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 |
|---|---|---|---|---|
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $23.40 | $39.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $48.60 | $81.00 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $54.60 | $91.00 | $59.15 – $149.77 | 2 |
| Acoustic refl threshold tst CPT 92568 | $26.40 | $44.00 | $28.60 – $37.57 | 2 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Actigraphy testing CPT 95803 | not published | not published | $56.86 – $79.60 | 2 |
| Actinotherapy uv light CPT 96900 | not published | not published | $37.57 – $52.60 | 2 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $23.44 – $32.82 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $23.44 – $32.82 | 2 |
| Acute hepatitis panel CPT 80074 | $473.40 | $789.00 | not published | 0 |
| Acute venous thrombus image CPT 78456 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $98.15 | $163.59 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $235.80 | $393.00 | not published | 0 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $153.80 – $215.32 | 2 |
| Adapter b 8 channel 10cm HCPCS C1883 | $760.80 | $1,268.00 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $88.54 – $123.96 | 2 |
| Adding walker to prev cast CPT 29440 | not published | not published | $151.04 – $211.46 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $590.89 | $984.82 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $107.40 | $179.00 | not published | 0 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $1,701.60 | $2,836.00 | not published | 0 |
| Adh-sendout CPT 84588 | $205.80 | $343.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $1,609.80 | $2,683.00 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,620.20 | $4,367.00 | $1,750.98 – $2,451.37 | 2 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $518.35 | $863.92 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $131.40 | $219.00 | $42.25 – $68.13 | 2 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $109.80 | $183.00 | $68.13 – $95.38 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $386.40 | $644.00 | $317.50 – $408.20 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $154.20 | $257.00 | $160.55 – $317.50 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $128.40 | $214.00 | $68.13 – $95.38 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $174.60 | $291.00 | $68.13 – $95.38 | 2 |
| Administration immunization each additional component CPT 90461 | $24.60 | $41.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $52.80 | $88.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $40.20 | $67.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $39.00 | $65.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $20.40 | $34.00 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $33.00 | $55.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $33.00 | $55.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $33.00 | $55.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $33.00 | $55.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $28.20 | $47.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $11,347.68 | $18,912.80 | $40.06 – $58.59 | 2 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $1,249.63 – $1,749.48 | 2 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | $2,321.40 | $3,869.00 | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $148.80 | $248.00 | not published | 0 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $28.52 – $39.92 | 2 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $28.52 – $39.92 | 2 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $88.54 – $123.96 | 2 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $298.08 – $417.31 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $298.08 – $417.31 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $298.08 – $417.31 | 2 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,817.50 – $4,120.79 | 2 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $737,652.88 – $1,078,868.00 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $110.40 | $184.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $31.80 | $53.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $408.00 | $680.00 | not published | 0 |
| Aflibercept injection HCPCS J0178 | not published | not published | $756.24 – $1,106.06 | 2 |
| Afo sing upright with adjust s HCPCS L1920 | $16.80 | $28.00 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $16.20 | $27.00 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $6.60 | $11.00 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $7.80 | $13.00 | not published | 0 |
| After cataract laser surgery CPT 66821 | $678.00 | $1,130.00 | $525.13 – $735.18 | 2 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $13,216.24 | $22,027.06 | $220.41 – $322.36 | 2 |
| Air conduction bilat CPT 92552 | $55.20 | $92.00 | $28.60 – $123.39 | 2 |
| Air injection into abdomen 49400 CPT 49400 | $235.80 | $393.00 | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $114.60 | $191.00 | $124.15 – $149.77 | 2 |
| Albumin body fluid quantitative each specimen CPT 82042 | $86.40 | $144.00 | not published | 0 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $322.92 | $538.20 | not published | 0 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $20.32 – $29.72 | 2 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $322.92 | $538.20 | $50.81 – $74.31 | 2 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $87.35 | $145.59 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $184.20 | $307.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $97.20 | $162.00 | not published | 0 |
| Albuterol ipratrop non-comp HCPCS J7620 | $6.62 | $11.03 | not published | 0 |
| Albuterol non-comp unit HCPCS J7613 | $5.83 | $9.71 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $107.40 | $179.00 | not published | 0 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $23.44 – $32.82 | 2 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $28.52 – $39.92 | 2 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $153.80 – $215.32 | 2 |
| Aldesleukin injection HCPCS J9015 | $1,496.81 | $2,494.68 | $5,074.47 – $7,421.76 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,336.29 – $3,416.98 | 2 |
| Alginate drsg wound filler HCPCS A6199 | $9.00 | $15.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $47.40 | $79.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $259.20 | $432.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $79.20 | $132.00 | not published | 0 |
| Allergy injections; 2 or more 95117 CPT 95117 | $22.80 | $38.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $19.20 | $32.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | not published | not published | $973.87 – $1,363.41 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | $9.00 | $15.00 | not published | 0 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $12,402.00 | $20,670.00 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $4,303.20 | $7,172.00 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $23,373.60 | $38,956.00 | not published | 0 |
| Alloskin HCPCS Q4115 | $1,086.00 | $1,810.00 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $37.57 – $52.60 | 2 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $23.44 – $32.82 | 2 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $38.29 | $63.81 | $4.97 – $7.27 | 2 |
| Alpha-fetoprotein amniotic CPT 82106 | $210.60 | $351.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $139.80 | $233.00 | not published | 0 |
| Alprostadil for injection HCPCS J0270 | $313.41 | $522.35 | 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.