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 |
|---|---|---|---|---|
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $123.39 – $172.74 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $123.39 – $172.74 | 2 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $37.57 – $52.60 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $40.80 | $68.00 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $528.60 | $881.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Cllr miami j sm HCPCS L0174 | $186.00 | $310.00 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $4,163.69 | $6,939.48 | $14.09 – $20.61 | 2 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $581.40 | $969.00 | not published | 0 |
| Close bronchial fistula 32815 CPT 32815 | $5,377.80 | $8,963.00 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $682.80 | $1,138.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $793.20 | $1,322.00 | not published | 0 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,498.80 | $2,498.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $999.60 | $1,666.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $871.80 | $1,453.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $606.00 | $1,010.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $934.20 | $1,557.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $294.60 | $491.00 | not published | 0 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $487.46 – $682.45 | 2 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,022.40 | $1,704.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $781.20 | $1,302.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $217.20 | $362.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $442.80 | $738.00 | not published | 0 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $504.60 | $841.00 | not published | 0 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Close median sternotomy separation 21750 CPT 21750 | $1,331.40 | $2,219.00 | not published | 0 |
| Close tear duct opening CPT 68760 | not published | not published | $286.14 – $400.60 | 2 |
| Close tear duct opening CPT 68761 | not published | not published | $286.14 – $400.60 | 2 |
| Close tear system fistula CPT 68770 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Clos txnose fx without stablz 21315 CPT 21315 | $537.00 | $895.00 | not published | 0 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,641.60 | $2,736.00 | not published | 0 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $2,457.00 | $4,095.00 | not published | 0 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $1,934.40 | $3,224.00 | not published | 0 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $2,654.40 | $4,424.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $641.40 | $1,069.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $927.11 – $1,297.95 | 2 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Closure of windpipe lesion 31820 CPT 31820 | $849.00 | $1,415.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $1,300.20 | $2,167.00 | $591.81 – $706.55 | 2 |
| Clot factor xii hageman CPT 85280 | $249.00 | $415.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $217.80 | $363.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $579.60 | $966.00 | $229.62 – $321.47 | 2 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $626.40 | $1,044.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $640.20 | $1,067.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $427.80 | $713.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $419.40 | $699.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $652.80 | $1,088.00 | $332.15 – $1,531.94 | 2 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $408.60 | $681.00 | $229.62 – $321.47 | 2 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $336.60 | $561.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $343.80 | $573.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $819.60 | $1,366.00 | $229.62 – $321.47 | 2 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $588.00 | $980.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $376.80 | $628.00 | $229.62 – $299.65 | 2 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,516.20 | $2,527.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $935.40 | $1,559.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $507.00 | $845.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $273.00 | $455.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $303.60 | $506.00 | $229.62 – $317.85 | 2 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $597.60 | $996.00 | $229.62 – $321.47 | 2 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,914.00 | $3,190.00 | $1,531.94 – $2,073.50 | 2 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $511.80 | $853.00 | $229.62 – $321.47 | 2 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $974.40 | $1,624.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $504.60 | $841.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $756.60 | $1,261.00 | $229.62 – $321.47 | 2 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $711.00 | $1,185.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $666.00 | $1,110.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $719.40 | $1,199.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,141.80 | $1,903.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $427.80 | $713.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $544.80 | $908.00 | $229.62 – $280.80 | 2 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $603.00 | $1,005.00 | $229.62 – $278.20 | 2 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $857.40 | $1,429.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $494.40 | $824.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $401.40 | $669.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $496.80 | $828.00 | not published | 0 |
| Clsd tx nose fx without manip 21310 CPT 21310 | $236.40 | $394.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $696.60 | $1,161.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $709.20 | $1,182.00 | $229.62 – $321.47 | 2 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $604.80 | $1,008.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $229.62 – $321.47 | 2 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $229.62 – $321.47 | 2 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $677.40 | $1,129.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $369.60 | $616.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $488.40 | $814.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $825.60 | $1,376.00 | $332.15 – $1,531.94 | 2 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $433.20 | $722.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $842.40 | $1,404.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $979.80 | $1,633.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,914.00 | $3,190.00 | $1,531.94 – $2,073.50 | 2 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $349.80 | $583.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $183.60 | $306.00 | $143.65 – $229.62 | 2 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $276.60 | $461.00 | $229.62 – $299.65 | 2 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $597.60 | $996.00 | $223.60 – $229.62 | 2 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $917.40 | $1,529.00 | $332.15 – $1,531.94 | 2 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $487.80 | $813.00 | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $572.40 | $954.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $572.40 | $954.00 | 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.