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 |
|---|---|---|---|---|
| Drng hand tendon sheath 26020 CPT 26020 | $924.00 | $1,540.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $496.20 | $827.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,352.40 | $2,254.00 | $1,465.10 – $1,550.93 | 2 |
| Drng of hydrocele 55000 CPT 55000 | $231.00 | $385.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $603.00 | $1,005.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $619.80 | $1,033.00 | not published | 0 |
| Drng of palm multi bursas 26030 CPT 26030 | $949.20 | $1,582.00 | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | $940.20 | $1,567.00 | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $802.20 | $1,337.00 | not published | 0 |
| Drng of salivary cyst 42409 CPT 42409 | $656.40 | $1,094.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $487.20 | $812.00 | not published | 0 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,085.60 | $3,476.00 | not published | 0 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $1,890.00 | $3,150.00 | not published | 0 |
| Drng ovary abscess perqt 58822 CPT 58822 | $1,417.80 | $2,363.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,998.80 | $4,998.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | $412.80 | $688.00 | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $319.20 | $532.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $21.02 | $35.03 | not published | 0 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $31.25 | $52.08 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,015.40 | $3,359.00 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $432.60 | $721.00 | not published | 0 |
| Drug assay posaconazole CPT 80187 | $370.20 | $617.00 | not published | 0 |
| Drug assay vedolizumab CPT 80280 | $200.40 | $334.00 | not published | 0 |
| Drug assay voriconazole CPT 80285 | $142.20 | $237.00 | not published | 0 |
| Drug of abuse screen urine CPT 80305 | $12.60 | $21.00 | not published | 0 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $543.00 | $905.00 | not published | 0 |
| Drvvt confirm - quest CPT 85597 | $167.40 | $279.00 | not published | 0 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $1,869.23 – $2,616.92 | 2 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $382.44 – $535.41 | 2 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $382.44 – $535.41 | 2 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $585.94 – $820.32 | 2 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $585.94 – $820.32 | 2 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $525.13 – $735.18 | 2 |
| Ductogram sgl duct CPT 77053 | $469.80 | $783.00 | $231.38 – $317.20 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $507.90 – $711.06 | 2 |
| Duplex scan bilateral study 93985 CPT 93985 | $490.80 | $818.00 | $231.38 – $323.93 | 2 |
| Duplex scan unilateral study 93986 CPT 93986 | $306.60 | $511.00 | $101.79 – $142.51 | 2 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $306.60 | $511.00 | $101.79 – $142.51 | 2 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $362.40 | $604.00 | $149.77 – $209.67 | 2 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $703.80 | $1,173.00 | $231.38 – $323.93 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $7,619.12 | $12,698.54 | $81.60 – $119.35 | 2 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $101.79 – $142.51 | 2 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $149.77 – $209.67 | 2 |
| Dx bronchoscope/brush 31623 CPT 31623 | $647.40 | $1,079.00 | not published | 0 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $609.60 | $1,016.00 | not published | 0 |
| Dx bronchoscope/wash 31622 CPT 31622 | $607.20 | $1,012.00 | not published | 0 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $381.97 – $534.76 | 2 |
| Dx duod intub w/asp spec 43756 CPT 43756 | $450.60 | $751.00 | not published | 0 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $897.45 – $1,256.43 | 2 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $298.08 – $417.31 | 2 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $149.77 – $209.67 | 2 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $371.70 – $520.38 | 2 |
| Dx laryngoscopy w/oper scope CPT 31526 | $432.00 | $720.00 | not published | 0 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $232.81 – $325.93 | 2 |
| Dynamic surface emg CPT 96002 | not published | not published | $298.08 – $417.31 | 2 |
| Ear and throat examination CPT 92502 | $181.20 | $302.00 | not published | 0 |
| Ear canal biopsy 69105 CPT 69105 | $276.00 | $460.00 | not published | 0 |
| Ear cartilage graft CPT 21235 | $1,411.80 | $2,353.00 | not published | 0 |
| Ear irrigation 69209 CPT 69209 | $116.40 | $194.00 | $56.86 – $79.60 | 2 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.57 – $52.60 | 2 |
| Ecallantide injection HCPCS J1290 | $10,119.91 | $16,866.51 | $555.18 – $811.99 | 2 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $17.40 | $29.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $77.40 | $129.00 | $56.86 – $79.60 | 2 |
| Ecg < 30 days transmission & analysis CPT 93271 | $519.60 | $866.00 | $87.86 – $123.01 | 2 |
| Ecg external < 48 hours recording CPT 93225 | $354.60 | $591.00 | $123.39 – $172.74 | 2 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $506.40 | $844.00 | $56.86 – $79.60 | 2 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $70.80 | $118.00 | $37.57 – $52.60 | 2 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $37.57 – $52.60 | 2 |
| Ecg/review interpret only CPT 93272 | $50.40 | $84.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $994.20 | $1,657.00 | $524.84 – $734.78 | 2 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $491.40 | $819.00 | $231.38 – $323.93 | 2 |
| Echocardiography doppler color flow mapping CPT 93325 | $352.20 | $587.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,683.60 | $2,806.00 | $756.26 – $1,058.77 | 2 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | not published | not published | $341.85 – $478.59 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $214.20 | $357.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam of eye CPT 76519 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam of eye CPT 76529 | not published | not published | $84.28 – $118.00 | 2 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $23.44 – $32.82 | 2 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $524.84 – $734.78 | 2 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $231.38 – $323.93 | 2 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $101.79 – $142.51 | 2 |
| Echo exam uterus 76831- CPT 76831 | $309.60 | $516.00 | $231.38 – $323.93 | 2 |
| Echograp trans r pros study CPT 76873 | $243.00 | $405.00 | $101.79 – $142.51 | 2 |
| Echo guidance radiotherapy CPT 76965 | $465.60 | $776.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $607.20 | $1,012.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $601.80 | $1,003.00 | $298.08 – $417.31 | 2 |
| Echo stress CPT 93350 | $924.60 | $1,541.00 | $524.84 – $734.78 | 2 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $344.40 | $574.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,306.20 | $2,177.00 | $524.84 – $734.78 | 2 |
| Echo transesophageal CPT 93313 | $1,075.20 | $1,792.00 | $524.84 – $734.78 | 2 |
| Echo transesophageal CPT 93315 | not published | not published | $524.84 – $734.78 | 2 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $524.84 – $734.78 | 2 |
| Echo transthoracic CPT 93303 | not published | not published | $524.84 – $734.78 | 2 |
| Echo transthoracic CPT 93304 | not published | not published | $524.84 – $734.78 | 2 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $345.60 | $576.00 | not published | 0 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $515.40 | $859.00 | not published | 0 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $2,339.40 | $3,899.00 | 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.