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 |
|---|---|---|---|---|
| Hand X-ray (2 views, both hands) CPT 73120 | $210.60 | $351.00 | $101.79 – $142.51 | 2 |
| Haptoglobin quantitative CPT 83010 | $130.20 | $217.00 | not published | 0 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,569.15 – $2,196.81 | 2 |
| Harvest cultured skin graft 15040 CPT 15040 | $484.20 | $807.00 | not published | 0 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,233.16 – $3,126.42 | 2 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $688.20 | $1,147.00 | not published | 0 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $418.48 – $585.87 | 2 |
| Harvest vein for bypass 35500 CPT 35500 | $493.80 | $823.00 | not published | 0 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $123.39 – $172.74 | 2 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $123.39 – $172.74 | 2 |
| Hbot, full body chamber, 30m HCPCS G0277 | $317.40 | $529.00 | $132.00 – $184.80 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $627.60 | $1,046.00 | $170.40 – $238.57 | 2 |
| Hcg qualitative CPT 84703 | $69.60 | $116.00 | not published | 0 |
| Hcg quantitative CPT 84702 | $165.60 | $276.00 | not published | 0 |
| Hc hearing aid chck binaurl CPT 92593 | $62.40 | $104.00 | not published | 0 |
| Hc hearing aid chck monarl CPT 92592 | $42.00 | $70.00 | not published | 0 |
| Hc hearing aid exam both ears CPT 92591 | $132.60 | $221.00 | not published | 0 |
| Hc hearing aid exam one ear CPT 92590 | $88.20 | $147.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $321.60 | $536.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | $248.40 | $414.00 | not published | 0 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $1,000.20 | $1,667.00 | not published | 0 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $606.60 | $1,011.00 | not published | 0 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $939.60 | $1,566.00 | not published | 0 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $116.40 | $194.00 | not published | 0 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $581.40 | $969.00 | not published | 0 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $919.80 | $1,533.00 | $515.24 – $721.34 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | $233.40 | $389.00 | $252.85 – $384.64 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $695.40 | $1,159.00 | $384.64 – $538.50 | 2 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $1,186.80 | $1,978.00 | $515.24 – $721.34 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,204.40 | $3,674.00 | $1,249.63 – $1,749.48 | 2 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $202.80 | $338.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $664.13 – $929.78 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $664.13 – $929.78 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $664.13 – $929.78 | 2 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $251.73 – $352.42 | 2 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $251.73 – $352.42 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $1,509.00 | $2,515.00 | $170.40 – $238.57 | 2 |
| Head CT scan (with contrast) CPT 70460 | $1,263.60 | $2,106.00 | $170.40 – $238.57 | 2 |
| Head CT scan (without contrast) CPT 70450 | $1,198.80 | $1,998.00 | $101.79 – $142.51 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $515.24 – $721.34 | 2 |
| Heart image spect CPT 78494 | not published | not published | $384.64 – $538.50 | 2 |
| Heart infarct image CPT 78466 | $531.60 | $886.00 | $384.64 – $538.50 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $515.24 – $721.34 | 2 |
| Heart tmr w/other procedure 33141 CPT 33141 | $362.40 | $604.00 | not published | 0 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $259.20 | $432.00 | $84.28 – $118.00 | 2 |
| Helicobacter pylori antibody igm CPT 86677 | $194.40 | $324.00 | not published | 0 |
| Hematocrit CPT 85014 | $28.80 | $48.00 | not published | 0 |
| Hematopoietic nuclear tx CPT 79403 | $804.60 | $1,341.00 | $214.54 – $300.36 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $8,881.19 | $14,801.99 | $32.71 – $47.84 | 2 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $669.79 – $937.70 | 2 |
| Hemoglobin CPT 85018 | $28.80 | $48.00 | not published | 0 |
| Hemoglobin fetal qualitative CPT 83033 | $31.20 | $52.00 | not published | 0 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $76.80 | $128.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $68.40 | $114.00 | not published | 0 |
| Hemolysins and agglutinins incubated CPT 86941 | $115.80 | $193.00 | not published | 0 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $719.40 | $1,199.00 | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $501.60 | $836.00 | not published | 0 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $718.80 | $1,198.00 | not published | 0 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $68.59 – $100.32 | 2 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $68.59 – $100.32 | 2 |
| Heparin assay CPT 85520 | $136.20 | $227.00 | not published | 0 |
| Heparin bolus from bag HCPCS J1644 | $84.16 | $140.26 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $33.24 | $55.40 | not published | 0 |
| Hepatectomy removal of liver 47120 CPT 47120 | $4,363.20 | $7,272.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $103.80 | $173.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $110.40 | $184.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $102.60 | $171.00 | not published | 0 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $1,209.28 | $2,015.46 | $125.07 – $182.92 | 2 |
| Hepatitis b surface antibody CPT 86706 | $121.20 | $202.00 | not published | 0 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $343.26 | $572.10 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $195.60 | $326.00 | not published | 0 |
| Hernia Repair (Inguinal) CPT 49505 | $977.40 | $1,629.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $194.40 | $324.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $75.00 | $125.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $120.00 | $200.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $49.20 | $82.00 | not published | 0 |
| Heterophile antibodies titer CPT 86309 | $33.00 | $55.00 | not published | 0 |
| Hfo nontorsion jnts pre ots HCPCS L3930 | $24.60 | $41.00 | not published | 0 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,531.94 – $2,144.72 | 2 |
| High inten beh couns std 30m HCPCS G0445 | not published | not published | $88.54 – $123.96 | 2 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $232.80 | $388.00 | $101.79 – $142.51 | 2 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $393.60 | $656.00 | $101.79 – $142.51 | 2 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $264.60 | $441.00 | $84.28 – $118.00 | 2 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,105.81 – $4,348.13 | 2 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $6,838.12 – $9,573.37 | 2 |
| Hip X-ray CPT 73502 | $309.60 | $516.00 | not published | 0 |
| Histamine CPT 83088 | $229.20 | $382.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $54.00 | $90.00 | not published | 0 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $37.57 – $52.60 | 2 |
| HIV 2 pcr qual - sendout CPT 87537 | $454.80 | $758.00 | not published | 0 |
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $28.52 – $39.92 | 2 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $68.22 – $99.78 | 2 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.67 – $2.44 | 2 |
| HIV prep, inj, cabotegravir HCPCS J0739 | $7,320.13 | $12,200.21 | $6.73 – $9.84 | 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.