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 |
|---|---|---|---|---|
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $568.80 | $948.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $894.60 | $1,491.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $600.60 | $1,001.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $543.00 | $905.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $761.40 | $1,269.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Cltx post ankle fx CPT 27767 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $229.62 – $321.47 | 2 |
| Cltx thigh fx CPT 27267 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Cmbn ant pst colprhy CPT 57260 | $1,616.40 | $2,694.00 | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $507.90 – $711.06 | 2 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $973.87 – $1,363.41 | 2 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $973.87 – $1,363.41 | 2 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $56.86 – $79.60 | 2 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $56.86 – $79.60 | 2 |
| #cms hgb-carboxyhemoglobin CPT 82376 | $54.00 | $90.00 | not published | 0 |
| #cms hgb-sulfhemoglobin CPT 83060 | $160.80 | $268.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $72.00 | $120.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $457.20 | $762.00 | not published | 0 |
| Co2 monitor per day CPT 94681 | $310.80 | $518.00 | $298.08 – $336.70 | 2 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $37,986.95 | $63,311.58 | $2.54 – $3.71 | 2 |
| Coagulation time activated teg CPT 85347 | $36.60 | $61.00 | not published | 0 |
| Coagulation time otr method CPT 85348 | $85.80 | $143.00 | not published | 0 |
| Cocaine 4 % nasal solution HCPCS C9046 | $331.01 | $551.68 | not published | 0 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $149.77 – $209.67 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $149.77 – $209.67 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | $15.49 | $25.82 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $132.60 | $221.00 | not published | 0 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $2,557.80 | $4,263.00 | not published | 0 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $3,530.40 | $5,884.00 | not published | 0 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $3,951.60 | $6,586.00 | not published | 0 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $2,073.60 | $3,456.00 | not published | 0 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $3,652.20 | $6,087.00 | not published | 0 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $3,142.80 | $5,238.00 | not published | 0 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $3,233.40 | $5,389.00 | not published | 0 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $2,343.60 | $3,906.00 | not published | 0 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $3,433.80 | $5,723.00 | not published | 0 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $3,335.40 | $5,559.00 | not published | 0 |
| Colistimethate sodium inj HCPCS J0770 | $107.55 | $179.25 | not published | 0 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $70.03 – $102.42 | 2 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $295.20 | $492.00 | $84.28 – $118.00 | 2 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $82.20 | $137.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $63.60 | $106.00 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $49.80 | $83.00 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $93.00 | $155.00 | $100.75 – $123.39 | 2 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $96.60 | $161.00 | $104.65 – $123.39 | 2 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $298.08 – $417.31 | 2 |
| Colonoscopy (diagnostic) CPT 45378 | $516.00 | $860.00 | not published | 0 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $543.00 | $905.00 | not published | 0 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $907.20 | $1,512.00 | not published | 0 |
| Colonoscopy for bleeding 44391 CPT 44391 | $1,027.80 | $1,713.00 | not published | 0 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $872.71 – $1,221.79 | 2 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $874.20 | $1,457.00 | not published | 0 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $461.40 | $769.00 | not published | 0 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $996.60 | $1,661.00 | not published | 0 |
| Colonoscopy submucous njx CPT 45381 | $697.20 | $1,162.00 | not published | 0 |
| Colonoscopy thru stoma spx CPT 44388 | $683.40 | $1,139.00 | not published | 0 |
| Colonoscopy w/ablation CPT 45388 | $1,099.20 | $1,832.00 | not published | 0 |
| Colonoscopy w/balloon dilat CPT 45386 | $1,216.20 | $2,027.00 | not published | 0 |
| Colonoscopy w/band ligation CPT 45398 | $1,401.60 | $2,336.00 | not published | 0 |
| Colonoscopy w/control bleed CPT 45382 | $1,471.80 | $2,453.00 | not published | 0 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $872.71 – $1,221.79 | 2 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $554.40 | $924.00 | not published | 0 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $620.40 | $1,034.00 | not published | 0 |
| Colonoscopy w/fb removal CPT 45379 | $721.20 | $1,202.00 | not published | 0 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy (with biopsy) CPT 45380 | $337.80 | $563.00 | not published | 0 |
| Colonoscopy with biopsy CPT 44389 | $777.00 | $1,295.00 | not published | 0 |
| Colonoscopy (with polyp removal) CPT 45385 | $377.40 | $629.00 | not published | 0 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colonoscopy w/resection CPT 45390 | $3,279.60 | $5,466.00 | $2,625.07 – $3,552.90 | 2 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $5,698.15 – $7,977.41 | 2 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $2,269.80 | $3,783.00 | not published | 0 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $1,833.60 | $3,056.00 | not published | 0 |
| Colpocentesis 57020 CPT 57020 | $181.80 | $303.00 | not published | 0 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $994.80 | $1,658.00 | not published | 0 |
| Colpopexy abdominal approach 57280 CPT 57280 | $1,863.60 | $3,106.00 | not published | 0 |
| Colpopexy extraperitoneal CPT 57282 | $1,294.20 | $2,157.00 | not published | 0 |
| Colpopexy intraperitoneal CPT 57283 | $1,344.00 | $2,240.00 | not published | 0 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $579.60 | $966.00 | not published | 0 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $302.40 | $504.00 | not published | 0 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $625.20 | $1,042.00 | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $210.60 | $351.00 | 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.