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 |
|---|---|---|---|---|
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $291.18 – $407.65 | 2 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $57.60 | $96.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $46.20 | $77.00 | not published | 0 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $69.60 | $116.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $376.20 | $627.00 | $192.56 – $269.59 | 2 |
| Fetal scalp blood sampling 59030 CPT 59030 | $282.60 | $471.00 | not published | 0 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $291.18 – $407.65 | 2 |
| #_fet/norfentcnfrmur CPT 80354 | $306.00 | $510.00 | not published | 0 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $7.43 – $10.86 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $106.80 | $178.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $54.60 | $91.00 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $86.40 | $144.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $249.00 | $415.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $198.00 | $330.00 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $205.20 | $342.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $205.20 | $342.00 | not published | 0 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.28 – $0.41 | 2 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $953.68 | $1,589.47 | $0.95 – $1.39 | 2 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $789.94 | $1,316.57 | $0.35 – $0.52 | 2 |
| Filleted finger/toe flap CPT 14350 | $954.00 | $1,590.00 | not published | 0 |
| Filtered speech hearing test CPT 92571 | not published | not published | $37.57 – $52.60 | 2 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $7,533.00 | $12,555.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $3,487.80 | $5,813.00 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | $1,581.60 | $2,636.00 | not published | 0 |
| Finasteride, 5 mg HCPCS S0138 | $6.34 | $10.56 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $829.20 | $1,382.00 | $673.49 – $898.30 | 2 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $378.00 | $630.00 | not published | 0 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $174.60 | $291.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $436.20 | $727.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $363.00 | $605.00 | $262.60 – $382.44 | 2 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Finger X-ray (both hands) CPT 73140 | $211.80 | $353.00 | $84.28 – $118.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | $1,245.00 | $2,075.00 | not published | 0 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $56.86 – $79.60 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $56.86 – $79.60 | 2 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $37.57 – $52.60 | 2 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $37.57 – $52.60 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | $121.20 | $202.00 | not published | 0 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fix g/colon tube w/device CPT 49460 | not published | not published | $897.45 – $1,256.43 | 2 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $935.40 | $1,559.00 | not published | 0 |
| Flebogamma injection HCPCS J1572 | $2,551.62 | $4,252.70 | $53.37 – $78.06 | 2 |
| Flecainide (tambocor)-sendout CPT 80181 | $54.60 | $91.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $298.80 | $498.00 | $231.38 – $323.70 | 2 |
| Flexible Sigmoidoscopy CPT 45330 | $103.20 | $172.00 | not published | 0 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Floor of mouth biopsy 41108 CPT 41108 | $288.00 | $480.00 | not published | 0 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,219.27 – $1,783.26 | 2 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $3,551.29 – $5,194.00 | 2 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $642.51 – $939.71 | 2 |
| Flow cytometry interp 16 or more CPT 88189 | $163.20 | $272.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $138.00 | $230.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $138.00 | $230.00 | $89.05 – $344.33 | 2 |
| #flow interp 9 - 15 markers CPT 88188 | $130.20 | $217.00 | not published | 0 |
| Floxuridine injection HCPCS J9200 | not published | not published | $3,949.06 – $5,775.77 | 2 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $73.89 | $123.15 | not published | 0 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $522.96 | $871.60 | $68.58 – $100.31 | 2 |
| Fluidotherapy charges pt CPT 97022 | $93.00 | $155.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | $417.60 | $696.00 | not published | 0 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $476.50 – $696.92 | 2 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $325.23 – $475.66 | 2 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $507.90 – $711.06 | 2 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $298.08 – $417.31 | 2 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $298.08 – $417.31 | 2 |
| Fluorescent antibody titer dna CPT 86256 | $546.00 | $910.00 | not published | 0 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $477.29 – $698.07 | 2 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $477.34 – $698.14 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $334.80 | $558.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $211.80 | $353.00 | not published | 0 |
| Fluoro polarize fetal lung CPT 83663 | $216.00 | $360.00 | not published | 0 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $291.00 | $485.00 | $231.38 – $286.00 | 2 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $142.88 | $238.13 | not published | 0 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $67.31 | $112.19 | not published | 0 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $507.33 – $742.00 | 2 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,786.73 – $2,613.21 | 2 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $231.38 – $323.93 | 2 |
| Fmri brain by tech CPT 70554 | not published | not published | $231.38 – $323.93 | 2 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,641.60 | $2,736.00 | $673.49 – $942.89 | 2 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,459.20 | $2,432.00 | not published | 0 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $673.49 – $942.89 | 2 |
| Folic acid CPT 82746 | $121.80 | $203.00 | not published | 0 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $14.68 | $24.47 | not published | 0 |
| Follow-up angiography CPT 75898 | $1,860.60 | $3,101.00 | $2,015.65 – $3,012.85 | 2 |
| Followup eval of foot pt lop HCPCS G0246 | $149.40 | $249.00 | $123.36 – $161.85 | 2 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,742.73 | $4,571.21 | $5.77 – $8.44 | 2 |
| Fondaparinux sodium HCPCS J1652 | $244.22 | $407.04 | not published | 0 |
| Foot plas heel stabi pre ots HCPCS L3170 | $19.80 | $33.00 | not published | 0 |
| Foot X-ray CPT 73630 | $280.80 | $468.00 | $84.28 – $118.00 | 2 |
| Foot X-ray (2 views, both feet) CPT 73620 | $183.00 | $305.00 | $84.28 – $118.00 | 2 |
| Forearm X-ray (both sides) CPT 73090 | $289.20 | $482.00 | $84.28 – $118.00 | 2 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $1,726.80 | $2,878.00 | not published | 0 |
| Forensic cytopathology CPT 88125 | $62.40 | $104.00 | $51.14 – $67.60 | 2 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $138.00 | $230.00 | not published | 0 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $605.12 | $1,008.54 | not published | 0 |
| Foscarnet sodium injection HCPCS J1455 | $879.58 | $1,465.97 | $14.91 – $21.81 | 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.