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 |
|---|---|---|---|---|
| Cryoprecipitate each unit HCPCS P9012 | $331.20 | $552.00 | $60.85 – $85.19 | 2 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $781.95 – $1,094.73 | 2 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $164.03 – $229.64 | 2 |
| Cryopreservation sperm CPT 89259 | not published | not published | $164.03 – $229.64 | 2 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $418.48 – $585.87 | 2 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $51.14 – $71.60 | 2 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,665.46 – $5,131.65 | 2 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $271.20 | $452.00 | not published | 0 |
| Cryotherapy of acne 17340 CPT 17340 | $97.80 | $163.00 | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $51.60 | $86.00 | not published | 0 |
| Cryptosporidium antigen CPT 87272 | $50.40 | $84.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $52.80 | $88.00 | not published | 0 |
| C-Section Delivery (full care) CPT 59510 | $4,721.40 | $7,869.00 | not published | 0 |
| C-section delivery incl p/p care 59515 CPT 59515 | $2,577.60 | $4,296.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Csf shunt reprogram 62252 CPT 62252 | $167.40 | $279.00 | not published | 0 |
| Csf ventriculography CPT 78635 | not published | not published | $515.24 – $721.34 | 2 |
| CT 3d report other modality w/workstation CPT 76377 | $327.00 | $545.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,868.00 | $4,780.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,978.20 | $3,297.00 | $341.85 – $478.59 | 2 |
| CT Angiogram of the Abdomen CPT 74175 | $1,745.40 | $2,909.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $1,914.00 | $3,190.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,627.20 | $2,712.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Head CPT 70496 | $1,656.60 | $2,761.00 | $170.40 – $238.57 | 2 |
| CT Angiogram of the Neck CPT 70498 | $1,656.60 | $2,761.00 | $170.40 – $238.57 | 2 |
| CT angio hrt w/3d image CPT 75574 | $460.80 | $768.00 | $341.85 – $478.59 | 2 |
| CT angio pelvis CPT 72191 | $1,837.80 | $3,063.00 | $170.40 – $238.57 | 2 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,147.40 | $3,579.00 | $170.40 – $238.57 | 2 |
| CT bone density axial CPT 77078 | not published | not published | $84.28 – $118.00 | 2 |
| CT colonography dx CPT 74261 | $741.00 | $1,235.00 | $101.79 – $142.51 | 2 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $170.40 – $238.57 | 2 |
| CT colonography screening CPT 74263 | $972.00 | $1,620.00 | $231.38 – $323.93 | 2 |
| CT guidance for needle placement CPT 77012 | $1,158.60 | $1,931.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,058.40 | $1,764.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $157.80 | $263.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $91.20 | $152.00 | $84.28 – $98.80 | 2 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | not published | not published | $341.85 – $478.59 | 2 |
| CT hrt w/3d image CPT 75572 | not published | not published | $341.85 – $478.59 | 2 |
| CT limited or localized follow-up study CPT 76380 | $555.60 | $926.00 | $84.28 – $118.00 | 2 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,963.20 | $3,272.00 | $170.40 – $238.57 | 2 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $543.00 | $905.00 | $222.29 – $282.75 | 2 |
| CT scan for therapy guide CPT 77014 | $417.00 | $695.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,022.80 | $5,038.00 | $341.85 – $478.59 | 2 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,676.00 | $4,460.00 | $341.85 – $478.59 | 2 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,240.40 | $3,734.00 | $231.38 – $323.93 | 2 |
| CT t-spine w /wo contrast CPT 72130 | $1,612.20 | $2,687.00 | $170.40 – $238.57 | 2 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,672.20 | $2,787.00 | $170.40 – $238.57 | 2 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $164.03 – $229.64 | 2 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $164.03 – $229.64 | 2 |
| Cult skin graft fnhfg 15155 CPT 15155 | $1,345.80 | $2,243.00 | not published | 0 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Culture aerobic additional method definitive id each CPT 87077 | $322.20 | $537.00 | not published | 0 |
| Culture afb any source CPT 87116 | $192.60 | $321.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $104.40 | $174.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $85.20 | $142.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $79.80 | $133.00 | not published | 0 |
| Culture body fluid CPT 87070 | $90.00 | $150.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $54.60 | $91.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $90.60 | $151.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $105.60 | $176.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $99.60 | $166.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $130.20 | $217.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $149.40 | $249.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $211.20 | $352.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $73.80 | $123.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $550.20 | $917.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $100.20 | $167.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $46.20 | $77.00 | not published | 0 |
| Culture virus isolation CPT 87250 | $246.60 | $411.00 | not published | 0 |
| Curette/treat cornea CPT 65435 | not published | not published | $927.11 – $1,297.95 | 2 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Cutter lead HCPCS C1773 | $1,421.40 | $2,369.00 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,078.80 | $1,798.00 | $1,168.70 – $1,486.98 | 2 |
| Cv stress test i&r only 93018 CPT 93018 | $42.00 | $70.00 | not published | 0 |
| Cv stress test/supervision only 93016 CPT 93016 | $51.00 | $85.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $67.20 | $112.00 | not published | 0 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $25.32 | $42.20 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $111.00 | $185.00 | not published | 0 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $2,636.21 | $4,393.68 | $0.59 – $0.87 | 2 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $66.76 | $111.27 | not published | 0 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $136.01 | $226.69 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $204.00 | $340.00 | not published | 0 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $9.62 | $16.04 | not published | 0 |
| Cyclosporine oral 100 mg HCPCS J7502 | $1,489.72 | $2,482.86 | not published | 0 |
| Cygnus matrix, per sq cm HCPCS Q4199 | $1,252.80 | $2,088.00 | not published | 0 |
| Cystatin c CPT 82610 | $118.80 | $198.00 | not published | 0 |
| Cystic fibrosis cftr CPT 81223 | $1,788.60 | $2,981.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $362.40 | $604.00 | not published | 0 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $318.60 | $531.00 | $341.85 – $345.15 | 2 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $8,851.56 – $12,392.18 | 2 |
| Cystometrogram w/up 51727 CPT 51727 | $600.60 | $1,001.00 | not published | 0 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $1,756.80 | $2,928.00 | not published | 0 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,453.80 | $2,423.00 | not published | 0 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,301.42 – $4,621.99 | 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.