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 |
|---|---|---|---|---|
| Generator emblem MRI sicd subq HCPCS C1722 | $45,000.00 | $75,000.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $78,750.00 | $131,250.00 | not published | 0 |
| Genioplasty augmentation CPT 21120 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,104.33 – $4,346.06 | 2 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $5,662.59 – $7,927.62 | 2 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $113.05 | $188.41 | not published | 0 |
| Gentamicin peak therapeutic drug level CPT 80170 | $113.40 | $189.00 | not published | 0 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.76 – $8.43 | 2 |
| G-esoph reflx tst w/electrod CPT 91035 | $955.20 | $1,592.00 | not published | 0 |
| Ghs abscess perianal iandd CPT 46050 | $962.40 | $1,604.00 | $872.71 – $997.75 | 2 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,352.40 | $2,254.00 | $1,274.00 – $2,739.61 | 2 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $113.40 | $189.00 | not published | 0 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $173.40 | $289.00 | not published | 0 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $257.40 | $429.00 | not published | 0 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $122.40 | $204.00 | $83.20 – $123.39 | 2 |
| Ghs antibodies (torch) igm CPT 86694 | $245.40 | $409.00 | not published | 0 |
| Ghs aspiration bladder - needle CPT 51100 | $307.20 | $512.00 | $232.81 – $325.93 | 2 |
| Ghs bladder cath - complex-foley CPT 51703 | $257.40 | $429.00 | $149.77 – $209.67 | 2 |
| Ghs bleeding time (ivy) CPT 85002 | $46.20 | $77.00 | not published | 0 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $610.80 | $1,018.00 | $661.70 – $662.89 | 2 |
| Ghs central line insert < age 5, failed CPT 36555 | $567.00 | $945.00 | $614.25 – $3,012.85 | 2 |
| Ghs change cysto/gastrost CPT 43762 | $474.60 | $791.00 | $232.81 – $325.93 | 2 |
| Ghs chemo >8 hrs CPT 96416 | $501.00 | $835.00 | $317.50 – $424.45 | 2 |
| Ghs chemo infusion >8 hrs CPT 96425 | $501.00 | $835.00 | $317.50 – $444.50 | 2 |
| Ghs chemo IV push, ea addtl CPT 96411 | $127.80 | $213.00 | $68.13 – $95.38 | 2 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $398.40 | $664.00 | not published | 0 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $512.40 | $854.00 | $229.62 – $321.47 | 2 |
| Ghs closed reduction ankle dislocation CPT 27840 | $693.00 | $1,155.00 | $229.62 – $321.47 | 2 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $891.00 | $1,485.00 | $332.15 – $1,531.94 | 2 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $306.60 | $511.00 | $229.62 – $321.47 | 2 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,015.20 | $1,692.00 | $352.30 – $1,531.94 | 2 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,542.60 | $2,571.00 | $1,197.30 – $1,750.98 | 2 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $628.20 | $1,047.00 | $229.62 – $315.25 | 2 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $909.00 | $1,515.00 | $332.15 – $1,531.94 | 2 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,032.60 | $1,721.00 | $332.15 – $1,531.94 | 2 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $935.40 | $1,559.00 | $229.62 – $321.47 | 2 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $601.80 | $1,003.00 | $229.62 – $321.47 | 2 |
| Ghs community re-entry 15 minutes CPT 97537 | $80.40 | $134.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $445.80 | $743.00 | not published | 0 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $190.80 | $318.00 | not published | 0 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $474.00 | $790.00 | $342.55 – $381.97 | 2 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $500.40 | $834.00 | not published | 0 |
| Ghs cricothyroidotomy CPT 31605 | $1,248.60 | $2,081.00 | $222.29 – $311.20 | 2 |
| Ghs cutdown placement age 1 and over CPT 36425 | $504.00 | $840.00 | $381.97 – $534.76 | 2 |
| Ghs cutdown placement under 1 yr CPT 36420 | $420.00 | $700.00 | $123.39 – $172.74 | 2 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $91.80 | $153.00 | not published | 0 |
| Ghs dislocation elbow closed treatment CPT 24600 | $685.20 | $1,142.00 | $229.62 – $321.47 | 2 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $991.20 | $1,652.00 | $897.45 – $1,027.65 | 2 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $397.20 | $662.00 | $254.22 – $355.91 | 2 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,283.40 | $2,139.00 | $662.89 – $928.05 | 2 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $498.00 | $830.00 | $149.77 – $209.67 | 2 |
| Ghs electrostagmgraphy CPT 92537 | $275.40 | $459.00 | $149.77 – $209.67 | 2 |
| Ghs elect torsion swing CPT 92546 | $275.40 | $459.00 | $149.77 – $209.67 | 2 |
| Ghs elect vertical elct CPT 92547 | $141.60 | $236.00 | not published | 0 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $250.80 | $418.00 | $139.75 – $382.44 | 2 |
| Ghs excision ingrown nail CPT 11765 | $427.80 | $713.00 | $382.44 – $463.45 | 2 |
| Ghs eye exam CPT 92002 | $100.20 | $167.00 | $108.55 – $123.36 | 2 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $553.80 | $923.00 | not published | 0 |
| Ghs fat & muscle CPT 89160 | $85.20 | $142.00 | not published | 0 |
| Ghs fb removal foot - deep - left CPT 28192 | $903.00 | $1,505.00 | not published | 0 |
| Ghs fb removal from muscle - complicated CPT 20525 | $3,447.60 | $5,746.00 | $2,739.61 – $3,734.90 | 2 |
| Ghs fb removal - incisional CPT 10121 | $2,454.00 | $4,090.00 | $1,550.93 – $2,171.30 | 2 |
| Ghs fb removal - non-incisional CPT 20520 | $455.40 | $759.00 | $493.35 – $1,550.93 | 2 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $112.20 | $187.00 | not published | 0 |
| Ghs fish cytogen CPT 88271 | $207.60 | $346.00 | not published | 0 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $279.60 | $466.00 | not published | 0 |
| Ghs flow volume loop CPT 94375 | $136.80 | $228.00 | $100.75 – $298.08 | 2 |
| Ghs gastric intub aspiration lavage CPT 43753 | $347.40 | $579.00 | $298.08 – $360.10 | 2 |
| Ghs hcv amplificaiton CPT 87521 | $334.80 | $558.00 | not published | 0 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | $86.40 | $144.00 | not published | 0 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $280.20 | $467.00 | not published | 0 |
| Ghs hgb stability-thal CPT 83068 | $35.40 | $59.00 | not published | 0 |
| Ghs histoplasma antigen CPT 87385 | $207.60 | $346.00 | not published | 0 |
| Ghs HIV antibody CPT 86703 | $77.40 | $129.00 | not published | 0 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $97.80 | $163.00 | not published | 0 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $1,777.80 | $2,963.00 | $1,925.95 – $1,960.87 | 2 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,926.60 | $3,211.00 | $1,128.64 – $1,580.09 | 2 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $507.00 | $845.00 | $540.80 – $673.49 | 2 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $433.80 | $723.00 | $469.95 – $673.49 | 2 |
| Ghs immun0electrophoresis CPT 86320 | $66.60 | $111.00 | not published | 0 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $534.60 | $891.00 | $232.81 – $325.93 | 2 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $413.40 | $689.00 | $185.83 – $259.35 | 2 |
| Ghs inf midline insertion CPT 36140 | $2,481.60 | $4,136.00 | not published | 0 |
| Ghs inhibitor screen CPT 85335 | $223.80 | $373.00 | not published | 0 |
| Ghs init tx 1st degree burn CPT 16000 | $242.40 | $404.00 | $190.20 – $250.90 | 2 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $607.80 | $1,013.00 | $658.45 – $852.20 | 2 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,059.60 | $1,766.00 | $852.20 – $1,147.90 | 2 |
| Ghs inj tendon origin/insertion CPT 20551 | $356.40 | $594.00 | $282.56 – $386.10 | 2 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $386.40 | $644.00 | not published | 0 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $916.20 | $1,527.00 | $661.70 – $852.20 | 2 |
| Ghs insertion of needle - bone CPT 36680 | $202.80 | $338.00 | $219.70 – $381.97 | 2 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $715.80 | $1,193.00 | $369.85 – $382.44 | 2 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $903.00 | $1,505.00 | $369.85 – $585.94 | 2 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $891.60 | $1,486.00 | $369.85 – $1,750.98 | 2 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $42.60 | $71.00 | not published | 0 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $564.60 | $941.00 | $232.81 – $325.93 | 2 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $66.00 | $110.00 | $44.17 – $61.83 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $300.60 | $501.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $300.60 | $501.00 | 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.