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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $143.40 | $239.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $109.80 | $183.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $109.80 | $183.00 | not published | 0 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $194.40 | $324.00 | not published | 0 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $1,854.60 | $3,091.00 | not published | 0 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $88.54 – $123.96 | 2 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $35.92 – $35.92 | 1 |
| 24 hr ambulatory b/p monitor CPT 93786 | $285.00 | $475.00 | $123.39 – $172.74 | 2 |
| 2d tee w or without fol w/con,in HCPCS C8925 | not published | not published | $756.26 – $1,058.77 | 2 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $756.26 – $1,058.77 | 2 |
| 2nd order venous cath CPT 36012 | $1,720.80 | $2,868.00 | not published | 0 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $149.77 – $209.67 | 2 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $149.77 – $209.67 | 2 |
| 3d ech img cgen car anomal CPT 93319 | $200.40 | $334.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $3,635.40 | $6,059.00 | $1,309.73 – $1,833.62 | 2 |
| 3d recon without postprocess indpndt CPT 76376 | $264.00 | $440.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $111.00 | $185.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $78.00 | $130.00 | not published | 0 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $151.20 | $252.00 | not published | 0 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $164.40 | $274.00 | not published | 0 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $162.00 | $270.00 | not published | 0 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $113.40 | $189.00 | not published | 0 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $130.20 | $217.00 | not published | 0 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $129.00 | $215.00 | not published | 0 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $145.80 | $243.00 | not published | 0 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $258.60 | $431.00 | not published | 0 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | $6,141.00 | $10,235.00 | not published | 0 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,774.97 | $4,624.95 | $42.59 – $62.29 | 2 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $195.60 | $326.00 | not published | 0 |
| Abciximab injection HCPCS J0130 | $2,400.32 | $4,000.54 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $3,594.60 | $5,991.00 | $3,012.85 – $3,894.15 | 2 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,227.20 | $3,712.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $2,552.40 | $4,254.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,723.40 | $4,539.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $3,232.20 | $5,387.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $2,575.80 | $4,293.00 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $701.40 | $1,169.00 | $231.38 – $323.93 | 2 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $411.60 | $686.00 | $101.79 – $142.51 | 2 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,659.60 | $2,766.00 | $170.40 – $238.57 | 2 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,473.60 | $2,456.00 | $170.40 – $238.57 | 2 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,077.60 | $1,796.00 | $101.79 – $142.51 | 2 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,073.80 | $5,123.00 | $341.85 – $478.59 | 2 |
| Abdominal MRI (with contrast) CPT 74182 | $1,061.40 | $1,769.00 | $341.85 – $478.59 | 2 |
| Abdominal MRI (without contrast) CPT 74181 | $1,544.40 | $2,574.00 | $231.38 – $323.93 | 2 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,102.20 | $1,837.00 | $897.45 – $1,142.05 | 2 |
| Abdominal Ultrasound (complete) CPT 76700 | $708.60 | $1,181.00 | $101.79 – $142.51 | 2 |
| Abdominal Ultrasound (limited) CPT 76705 | $438.00 | $730.00 | $101.79 – $142.51 | 2 |
| Abdominal X-ray (2 views) CPT 74019 | $183.60 | $306.00 | $101.79 – $142.51 | 2 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $252.00 | $420.00 | $101.79 – $142.51 | 2 |
| Abdominal X-ray (single view) CPT 74018 | $154.80 | $258.00 | $84.28 – $118.00 | 2 |
| Abdominoplasty 15830 CPT 15830 | $2,235.60 | $3,726.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $931.20 | $1,552.00 | $897.45 – $965.25 | 2 |
| Ablate arrhythmia add on CPT 93655 | $13,679.40 | $22,799.00 | not published | 0 |
| Ablate atria lmtd endo 33265 CPT 33265 | $2,634.60 | $4,391.00 | not published | 0 |
| Ablate atria w/bypass exten 33256 CPT 33256 | $3,813.00 | $6,355.00 | not published | 0 |
| Ablate atria x10sv add-on 33258 CPT 33258 | $1,275.60 | $2,126.00 | not published | 0 |
| Ablate atria x10sv endo 33266 CPT 33266 | $3,594.00 | $5,990.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $834.00 | $1,390.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Ablate heart dysrhythm focus CPT 93650 | $8,280.00 | $13,800.00 | $7,263.48 – $8,970.00 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $565.20 | $942.00 | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | $442.80 | $738.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $5,584.77 – $7,818.67 | 2 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $305.40 | $509.00 | $149.77 – $209.67 | 2 |
| Ablation cryo abd perit om CPT 49999 | $1,858.80 | $3,098.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $4,199.40 | $6,999.00 | $4,549.35 – $5,584.77 | 2 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $1,291.80 | $2,153.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $1,016.40 | $1,694.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $557.40 | $929.00 | $418.48 – $585.87 | 2 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $229.62 – $321.47 | 2 |
| Ablation of upper extremity nerves rf CPT 64999 | $206.40 | $344.00 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,550.93 – $2,171.30 | 2 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,436.60 – $17,411.25 | 2 |
| Abobotulinumtoxina HCPCS J0586 | $948.50 | $1,580.83 | $8.78 – $12.84 | 2 |
| Abortion (mpr) CPT 59866 | not published | not published | $291.18 – $407.65 | 2 |
| Abrasion lesions add-on CPT 15787 | $48.00 | $80.00 | not published | 0 |
| Abrasion lesion single CPT 15786 | not published | not published | $190.20 – $266.28 | 2 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,409.60 | $4,016.00 | $1,550.93 – $2,073.50 | 2 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $6.60 | $11.00 | not published | 0 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | $8.40 | $14.00 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $177.60 | $296.00 | not published | 0 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $7.20 | $12.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $111.00 | $185.00 | not published | 0 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $77.07 | $128.45 | not published | 0 |
| Acetone qualitative CPT 82009 | $43.80 | $73.00 | not published | 0 |
| Acetylcholine receptor modulating antibody CPT 86043 | $105.00 | $175.00 | not published | 0 |
| Acetylcholinesterase assay CPT 82013 | $193.20 | $322.00 | not published | 0 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $306.72 | $511.20 | not published | 0 |
| Acetylcysteine non-comp unit HCPCS J7608 | $10.48 | $17.46 | not published | 0 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $507.90 – $711.06 | 2 |
| Acne surgery 10040 CPT 10040 | $194.40 | $324.00 | not published | 0 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $284.40 | $474.00 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $190.20 | $317.00 | not published | 0 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $80.40 | $134.00 | not published | 0 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $51.60 | $86.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $87.00 | $145.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $171.00 | $285.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $279.00 | $465.00 | not published | 0 |
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.