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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66700 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $442.20 | $737.00 | not published | 0 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | $872.40 | $1,454.00 | not published | 0 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $411.00 | $685.00 | not published | 0 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $376.20 | $627.00 | not published | 0 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $395.40 | $659.00 | not published | 0 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $475.20 | $792.00 | not published | 0 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $251.40 | $419.00 | not published | 0 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $424.20 | $707.00 | not published | 0 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $327.60 | $546.00 | not published | 0 |
| Destruction rectal tumor 45190 CPT 45190 | $1,093.80 | $1,823.00 | not published | 0 |
| Destruction vag lesions complex 57065 CPT 57065 | $456.00 | $760.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $220.80 | $368.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $397.80 | $663.00 | not published | 0 |
| Detect agent nos dna dir CPT 87797 | $55.20 | $92.00 | not published | 0 |
| Detect agnt mult dna direc CPT 87800 | $85.20 | $142.00 | not published | 0 |
| Developmental screen/score/document 96110 CPT 96110 | $25.20 | $42.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $18.60 | $31.00 | $149.77 – $209.67 | 2 |
| Device ablt adv novasure HCPCS C1886 | $2,287.80 | $3,813.00 | not published | 0 |
| Device intraute mirena HCPCS J7298 | $2,161.20 | $3,602.00 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $2,122.80 | $3,538.00 | not published | 0 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $88.54 – $123.96 | 2 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $229.20 | $382.00 | $84.28 – $118.00 | 2 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $97.15 – $136.01 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.23 | $3.71 | not published | 0 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $47.02 | $78.37 | not published | 0 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $196.50 – $287.39 | 2 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.61 – $0.90 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $853.51 | $1,422.52 | $30.72 – $44.93 | 2 |
| Dextran 40 infusion HCPCS J7100 | $28.53 | $47.55 | not published | 0 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $34.90 | $58.16 | not published | 0 |
| Dextrose 5 % IV bolus HCPCS J7070 | $37.55 | $62.58 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $133.20 | $222.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $50.40 | $84.00 | not published | 0 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $16.80 | $28.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $37.80 | $63.00 | not published | 0 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | $619.80 | $1,033.00 | not published | 0 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $381.97 – $534.76 | 2 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $165.00 | $275.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $31.20 | $52.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $31.20 | $52.00 | not published | 0 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $162.60 | $271.00 | $152.10 – $185.83 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $301.20 | $502.00 | $185.83 – $248.30 | 2 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $295.80 | $493.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $231.60 | $386.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $879.00 | $1,465.00 | $84.28 – $118.00 | 2 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $8,242.80 | $13,738.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $654.00 | $1,090.00 | $407.60 – $570.64 | 2 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $86.95 | $144.91 | not published | 0 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $939.09 | $1,565.15 | not published | 0 |
| Dicyclomine injection HCPCS J0500 | $161.30 | $268.84 | not published | 0 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.08 – $0.11 | 2 |
| Diffusing capacity CPT 94729 | $165.00 | $275.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $149.40 | $249.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $23.45 | $39.09 | not published | 0 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $8,839.56 | $14,732.60 | $4,756.02 – $6,956.01 | 2 |
| Digoxin total therapeutic drug level CPT 80162 | $81.60 | $136.00 | not published | 0 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $245.07 | $408.45 | not published | 0 |
| Dilate esophagus CPT 43453 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Dilate esophagus 1/mult pass CPT 43450 | $303.60 | $506.00 | not published | 0 |
| Dilate tear duct opening CPT 68801 | not published | not published | $381.97 – $534.76 | 2 |
| Dilate urethra stricture CPT 53600 | not published | not published | $232.81 – $325.93 | 2 |
| Dilate urethra stricture CPT 53601 | not published | not published | $123.39 – $172.74 | 2 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Dilate urethra stricture CPT 53621 | not published | not published | $232.81 – $325.93 | 2 |
| Dilation/female urethra/initial 53660 CPT 53660 | $138.60 | $231.00 | not published | 0 |
| Dilation of anal sphincter CPT 45905 | $352.80 | $588.00 | not published | 0 |
| Dilation of cervical canal 57800 CPT 57800 | $115.80 | $193.00 | not published | 0 |
| Dilation of rectal stricture 45910 CPT 45910 | $1,032.00 | $1,720.00 | not published | 0 |
| Dilation of salivary duct CPT 42660 | not published | not published | $487.46 – $682.45 | 2 |
| Dilation of urethra CPT 53661 | not published | not published | $123.39 – $172.74 | 2 |
| Dilation of urethra CPT 53665 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Dilation of vagina CPT 57400 | not published | not published | $3,043.51 – $4,260.91 | 2 |
| Dilation salivary duct 42650 CPT 42650 | $164.40 | $274.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $231.00 | $385.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $160.20 | $267.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $6,894.60 | $11,491.00 | $3,301.42 – $4,621.99 | 2 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Dimecaprol injection HCPCS J0470 | $158.35 | $263.92 | not published | 0 |
| Dimenhydrinate injection HCPCS J1240 | $22.36 | $37.26 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $98.40 | $164.00 | $711.12 – $1,040.06 | 2 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.35 | $0.58 | not published | 0 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $17.75 | $29.59 | not published | 0 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $20.32 | $33.86 | not published | 0 |
| Direct advanced life support CPT 99288 | $241.20 | $402.00 | not published | 0 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.57 – $52.60 | 2 |
| Disability dlco CPT 94727 | $191.40 | $319.00 | $149.77 – $207.35 | 2 |
| Disaccharidases CPT 82657 | $648.00 | $1,080.00 | not published | 0 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | $2,813.40 | $4,689.00 | not published | 0 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | $370.20 | $617.00 | not published | 0 |
| Discography cerv/thor spine CPT 72285 | $2,169.60 | $3,616.00 | $1,869.23 – $2,350.40 | 2 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,650.70 – $2,310.98 | 2 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | $94.80 | $158.00 | not published | 0 |
| Dissolve clot heart vessel CPT 92975 | $1,140.00 | $1,900.00 | 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.