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 |
|---|---|---|---|---|
| Ghs IV infusion sotrovimab HCPCS M0247 | $300.60 | $501.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,450.80 | $2,418.00 | $317.50 – $444.50 | 2 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $492.00 | $820.00 | $381.97 – $435.50 | 2 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $445.20 | $742.00 | $278.20 – $382.44 | 2 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $573.60 | $956.00 | $382.44 – $408.85 | 2 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $492.60 | $821.00 | $368.55 – $382.44 | 2 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $565.20 | $942.00 | $382.44 – $387.40 | 2 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $573.60 | $956.00 | $382.44 – $429.65 | 2 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $651.00 | $1,085.00 | $382.44 – $467.35 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $586.20 | $977.00 | $351.65 – $382.44 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $902.40 | $1,504.00 | $450.45 – $585.94 | 2 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $692.40 | $1,154.00 | $382.44 – $490.75 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $742.20 | $1,237.00 | $473.20 – $585.94 | 2 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $879.60 | $1,466.00 | $382.44 – $514.80 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $784.80 | $1,308.00 | $497.25 – $585.94 | 2 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,030.80 | $1,718.00 | $382.44 – $535.41 | 2 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $482.40 | $804.00 | $522.60 – $1,750.98 | 2 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $523.80 | $873.00 | $382.44 – $535.41 | 2 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $138.00 | $230.00 | not published | 0 |
| Ghs low level laser therapy CPT 97039 | $57.00 | $95.00 | not published | 0 |
| Ghs mbp CPT 83873 | $186.00 | $310.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $112.80 | $188.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $145.20 | $242.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $130.20 | $217.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $47.40 | $79.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $90.60 | $151.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $331.20 | $552.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $276.60 | $461.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $81.00 | $135.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $210.60 | $351.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $429.60 | $716.00 | $330.20 – $585.94 | 2 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,047.00 | $1,745.00 | $852.20 – $1,134.25 | 2 |
| Ghs nerve blk intercostal, single level CPT 64420 | $610.80 | $1,018.00 | $661.70 – $662.89 | 2 |
| Ghs nerve block axillary nerve CPT 64417 | $610.80 | $1,018.00 | $661.70 – $852.20 | 2 |
| Ghs nerve block brachial plexus CPT 64415 | $610.80 | $1,018.00 | $661.70 – $852.20 | 2 |
| Ghs nerve block celiac plexus CPT 64530 | $798.00 | $1,330.00 | $852.20 – $864.50 | 2 |
| Ghs nerve block interscaline CPT 64510 | $1,136.40 | $1,894.00 | $852.20 – $1,193.08 | 2 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $798.00 | $1,330.00 | $852.20 – $864.50 | 2 |
| Ghs nerve block sciatic nerve CPT 64445 | $540.60 | $901.00 | $585.65 – $662.89 | 2 |
| Ghs nerve block suprascapular CPT 64418 | $639.60 | $1,066.00 | $662.89 – $692.90 | 2 |
| Ghs ng placement w fluoro guidance CPT 43752 | $366.60 | $611.00 | $315.25 – $381.97 | 2 |
| Ghs o2 saturation CPT 82810 | $106.80 | $178.00 | not published | 0 |
| Ghs o2 uptake rest & exercise CPT 94680 | $333.00 | $555.00 | $149.77 – $209.67 | 2 |
| Ghs o2 uptake rest & indirect CPT 94690 | $118.20 | $197.00 | $56.86 – $79.60 | 2 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $132.60 | $221.00 | $44.17 – $61.83 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | $379.20 | $632.00 | $372.45 – $591.81 | 2 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,187.40 | $1,979.00 | $1,286.35 – $1,486.98 | 2 |
| Ghs optokenetic CPT 92544 | $157.20 | $262.00 | $149.77 – $170.30 | 2 |
| Ghs oscillating trac CPT 92545 | $157.20 | $262.00 | $170.30 – $298.08 | 2 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $61.80 | $103.00 | $24.22 – $33.90 | 2 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $87.60 | $146.00 | $24.22 – $33.90 | 2 |
| Ghs ot dds rom CPT 95851 | $76.80 | $128.00 | not published | 0 |
| Ghs ot group caregiver training CPT 97552 | $33.00 | $55.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $66.60 | $111.00 | not published | 0 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $64.80 | $108.00 | not published | 0 |
| Ghs ot work hardening-additional hours CPT 97546 | $59.40 | $99.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $484.20 | $807.00 | $524.55 – $626.39 | 2 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,088.40 | $1,814.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,212.60 | $2,021.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $31.20 | $52.00 | not published | 0 |
| Ghs peritonsillar abscess i andd CPT 42700 | $451.20 | $752.00 | $222.29 – $311.20 | 2 |
| Ghs phenylketonurid CPT 84030 | $120.60 | $201.00 | not published | 0 |
| Ghs picc line insert < 5 CPT 36568 | $960.00 | $1,600.00 | $1,040.00 – $1,486.98 | 2 |
| Ghs plngl fx pm cl CPT 26725 | $636.60 | $1,061.00 | $229.62 – $250.90 | 2 |
| Ghs plt ct-manual CPT 85032 | $39.00 | $65.00 | not published | 0 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,161.40 | $5,269.00 | $973.87 – $1,363.41 | 2 |
| Ghs pos nystagmus CPT 92542 | $157.20 | $262.00 | $123.39 – $170.30 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | $31.80 | $53.00 | $23.44 – $32.82 | 2 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $103.20 | $172.00 | not published | 0 |
| Ghs protein, misc fluid CPT 84160 | $31.80 | $53.00 | not published | 0 |
| Ghs protoporphyrins fract CPT 84202 | $95.40 | $159.00 | not published | 0 |
| Ghs pr without cont pulse ox CPT 94625 | $119.40 | $199.00 | $56.86 – $79.60 | 2 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $80.40 | $134.00 | not published | 0 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $144.60 | $241.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $124.20 | $207.00 | not published | 0 |
| Ghs refill of implantable pump CPT 95990 | $311.40 | $519.00 | $317.50 – $337.35 | 2 |
| Ghs removal intranasal foreign body CPT 30300 | $445.80 | $743.00 | $123.39 – $172.74 | 2 |
| Ghs removal pharyngeal foreign body CPT 42809 | $336.60 | $561.00 | $195.65 – $381.97 | 2 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,062.00 | $1,770.00 | $650.65 – $1,531.94 | 2 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $1,148.40 | $1,914.00 | $248.30 – $3,105.81 | 2 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $193.80 | $323.00 | not published | 0 |
| Ghs reticulocyte count CPT 85044 | $42.60 | $71.00 | not published | 0 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $159.60 | $266.00 | not published | 0 |
| Ghs sedimentation rate CPT 85651 | $27.60 | $46.00 | not published | 0 |
| Ghs semen analysis fert CPT 89320 | $124.80 | $208.00 | not published | 0 |
| Ghs semen analysis, post-vas CPT 89300 | $66.00 | $110.00 | not published | 0 |
| Ghs sensitivity (per antimicro) CPT 87184 | $70.80 | $118.00 | not published | 0 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $341.40 | $569.00 | $369.85 – $382.44 | 2 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $418.80 | $698.00 | $382.44 – $390.65 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $390.60 | $651.00 | $369.85 – $382.44 | 2 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $578.40 | $964.00 | $382.44 – $390.65 | 2 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $326.40 | $544.00 | $190.20 – $266.28 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $324.60 | $541.00 | $190.20 – $266.28 | 2 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $343.20 | $572.00 | $190.20 – $266.28 | 2 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $453.00 | $755.00 | $190.20 – $266.28 | 2 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $378.00 | $630.00 | $190.20 – $266.28 | 2 |
| Ghs sleep study unattended CPT 95800 | $889.80 | $1,483.00 | $149.77 – $209.67 | 2 |
| Ghs somatosensory testing lower extremit CPT 95926 | $386.40 | $644.00 | $298.08 – $304.20 | 2 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $753.60 | $1,256.00 | $507.90 – $711.06 | 2 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $172.20 | $287.00 | 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.