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 |
|---|---|---|---|---|
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | $4,030.20 | $6,717.00 | not published | 0 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $3,145.20 | $5,242.00 | not published | 0 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $2,739.61 – $3,835.46 | 2 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $3,504.35 – $4,906.10 | 2 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Excise anal ext tag/papilla CPT 46220 | $383.40 | $639.00 | not published | 0 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise inferior turbinate CPT 30130 | $738.00 | $1,230.00 | not published | 0 |
| Excise intestine lesion(s) 44110 CPT 44110 | $1,600.80 | $2,668.00 | not published | 0 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Excise intrspinl lesion lmbr CPT 63267 | $2,931.60 | $4,886.00 | not published | 0 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Excise lesion testis CPT 54512 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Excise lip or cheek fold CPT 40819 | $591.60 | $986.00 | $77.35 – $1,417.91 | 2 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise mandible lesion CPT 21040 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise oral mucosa for graft 40818 CPT 40818 | $688.80 | $1,148.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42410 | $1,221.00 | $2,035.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42415 | $2,095.20 | $3,492.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42420 | $2,358.00 | $3,930.00 | not published | 0 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excise pharynx lesion CPT 42808 | $448.80 | $748.00 | not published | 0 |
| Excise/repair mouth lesion CPT 40812 | $552.00 | $920.00 | not published | 0 |
| Excise sublingual gland CPT 42450 | $888.60 | $1,481.00 | not published | 0 |
| Excise submaxillary gland CPT 42440 | $1,079.40 | $1,799.00 | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $828.60 | $1,381.00 | not published | 0 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excise wrist tendon sheath CPT 25118 | $540.00 | $900.00 | not published | 0 |
| Excision addl breast lesion 19126 CPT 19126 | $303.60 | $506.00 | not published | 0 |
| Excision aural polyp CPT 69540 | $411.60 | $686.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $316.80 | $528.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $2,329.80 | $3,883.00 | $1,550.93 – $2,171.30 | 2 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $459.60 | $766.00 | $453.05 – $673.49 | 2 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $2,329.80 | $3,883.00 | $1,550.93 – $2,171.30 | 2 |
| Excision breast lesion CPT 19125 | $1,012.20 | $1,687.00 | not published | 0 |
| Excision floor mouth lesion 41116 CPT 41116 | $641.40 | $1,069.00 | not published | 0 |
| Excision graft extremity CPT 35903 | $1,131.60 | $1,886.00 | not published | 0 |
| Excision graft thorax 35905 CPT 35905 | $3,390.60 | $5,651.00 | not published | 0 |
| Excision gum each quadrant CPT 41820 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | $445.80 | $743.00 | not published | 0 |
| Excision of anal lesion(s) CPT 46922 | $496.20 | $827.00 | not published | 0 |
| Excision of gum flap CPT 41821 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Excision of gum lesion CPT 41822 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Excision of gum lesion CPT 41823 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision of gum lesion CPT 41826 | $474.00 | $790.00 | not published | 0 |
| Excision of gum lesion CPT 41827 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision of gum lesion CPT 41828 | not published | not published | $1,417.91 – $1,985.08 | 2 |
| Excision of gum lesion 41825 CPT 41825 | $403.80 | $673.00 | not published | 0 |
| Excision of lesion of mesentery 44820 CPT 44820 | $1,702.80 | $2,838.00 | not published | 0 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Excision of meckels diverticulum 44800 CPT 44800 | $1,441.80 | $2,403.00 | not published | 0 |
| Excision of mouth lesion complex 40816 CPT 40816 | $779.40 | $1,299.00 | not published | 0 |
| Excision of neck cyst CPT 42815 | $1,101.00 | $1,835.00 | not published | 0 |
| Excision of neck cyst confined 42810 CPT 42810 | $766.20 | $1,277.00 | not published | 0 |
| Excision of penis lesion(s) 54060 CPT 54060 | $301.80 | $503.00 | not published | 0 |
| Excision of rectal lesion CPT 45160 | not published | not published | $2,625.07 – $3,675.10 | 2 |
| Excision of rectal stricture CPT 45150 | not published | not published | $1,128.64 – $1,580.09 | 2 |
| Excision of salivary cyst CPT 42408 | $892.80 | $1,488.00 | not published | 0 |
| Excision of stomach lesion CPT 43610 | $1,176.60 | $1,961.00 | not published | 0 |
| Excision of tongue lesion CPT 41112 | $646.20 | $1,077.00 | not published | 0 |
| Excision of tongue lesion CPT 41114 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | $705.60 | $1,176.00 | not published | 0 |
| Excision of tonsil tags CPT 42860 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Excision of umbilicus 49250 CPT 49250 | $1,099.20 | $1,832.00 | not published | 0 |
| Excision of uvula CPT 42140 | $499.20 | $832.00 | not published | 0 |
| Excision of vaginal septum 57130 CPT 57130 | $386.40 | $644.00 | not published | 0 |
| Excision olecranon bursa CPT 24105 | $655.20 | $1,092.00 | not published | 0 |
| Excision radial head CPT 24130 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Excision tongue lesion without closure 41110 CPT 41110 | $415.80 | $693.00 | not published | 0 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | $894.60 | $1,491.00 | not published | 0 |
| Excis partial tal calc CPT 28120 | $1,317.00 | $2,195.00 | not published | 0 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | $1,042.80 | $1,738.00 | not published | 0 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | $1,118.40 | $1,864.00 | not published | 0 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | $397.80 | $663.00 | not published | 0 |
| Excl laa open any method 33267 CPT 33267 | $1,598.40 | $2,664.00 | not published | 0 |
| Excl laa opn oth px any meth 33268 CPT 33268 | $199.80 | $333.00 | not published | 0 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $376.20 | $627.00 | not published | 0 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $538.80 | $898.00 | $583.70 – $673.49 | 2 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $752.40 | $1,254.00 | not published | 0 |
| Exc malig feenl >4cm 11646 CPT 11646 | $4,082.40 | $6,804.00 | $2,739.61 – $3,835.46 | 2 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $364.80 | $608.00 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $436.20 | $727.00 | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,329.80 | $3,883.00 | $1,550.93 – $2,171.30 | 2 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $997.20 | $1,662.00 | $673.49 – $942.89 | 2 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $431.40 | $719.00 | not published | 0 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $573.60 | $956.00 | $382.44 – $535.41 | 2 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $573.60 | $956.00 | $621.40 – $673.49 | 2 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $593.40 | $989.00 | 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.