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 |
|---|---|---|---|---|
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Explore wound abdomen 20102 CPT 20102 | $895.80 | $1,493.00 | not published | 0 |
| Explore woundchest 20101 CPT 20101 | $831.00 | $1,385.00 | not published | 0 |
| Explore wound neck 20100 CPT 20100 | $1,178.40 | $1,964.00 | not published | 0 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | $1,120.20 | $1,867.00 | not published | 0 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | $1,063.20 | $1,772.00 | not published | 0 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $3,609.68 – $5,053.55 | 2 |
| Expose art endoprosth iliac 34820 CPT 34820 | $965.40 | $1,609.00 | not published | 0 |
| Expose endoprosth brachial 34834 CPT 34834 | $544.80 | $908.00 | not published | 0 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $802.20 | $1,337.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $672.00 | $1,120.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $2,443.20 | $4,072.00 | $1,550.93 – $2,171.30 | 2 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $123.39 – $172.74 | 2 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $123.39 – $172.74 | 2 |
| Extended culture of oocytes CPT 89272 | not published | not published | $781.95 – $1,094.73 | 2 |
| Extended visual field xm CPT 92083 | not published | not published | $123.39 – $172.74 | 2 |
| Extension drainage tubing HCPCS A4331 | $36.00 | $60.00 | not published | 0 |
| Extensive ear canal surgery 69150 CPT 69150 | $2,051.40 | $3,419.00 | not published | 0 |
| Extensive ear/neck surgery 69155 CPT 69155 | $3,192.60 | $5,321.00 | not published | 0 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive surgery of throat CPT 42842 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Extensive thyroid surgery CPT 60254 | $3,233.40 | $5,389.00 | not published | 0 |
| External cannula declotting CPT 36860 | not published | not published | $1,486.98 – $2,081.78 | 2 |
| External ocular photography CPT 92285 | not published | not published | $37.57 – $52.60 | 2 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $23.44 – $32.82 | 2 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $664.20 | $1,107.00 | not published | 0 |
| Extnd color vision xm CPT 92283 | not published | not published | $56.86 – $79.60 | 2 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $257.40 | $429.00 | not published | 0 |
| Extraction erupted tooth/exr HCPCS D7140 | not published | not published | $1,591.50 – $2,228.10 | 2 |
| Extraction of lens CPT 66930 | not published | not published | $3,850.76 – $5,391.07 | 2 |
| Extraction of lens CPT 66940 | not published | not published | $2,183.16 – $3,056.42 | 2 |
| Extraction of lens 66920 CPT 66920 | $1,408.80 | $2,348.00 | not published | 0 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $123.39 – $172.74 | 2 |
| Eye allergy tests CPT 95060 | not published | not published | $123.39 – $172.74 | 2 |
| Eye implant band 40 HCPCS C1784 | $5,388.60 | $8,981.00 | not published | 0 |
| Eye Socket (Orbit) X-ray CPT 70200 | $161.40 | $269.00 | $101.79 – $142.51 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,249.80 | $2,083.00 | $170.40 – $238.57 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,222.20 | $2,037.00 | $170.40 – $238.57 | 2 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $988.80 | $1,648.00 | $101.79 – $142.51 | 2 |
| F-18 fdg pet diag HCPCS A9552 | $273.00 | $455.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,100.73 – $3,072.47 | 2 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $256.94 – $375.79 | 2 |
| F-18 sodium fluoride HCPCS A9580 | $201.00 | $335.00 | not published | 0 |
| Face bone graft CPT 21210 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,674.20 | $4,457.00 | $341.85 – $478.59 | 2 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,522.20 | $2,537.00 | $231.38 – $323.93 | 2 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $175.80 | $293.00 | $84.28 – $118.00 | 2 |
| Facial Bones X-ray (complete) CPT 70150 | $294.60 | $491.00 | $101.79 – $142.51 | 2 |
| Facial nerve function test CPT 92516 | not published | not published | $298.08 – $417.31 | 2 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Factor ix CPT 85250 | $257.40 | $429.00 | not published | 0 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.47 – $5.08 | 2 |
| Factor ix complex HCPCS J7194 | $13.16 | $21.93 | $1.63 – $2.38 | 2 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.11 – $7.48 | 2 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.28 – $1.88 | 2 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.38 – $6.41 | 2 |
| Factor ix recombinant nos HCPCS J7195 | $13.90 | $23.16 | $1.80 – $2.63 | 2 |
| Factor viii CPT 85240 | $501.00 | $835.00 | not published | 0 |
| Factor viii HCPCS J7190 | $15.34 | $25.57 | $1.08 – $1.58 | 2 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.32 – $3.39 | 2 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.13 – $1.65 | 2 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.06 – $3.01 | 2 |
| Factor viii recombinant nos HCPCS J7192 | $15.89 | $26.49 | $1.47 – $2.16 | 2 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.46 – $2.13 | 2 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.09 – $4.52 | 2 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.32 – $15.09 | 2 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $17.51 – $25.61 | 2 |
| Fallopian tube recnl CPT 58345 | $544.80 | $908.00 | not published | 0 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $28.52 – $39.92 | 2 |
| Family therapy without pt 50min 90846 CPT 90846 | $151.20 | $252.00 | $153.80 – $163.80 | 2 |
| Family therapy with patient 50 min 90847 CPT 90847 | $258.00 | $430.00 | $153.80 – $215.32 | 2 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $14.11 | $23.51 | not published | 0 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | $5,508.16 | $9,180.26 | $28.72 – $42.00 | 2 |
| Fat/lipids feces qualitative CPT 82705 | $105.00 | $175.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $63.00 | $105.00 | not published | 0 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | $16,432.46 | $27,387.43 | $61.29 – $89.64 | 2 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $872.71 – $1,221.79 | 2 |
| #fecal-sodium CPT 84302 | $94.80 | $158.00 | not published | 0 |
| Feeding tube reposition CPT 74355 | $294.00 | $490.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $40.80 | $68.00 | not published | 0 |
| Femoral endovas graft add-on 34813 CPT 34813 | $471.00 | $785.00 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $13,888.80 | $23,148.00 | $10,855.42 – $15,046.20 | 2 |
| Fem urinary collect pouch HCPCS A4328 | $3.60 | $6.00 | not published | 0 |
| Feno poc CPT 95012 | $36.00 | $60.00 | not published | 0 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $59.74 | $99.57 | not published | 0 |
| Fern test HCPCS Q0114 | $26.40 | $44.00 | not published | 0 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,746.54 | $4,577.57 | $1.09 – $1.60 | 2 |
| Ferritin CPT 82728 | $105.00 | $175.00 | not published | 0 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | $2,064.98 | $3,441.63 | $0.30 – $0.43 | 2 |
| Ferumoxytol, esrd use HCPCS Q0139 | $2,064.98 | $3,441.63 | $0.30 – $0.43 | 2 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $396.60 | $661.00 | $101.79 – $142.51 | 2 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,027.40 | $3,379.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $615.60 | $1,026.00 | $192.56 – $269.59 | 2 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $291.18 – $407.65 | 2 |
| Fetal fibronectin CPT 82731 | $305.40 | $509.00 | 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.