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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $638.92 – $894.48 | 2 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy and treatment CPT 52315 | $1,108.80 | $1,848.00 | not published | 0 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy (Bladder Scope) CPT 52000 | $398.40 | $664.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $638.92 – $894.48 | 2 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy inject material CPT 52327 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $696.60 | $1,161.00 | not published | 0 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $922.80 | $1,538.00 | not published | 0 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | $1,532.40 | $2,554.00 | not published | 0 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $4,866.14 – $6,812.60 | 2 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $543.60 | $906.00 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $751.80 | $1,253.00 | not published | 0 |
| Cystourethro w/addl implant 52442 CPT 52442 | $129.60 | $216.00 | not published | 0 |
| Cystourethro w/implant CPT 52441 | $482.40 | $804.00 | not published | 0 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $92.04 | $153.40 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $188.40 | $314.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $3,098.40 | $5,164.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $142.80 | $238.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $103.80 | $173.00 | not published | 0 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,732.03 – $2,533.22 | 2 |
| Cyto/molecular report CPT 88291 | $241.80 | $403.00 | not published | 0 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $23.44 – $32.82 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $211.20 | $352.00 | $51.14 – $71.60 | 2 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $63.00 | $105.00 | $37.57 – $52.60 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $66.00 | $110.00 | $37.57 – $52.60 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $100.80 | $168.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $161.40 | $269.00 | $146.90 – $164.03 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $134.40 | $224.00 | $51.14 – $71.60 | 2 |
| Cytopath smear other source CPT 88160 | not published | not published | $23.44 – $32.82 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $51.14 – $71.60 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $80.40 | $134.00 | $23.44 – $32.82 | 2 |
| Cytotoxic antibody screening CPT 86807 | $87.00 | $145.00 | not published | 0 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $164.03 – $229.64 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $82.33 | $137.21 | not published | 0 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $289.96 – $424.09 | 2 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,180.80 | $5,301.34 | $14.88 – $21.77 | 2 |
| Dalteparin sodium HCPCS J1645 | $41.88 | $69.80 | not published | 0 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $801.47 | $1,335.79 | not published | 0 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.05 – $0.07 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $18,766.29 | $31,277.15 | $52.33 – $76.54 | 2 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6,866.96 | $11,444.94 | $2.87 – $4.20 | 2 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $6,866.96 | $11,444.94 | $2.87 – $4.20 | 2 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $244.18 – $357.13 | 2 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $292.03 | $486.71 | $18.91 – $27.66 | 2 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $190.20 – $266.28 | 2 |
| D&c after delivery 59160 CPT 59160 | $424.20 | $707.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $639.60 | $1,066.00 | not published | 0 |
| Dch glucoscan CPT 82948 | $32.40 | $54.00 | not published | 0 |
| Dch pulmonary stress test CPT 94621 | $472.80 | $788.00 | $298.08 – $417.31 | 2 |
| Dch validity tests CPT 81002 | $19.80 | $33.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $3,648.00 | $6,080.00 | $1,868.10 – $1,869.23 | 2 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Deamidated gliadin antibody iga CPT 86258 | $31.20 | $52.00 | not published | 0 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,357.80 | $2,263.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $260.40 | $434.00 | $282.10 – $585.94 | 2 |
| Debridement (>20 cm) charge pt CPT 97598 | $192.00 | $320.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,711.20 | $2,852.00 | $1,550.93 – $1,853.80 | 2 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $385.80 | $643.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $777.00 | $1,295.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,011.60 | $1,686.00 | $382.44 – $535.41 | 2 |
| Debride nail1-5 11720 CPT 11720 | $61.20 | $102.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $85.80 | $143.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,012.80 | $1,688.00 | 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.