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 |
|---|---|---|---|---|
| Ecmo/ecls initiation artery 33947 CPT 33947 | $742.80 | $1,238.00 | not published | 0 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $672.00 | $1,120.00 | not published | 0 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | $1,948.20 | $3,247.00 | not published | 0 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | $1,854.60 | $3,091.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | $1,083.00 | $1,805.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | $970.80 | $1,618.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | $1,056.00 | $1,760.00 | not published | 0 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | $944.40 | $1,574.00 | not published | 0 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | $1,198.80 | $1,998.00 | not published | 0 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | $1,146.60 | $1,911.00 | not published | 0 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | $636.60 | $1,061.00 | not published | 0 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | $432.00 | $720.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | $628.20 | $1,047.00 | not published | 0 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | $523.20 | $872.00 | not published | 0 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | $1,128.60 | $1,881.00 | not published | 0 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | $1,097.40 | $1,829.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | $549.60 | $916.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | $432.00 | $720.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | $519.00 | $865.00 | not published | 0 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $418.80 | $698.00 | not published | 0 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $35.69 – $49.97 | 2 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $11,583.15 | $19,305.25 | $42.85 – $62.68 | 2 |
| Edetate calcium disodium inj HCPCS J0600 | $149.45 | $249.09 | $6,178.44 – $9,036.40 | 2 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $41.40 | $69.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $594.60 | $991.00 | $298.08 – $417.31 | 2 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $576.60 | $961.00 | $507.90 – $624.65 | 2 |
| Eeg during surgery CPT 95955 | $934.20 | $1,557.00 | not published | 0 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $973.87 – $1,363.41 | 2 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $507.90 – $711.06 | 2 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $790.20 | $1,317.00 | $298.08 – $417.31 | 2 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $861.60 | $1,436.00 | $298.08 – $417.31 | 2 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $712.20 | $1,187.00 | not published | 0 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $3,438.00 | $5,730.00 | not published | 0 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $871.20 | $1,452.00 | not published | 0 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $523.20 | $872.00 | not published | 0 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $449.40 | $749.00 | not published | 0 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $621.00 | $1,035.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $282.00 | $470.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $146.40 | $244.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $183.00 | $305.00 | not published | 0 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $219.00 | $365.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $811.80 | $1,353.00 | $298.08 – $417.31 | 2 |
| Eeg recording awake and asleep CPT 95819 | $775.80 | $1,293.00 | $298.08 – $417.31 | 2 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $298.08 – $417.31 | 2 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $298.08 – $417.31 | 2 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $507.90 – $711.06 | 2 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $507.90 – $711.06 | 2 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $298.08 – $417.31 | 2 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $507.90 – $711.06 | 2 |
| E equine encephalitis igg CPT 86652 | $106.80 | $178.00 | not published | 0 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $31.01 – $45.36 | 2 |
| Egd balloon dil esoph30 mm/> CPT 43233 | $493.80 | $823.00 | not published | 0 |
| Egd control bleeding any CPT 43255 | $1,387.20 | $2,312.00 | not published | 0 |
| Egd dilate stricture CPT 43245 | $1,170.00 | $1,950.00 | not published | 0 |
| Egd endo mucosal resection CPT 43254 | $558.60 | $931.00 | not published | 0 |
| Egd endoscopic stent place CPT 43266 | $323.40 | $539.00 | not published | 0 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $9,965.83 – $13,952.16 | 2 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,815.84 – $2,542.17 | 2 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $897.45 – $1,256.43 | 2 |
| Egd guide wire insertion CPT 43248 | $246.00 | $410.00 | not published | 0 |
| Egd injection varices CPT 43243 | $307.80 | $513.00 | not published | 0 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $312.60 | $521.00 | not published | 0 |
| Egd lesion ablation CPT 43270 | $1,069.20 | $1,782.00 | not published | 0 |
| Egd optical endomicroscopy CPT 43252 | $712.20 | $1,187.00 | not published | 0 |
| Egd remove foreign body CPT 43247 | $1,102.20 | $1,837.00 | $897.45 – $1,194.05 | 2 |
| Egd remove lesion snare CPT 43251 | $290.40 | $484.00 | not published | 0 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | $876.60 | $1,461.00 | not published | 0 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | $406.20 | $677.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | $387.60 | $646.00 | not published | 0 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | $550.80 | $918.00 | not published | 0 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | $375.00 | $625.00 | not published | 0 |
| Egd varices ligation CPT 43244 | $552.00 | $920.00 | not published | 0 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,641.77 – $5,098.48 | 2 |
| Egd w/transmural drain cyst CPT 43240 | $777.60 | $1,296.00 | not published | 0 |
| EKG (Electrocardiogram) CPT 93000 | $94.80 | $158.00 | not published | 0 |
| EKG for initial prevent exam g0403 HCPCS G0403 | $30.00 | $50.00 | not published | 0 |
| EKG interpret & report preve g0405 HCPCS G0405 | $15.60 | $26.00 | not published | 0 |
| EKG tracing for initial prev HCPCS G0404 | $17.40 | $29.00 | not published | 0 |
| EKG (Tracing Only) CPT 93005 | $120.60 | $201.00 | $56.86 – $79.60 | 2 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $193.20 | $322.00 | $84.28 – $118.00 | 2 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $293.40 | $489.00 | $84.28 – $118.00 | 2 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $339.00 | $565.00 | $287.08 – $367.25 | 2 |
| Elect analysis of infusion pump 62367 CPT 62367 | $339.00 | $565.00 | $287.08 – $367.25 | 2 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $354.00 | $590.00 | $287.08 – $348.40 | 2 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,206.00 | $17,010.00 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | $316.80 | $528.00 | not published | 0 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $95.40 | $159.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $82.20 | $137.00 | not published | 0 |
| Electric stim/w chemodenervation 95873 CPT 95873 | $128.40 | $214.00 | not published | 0 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $63.60 | $106.00 | not published | 0 |
| Electrocochleography CPT 92584 | not published | not published | $149.77 – $209.67 | 2 |
| Electroconvulsive therapy 90870 CPT 90870 | $595.20 | $992.00 | $507.90 – $644.80 | 2 |
| Electrode stimulation brain CPT 95961 | not published | not published | $973.87 – $1,363.41 | 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.