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 |
|---|---|---|---|---|
| Chemical exfoliation acne 17360 CPT 17360 | $247.80 | $413.00 | not published | 0 |
| Chemical peel face epiderm 15788 CPT 15788 | $865.20 | $1,442.00 | not published | 0 |
| Chemical peel nonfacial 15793 CPT 15793 | $931.20 | $1,552.00 | not published | 0 |
| Chemical peel nonfacial; epidermal CPT 15792 | $823.80 | $1,373.00 | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $489.00 | $815.00 | $317.50 – $444.50 | 2 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $662.89 – $928.05 | 2 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $510.60 | $851.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $526.80 | $878.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $832.80 | $1,388.00 | $662.89 – $820.30 | 2 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $823.20 | $1,372.00 | $662.89 – $810.55 | 2 |
| Chemodenervation anal musc CPT 46505 | $469.80 | $783.00 | not published | 0 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $693.00 | $1,155.00 | $282.56 – $395.59 | 2 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $415.20 | $692.00 | not published | 0 |
| Chemodenerv eccrine glands CPT 64653 | $260.40 | $434.00 | not published | 0 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $206.40 | $344.00 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $1,011.00 | $1,685.00 | $282.56 – $395.59 | 2 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $918.60 | $1,531.00 | $282.56 – $395.59 | 2 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $409.80 | $683.00 | $282.56 – $395.59 | 2 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $823.20 | $1,372.00 | $662.89 – $810.55 | 2 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $280.80 | $468.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | not published | not published | $317.50 – $444.50 | 2 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $44.17 – $61.83 | 2 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $317.50 – $444.50 | 2 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $317.50 – $444.50 | 2 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $201.68 – $282.35 | 2 |
| Chemo intralesional up to 7 96405 CPT 96405 | $123.60 | $206.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $303.60 | $506.00 | $317.50 – $328.90 | 2 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $317.50 – $444.50 | 2 |
| Chest 2 vws w oblique CPT 71048 | $247.80 | $413.00 | $101.79 – $142.51 | 2 |
| Chest apical lordotic proj CPT 71047 | $219.60 | $366.00 | $84.28 – $118.00 | 2 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,603.20 | $2,672.00 | $170.40 – $238.57 | 2 |
| Chest CT scan (with contrast) CPT 71260 | $1,554.60 | $2,591.00 | $170.40 – $238.57 | 2 |
| Chest CT scan (without contrast) CPT 71250 | $1,145.40 | $1,909.00 | $101.79 – $142.51 | 2 |
| Chest Physiotherapy (first session) CPT 94667 | $144.00 | $240.00 | $83.85 – $123.39 | 2 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $96.60 | $161.00 | $83.85 – $123.39 | 2 |
| Chest Ultrasound CPT 76604 | $310.20 | $517.00 | $101.79 – $142.51 | 2 |
| Chest X-ray CPT 71046 | $201.60 | $336.00 | $84.28 – $118.00 | 2 |
| Chest X-ray (single view) CPT 71045 | $129.00 | $215.00 | $84.28 – $118.00 | 2 |
| Chg pr pul rehab for copd patients CPT 94626 | $119.40 | $199.00 | $56.86 – $79.60 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $170.40 – $238.57 | 2 |
| Chiropractic manj 5 regions CPT 98942 | not published | not published | $24.22 – $33.90 | 2 |
| Chiropract manj 1-2 regions CPT 98940 | not published | not published | $24.22 – $33.90 | 2 |
| Chiropract manj 3-4 regions CPT 98941 | not published | not published | $24.22 – $33.90 | 2 |
| Chlamydia culture CPT 87110 | $97.20 | $162.00 | not published | 0 |
| Chlamydia trachomatis ag if CPT 87270 | $121.20 | $202.00 | not published | 0 |
| Chlamydia type CPT 87140 | $97.20 | $162.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $193.80 | $323.00 | not published | 0 |
| Chloramphenicol sodium injec HCPCS J0720 | $115.78 | $192.96 | not published | 0 |
| Chloride CPT 82435 | $30.00 | $50.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $40.80 | $68.00 | not published | 0 |
| Chloroprocaine hcl injection HCPCS J2401 | $53.72 | $89.53 | not published | 0 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.57 – $0.84 | 2 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $779.38 | $1,298.97 | not published | 0 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $71.05 | $118.42 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $317.50 – $444.50 | 2 |
| Cholangiogram percutaneous compl CPT 47532 | $1,196.40 | $1,994.00 | $1,296.10 – $3,378.09 | 2 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $454.80 | $758.00 | not published | 0 |
| Cholecystectomy expl duct 47612 CPT 47612 | $2,383.20 | $3,972.00 | not published | 0 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $1,845.00 | $3,075.00 | not published | 0 |
| Cholecystoenterostomy direct 47720 CPT 47720 | $2,161.80 | $3,603.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,520.40 | $7,534.00 | $3,378.09 – $4,729.32 | 2 |
| Cholesterol CPT 82465 | $30.60 | $51.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $652.80 | $1,088.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $96.60 | $161.00 | not published | 0 |
| Choline c-11 HCPCS A9515 | not published | not published | $1,974.69 – $2,888.12 | 2 |
| Cholinesterase CPT 82480 | $66.00 | $110.00 | not published | 0 |
| Cholinesterase challenge CPT 95857 | not published | not published | $298.08 – $417.31 | 2 |
| Chorion biopsy CPT 59015 | not published | not published | $833.49 – $1,166.89 | 2 |
| Chorionic gonadotropin/1000u HCPCS J0725 | $351.46 | $585.76 | not published | 0 |
| Chrnc care mgmt phys 1st 30 CPT 99491 | $191.40 | $319.00 | not published | 0 |
| Chrom analysis CPT 88273 | $173.40 | $289.00 | not published | 0 |
| Chromatography CPT 83021 | $116.40 | $194.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $286.20 | $477.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $579.60 | $966.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $799.20 | $1,332.00 | not published | 0 |
| Chromosome analysis 20-25 CPT 88245 | $409.20 | $682.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $171.00 | $285.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $125.40 | $209.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $93.60 | $156.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $175.20 | $292.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $186.00 | $310.00 | not published | 0 |
| Cidofovir injection HCPCS J0740 | $1,352.09 | $2,253.48 | $506.73 – $741.13 | 2 |
| Cilastatin sodium injection HCPCS J0743 | $87.44 | $145.74 | not published | 0 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $529,705.28 – $774,730.36 | 2 |
| Cine/video x-rays CPT 76120 | $180.00 | $300.00 | $101.79 – $142.51 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $73.90 | $123.17 | not published | 0 |
| Circum 28 days or older CPT 54161 | $388.80 | $648.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $435.60 | $726.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $406.80 | $678.00 | $270.40 – $1,960.87 | 2 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $395.67 | $659.45 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $551.40 | $919.00 | not published | 0 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $484.20 | $807.00 | $9.31 – $13.62 | 2 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $14,062.80 | $23,438.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | $1,008.60 | $1,681.00 | not published | 0 |
| Claviculectomy total CPT 23125 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $487.46 – $682.45 | 2 |
| Clearance of airways CPT 31720 | not published | not published | $194.69 – $272.56 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $286.14 – $400.60 | 2 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $123.39 – $172.74 | 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.