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 |
|---|---|---|---|---|
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | $4,157.40 | $6,929.00 | not published | 0 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | $4,719.00 | $7,865.00 | not published | 0 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | $4,843.20 | $8,072.00 | not published | 0 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | $365.40 | $609.00 | not published | 0 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | $801.60 | $1,336.00 | not published | 0 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | $1,061.40 | $1,769.00 | not published | 0 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | $1,276.20 | $2,127.00 | not published | 0 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | $1,964.40 | $3,274.00 | not published | 0 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | $2,358.00 | $3,930.00 | not published | 0 |
| Cable cath 22-pin diag HCPCS C1730 | $2,704.80 | $4,508.00 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $12,338.18 | $20,563.64 | $22.62 – $33.08 | 2 |
| Cadd pump refill CPT 96521 | $370.20 | $617.00 | $201.68 – $282.35 | 2 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $88.08 | $146.80 | not published | 0 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $4,056.94 | $6,761.56 | $800.04 – $1,170.12 | 2 |
| Calcium 24 hour urine CPT 82340 | $64.20 | $107.00 | not published | 0 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $30.17 | $50.28 | not published | 0 |
| Calcium ionized CPT 82330 | $137.40 | $229.00 | not published | 0 |
| Calcium total CPT 82310 | $48.60 | $81.00 | not published | 0 |
| Calculi urinary-sendout CPT 82360 | $39.00 | $65.00 | not published | 0 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $149.77 – $209.67 | 2 |
| Calprotectin fecal CPT 83993 | $187.80 | $313.00 | not published | 0 |
| Campylobacter antibody CPT 86625 | $171.60 | $286.00 | not published | 0 |
| Canakinumab injection HCPCS J0638 | not published | not published | $134.97 – $197.40 | 2 |
| Candida dna CPT 87480 | $74.40 | $124.00 | not published | 0 |
| Candida skin test CPT 86485 | $60.00 | $100.00 | $23.44 – $32.82 | 2 |
| Cannula declotting 36861 CPT 36861 | $468.00 | $780.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $9,000.00 | $15,000.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $640.94 – $937.43 | 2 |
| Canthotomy 67715 CPT 67715 | $436.80 | $728.00 | not published | 0 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $59.42 | $99.03 | $0.05 – $0.07 | 2 |
| Cap nerve 2x15mm HCPCS C1763 | $6,246.00 | $10,410.00 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.24 – $4.73 | 2 |
| Capsular contracture release CPT 23020 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $750.60 | $1,251.00 | not published | 0 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $934.80 | $1,558.00 | not published | 0 |
| Cap trach decann 15mm HCPCS C1750 | $870.00 | $1,450.00 | not published | 0 |
| Carbamazepine free CPT 80157 | $112.80 | $188.00 | not published | 0 |
| Carbamazepine free -sendout CPT 80161 | $100.20 | $167.00 | not published | 0 |
| Carbamazepine total therapeutic drug level CPT 80156 | $132.60 | $221.00 | not published | 0 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $232.75 – $340.41 | 2 |
| Carbohydrate deficient transf - sendout CPT 82373 | $234.60 | $391.00 | not published | 0 |
| Carbohydrate urine - sendout CPT 84377 | $154.20 | $257.00 | not published | 0 |
| Carbon dioxide CPT 82374 | $158.40 | $264.00 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $156.53 | $260.88 | not published | 0 |
| Carboxyhemoglobin quantitative CPT 82375 | $113.40 | $189.00 | not published | 0 |
| Carcinoembryonic ag (cea) CPT 82378 | $102.00 | $170.00 | not published | 0 |
| Cardiac drug stress test CPT 93024 | not published | not published | $381.97 – $534.76 | 2 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $524.84 – $734.78 | 2 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $524.84 – $734.78 | 2 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $524.84 – $734.78 | 2 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,605.60 | $2,676.00 | $1,249.63 – $1,739.40 | 2 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,602.60 | $2,671.00 | $1,249.63 – $1,736.15 | 2 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,007.60 | $3,346.00 | $1,249.63 – $1,749.48 | 2 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $154.80 | $258.00 | $87.75 – $120.52 | 2 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $141.00 | $235.00 | $3.90 – $120.52 | 2 |
| Cardiac shunt imaging CPT 78428 | $621.00 | $1,035.00 | $384.64 – $538.50 | 2 |
| Cardiac Stress Test CPT 93015 | $196.20 | $327.00 | not published | 0 |
| Cardiokymography HCPCS Q0035 | not published | not published | $37.57 – $52.60 | 2 |
| Cardiolipin antibody iga CPT 86147 | $239.40 | $399.00 | not published | 0 |
| Cardioversion/elective/internal 92961 CPT 92961 | $826.80 | $1,378.00 | not published | 0 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $724.20 | $1,207.00 | $626.39 – $784.55 | 2 |
| Card MRI veloc flow mapping CPT 75565 | $782.40 | $1,304.00 | not published | 0 |
| Caregiver health risk assmt CPT 96161 | $9.00 | $15.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $79.20 | $132.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $40.20 | $67.00 | not published | 0 |
| Care manage beh svs 20mins HCPCS G0323 | not published | not published | $28.52 – $39.92 | 2 |
| Care mgmt svc bhvl hlth cond CPT 99484 | not published | not published | $28.52 – $39.92 | 2 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $6,306.47 | $10,510.78 | $52.73 – $77.13 | 2 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $336.97 | $561.62 | $166.21 – $243.10 | 2 |
| Carotene CPT 82380 | $107.40 | $179.00 | not published | 0 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $606.60 | $1,011.00 | $231.38 – $323.93 | 2 |
| Carpal Tunnel Release Surgery CPT 64721 | $2,944.80 | $4,908.00 | $1,869.23 – $2,616.92 | 2 |
| Car seat/bed test 60 minutes CPT 94780 | $75.60 | $126.00 | $37.57 – $52.60 | 2 |
| Car-t admn autologous CPT 38228 | not published | not published | $317.50 – $444.50 | 2 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $228.60 | $381.00 | not published | 0 |
| Caspofungin acetate HCPCS J0637 | $633.91 | $1,056.51 | not published | 0 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $29.40 | $49.00 | not published | 0 |
| Cast sup lng arm splint plst HCPCS Q4017 | $19.80 | $33.00 | not published | 0 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | $16.20 | $27.00 | not published | 0 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | $8.40 | $14.00 | not published | 0 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | $78.60 | $131.00 | not published | 0 |
| Cast sup lng leg ped plaster HCPCS Q4031 | $28.80 | $48.00 | not published | 0 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | $70.80 | $118.00 | not published | 0 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | $36.60 | $61.00 | not published | 0 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | $21.60 | $36.00 | not published | 0 |
| Cast sup long arm adult fbrg HCPCS Q4006 | $61.20 | $102.00 | not published | 0 |
| Cast sup long arm adult plst HCPCS Q4005 | $26.40 | $44.00 | not published | 0 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | $29.40 | $49.00 | not published | 0 |
| Cast sup long arm ped plster HCPCS Q4007 | $15.00 | $25.00 | not published | 0 |
| Cast sup long leg fiberglass HCPCS Q4030 | $157.80 | $263.00 | not published | 0 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | $43.20 | $72.00 | not published | 0 |
| Cast sup shrt leg ped plster HCPCS Q4039 | $18.00 | $30.00 | not published | 0 |
| Cast sup shrt leg plaster HCPCS Q4037 | $34.20 | $57.00 | not published | 0 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $41.40 | $69.00 | not published | 0 |
| Cast sup sht arm adult plstr HCPCS Q4009 | $19.20 | $32.00 | not published | 0 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $21.00 | $35.00 | not published | 0 |
| Cast sup sht arm ped plaster HCPCS Q4011 | $8.40 | $14.00 | not published | 0 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $25.20 | $42.00 | not published | 0 |
| Cast sup sht arm splint plst HCPCS Q4021 | $15.60 | $26.00 | not published | 0 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | $14.40 | $24.00 | 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.