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 |
|---|---|---|---|---|
| Colposcopy vulva 56820 CPT 56820 | $214.20 | $357.00 | not published | 0 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $284.40 | $474.00 | not published | 0 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $277.20 | $462.00 | not published | 0 |
| Colpotomy drng of abscess 57010 CPT 57010 | $844.80 | $1,408.00 | not published | 0 |
| Colpotomy w/exploration 57000 CPT 57000 | $360.00 | $600.00 | not published | 0 |
| Comm hlth intg svs sdoh 60mn HCPCS G0019 | not published | not published | $88.54 – $123.96 | 2 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $104.40 | $174.00 | $113.10 – $164.03 | 2 |
| Compatibility test each unit electronic CPT 86923 | $85.80 | $143.00 | $92.95 – $164.03 | 2 |
| Compatibility test each unit immediate spin technique CPT 86920 | $77.40 | $129.00 | $83.85 – $164.03 | 2 |
| Compatibility test incubate CPT 86921 | not published | not published | $164.03 – $229.64 | 2 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $599.40 | $999.00 | not published | 0 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $652.80 | $1,088.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $182.40 | $304.00 | not published | 0 |
| Complement fixation each CPT 86171 | $124.80 | $208.00 | not published | 0 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Completion pneumonectomy 32488 CPT 32488 | $4,606.80 | $7,678.00 | not published | 0 |
| Complex cystometrogram 51726 CPT 51726 | $556.80 | $928.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $619.20 | $1,032.00 | $399.75 – $585.94 | 2 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $977.40 | $1,629.00 | $585.94 – $820.32 | 2 |
| Complex simulation w/pet-ct HCPCS G0562 | not published | not published | $1,867.06 – $2,613.88 | 2 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $160.80 | $268.00 | not published | 0 |
| Compl oph exam general anes CPT 92018 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $774.00 | $1,290.00 | $399.75 – $585.94 | 2 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $1,071.00 | $1,785.00 | $585.94 – $780.65 | 2 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $354.60 | $591.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $683.40 | $1,139.00 | $382.44 – $399.75 | 2 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,107.60 | $1,846.00 | $501.15 – $585.94 | 2 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $320.40 | $534.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $406.80 | $678.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $782.40 | $1,304.00 | $585.94 – $820.32 | 2 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $295.20 | $492.00 | not published | 0 |
| Composite drsg >16<=48 sq in HCPCS A6204 | $3.00 | $5.00 | not published | 0 |
| Composite drsg <= 16 sq in HCPCS A6203 | $23.40 | $39.00 | not published | 0 |
| Composite graft/pri close/don area 15760 CPT 15760 | $1,639.20 | $2,732.00 | not published | 0 |
| Comprehensive hearing test CPT 92557 | $89.40 | $149.00 | $96.85 – $149.77 | 2 |
| Compre oph exam est pt 1/> CPT 92014 | not published | not published | $123.36 – $172.70 | 2 |
| Compre oph exam new pt 1/> CPT 92004 | not published | not published | $123.36 – $172.70 | 2 |
| Compression stocking bk18-30 HCPCS A6530 | $64.20 | $107.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $153.00 | $255.00 | not published | 0 |
| Conditioning play audiometry 92582 CPT 92582 | $120.00 | $200.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $267.00 | $445.00 | $192.56 – $269.59 | 2 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | $88.80 | $148.00 | not published | 0 |
| Conivaptan hcl HCPCS C9488 | $1,674.10 | $2,790.16 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $511.20 | $852.00 | not published | 0 |
| Conization of cervix CPT 57520 | $592.20 | $987.00 | not published | 0 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $679.96 | $1,133.26 | $374.02 – $547.04 | 2 |
| Connect omega .5mm HCPCS L8613 | $1,024.20 | $1,707.00 | not published | 0 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Construction of vagina CPT 57291 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Construct thumb replacement CPT 26550 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Construct vagina with graft CPT 57292 | not published | not published | $4,725.27 – $6,615.38 | 2 |
| Consultation pathology during surgery CPT 88329 | $40.80 | $68.00 | $35.10 – $56.86 | 2 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $742.20 | $1,237.00 | $643.50 – $781.95 | 2 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $49.20 | $82.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $73.80 | $123.00 | $63.70 – $164.03 | 2 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $372.60 | $621.00 | $51.14 – $71.60 | 2 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $37.57 – $52.60 | 2 |
| Consultation with family CPT 90887 | $121.20 | $202.00 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $398.40 | $664.00 | $164.03 – $229.64 | 2 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $381.97 – $534.76 | 2 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $123.39 – $172.74 | 2 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $85.80 | $143.00 | not published | 0 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Contour of face bone lesion CPT 21029 | $1,235.40 | $2,059.00 | not published | 0 |
| Contrast baths charges CPT 97034 | $63.00 | $105.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,498.00 | $5,830.00 | $3,012.85 – $3,789.50 | 2 |
| Contrast exam thoracic aorta CPT 75600 | $47.40 | $79.00 | $3,012.85 – $4,217.99 | 2 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,780.00 | $6,300.00 | $4,095.00 – $5,174.44 | 2 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $170.40 – $238.57 | 2 |
| Contrast x-ray of ankle CPT 73615 | $373.80 | $623.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of brain CPT 70010 | $445.20 | $742.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $756.26 – $1,058.77 | 2 |
| Contrast x-ray of elbow CPT 73085 | $426.00 | $710.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of hip CPT 73525 | $412.20 | $687.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of knee joint CPT 73580 | $442.20 | $737.00 | $341.85 – $478.59 | 2 |
| Contrast x-ray of wrist CPT 73115 | $412.20 | $687.00 | $341.85 – $478.59 | 2 |
| Controller infinity pt dbs HCPCS C1787 | $1,856.40 | $3,094.00 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $486.00 | $810.00 | $123.39 – $172.74 | 2 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | $907.20 | $1,512.00 | not published | 0 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $1,014.60 | $1,691.00 | not published | 0 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $790.80 | $1,318.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $391.20 | $652.00 | $123.39 – $172.74 | 2 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $246.00 | $410.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $334.20 | $557.00 | not published | 0 |
| Control throat bleeding CPT 42961 | $832.20 | $1,387.00 | not published | 0 |
| Control throat bleeding CPT 42962 | $1,027.20 | $1,712.00 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $3,378.09 – $4,729.32 | 2 |
| Convert nephrostomy catheter CPT 50434 | $2,958.60 | $4,931.00 | $1,960.87 – $2,745.22 | 2 |
| Conv gtube to jtube CPT 44373 | $291.00 | $485.00 | not published | 0 |
| Coombs direct CPT 86880 | $76.80 | $128.00 | $35.10 – $56.86 | 2 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $49.20 | $82.00 | $53.30 – $164.03 | 2 |
| Coombs indirect titer reference CPT 86886 | $159.60 | $266.00 | $119.60 – $164.03 | 2 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $569.64 – $833.14 | 2 |
| Copper intrauterine device HCPCS J7300 | $1,441.85 | $2,403.09 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $2,925.00 | $4,875.00 | $1,095.25 – $1,550.93 | 2 |
| Cor hlx vlgs double osteot CPT 28299 | $1,722.60 | $2,871.00 | not published | 0 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $1,375.20 | $2,292.00 | not published | 0 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $1,371.60 | $2,286.00 | not published | 0 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $56.86 – $79.60 | 2 |
| Corneal smear CPT 65430 | not published | not published | $381.97 – $534.76 | 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.