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 |
|---|---|---|---|---|
| Cast sup sht arm splnt ped p HCPCS Q4023 | $6.60 | $11.00 | not published | 0 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $39.60 | $66.00 | not published | 0 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | $20.40 | $34.00 | not published | 0 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | $13.80 | $23.00 | not published | 0 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | $24.00 | $40.00 | not published | 0 |
| Cataract Surgery CPT 66984 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Catecholamines,fractionated, urine CPT 82382 | $175.80 | $293.00 | not published | 0 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $237.60 | $396.00 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $2,464.20 | $4,107.00 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,685.40 | $2,809.00 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $7,639.20 | $12,732.00 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $5,512.80 | $9,188.00 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $7,301.40 | $12,169.00 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $6,433.20 | $10,722.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $21,712.80 | $36,188.00 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $2,457.00 | $4,095.00 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,280.00 | $13,800.00 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,552.20 | $2,587.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $10,615.80 | $17,693.00 | $3,078.81 – $4,310.34 | 2 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $20,250.00 | $33,750.00 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,171.40 | $3,619.00 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,924.20 | $3,207.00 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $645.00 | $1,075.00 | $698.75 – $1,486.98 | 2 |
| Catheter insert artery CPT 36625 | $208.20 | $347.00 | not published | 0 |
| Catheter stripping venous CPT 36595 | $2,668.20 | $4,447.00 | $2,890.55 – $3,012.85 | 2 |
| Catheter without bag 2-way latex HCPCS A4311 | $0.60 | $1.00 | not published | 0 |
| Cath ext adhere actv m 28mm HCPCS A4349 | $1.80 | $3.00 | not published | 0 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $619.20 | $1,032.00 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $7,076.40 | $11,794.00 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,737.80 | $9,563.00 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $16.20 | $27.00 | not published | 0 |
| Cath insertion tray w/bag HCPCS A4354 | $88.80 | $148.00 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $232.81 – $325.93 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $210.60 | $351.00 | not published | 0 |
| Cath left heart/lv gram CPT 93452 | $8,497.80 | $14,163.00 | $3,078.81 – $4,310.34 | 2 |
| Cath left heart transseptal punc CPT 93462 | $4,765.80 | $7,943.00 | not published | 0 |
| Cath lt/rt pulm art CPT 36014 | $2,090.40 | $3,484.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $1,753.80 | $2,923.00 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $22,489.20 | $37,482.00 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $1,733.40 | $2,889.00 | not published | 0 |
| Cath place cardio brachytx CPT 92974 | $6,033.00 | $10,055.00 | not published | 0 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $12,257.40 | $20,429.00 | $3,078.81 – $4,310.34 | 2 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $10,422.00 | $17,370.00 | $3,078.81 – $4,310.34 | 2 |
| Cath plc art/grft/angio right hrt CPT 93457 | $11,227.80 | $18,713.00 | $3,078.81 – $4,310.34 | 2 |
| Cath right heart w/o2 sat & card CPT 93451 | $8,036.40 | $13,394.00 | $3,078.81 – $4,310.34 | 2 |
| Cath right hrt mnpul art CPT 36013 | $2,268.00 | $3,780.00 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $667.20 | $1,112.00 | not published | 0 |
| Cath segmntl pulm art CPT 36015 | $1,885.20 | $3,142.00 | not published | 0 |
| Cath steerable flex adv 12f HCPCS C1766 | $2,925.00 | $4,875.00 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $545.40 | $909.00 | not published | 0 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | $16.80 | $28.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $1,099.20 | $1,832.00 | not published | 0 |
| Cath w/drainage 2-way latex HCPCS A4314 | $2.40 | $4.00 | not published | 0 |
| Cath w/drainage 2-way silcne HCPCS A4315 | $4.80 | $8.00 | not published | 0 |
| Cath without bag 2-way silicone HCPCS A4312 | $8.40 | $14.00 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $252.00 | $420.00 | $190.20 – $266.28 | 2 |
| Cauterization of cervix 57510 CPT 57510 | $254.40 | $424.00 | not published | 0 |
| #cbg+cort-cbg CPT 84449 | $85.80 | $143.00 | not published | 0 |
| Cdna analysis for variants CPT 81403 | $371.40 | $619.00 | not published | 0 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $123.39 – $172.74 | 2 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $123.39 – $172.74 | 2 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $71.88 | $119.80 | not published | 0 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $93.14 | $155.23 | not published | 0 |
| Cefotaxime sodium injection HCPCS J0698 | $49.51 | $82.51 | not published | 0 |
| Cefotetan 1 gm vial HCPCS S0074 | $51.20 | $85.34 | not published | 0 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $64.30 | $107.16 | not published | 0 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $485.62 | $809.37 | $4.06 – $5.94 | 2 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $81.27 | $135.45 | not published | 0 |
| Ceftazidime and avibactam HCPCS J0714 | $765.31 | $1,275.51 | $100.46 – $146.93 | 2 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $168.52 | $280.87 | not published | 0 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $49.46 | $82.44 | not published | 0 |
| #celiac hla-dq2 CPT 81377 | $253.80 | $423.00 | not published | 0 |
| #celiac hla-dq8 CPT 81383 | $292.20 | $487.00 | not published | 0 |
| Cell count body fluid CPT 89050 | $86.40 | $144.00 | not published | 0 |
| Cell count w differential body fluid CPT 89051 | $86.40 | $144.00 | not published | 0 |
| Cell cryopreserve/storage CPT 88240 | $145.80 | $243.00 | not published | 0 |
| Cell marker study CPT 88182 | $511.20 | $852.00 | $51.14 – $71.60 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $19,391.69 | $32,319.48 | $27.47 – $40.18 | 2 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,651.14 – $6,802.61 | 2 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | $469.20 | $782.00 | not published | 0 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $603.60 | $1,006.00 | not published | 0 |
| Cerebrospinal fld flw imag CPT 78645 | $550.80 | $918.00 | $515.24 – $596.70 | 2 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $10,638.62 | $17,731.03 | $4.30 – $6.29 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | $2,617.20 | $4,362.00 | not published | 0 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $62.40 | $104.00 | $65.00 – $88.54 | 2 |
| Cesarean section delivery only 59514 CPT 59514 | $2,167.20 | $3,612.00 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $3,004.58 | $5,007.64 | $75.11 – $109.86 | 2 |
| #cf-97variants CPT 81220 | $1,759.80 | $2,933.00 | not published | 0 |
| Change cystostomy tube; complex 51710 CPT 51710 | $337.80 | $563.00 | not published | 0 |
| Change cystostomy tube simple CPT 51705 | $288.00 | $480.00 | $232.81 – $312.00 | 2 |
| Change gastric port open CPT 43888 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Change nephroureteral cath CPT 50387 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Change of windpipe airway 31502 CPT 31502 | $313.20 | $522.00 | $222.29 – $311.20 | 2 |
| Change stent via transureth CPT 50385 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $164.03 – $229.64 | 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.