 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $3,747.60 | $6,246.00 | $928.00 – $4,559.58 | 3 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | $2,220.60 | $3,701.00 | $928.00 – $2,701.73 | 3 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | $3,786.60 | $6,311.00 | $928.00 – $4,607.03 | 3 |
| Lap resect s/intestine addl 44203 CPT 44203 | $487.20 | $812.00 | $592.76 – $2,679.00 | 3 |
| Lap revision perm ip cath CPT 49325 | $793.20 | $1,322.00 | $928.00 – $2,679.00 | 3 |
| Lap rmvl gastr adj all parts CPT 43774 | $1,814.40 | $3,024.00 | $928.00 – $2,679.00 | 3 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | $969.00 | $1,615.00 | $928.00 – $2,679.00 | 3 |
| Lap sleeve gastrectomy CPT 43775 | $2,071.80 | $3,453.00 | $928.00 – $2,679.00 | 3 |
| Lap tot proctocolectomy 44210 CPT 44210 | $3,798.00 | $6,330.00 | $928.00 – $4,620.90 | 3 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | $1,803.00 | $3,005.00 | $928.00 – $2,679.00 | 3 |
| Lap vent/abd hernia repair 49652 CPT 49652 | $1,348.80 | $2,248.00 | $928.00 – $2,679.00 | 3 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | $1,683.60 | $2,806.00 | $928.00 – $2,679.00 | 3 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $408.00 | $680.00 | $496.40 – $2,679.00 | 3 |
| Large Joint Injection or Fluid Draw (both sides) CPT 20610 | $531.00 | $885.00 | $162.79 – $200.60 | 3 |
| Laryngoscope w/vc inj CPT 31570 | $667.20 | $1,112.00 | $811.76 – $2,679.00 | 3 |
| Laryngoscop w/vc inj + scope CPT 31571 | $514.80 | $858.00 | $626.34 – $2,679.00 | 3 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $492.60 | $821.00 | $599.33 – $2,679.00 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | $528.00 | $880.00 | $642.40 – $2,679.00 | 3 |
| Laryngoscopy w/bx & op scope CPT 31536 | $541.80 | $903.00 | $659.19 – $2,679.00 | 3 |
| Laryngoscopy w/exc of tumor CPT 31540 | $694.80 | $1,158.00 | $845.34 – $2,679.00 | 3 |
| Laryngoscopy w/fb & op scope CPT 31531 | $631.80 | $1,053.00 | $768.69 – $2,679.00 | 3 |
| Laryngoscopy with biopsy 31510 CPT 31510 | $413.40 | $689.00 | $502.97 – $2,679.00 | 3 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $406.20 | $677.00 | $494.21 – $2,679.00 | 3 |
| Larynscop w/tumr exc + scope CPT 31541 | $615.00 | $1,025.00 | $748.25 – $2,679.00 | 3 |
| Laser surgery of cervix 57513 CPT 57513 | $338.40 | $564.00 | $411.72 – $2,679.00 | 3 |
| Laser surg penis lesion(s) CPT 54057 | $271.20 | $452.00 | $329.96 – $2,679.00 | 3 |
| Lateral canthopexy CPT 21282 | $723.00 | $1,205.00 | $879.65 – $2,679.00 | 3 |
| Lavage cannulation maxillary sinus CPT 31000 | $349.20 | $582.00 | $424.86 – $2,679.00 | 3 |
| Lavh >250 gms 58553 CPT 58553 | $2,213.40 | $3,689.00 | $928.00 – $2,692.97 | 3 |
| Lb with mastopexy 15839 CPT 15839 | $1,667.40 | $2,779.00 | $928.00 – $2,679.00 | 3 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,582.80 | $7,638.00 | $255.00 – $547.50 | 3 |
| Lead capillary CPT 83655 | $81.00 | $135.00 | $17.34 – $37.23 | 3 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $3,550.80 | $5,918.00 | $402.90 – $865.05 | 3 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,437.80 | $14,063.00 | $4,207.50 – $9,033.75 | 3 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $7.20 | $12.00 | $8.76 – $2,679.00 | 3 |
| Left compres band <3"/yd HCPCS A6448 | $6.60 | $11.00 | $8.03 – $2,679.00 | 3 |
| Left compres band >=5"/yd HCPCS A6450 | $120.60 | $201.00 | $146.73 – $2,679.00 | 3 |
| Leg Artery Ultrasound (complete, both legs) CPT 93925 | $535.20 | $892.00 | $70.08 – $303.28 | 3 |
| Leg CT Scan (with contrast, both legs) CPT 73701 | $1,693.20 | $2,822.00 | $639.54 – $1,373.13 | 3 |
| Leg CT Scan (without contrast, both legs) CPT 73700 | $1,674.00 | $2,790.00 | $632.40 – $1,357.80 | 3 |
| Leg vein fusion 34530 CPT 34530 | $1,495.20 | $2,492.00 | $928.00 – $2,679.00 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $619.20 | $1,032.00 | $38.69 – $350.88 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | $1,785.00 | $2,975.00 | $928.00 – $2,679.00 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | $1,484.40 | $2,474.00 | $928.00 – $2,679.00 | 3 |
| Lens, intraocular (new tech) HCPCS C1780 | $326.40 | $544.00 | $159.46 – $342.37 | 3 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $695.40 | $1,159.00 | $168.30 – $361.35 | 3 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,239.20 | $3,732.00 | $57.46 – $123.37 | 3 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $191.40 | $319.00 | $46.92 – $100.74 | 3 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $182.27 | $303.78 | $36.59 – $78.57 | 3 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $22,850.90 | $38,084.83 | $476.81 – $1,023.74 | 3 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $9,611.85 | $16,019.75 | $1,333.18 – $2,862.41 | 3 |
| Levalbuterol non-comp unit HCPCS J7614 | $18.58 | $30.97 | $3.17 – $6.80 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $133.26 | $222.10 | $10.18 – $21.85 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $50.40 | $84.00 | $26.52 – $56.94 | 3 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $115.45 | $192.42 | $21.00 – $45.09 | 3 |
| Levonorgestrel implant sys HCPCS J7306 | $1,254.70 | $2,091.16 | $710.99 – $1,526.55 | 3 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $438.79 | $731.31 | $99.18 – $212.96 | 3 |
| Liberta rc ipg HCPCS C1820 | $37,575.00 | $62,625.00 | $63.92 – $137.24 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $55.20 | $92.00 | $29.92 – $64.24 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | $1,236.60 | $2,061.00 | $928.00 – $2,679.00 | 3 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $213.00 | $355.00 | $259.15 – $2,679.00 | 3 |
| Ligate/strip long leg vein CPT 37722 | $955.20 | $1,592.00 | $928.00 – $2,679.00 | 3 |
| Ligate/strip short leg vein CPT 37718 | $861.60 | $1,436.00 | $928.00 – $2,679.00 | 3 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $709.80 | $1,183.00 | $863.59 – $2,679.00 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $599.40 | $999.00 | $729.27 – $2,679.00 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $498.60 | $831.00 | $606.63 – $2,679.00 | 3 |
| Ligation external carotid artery 37600 CPT 37600 | $1,579.80 | $2,633.00 | $928.00 – $2,679.00 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,735.20 | $2,892.00 | $928.00 – $2,679.00 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,418.40 | $2,364.00 | $928.00 – $2,679.00 | 3 |
| Ligation/major artery/extremity 37618 CPT 37618 | $754.20 | $1,257.00 | $917.61 – $2,679.00 | 3 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,938.20 | $4,897.00 | $928.00 – $3,574.81 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $696.60 | $1,161.00 | $847.53 – $2,679.00 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | $743.40 | $1,239.00 | $904.47 – $2,679.00 | 3 |
| Liletta, 52 mg HCPCS J7297 | $1,660.12 | $2,766.87 | $795.34 – $1,707.65 | 3 |
| Lincomycin injection HCPCS J2010 | $74.81 | $124.69 | $42.39 – $91.02 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $158.42 | $264.03 | $7.79 – $16.72 | 3 |
| Lipase CPT 83690 | $79.20 | $132.00 | $13.26 – $28.47 | 3 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $936.60 | $1,561.00 | $928.00 – $2,679.00 | 3 |
| Lipoprotein blood high res frac & quant CPT 83701 | $90.60 | $151.00 | $51.34 – $110.23 | 3 |
| Lipoprotein blood quant CPT 83704 | $148.20 | $247.00 | $61.54 – $132.13 | 3 |
| Lipoprotein direct measurement hdl CPT 83718 | $37.80 | $63.00 | $15.98 – $34.31 | 3 |
| Lipoprotein direct measurement ldl CPT 83721 | $65.40 | $109.00 | $18.36 – $39.42 | 3 |
| Lithium therapeutic drug level CPT 80178 | $50.40 | $84.00 | $12.58 – $27.01 | 3 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $1,882.80 | $3,138.00 | $928.00 – $2,679.00 | 3 |
| Liver elastography 91200 CPT 91200 | $47.40 | $79.00 | $57.67 – $2,679.00 | 3 |
| Liver Function Test CPT 80076 | $59.40 | $99.00 | $32.98 – $70.81 | 3 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | $2,715.60 | $4,526.00 | $928.00 – $3,303.98 | 3 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $1,248.00 | $2,080.00 | $928.00 – $2,679.00 | 3 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $121.97 | $203.29 | $36.88 – $79.18 | 3 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | $50,204.85 | $83,674.75 | $28,449.42 – $61,082.57 | 3 |
| Loop ostmy bridg ster HCPCS A4421 | $3.60 | $6.00 | $0.34 – $0.73 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $40.60 | $67.67 | $8.11 – $17.41 | 3 |
| Low back disk surgery CPT 63030 | $2,107.80 | $3,513.00 | $641.67 – $2,679.00 | 3 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $420.60 | $701.00 | $238.34 – $511.73 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,909.80 | $3,183.00 | $1,082.22 – $2,323.59 | 3 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,486.20 | $2,477.00 | $842.18 – $1,808.21 | 3 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,414.80 | $2,358.00 | $801.72 – $1,721.34 | 3 |
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.