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 |
|---|---|---|---|---|
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $227.26 | $378.76 | not published | 0 |
| Fractionation ketosteroids CPT 83593 | $438.00 | $730.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $84.28 – $118.00 | 2 |
| _fragile x methylation-sendout CPT 81244 | $286.20 | $477.00 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $9,382.20 | $15,637.00 | $3,301.42 – $4,621.99 | 2 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,062.20 | $3,437.00 | not published | 0 |
| Free/remove chest lining 32320 CPT 32320 | $3,086.40 | $5,144.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $487.20 | $812.00 | not published | 0 |
| Frenotomy 40806 CPT 40806 | $283.80 | $473.00 | not published | 0 |
| Frenulotomy of penis CPT 54164 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | not published | not published | $68.05 – $95.27 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $175.20 | $292.00 | $80.68 – $112.96 | 2 |
| Fresh frozen plasma thawing ea un CPT 86927 | $57.00 | $95.00 | $61.75 – $164.03 | 2 |
| Fr frz plasma donor retested HCPCS P9060 | not published | not published | $46.84 – $65.57 | 2 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $37.57 – $52.60 | 2 |
| Frozen blood prep CPT 86930 | not published | not published | $164.03 – $229.64 | 2 |
| Frozen blood thaw CPT 86931 | not published | not published | $164.03 – $229.64 | 2 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $59.64 – $83.50 | 2 |
| Fructosamine glycated protein CPT 82985 | $79.20 | $132.00 | not published | 0 |
| Ft arch suprt premold longit HCPCS L3040 | $16.80 | $28.00 | not published | 0 |
| Full field erg w/i&r CPT 92273 | not published | not published | $298.08 – $417.31 | 2 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $231.38 – $323.93 | 2 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $268.80 | $448.00 | $101.79 – $142.51 | 2 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,620.20 | $4,367.00 | $1,750.98 – $2,451.37 | 2 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,473.60 | $2,456.00 | not published | 0 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $262.20 | $437.00 | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $1,785.00 | $2,975.00 | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $135.00 | $225.00 | not published | 0 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $17.98 | $29.97 | not published | 0 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | $56.12 | $93.54 | not published | 0 |
| Fuse bile ducts and bowel 47785 CPT 47785 | $4,978.20 | $8,297.00 | not published | 0 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | $2,059.20 | $3,432.00 | not published | 0 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of ankle joint open CPT 27870 | $1,406.40 | $2,344.00 | not published | 0 |
| Fusion of big toe joint CPT 28750 | $1,576.20 | $2,627.00 | not published | 0 |
| Fusion of big toe joint CPT 28755 | $964.80 | $1,608.00 | not published | 0 |
| Fusion of finger joint CPT 26860 | $1,057.20 | $1,762.00 | not published | 0 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| Fusion of foot bones CPT 28730 | $1,020.00 | $1,700.00 | not published | 0 |
| Fusion of foot bones CPT 28735 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Fusion of foot bones CPT 28740 | $1,628.40 | $2,714.00 | not published | 0 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of knuckle CPT 26850 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of knuckle joint CPT 26516 | $1,323.00 | $2,205.00 | not published | 0 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,960.87 – $2,745.22 | 2 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,301.42 – $4,621.99 | 2 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Fusion of thumb CPT 26841 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $12,316.38 – $17,242.93 | 2 |
| Fusion of toes CPT 28280 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| G0180 home health certification HCPCS G0180 | $87.00 | $145.00 | not published | 0 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $306.60 | $511.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $48.90 – $71.53 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $176.62 | $294.37 | not published | 0 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $764.66 | $1,274.43 | not published | 0 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $128.80 | $214.66 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $281.05 | $468.42 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $298.80 | $498.00 | not published | 0 |
| Galactokinase - sendout CPT 82759 | $344.40 | $574.00 | not published | 0 |
| Galactose transferase test CPT 82776 | $23.40 | $39.00 | not published | 0 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $768.00 | $1,280.00 | $384.64 – $538.50 | 2 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,211.40 | $2,019.00 | $515.24 – $721.34 | 2 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,407.60 | $2,346.00 | not published | 0 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.88 – $5.67 | 2 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $356.25 – $521.04 | 2 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $512.03 – $748.87 | 2 |
| Gallium illuccix 1 millicure HCPCS A9596 | $6,102.00 | $10,170.00 | $931.99 – $1,363.10 | 2 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $836.07 – $1,222.82 | 2 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $159.91 – $233.88 | 2 |
| Gamma globulin 1 cc inj HCPCS J1460 | $84.56 | $140.94 | $46.35 – $67.79 | 2 |
| Gammaglobulin iga CPT 82784 | $225.60 | $376.00 | not published | 0 |
| Gammaglobulin ige CPT 82785 | $124.20 | $207.00 | not published | 0 |
| Gamma glutamyltransferase CPT 82977 | $54.00 | $90.00 | not published | 0 |
| Gammaplex injection HCPCS J1557 | not published | not published | $59.80 – $87.46 | 2 |
| Gamunex-c/gammaked HCPCS J1561 | $6,873.35 | $11,455.58 | $45.98 – $67.24 | 2 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $205.72 | $342.86 | not published | 0 |
| Gastric emptying imag study CPT 78265 | not published | not published | $384.64 – $538.50 | 2 |
| Gastric emptying imag study CPT 78266 | not published | not published | $515.24 – $721.34 | 2 |
| Gastric motility studies CPT 91020 | not published | not published | $507.90 – $711.06 | 2 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $384.64 – $538.50 | 2 |
| Gastroesophageal reflux study CPT 78262 | $823.80 | $1,373.00 | $384.64 – $538.50 | 2 |
| Gastroesophageal reflux test CPT 91034 | $588.60 | $981.00 | $507.90 – $637.65 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $2,376.00 | $3,960.00 | not published | 0 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $897.45 – $1,256.43 | 2 |
| Gated heart multiple CPT 78473 | not published | not published | $384.64 – $538.50 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $0.60 | $1.00 | not published | 0 |
| Gauze <= 16 sq in w/border HCPCS A6219 | $8.40 | $14.00 | not published | 0 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | $48.60 | $81.00 | not published | 0 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | $25.80 | $43.00 | not published | 0 |
| Gel-one HCPCS J7326 | $2,049.30 | $3,415.50 | $501.60 – $733.63 | 2 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $363.17 | $605.28 | not published | 0 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $95.66 | $159.44 | not published | 0 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $18,100.00 | $30,166.66 | $226.50 – $331.27 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $70,875.00 | $118,125.00 | 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.