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 |
|---|---|---|---|---|
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $15,616.81 | $26,028.01 | $90.12 – $131.81 | 2 |
| Alt/sgpt CPT 84460 | $49.80 | $83.00 | not published | 0 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.47 – $6.54 | 2 |
| Aluminum - quest CPT 82108 | $152.40 | $254.00 | not published | 0 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $87.86 – $123.01 | 2 |
| Amantadine (symmetrel)-sendout CPT 80375 | $327.60 | $546.00 | not published | 0 |
| Ambl bp mntr w/software CPT 93784 | $187.20 | $312.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $123.39 – $172.74 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $129.55 | $215.92 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $102.60 | $171.00 | not published | 0 |
| Amino acids quant 2-5 CPT 82136 | $278.40 | $464.00 | not published | 0 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $25.31 | $42.19 | not published | 0 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.73 – $2.53 | 2 |
| Aminolevulinic acid delta CPT 82135 | $264.60 | $441.00 | not published | 0 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $377.02 – $551.42 | 2 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $63.16 | $105.27 | not published | 0 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $168.45 | $280.75 | not published | 0 |
| Amitriptyline (elavil) -sendout CPT 80335 | $208.20 | $347.00 | not published | 0 |
| Amitriptyline injection HCPCS J1320 | $31.10 | $51.84 | not published | 0 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $6,499.82 | $10,833.03 | $21.26 – $31.09 | 2 |
| Ammonia CPT 82140 | $95.40 | $159.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $660.00 | $1,100.00 | $346.45 – $833.49 | 2 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $291.18 – $407.65 | 2 |
| Amniotic fluid scan CPT 82143 | $42.00 | $70.00 | not published | 0 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amphetamine confirm urine -sendout CPT 80324 | $213.60 | $356.00 | not published | 0 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $100.98 | $168.30 | not published | 0 |
| Amphotericin b lipid complex HCPCS J0287 | $366.66 | $611.10 | $9.86 – $14.42 | 2 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $576.21 | $960.35 | $21.65 – $31.67 | 2 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $54.34 | $90.56 | not published | 0 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $87.97 | $146.62 | not published | 0 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $849.00 | $1,415.00 | not published | 0 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $1,398.00 | $2,330.00 | not published | 0 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Amputate metacarpal bone 26910 CPT 26910 | $1,351.20 | $2,252.00 | not published | 0 |
| Amputate thigh through femur 27590 CPT 27590 | $1,569.60 | $2,616.00 | not published | 0 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,750.98 – $2,451.37 | 2 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,776.00 | $2,960.00 | not published | 0 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $1,005.00 | $1,675.00 | not published | 0 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Amputation of midtarsal 28800 CPT 28800 | $1,071.60 | $1,786.00 | not published | 0 |
| Amputation thru metatarsal CPT 28805 | $1,451.40 | $2,419.00 | not published | 0 |
| Amputation toe interphalangeal joint CPT 28825 | $3,691.20 | $6,152.00 | $3,105.81 – $3,998.80 | 2 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $1,092.00 | $1,820.00 | not published | 0 |
| Amylase CPT 82150 | $121.20 | $202.00 | not published | 0 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $55.83 – $81.65 | 2 |
| Ana ds-dna CPT 86226 | $251.40 | $419.00 | not published | 0 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $208.20 | $347.00 | not published | 0 |
| Anal pressure record CPT 91122 | not published | not published | $298.08 – $417.31 | 2 |
| Anal/urinary muscle study CPT 51784 | $90.00 | $150.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $232.81 – $325.93 | 2 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $338.40 | $564.00 | $87.86 – $123.01 | 2 |
| Analysis gene f2 20210g>a variant CPT 81240 | $217.80 | $363.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $241.20 | $402.00 | not published | 0 |
| Analysis nerve CPT 88356 | not published | not published | $51.14 – $71.60 | 2 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $255.00 | $425.00 | not published | 0 |
| Analysis tumor CPT 88358 | not published | not published | $164.03 – $229.64 | 2 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $250.80 | $418.00 | $87.86 – $123.01 | 2 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | $4,216.80 | $7,028.00 | not published | 0 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | $4,623.60 | $7,706.00 | not published | 0 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | $2,004.60 | $3,341.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $336.00 | $560.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $1,266.00 | $2,110.00 | $1,296.10 – $3,378.09 | 2 |
| Androstanediol CPT 82154 | $120.60 | $201.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $243.60 | $406.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,586.20 | $10,977.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $8,600.40 | $14,334.00 | $5,457.61 – $7,640.65 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $12,060.00 | $20,100.00 | $5,457.61 – $7,640.65 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $7,438.20 | $12,397.00 | not published | 0 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $522.83 | $871.39 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $13,054.80 | $21,758.00 | $10,855.42 – $14,142.70 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $5,890.80 | $9,818.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $15,815.40 | $26,359.00 | $5,457.61 – $7,640.65 | 2 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $6,418.20 | $10,697.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $7,936.80 | $13,228.00 | $5,457.61 – $7,640.65 | 2 |
| Anidulafungin injection HCPCS J0348 | $367.72 | $612.86 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29891 | $938.40 | $1,564.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Ankle arthroscopy/surgery CPT 29898 | $787.80 | $1,313.00 | not published | 0 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Ankle X-ray CPT 73610 | $280.80 | $468.00 | $84.28 – $118.00 | 2 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $200.40 | $334.00 | $84.28 – $118.00 | 2 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $413.40 | $689.00 | $287.08 – $401.91 | 2 |
| Annual alcohol screen 15 min HCPCS G0442 | $23.40 | $39.00 | $28.52 – $39.92 | 2 |
| Annual nursing fac assessmnt CPT 99318 | $184.80 | $308.00 | not published | 0 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $226.80 | $378.00 | not published | 0 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $246.00 | $410.00 | not published | 0 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $274.20 | $457.00 | not published | 0 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $229.20 | $382.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $46.20 | $77.00 | 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.